Geriatrics: A Primary Care Approach to the Aging Population

OVERALL OBJECTIVES: Following this course, the participant should be able to identify the etiologies, epidemiologies and presenting clinical manifestations of the disorders described; implement a differential diagnosis and laboratory assessment plans; outline the therapeutic intervention, possible complications and preventive measures. This activity is expected to result in improved competence in making appropriate diagnosis and providing effective treatment and referral or follow-up care with the overall goal of improving patient outcomes.

When indicated in the specific objectives, emphasis will be on aligning physician behavior with current guidelines and evidence-based medicine with a focus on diagnosis, treatment and when to refer. In consideration of our aging population, a physician is expected to be competent in the fundamentals of Geriatric Medicine and rely upon a specialist only when absolutely necessary; therefore, this course was designed as a review and update for all practitioners at the level of a practicing physician.
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CME Sponsors: American Medical Seminars, Inc.
Activity Title: Geriatrics: A Primary Care Approach to the Aging Population
Activity Dates: January 28 - February 1, 2013
Presenting Faculty: Gary H. Oberlender, M.D., F.A.C.P. and John W. Pendleton, M.D., F.A.C.P., F.A.C.R.
© 2012 American Medical Seminars, Inc. ALL RIGHTS RESERVED
www.ams4cme.com
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SPECIFIC OBJECTIVES
The Way CME Should Be®
TM
NARRATIVE DESCRIPTION
Following this course, the participant should be able
to identify the etiologies, epidemiologies and
presenting clinical manifestations of the disorders
described; implement a differential diagnosis and
laboratory assessment plans; outline the therapeutic
intervention, possible complications and preventive
measures. This activity is expected to result in
improved competence in making appropriate
diagnosis and providing effective treatment and
referral or follow-up care with the overall goal of
improving patient outcomes.
When indicated in the specific objectives, emphasis
will be on aligning physician behavior with current
guidelines and evidence-based medicine with a focus
on diagnosis, treatment and when to refer. In
consideration of our aging population, a physician is
expected to be competent in the fundamentals of
Geriatric Medicine and rely upon a specialist only
when absolutely necessary; therefore, this course
was designed as a review and update for all
practitioners at the level of a practicing physician.
SPECIFIC OBJECTIVES
The attendees of this program will be instructed on
the following Geriatric issues with an emphasis on
practical and useful information that may be evaluated
for immediate application to their individual practice
settings.
DAY 1
Delirium in the Elderly - Current Concepts.
Upon completion of this session, the participant
should be able to:
1. Evaluate the diagnostic features and common
causes of delirium.
2. Explore the causes of persistent delirium.
3. Formulate the non-pharmacologic and
pharmacologic treatment approaches to the
delirious patient.
4. Develop and prescribe various options to address
agitation using literature-based information.
Osteoporosis: Contemporary Diagnosis and
Treatment.
Upon completion of this session, the participant
should be able to:
1. Assess the differences in the WHO, physiologic,
and clinical definition of osteoporosis.
2. Recognize the limitations of using only the
T-score in assessing the risk of fracture.
3. Determine the most appropriate treatment for
patients with osteopenia and osteoporosis.
4. Evaluate the need to continue or stop medical
treatment in patients currently on therapy.
Evaluation and Treatment of Dementia in Seniors.
Upon completion of this session, the participant
should be able to:
1. Determine the common causes of cognitive
dysfunction and dementia in seniors.
2. Develop a literature-based approach to the
medical evaluation of a senior with cognitive
dysfunction.
3. Distinguish and relate the relative risks and
benefits of available treatment options.
4. Recognize the central role of caregiver education
and caregiver support in the treatment of seniors
with dementia.
Osteoarthritis: Diagnosis and Treatment in the
Older Patient.
Upon completion of this session, the participant
should be able to:
1. Appraise the newer understandings of the
pathophysiology of OA.
2. Distinguish the typical and atypical clinical
features of OA.
3. Relate the various treatments of OA and how to
integrate them.
4. Distinguish OA symptoms from those of other
localized or generalized disorders.
DAY 2
Advanced Nutritional Assessment and Therapy.
Upon completion of this session, the participant
should be able to:
1. Utilize readily available clinical data to make
accurate nutritional assessments in seniors.
2. Relate metabolic changes in aging to assess risk
for malnutrition.
3. Apply literature-based information on nutritional
approaches that reduce the risk of dementia and
depression to patients in his or her practice.
Practical Points for the Musculoskeletal Exam for
the Primary Care Provider.
Upon completion of this session, the participant
should be able to:
1. Apply the various maneuvers in the shoulder
exam to detect an impingement syndrome and
adhesive capsulitis.
2. Relate the location of pain and the earliest exam
changes noted in arthritis of the hip.
3. Employ the most sensitive test to detect effusions
of the knee joint.
4. Employ the most sensitive test to detect medical
meniscal injuries.
CME Sponsors: American Medical Seminars, Inc.
Activity Title: Geriatrics: A Primary Care Approach to the Aging Population
Activity Dates: January 28 - February 1, 2013
Presenting Faculty: Gary H. Oberlender, M.D., F.A.C.P. and John W. Pendleton, M.D., F.A.C.P., F.A.C.R.
© 2012 American Medical Seminars, Inc. ALL RIGHTS RESERVED
www.ams4cme.com
\\ams-server-01\amsfiles\2012-2013(S27A15V10)\27thSeries-Live\2.3Objectives\Ger-Oberlender-Pendleton\OberPendObj.doc 4/11/2012-ac
SPECIFIC OBJECTIVES
The Way CME Should Be®
TM
Vitamin B-12 and Vitamin D in Seniors.
Upon completion of this session, the participant
should be able to:
1. Describe the normal physiology of Vitamins B-12
and D.
2. Describe the variety of pathologic syndromes that
may be due to the deficiencies of Vitamins B-12
and/or D.
3. Develop the work-up of Vitamin B-12 and Vitamin
D deficiency and therapeutic options based on
current literature.
The Geriatric Patient: Evidence-Based Answers to
Frequently Asked Questions.
Upon completion of this session, the participant
should be able to:
1. Determine which of your older patients should be
taking multi-vitamins.
2. Recommend the most appropriate treatment for
nocturnal leg cramps.
3. Advise the appropriate dietary recommendations
for patients with arthritis.
4. Apply the most appropriate treatment for restless
legs syndrome.
DAY 3
Health Maintenance and Exercise for the Older
Patient.
Upon completion of this session, the participant
should be able to:
1. Apply evidence-based cancer screening
recommendations to the older patient.
2. Prescribe recommended vaccinations for the
older patient.
3. Assess the risks of an exercise program and how
to minimize them.
4. Specify the components of an exercise program.
Sensible Approaches to Geriatric Infections.
Upon completion of this session, the participant
should be able to:
1. Detect atypical presentations of infectious illness
in the elderly.
2. Differentiate the causes of pneumonia and UTI
and order appropriate antibiotics based on
current literature.
3. Appraise current considerations in emerging
antibiotic resistance.
4. Formulate options in the prevention and
treatment of C. difficile disease.
Rheumatologic Lab Tests and Rheumatoid
Arthritis in the Older Patient.
Upon completion of this session, the participant
should be able to:
1. Determine the most appropriate lab tests to order
in a patient presenting with inflammatory arthritis.
2. Differentiate the alterations in the presentation of
rheumatoid arthritis in the older patient.
3. Identify the clinical and laboratory factors that
impact the choice of a disease modifying drug in
a patient with recent onset of rheumatoid arthritis.
4. Describe the common adverse effects of both the
traditional and biologic disease modifying drugs
used in rheumatoid arthritis.
Geriatric Depression: Advances in Diagnosis and
Treatment.
Upon completion of this session, the participant
should be able to:
1. Differentiate the variety of clinical presentations
of depressive syndromes in the elderly.
2. Appraise the utility of, and plan to use, the
Geriatric Depression Scale.
3. Integrate the relative advantages and
disadvantages of the various medications
available for treatment of depression.
4. Appraise and appreciate the role of nutritional
supplementation and non-pharmacologic
treatments based on current research findings.
DAY 4
Sensible Prescribing Practices for the Elderly.
Upon completion of this session, the participant
should be able to:
1. Appraise and appreciate the limits of studies on
drug safety and efficacy as they apply to the
elderly.
2. Assess the subtle but significant drug side effects
in the elderly.
3. Distinguish undesirable prescribing practices and
employ better approaches based on current
literature.
Treatment of Chronic Pain in the Elderly.
Upon completion of this session, the participant
should be able to:
1. Relate the adverse effects of NSAIDs in the
elderly.
2. Prescribe long acting opiates after determining
the daily dose requirements of short acting
opiates.
3. Develop a treatment plan for an elderly patient
with Fibromyalgia.
4. Specify the ADRs associated with opiate use in
the elderly.
Contemporary Issues in End of Life Care.
Upon completion of this session, the participant
should be able to:
1. Develop a practical approach to assessment of
the whole patient in a hospice setting.
2. Formulate effective approaches to common
physical symptoms in the terminally ill.
CME Sponsors: American Medical Seminars, Inc.
Activity Title: Geriatrics: A Primary Care Approach to the Aging Population
Activity Dates: January 28 - February 1, 2013
Presenting Faculty: Gary H. Oberlender, M.D., F.A.C.P. and John W. Pendleton, M.D., F.A.C.P., F.A.C.R.
© 2012 American Medical Seminars, Inc. ALL RIGHTS RESERVED
www.ams4cme.com
\\ams-server-01\amsfiles\2012-2013(S27A15V10)\27thSeries-Live\2.3Objectives\Ger-Oberlender-Pendleton\OberPendObj.doc 4/11/2012-ac
SPECIFIC OBJECTIVES
The Way CME Should Be®
TM
3. Integrate effective clinical care of patients and
their families in the last days of life based on
current literature.
4. Relate dementia as a terminal illness.
Office Orthopedics in the Older Patient.
Upon completion of this session, the participant
should be able to:
1. Evaluate the common causes of acute low back
pain in the elderly.
2. Appraise the symptoms of and prescribe
treatment for spinal stenosis.
3. Differentiate between the different metabolic
pathways of the statins and relate how that would
impact prescribing for patients on multiple other
drugs.
4. Recommend the best radiographic view of the
shoulder to detect a posterior dislocation.
DAY 5
Polymyalgia Rheumatica and Giant Cell Arteritis.
Upon completion of this session, the participant
should be able to:
1. Integrate and relate the typical symptoms,
physical findings, and laboratory abnormalities in
polymyalgia rheumatica.
2. Determine the best prednisone doses as initial
treatment of PMR.
3. Detect the typical and atypical presentations of
GCA.
4. Determine the appropriate indication and
technique for temporal artery biopsy.
5. Prescribe the most effective treatment and
distinguish the most serious complications of
GCA.
A Practical Approach to Falls and Urinary
Incontinence in the Elderly.
Upon completion of this session, the participant
should be able to:
1. Integrate the concept of multifactorial causes
underlying falls and incontinence in seniors.
2. Develop a full assessment approach to evaluate
different causes, using detailed physical
examination and functional performance
evaluations.
3. Differentiate the effects of normal aging from
pathologic processes and adverse drug effects
as contributing to the causes of falls and
incontinence.
4. Apply a literature-based approach to the
formulation of a treatment plan.
Gout and Pseudogout in the Elderly.
Upon completion of this session, the participant
should be able to:
1. Distinguish the unique characteristics of gout in
the elderly.
2. Differentiate the factors in the elderly that impact
the presentation and treatment of gout.
3. Determine the clinical manifestations of calcium
pyrophosphate deposition.
4. Differentiate the polarized microscopic findings
for uric acid and CPPD crystals.
Improving Communication Skills in Medical
Practice.
Upon completion of this session, the participant
should be able to:
1. Appraise the variety of ways that people perceive
communication and process information.
2. Assess your personal communication strengths
and limitations.
3. Determine communication issues unique to older
patients.
4. Develop practices and apply skills to maximize
effective communication and listening based on
current literature.

28 Jan - 1 Feb 2013

Sarasota
United States of America
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