curing, caring, complexity: best practices in geriatrics

April 5-7, 2013Hilton Richmond Hotel & Spa

Short Pump / Richmond, Virginia

Curing, Caring, Complexity:

Best Practices in Geriatrics

www.VirginiaGeriatricsSociety.org

The 24th Annual Virginia Geriatrics Society Conference

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AFriday, April 5, 20137:00 a.m. - 7:45 a.m. Breakfast with exhibitors

8:00 a.m. - 9:00 a.m. Thyroid Therapy: The Essentials and Some Tricks of the Trade David Gardner, MD; Professor of Medicine, Virginia Commonwealth University

9:00 a.m. - 10:00 a.m. Down and Blue? Which Drugs, What Doses, How Long? Ericka Breden Crouse, PharmD, BCPP, CGP, FASCP; Clinical Pharmacy Specialist, Psychiatry; Clinical Associate Professor, Pharmacy and Psychiatry

10:00 a.m. - 10:15 a.m. Break with exhibitors

10:15 a.m. - 11:15 a.m. Balancing Act: Practical Assessment and Management of Falls Steven Morrison, PhD, Endowed Professor of Physical Therapy, Director of Research, School of Physical Therapy and Athletic Training, Old Dominion University

11:15 a.m. - 12:15 p.m. Teamwork in Geriatrics: Making It Happen in the Real World Rebecca G. Cowan, PhD, LPC, NCC; Assistant Professor, Eastern Virginia Medical School, Department of Family and Community Medicine and Daniel Bluestein, MD, MS, CMD, AGSF, CAQ-Geriatrics, Charles F. Burroughs Jr. Endowed Chair in Family Medicine; Professor & Director, Geriatrics Division, Department of Family & Community Medicine, Eastern Virginia Medical School

12:15 p.m. - 12:45 p.m. Break with exhibitors

12:45 p.m. - 1:45 p.m. Lunch Symposium: Managing Hormonal Changes Associated with Aging: Andropause and Menopause Michael Godschalk, MD; Professor of Medicine, Virginia Commonwealth University; Director, Geriatric Health Care Center, McGuire VA Medical Center and JoAnn V. Pinkerton, MD; Division Chief, Mid-Life Health Center, University of Virginia

1:45 p.m. - 2:45 p.m. Pacifying Pain with Pharmaceuticals Danielle Noreika, MD; Assistant Professor of Medicine, Virginia Commonwealth University

2:45 p.m. - 3:45 p.m. Going Beyond Drugs: Relieving Pain Through Non-Pharmacological Methods Suzanne Fleming, OTR, MBA; Adjunct Instructor, Department of Occupational Therapy, Virginia Commonwealth University, School of Allied Health


4:00 p.m. - 5:00 p.m. The Low Down on High Sugars in the Elderly Population John N Clore, MD; Professor of Medicine, Division of Endocrinology; Associate Vice President for Clinical Research, Virginia Commonwealth University

5:00 p.m. - 6:00 p.m. Beating the Brain Attack: Best Practices Before, During, and After E. Clarke Haley, Jr., MD; Professor of Neurology and Neurological Surgery, University of Virginia

6:00 p.m. Adjourn

6:05 p.m. Cocktail Reception with the Hampton Players

7:30 p.m. Dinner (VGS members only)

8:30 p.m. VGS Business Meeting

Saturday, April 6, 20137:00 a.m. - 7:45 a.m. Breakfast with exhibitors

7:45 a.m. - 8:45 a.m. The Cold Hard Facts About Bone Health Dr. Robert A. Adler, Professor of Medicine, Chief, Endocrinology and Metabolism, McGuire VA Medical Center

8:45 a.m. - 9:45 a.m. Liver Rounds: Hep C, LFTs and More Michael Ryan, MD; Eastern Virginia Medical School


10:00 a.m. - 11:00 a.m. Geriatric Drug Therapy 2013: What’s Hot and What’s Not Tom Lynch, Pharm.D, BCPS; Associate Professor, Department of Family & Community Medicine, Eastern Virginia Medical School

11:00 a.m. - 12:00 p.m. Re-Gaining Control: Continence Care in 2013 Mikel Gray, PhD; Department of Urology, University of Virginia


12:30 p.m. - 1:30 p.m. Lunch Symposium: The Beers’ List Quiz—Not Your Average Drinking Game Angela Gentili, MD; Associate Professor of Medicine, Virginia Commonwealth University, McGuire VA Medical Center and Meredith Bremer, PharmD, BCPS; Clinical Pharmacy Specialist, McGuire VA Medical Center, Clinical Assistant Professor of Pharmacy, Virginia Commonwealth University

1:30 p.m. - 2:30 p.m. Guiding Principles in the Care of Older Adults with Multi-Morbidity Matthew McNabney, MD; Associate Professor of Medicine, Johns Hopkins University 2:30 p.m. - 3:30 p.m. Hitting Our Marks in the Age of Measurement: the Alphabet Soup of Meaningful Use, PQRS, and More Peter A. Boling, MD; Professor of Medicine, Chair, Division of Geriatric Medicine, Virginia Commonwealth University

3:30 p.m. Adjourn

Sunday, April 7, 20137:45 a.m. - 8:45 a.m. Modern Advances in Radiotherapy for Elderly Cancer Patients – Extending, While Improving Quality of Life Drew Moghanaki, MD, MPH; Assistant Professor of Medicine, Virginia Commonwealth University, McGuire VAMC

8:45 a.m. - 9:45 a.m. Should This Older Patient Take Chemo? Craig Swainey, MD; Assistant Professor of Medicine, Virginia Commonwealth University

10:00 a.m. - 11:00 a.m. New Surgical Options for the Older Aching Back Lawrence F. Cohen, MD; Associate Professor of Orthopedic Surgery, Virginia Commonwealth University

11:00 a.m. - 12:00 p.m. Hypertension Management: How Tight and How To? Domenic Sica, MD; Professor and Eminent Scholar of Medicine, Virginia Commonwealth University

12:00 p.m. Adjourn

Schedule

Richmond, VirginiaAs the capital of Virginia, Richmond invites the world to come explore her beauty, history, and culture. Richmond abounds with opportunities for fun, recreation and relaxation.

Hilton Richmond Hotel & Spa (Short Pump)The Hilton Richmond Hotel & Spa will welcome our guests with charming Southern comforts and hospitality. Accommodations at the hotel will be available at reduced rates starting at $143 per night.

Reservations may be made by calling the Hilton directly at 1-800-445-8667 or online (Please mention you are with the Virginia Geriatrics Conference). Conference rates available through Thursday, March 28, 2013.

Friends & FunPlease plan to attend the Friday afternoon cocktail reception, immediately following the lectures. Saturday allows plenty of time to experience all the beauty, culture, history and atmosphere of Richmond.

Jointly Sponsored By: Virginia Geriatrics Society Virginia Center on Aging (VCoA) Virginia Geriatric Education Center (VGEC) Hunter Holmes McGuire Veterans Affairs Medical Center VCU Partnership in Geriatrics Education Virginia Health Quality Center (VHQC)

Planning Committee

Who Should AttendPhysicians, nurse practitioners, physician assistants, pharmacists and other clinicians who work with older adults, and/or desire information about advances in treatments for our aging population.

Course DescriptionThis conference is designed to provide participants (physicians, pharmacists, nurse practitioners, nurses, social workers, physician assistants and other health professionals) with advanced information through presentations, lectures and symposia. Topics will include the latest information on diagnosis, management, treatment and health policy for common problems in the aging population. With its theme of “Curing, Caring, Complexity: Best Practices in Geriatrics”, the meeting will provide information designed for front-line care providers, including insight from experience and review of recent research which will help participants to improve their care of older adults.

Course ObjectivesBy the conclusion of this conference, attendees should be able to:1. Describe assessment and non-surgical treatment options

for geriatric conditions like: diabetes, palliative care, pain management, liver disease, cancer and stroke.

2. Identify best practices for medication management and treatment goals for common conditions such as hypertension and depression.

3. Describe new options for surgical treatment of back disorders and use of radiation therapy.

4. Outline approaches to team-based care and performance measures for complex older adults in common geriatric care settings.

This program was made possible in part by Geriatric Training and Education (GTE) funds appropriated by the General Assembly

of Virginia and administered by the Virginia Center on Aging at Virginia Commonwealth University.

Ed Ansello, PhD Beverly Baker, BS Dan Bluestein, MD Peter Boling, MD Norma Branham, GNP Rebecca Cowan, PhD Gale Davis, MS Martha Domisse, MD Saunya Fisher

Kathy Fletcher, RN Angela Gentili, MD Mike Godschalk, MD Sarah Hobgood, MD Jay Holdren, MHA Louise Manetta, NP Beth Meyers, MS Rachel Selby-Penczak, MD

Educational CreditFurther information regarding educational credit will continue to be updated on the VGS website http://www.virginiageriatricssociety.org/

This activity has been submitted to the Virginia Nurses Association for approval to award contact hours. The Virginia Nurses Association is accredited as an approver of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Continuing education credit will be provided by the Office of Continuing Medical Education, Virginia Commonwealth University

CEU approval pending from the Virginia Commonwealth University School of Social Work.

VCU School of Pharmacy, Office of Continuing Education is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. Upon successful completion of all learning assessment activities and submission of an evaluation form, participants will receive 20.00 contact hours (2.00 CEUs). UAN: 294-999-13-029-L01-P thru 294-999-12-049-L01-P

VIRGINIA GERIATRICS SOCIETY: The Virginia Geriatrics Society (VGS) is an affiliate of the American Geriatrics Society. Membership in VGS provides priority access to all educational opportunities, free continuing education units (CEU’s and CME’s) at dinner meetings, discounted registration fee for the annual Virginia Geriatrics Conference, networking with Geriatrics and Gerontology professionals and opportunity to impact Geriatrics at the state and national levels. Cost of Membership is just $50 annually.

VIRGINIA COMMONWEALTH UNIVERSITY: Virginia Commonwealth University is an equal opportunity/affirmative action institution providing access to education and employment without regard to age, race, color, national origin, gender, religion, sexual orientation, veteran’s status, political affiliation or disability. Individuals with special needs (mobility, access, etc.) should indicate specific needs in a letter attached to registration form.

Registration2013 VIRGINIA GERIATRICS SOCIETY CONFERENCE

Name: ________________________________________________

Credentials: ___________________________________________

Discipline: ____________________________________________

Institution: ____________________________________________

Home Address: ________________________________________

City: _________________________________________________

State: _____________ Zip Code: _________________________

Daytime Telephone: ____________________________________

Email Address: ________________________________________

Are you a first time attendee? o Yes o No

How did you hear about the conference?o Brochure o Email o Website o Colleague Referral o Other _____________

Will you attend the Member-Only Dinner on Friday, April 5? o Yes o No

Registration FeesPostmarked before March 8, 2013o $500 for Physicianso $450 for VGS Physician memberso $400 for Physicians-in-training, Pharmacists, Nurse

Practitioners, and Physician Assistantso $350 for VGS Non-MD members

Postmarked after March 8, 2013o $550 for Physicianso $500 for VGS Physician memberso $450 for Physicians-in-training, Pharmacists, Nurse

Practitioners, and Physician Assistantso $400 for VGS Non-MD memberso Daily Rate: $345 for Friday, $255 for Saturday, and

$195 for Sunday

Mail or fax registration form to Sherry Whiting, VGS Conference Coordinator, 250 West Main Street, Suite 100, Charlottesville, VA 22902 or fax to (434) 979-2439. To pay by credit card, registration is available online at www.vgsconference.org.

For phone inquiries or special needs contact Sherry Whiting at (434) 326-9842. No registration refunds will be given after March 21, 2013. Refund requests made before then will be subject to a $50 administrative fee.

April 5-7, 2013Hilton Richmond Hotel & Spa

Short Pump / Richmond, Virginia

Curing, Caring, Complexity:

Best Practices in Geriatrics

www.VirginiaGeriatricsSociety.org

The 24th Annual Virginia Geriatrics Society Conference

1201

Bro

ad R

ock

Blv

d.

Ric

hmon

d, V

A 2

3249

-000

1

Non-Profit

U.S

. Po

stag

e PA

IDP

erm

it #

3053

Ric

hmo

nd, V

A

Friday, April 5, 20137:00 a.m. - 7:45 a.m. Breakfast with exhibitors

8:00 a.m. - 9:00 a.m. Thyroid Therapy: The Essentials and Some Tricks of the Trade David Gardner, MD; Professor of Medicine, Virginia Commonwealth University

9:00 a.m. - 10:00 a.m. Down and Blue? Which Drugs, What Doses, How Long? Ericka Breden Crouse, PharmD, BCPP, CGP, FASCP; Clinical Pharmacy Specialist, Psychiatry; Clinical Associate Professor, Pharmacy and Psychiatry


10:15 a.m. - 11:15 a.m. Balancing Act: Practical Assessment and Management of Falls Steven Morrison, PhD, Endowed Professor of Physical Therapy, Director of Research, School of Physical Therapy and Athletic Training, Old Dominion University

11:15 a.m. - 12:15 p.m. Teamwork in Geriatrics: Making It Happen in the Real World Rebecca G. Cowan, PhD, LPC, NCC; Assistant Professor, Eastern Virginia Medical School, Department of Family and Community Medicine and Daniel Bluestein, MD, MS, CMD, AGSF, CAQ-Geriatrics, Charles F. Burroughs Jr. Endowed Chair in Family Medicine; Professor & Director, Geriatrics Division, Department of Family & Community Medicine, Eastern Virginia Medical School


12:45 p.m. - 1:45 p.m. Lunch Symposium: Managing Hormonal Changes Associated with Aging: Andropause and Menopause Michael Godschalk, MD; Professor of Medicine, Virginia Commonwealth University; Director, Geriatric Health Care Center, McGuire VA Medical Center and JoAnn V. Pinkerton, MD; Division Chief, Mid-Life Health Center, University of Virginia

1:45 p.m. - 2:45 p.m. Pacifying Pain with Pharmaceuticals Danielle Noreika, MD; Assistant Professor of Medicine, Virginia Commonwealth University

2:45 p.m. - 3:45 p.m. Going Beyond Drugs: Relieving Pain Through Non-Pharmacological Methods Suzanne Fleming, OTR, MBA; Adjunct Instructor, Department of Occupational Therapy, Virginia Commonwealth University, School of Allied Health


4:00 p.m. - 5:00 p.m. The Low Down on High Sugars in the Elderly Population John N Clore, MD; Professor of Medicine, Division of Endocrinology; Associate Vice President for Clinical Research, Virginia Commonwealth University

5:00 p.m. - 6:00 p.m. Beating the Brain Attack: Best Practices Before, During, and After E. Clarke Haley, Jr., MD; Professor of Neurology and Neurological Surgery, University of Virginia

6:00 p.m. Adjourn

6:05 p.m. Cocktail Reception with the Hampton Players

7:30 p.m. Dinner (VGS members only)

8:30 p.m. VGS Business Meeting

Saturday, April 6, 20137:00 a.m. - 7:45 a.m. Breakfast with exhibitors

7:45 a.m. - 8:45 a.m. The Cold Hard Facts About Bone Health Dr. Robert A. Adler, Professor of Medicine, Chief, Endocrinology and Metabolism, McGuire VA Medical Center

8:45 a.m. - 9:45 a.m. Liver Rounds: Hep C, LFTs and More Michael Ryan, MD; Eastern Virginia Medical School


10:00 a.m. - 11:00 a.m. Geriatric Drug Therapy 2013: What’s Hot and What’s Not Tom Lynch, Pharm.D, BCPS; Associate Professor, Department of Family & Community Medicine, Eastern Virginia Medical School

11:00 a.m. - 12:00 p.m. Re-Gaining Control: Continence Care in 2013 Mikel Gray, PhD; Department of Urology, University of Virginia


12:30 p.m. - 1:30 p.m. Lunch Symposium: The Beers’ List Quiz—Not Your Average Drinking Game Angela Gentili, MD; Associate Professor of Medicine, Virginia Commonwealth University, McGuire VA Medical Center and Meredith Bremer, PharmD, BCPS; Clinical Pharmacy Specialist, McGuire VA Medical Center, Clinical Assistant Professor of Pharmacy, Virginia Commonwealth University

1:30 p.m. - 2:30 p.m. Guiding Principles in the Care of Older Adults with Multi-Morbidity Matthew McNabney, MD; Associate Professor of Medicine, Johns Hopkins University 2:30 p.m. - 3:30 p.m. Hitting Our Marks in the Age of Measurement: the Alphabet Soup of Meaningful Use, PQRS, and More Peter A. Boling, MD; Professor of Medicine, Chair, Division of Geriatric Medicine, Virginia Commonwealth University

3:30 p.m. Adjourn

Sunday, April 7, 20137:45 a.m. - 8:45 a.m. Modern Advances in Radiotherapy for Elderly Cancer Patients – Extending, While Improving Quality of Life Drew Moghanaki, MD, MPH; Assistant Professor of Medicine, Virginia Commonwealth University, McGuire VAMC

8:45 a.m. - 9:45 a.m. Should This Older Patient Take Chemo? Craig Swainey, MD; Assistant Professor of Medicine, Virginia Commonwealth University

10:00 a.m. - 11:00 a.m. New Surgical Options for the Older Aching Back Lawrence F. Cohen, MD; Associate Professor of Orthopedic Surgery, Virginia Commonwealth University

11:00 a.m. - 12:00 p.m. Hypertension Management: How Tight and How To? Domenic Sica, MD; Professor and Eminent Scholar of Medicine, Virginia Commonwealth University

12:00 p.m. Adjourn

Schedule

Richmond, VirginiaAs the capital of Virginia, Richmond invites the world to come explore her beauty, history, and culture. Richmond abounds with opportunities for fun, recreation and relaxation.

Hilton Richmond Hotel & Spa (Short Pump)The Hilton Richmond Hotel & Spa will welcome our guests with charming Southern comforts and hospitality. Accommodations at the hotel will be available at reduced rates starting at $143 per night.

Reservations may be made by calling the Hilton directly at 1-800-445-8667 or online (Please mention you are with the Virginia Geriatrics Conference). Conference rates available through Thursday, March 28, 2013.

Friends & FunPlease plan to attend the Friday afternoon cocktail reception, immediately following the lectures. Saturday allows plenty of time to experience all the beauty, culture, history and atmosphere of Richmond.

Jointly Sponsored By: Virginia Geriatrics Society Virginia Center on Aging (VCoA) Virginia Geriatric Education Center (VGEC) Hunter Holmes McGuire Veterans Affairs Medical Center VCU Partnership in Geriatrics Education Virginia Health Quality Center (VHQC)

Planning Committee

Who Should AttendPhysicians, nurse practitioners, physician assistants, pharmacists and other clinicians who work with older adults, and/or desire information about advances in treatments for our aging population.

Course DescriptionThis conference is designed to provide participants (physicians, pharmacists, nurse practitioners, nurses, social workers, physician assistants and other health professionals) with advanced information through presentations, lectures and symposia. Topics will include the latest information on diagnosis, management, treatment and health policy for common problems in the aging population. With its theme of “Curing, Caring, Complexity: Best Practices in Geriatrics”, the meeting will provide information designed for front-line care providers, including insight from experience and review of recent research which will help participants to improve their care of older adults.

Course ObjectivesBy the conclusion of this conference, attendees should be able to:1. Describe assessment and non-surgical treatment options

for geriatric conditions like: diabetes, palliative care, pain management, liver disease, cancer and stroke.

2. Identify best practices for medication management and treatment goals for common conditions such as hypertension and depression.

3. Describe new options for surgical treatment of back disorders and use of radiation therapy.

4. Outline approaches to team-based care and performance measures for complex older adults in common geriatric care settings.

This program was made possible in part by Geriatric Training and Education (GTE) funds appropriated by the General Assembly

of Virginia and administered by the Virginia Center on Aging at Virginia Commonwealth University.

Ed Ansello, PhD Beverly Baker, BS Dan Bluestein, MD Peter Boling, MD Norma Branham, GNP Rebecca Cowan, PhD Gale Davis, MS Martha Domisse, MD Saunya Fisher

Kathy Fletcher, RN Angela Gentili, MD Mike Godschalk, MD Sarah Hobgood, MD Jay Holdren, MHA Louise Manetta, NP Beth Meyers, MS Rachel Selby-Penczak, MD

Educational CreditFurther information regarding educational credit will continue to be updated on the VGS website http://www.virginiageriatricssociety.org/

This activity has been submitted to the Virginia Nurses Association for approval to award contact hours. The Virginia Nurses Association is accredited as an approver of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Continuing education credit will be provided by the Office of Continuing Medical Education, Virginia Commonwealth University

CEU approval pending from the Virginia Commonwealth University School of Social Work.

VCU School of Pharmacy, Office of Continuing Education is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. Upon successful completion of all learning assessment activities and submission of an evaluation form, participants will receive 20.00 contact hours (2.00 CEUs). UAN: 294-999-13-029-L01-P thru 294-999-12-049-L01-P

VIRGINIA GERIATRICS SOCIETY: The Virginia Geriatrics Society (VGS) is an affiliate of the American Geriatrics Society. Membership in VGS provides priority access to all educational opportunities, free continuing education units (CEU’s and CME’s) at dinner meetings, discounted registration fee for the annual Virginia Geriatrics Conference, networking with Geriatrics and Gerontology professionals and opportunity to impact Geriatrics at the state and national levels. Cost of Membership is just $50 annually.

VIRGINIA COMMONWEALTH UNIVERSITY: Virginia Commonwealth University is an equal opportunity/affirmative action institution providing access to education and employment without regard to age, race, color, national origin, gender, religion, sexual orientation, veteran’s status, political affiliation or disability. Individuals with special needs (mobility, access, etc.) should indicate specific needs in a letter attached to registration form.

Registration2013 VIRGINIA GERIATRICS SOCIETY CONFERENCE

Name: ________________________________________________

Credentials: ___________________________________________

Discipline: ____________________________________________

Institution: ____________________________________________

Home Address: ________________________________________

City: _________________________________________________

State: _____________ Zip Code: _________________________

Daytime Telephone: ____________________________________

Email Address: ________________________________________

Are you a first time attendee? o Yes o No

How did you hear about the conference?o Brochure o Email o Website o Colleague Referral o Other _____________

Will you attend the Member-Only Dinner on Friday, April 5? o Yes o No

Registration FeesPostmarked before March 8, 2013o $500 for Physicianso $450 for VGS Physician memberso $400 for Physicians-in-training, Pharmacists, Nurse

Practitioners, and Physician Assistantso $350 for VGS Non-MD members

Postmarked after March 8, 2013o $550 for Physicianso $500 for VGS Physician memberso $450 for Physicians-in-training, Pharmacists, Nurse

Practitioners, and Physician Assistantso $400 for VGS Non-MD memberso Daily Rate: $345 for Friday, $255 for Saturday, and

$195 for Sunday

Mail or fax registration form to Sherry Whiting, VGS Conference Coordinator, 250 West Main Street, Suite 100, Charlottesville, VA 22902 or fax to (434) 979-2439. To pay by credit card, registration is available online at www.vgsconference.org.

For phone inquiries or special needs contact Sherry Whiting at (434) 326-9842. No registration refunds will be given after March 21, 2013. Refund requests made before then will be subject to a $50 administrative fee.

curing, caring, complexity: best practices in geriatrics

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