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ForwardMGB Geriatrics for Surgical Clinicians - Archived
This activity is not for credit. |
Please note: Recordings will be available until
June 30, 2024
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
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