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Mass General Brigham Geriatrics for Surgical Clinicians 2024
THIS IS A VIRTUAL COURSE
In the United States, almost 40% of all inpatient procedures are performed on patients aged 65 and older; at MGB trauma centers over 50% of injured patients are older adults, the majority of whom are frail. To prepare our healthcare system to care for growing numbers of older adults who have increasing medical and psychosocial complexity, front line clinicians including Advanced Practice Providers (APPs), surgical trainees, nurses, and surgical attendings urgently need more training in geriatric syndromes and the 5 pillars of Age-Friendly care (Medication, Mobility, what Matters, Mentation and Multicomplexity). This training will address the needs of the growing number of geriatric patients, and avoid hazards of hospitalization such as delirium, falls, infections, and loss of function, and reduce caregiver strain. These issues are particularly relevant in surgery and trauma where mortality, complications, and other adverse outcomes are consistently higher for older patients than their younger counterparts. Moreover, national stakeholders including CMS and the American College of Surgeons are setting standards for geriatric surgical care that clinicians must be prepared to meet. Evidence suggests that geriatric-focused clinical pathways can reduce delirium, ICU stays, length of stay, and readmissions in older surgical patients. Clinicians will benefit from in depth training in geriatric care to enable the implementation of structures and processes to improve outcomes.
Target Audience
This activity is intended for surgical clinicians, nurses, and physician assistants internal & external to the Mass General Brigham system.
Learning Objectives
Upon completion of this activity, participants will be able to:
- Describe the 5 Ms (Medication, Mobility, what Matters, Mentation, and Multicomplexity) of caring for older surgical patients.
- Perform an assessment for delirium, initiate work-up for precipitating factors, treat underlying causes, and develop a safe care plan.
- Recognize risk factors for falls and fractures and create a plan for optimizing mobility.
- Perform a full medication reconciliation and identify medications that are potentially inappropriate.
- Summarize how to coordinate a safe and effective care transition for older patients, caregivers, and families
- Assess what matters most to older patients and apply these priorities into surgical planning.
- Associate geriatric syndromes such as frailty and dementia with adverse postoperative outcomes.
Additional Information
Brigham & Women's Hospital - Department of Surgery & Mass General Brigham
Thursday, March 14, 2024 | 11:00 AM - 4:00 PM ET
| 11:00am | Introduction to Day 1 - Surgery in Older Adults: An Age-Friendly Approach | Zara Cooper, MD, MSc |
11:15 | Mentation: Preventing & Addressing Delirium in Surgical Patients | Sevdenur Cizginer, MD, MPH, AGSF |
12:00pm | Medications: Polypharmacy & Deprescribing for Surgical Patients | Laura Frain, MD, MPH |
12:45 | Parallel Case-Based Workshops A) Delirium & Dementia Surgical Cases | Sharon Levine, MD & Deborah Lee, MD B) Medications: Geriatric Surgical Cases | Andrea Wershof Schwartz, MD, MPH & Lynne O'Mara, MPAS, PA-C |
| 1:15 | Break |
| 1:45 | Rehab, Prehab & Falls: Optimizing Mobility throughout the Surgical Continuum | Julia Loewenthal, MD & Nancy Latham, PhD |
| 2:30 | What Matters Most: Addressing Goals & Priorities for Surgical Patients | Elizabeth Lilley, MD, MPH |
| 3:15 | Parallel Case-Based Workshops A) Serious Illness Conversations: A Guide for Communication about Goals of Care | Rachelle Bernacki, MD, MS & Elizabeth Lilley, MD, MPH B) Supporting Caregivers & Surrogates Before, During & After Surgery | Tamryn Gray, PhD, RN, MPH & Zara Cooper, MD, MSc |
| 3:45 | Take Home Lessons for Geriatric Care | Andrea Schwartz, MD, MPH |
| 4:00pm | Adjournment |
Friday, March 15, 2024 | 11:00 AM - 4:30 PM ET
| 11:00am | Introduction to Day 2: Navigating Multicomplexity in Older Surgical Patients | Rachelle Bernacki, MD, MS |
| 11:15 | Peri-Operative Evaluation for Geriatric Surgery Patients | Rachelle Bernacki, MD, MS & Christine Cauley, MD, MPH |
| 12:00pm | Anesthesia & Pain Management in Older Surgical Patients | Stacie Deiner, MD |
| 12:45 | Parallel Case-Based Workshops A) Pre-Operative Evaluation & Pre-Habilitation | Christine Cauley, MD, MPH & Esteban Franco Garcia, MD B) Surgical Pain Management for Older Adults | Stacie Deiner, MD |
| 1:15 | Break |
| 1:45 | Frailty in Older Surgical Patients | Ariela Orkaby, MD, MPH |
| 2:30 | Multicomplexity: Considering Transitions of Care & Payment Models for Geriatric Surgery Patients | Esteban Franco Garcia, MD |
| 3:15 | Panel Discussion: Implementing Geriatric Surgery Care Models | Amy Bulger, RN, MPH, GERO-BC, CPHQ, Lynne O'Mara, MPAS, PA-C, Houman Javedan, MD, Roman Belenkiy, PharmD, BCGP & Masaya Higuchi, MD, MPH, CMD, AGSF |
| 4:15 | Course Wrap-Up | Andrea Schwartz, MD, MPH & Julia Loewenthal, MD |
| 4:30pm | Adjournment |
Course Directors
Zara Cooper, MD, MSc
Michele and Howard J. Kessler Distinguished Chair of Surgery and Public Health
Kessler Director, Center for Surgery and Public Health
Director, Center for Geriatric Surgery, Brigham and Women’s Hospital
Professor of Surgery, Harvard Medical School
Rachelle Bernacki, MD, MS
Director of Care Transformation and Postoperative Services, Center for Geriatric Surgery, Brigham and Women’s Hospital
Director of Quality Initiatives, Psychosocial Oncology and Palliative Care, Dana Farber Cancer Institute
Associate Professor of Medicine, Harvard Medical School
Julia Loewenthal, MD
Geriatrician, Division of Aging, Brigham and Women’s Hospital
Assistant Program Director, Internal Medicine Residency Program, Brigham and Women’s Hospital
Instructor in Medicine, Harvard Medical School
Andrea Wershof Schwartz, MD, MPH
Geriatrician, Division of Aging, Brigham and Women’s Hospital
Associate Professor of Medicine, Harvard Medical School
Associate Director, New England Geriatric Research Education and Clinical Center, VA Boston Healthcare System
Course Planners
Amy Bulger, RN, MPH, GERO-BC, CPHQ
Director of Geriatrics Operations, Center for Geriatric Surgery and Department of Nursing, Brigham and Women’s Hospital
Lynne O'Mara, MPAS, PA-C
Clinical Program Manager, Center for Geriatric Surgery, Brigham and Women’s Hospital
Senior Administrator of Inpatient Operations, Brigham and Women’s Hospital
Course Speakers
Roman Belenkiy, PharmD, BCGP
Transitions of Care Pharmacist, Brigham and Women’s Hospital
Christy Cauley, MD, MPH
Colorectal and Gastrointestinal Surgeon, Massachusetts General Hospital
Director of Research, MGH Colorectal Surgery
Assistant Professor, Harvard Medical School
Sevdenur Cizginer, MD, MPH, AGSF
Assistant Professor of Medicine, Harvard Medical School
Geriatrician, Massachusetts General Hospital
Stacie Deiner, MD, MS
LeRoy Garth Professor and Vice Chair for Research,
Department of Anesthesiology, Dartmouth Hitchcock Medical Center
Laura Frain, MD, MPH
Geriatrician, Beth Israel Deaconess Medical Center and Brigham and Women’s Hospital
Instructor in Medicine, Harvard Medical School
Esteban Franco Garcia, MD, AGSF
Instructor in Medicine, Harvard Medical School
Program Director, Geriatric Medicine Fellowship, Massachusetts General Hospital
Director, Geriatric Inpatient Fracture and Trauma Service, Massachusetts General Hospital
Tamryn Fowler Gray, PhD, RN, MPH
Clinical Specialist, Department of Medical Oncology, Division of Stem Cell Transplantation and Cellular Therapies
Research Scientist, Phyllis F. Cantor Center for Research in Nursing and Patient Services, Dana-Farber Cancer Institute
Instructor in Medicine, Department of Psychosocial Oncology and Palliative Care, Dana-Farber Cancer Institute, Harvard Medical School
Masaya Higuchi, MD, MPH, CMD, AGSF
Medical Director, MGH Perioperative Optimization of Senior Health Program (POSH)
Division of Palliative Care and Geriatric Medicine, Massachusetts General Hospital
Instructor in Medicine, Harvard Medical School
Houman Javedan, MD
Clinical Director, Division of Aging, Brigham and Women’s Hospital
Assistant Professor of Medicine, Harvard Medical School
Nancy Latham, PhD, PT
Clinical Research Director, Research Division of Men’s Health, Aging and Metabolism, Brigham and Women’s Hospital
Lecturer in Medicine, Harvard Medical School
Deborah Lee, MD
Geriatrician, Massachusetts General Hospital
Instructor in Medicine, Harvard Medical School
Sharon Levine, MD
Section Head, Geriatric Medicine, Division of Palliative Care and Geriatric Medicine, Massachusetts General Hospital
Professor of Medicine, Director of Geriatrics Education Innovation, Boston University School of Medicine
Elizabeth Lilley, MD, MPH
Surgical Oncologist, Brigham and Women’s Hospital
Affiliate Faculty, Department of Psychosocial Oncology and Palliative Care, Dana-Farber Cancer Institute
Associate Program Director, Mass General Brigham/Dana-Farber Complex General Surgical Oncology Fellowship, Harvard Medical School
Ariela Orkaby, MD, MPH
Geriatrician, Director of Frailty Research, Division of Aging, Brigham and Women’s Hospital
Associate Director for Research Training, New England Geriatric Research Education and Clinical Center, VA Boston Healthcare System
Assistant Professor of Medicine, Harvard Medical School
In support of improving patient care, Mass General Brigham is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Credit Designation Statements
AMA PRA Category 1 CreditsTM
Mass General Brigham designates this live activity for a maximum of 9.50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Nursing
Mass General Brigham designates this activity for 9.50 ANCC contact hours. Nurses should only claim credit commensurate with the extent of their participation in the activity.
Physician Assistants
Mass General Brigham has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 9.50 AAPA Category 1 CME credits. PAs should only claim credit commensurate with the extent of their participation.
ABA MOC Statement
This activity contributes to the CME component of the American Board of Anesthesiology’s redesigned Maintenance of Certification in AnesthesiologyTM (MOCA®) program, known as MOCA 2.0®. Please consult the ABA website, www.theABA.org, for a list of all MOCA 2.0 requirements.
ABS MOC Statement
Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn credit toward the CME requirement of the American Board of Surgery’s Continuous Certification program. It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting ABS credit.
ABOHNS MOC Statement
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn their required annual part II self-assessment credit in the American Board of Otolaryngology – Head and Neck Surgery’s Continuing Certification program (formerly known as MOC). It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose.
Available Credit
- 9.50 AAPA Category I CME
- 9.50 ABA MOC II
- 9.50 ABOHNS MOC II
- 9.50 ABS MOC II
- 9.50 AMA PRA Category 1 Credit™
- 9.50 Nursing Contact Hours
- 9.50 Participation
Price
| Registration Type | Tuition Fee |
|---|---|
| Physicians | $375 |
| RNs, NPs & PAs | $275 |
| Trainees | Free |
Cancellation Policy:
Registrations cancelled on or before February 29, 2024 will be refunded, less a $45 administrative fee. Registrations cancelled after February 29, 2024 will not be refunded.
Contact partnerscpd@partners.org if you require assistance in cancelling your online registration.