Topic: Decision Making and Technologies - the shocking case of implantable defibrillators.
Presented by:
Daniel Matlock, MD
Assistant Professor
School of Medicine
University of Colorado
Presentation Handout in .pdf format. |
To be Teleconferenced to DVAMC Rm 2-B107
Learning Objectives:
1. Understand the evidence around implantable cardioverter-defibrillators (ICDs), particularly as they apply to the elderly.
2. Understand many of the decision making challenges around technologies, chronic disease, and older adults.
3. Understand some of the techniques and policy designed to improve design making, using ICDs as an example. |
Topic: Delivery System and Financing Innovation in Health Care Reform.
Presented by:
Sandeep Wadhwa, MD, MBA
Business Vice President, Reimbursement,
3M Health Information Systems
Presentation Handout in .pdf format. |
To be Teleconferenced to DVAMC Rm 2-B107
Learning Objectives:
1. Demonstrate understanding of federal demonstration projects to test innovative financing approaches to reduce costs for Medicare beneficiaries.
2. Demonstrate understanding of upcoming demonstrations and pilots to test delivery system reforms to establish health homes for Medicare beneficiaries.
3. Gain awareness of for promoting deinstitutionalization of nursing home residents. |
Topic: The Intersection Between HIV and Older Adults.
Presented by:
Amie Meditz, MD
Presentation Handout in .pdf format. |
To be Teleconferenced to DVAMC Rm 2-B107
Learning Objectives:
1. Describe the epidemiology of HIV in individuals 50 years and older in the United States.
2. Understand reasons for growing number of individuals over 50 years with HIV.
3. Understand the relationship between acquisition of HIV at age 50 and older and HIV disease progression and co-morbid conditions.
4. Have increased awareness of HIV screening guidelines (for health care providers). |
Topic: Wound Care in the Older Adult.
Presented by:
H. Alan Arbuckle, MD, FAAP, FAAD
Director, Wound Care Clinic
The Children's Hospital
Assistant Chief, Dermatology Services
DVAMC
Presentation Handout in .pdf format. |
To be Teleconferenced to DVAMC Rm 2-B107
Learning Objectives:
1. Have an organized, evidence based approach to overall wound care.
2. Understand some of the basic science of wound care so that the provider can approach and utilized the various wound products in a systematic and logical way.
3. Understand the changes in older adult skin and see how this places an older individual at risk for the development of ulcerations and delayed wound healing. |
Topic: Drug Safety
Presented by:
Bill Hiatt, MD
University of Colorado
Presentation Handout in .pdf format. |
To be Teleconferenced to DVAMC Rm 2-B107
Learning Objectives:
1. Understand the basic concepts regarding drug safety assessments in clinical trials.
2. Describe the number of safety events needed to exclude a safety concern for a specific safety indication.
3. Use the recent example of weight loss drugs to illustrate the approach to drug safety. |
Topic: Refining Rehabilitation Stragegies for
Total Hip Arthroplasty
How to Advise Patients
Presented by:
Jennifer Stevens-Lapsley, MPT, PhD
University of Colorado
Presentation Handout in .pdf format. |
To be Teleconferenced to DVAMC Rm 2-B107
Learning Objectives:
1. Discuss recommendations for the optimal timing of surgery for patients with knee osteoarthritis.
2. Explain how muscle weakness and activation failure following TKA impact functional performance.
3. Describe the application of rehabilitation strategies and surgical approaches to reduce quadriceps weakness and improve functional performance after TKA. |
Topic: Pharmacotherapy Update
Presented by:
Sunny Linnebur PharmD
Associate Professor
Joseph Vande Griend, PharmD
Assistant Professor
Department of Clinical Pharmacy
University of Colorado
Presentation Handout in .pdf format. |
To be Teleconferenced to DVAMC Rm 2-B107
Learning Objectives:
1. Identify new medications approved in the last year that may be useful in the clinical care of older adults
2. Identify characteristics, such as dosing, pharmacokinetics, side effects, and monitoring that may require special attention in older adults
3. Recognize patients who may be candidates for these medications, taking into consideration other patient characteristics |
Topic: Physiology of Aging
Presented by:
Michael H. Bross, MD
Visiting Associate Professor
A.F. Williams Family Medicine Center
Presentation Handout in .pdf format. |
To be Teleconferenced to DVAMC Rm 2-B107
Learning Objectives:
1. Awareness of the major tissue, organ, and morphology changes that occur with aging
2. Anticipate common diseases that occur with the physiological changes of aging
3. Promote adaptive behaviors that maintain function with aging. |
Topic: HIV as a Model of Premature Frailty.
Presented by:
Kristine Erlandson, MD
Fellow, Infectious Disease Division
School of Medicine,
University of Colorado
Presentation Handout in .pdf format. |
To be Teleconferenced to DVAMC Rm 2-B107
Learning Objectives:
1. Define Frailty
2. Understand how frailty relates to HIV
3. Explain why frailty may occur earlier in HIV-infected individuals |
Topic: DHEA.
Presented by:
Wendy M. Kohrt
Division of Geriatric Medicine
University of Colorado
Presentation Handout in .pdf format. |
To be Teleconferenced to DVAMC Rm 2-B107
Learning Objectives:
1. Despite popular belief, there is no evidence for anti-aging effects of DHEA (i.e., no benefit on average or maximal life span)
2. DHEA replacement therapy for 1-2 years may increase bone mineral density by up to 4%; effects are more pronounced in women and are likely mediated via conversion of DHEA to estrogens
3. No serious adverse events of DHEA replacement for 1 to 2 years have been observed, but the risks and benefits of long-term DHEA therapy are not known. |
Topic: Heart Failure in the Nursing Home.
Presented by:
Evelyn Hutt, MD
Division of Internal Medicine
University of Colorado
Presentation Handout in .pdf format. |
To be Teleconferenced to DVAMC Rm 2-B107
Learning Objectives:
1. Understand the demographics of heart failure in community and VA nursing homes
2. Understand the issues involved in choosing appropriate heart failure medications for nursing home patients with heart failure.
3. Name of elements of palliative care that are important for managing heart failure in nursing homes. |
Topic: New Drugs.
Presented by:
Jeffrey I. Wallace, MD, MPH
Division of Geriatric Medicine
University of Colorado
Presentation Handout in .pdf format. |
To be Teleconferenced to DVAMC Rm 2-B107
Learning Objectives:
1. Understand the potential role of denosumab in managing osteoporosis, particularly in patients with renal insufficiency
2. Determine if/when aspirin use for primary prevention of CAD and/or stroke is appropriate
3. Consider the potential clinical utility of the following new agents: dabigatran, dronedarone, and tolvaptan. |
Topic: All RUC’ed up: Physician Payment under the Resource Based Relative Value Scale.
Presented by:
Alan Lazaroff, MD
Centura Health
Presentation Handout in .pdf format.
Additional References in .pdf format. |
To be Teleconferenced to DVAMC Rm 2-B107
Learning Objectives:
1. Understand the basic features of the process by which the fees in our fee-for-service health care system are determined
2. Understand the meaning of the term “resource-based” relative value scale, and think critically about strengths and limitations of such a scale.
3. Discuss some of the factors which have caused RBRVS to fail to achieve its objectives, and what changes might improve it. |
Topic: Stroke.
Presented by:
Melver L Anderson III, MD
Denver VA Medical Center
Presentation Handout in .pdf format. |
To be Teleconferenced to DVAMC Rm 2-B107
Learning Objectives:
1. Select appropriate secondary stroke prevention medications
2. Individualize referral for carotid revascularization in cardioembolic stroke
3. Recognize and treat stroke associated depression. |
Topic: Physically Active Aging
Presented by:
Catherine Jankowski, PhD
Division of Geriatric Medicine
University of Colorado
Presentation Handout in .pdf format. |
To be Teleconferenced to DVAMC Rm 2-B107
Learning Objectives:
1. Be familiar with current public health physical activity guidelines for older adults
2. Introduced to the role of medical providers in the National Physical Activity Plan
3. Be familiar with upcoming randomized controlled studies on physical activity, physical function, and aging. |
Topic: Alzheimer's Disease.
Presented by:
Kerry Hildreth, MD
Division of Geriatric Medicine
University of Colorado
Presentation Handout in .pdf format. |
To be Teleconferenced to DVAMC Rm 2-B107
Learning Objectives:
1. The burden of Alzheimer’s Disease is expected to increase dramatically as the population ages, yet there are no effective treatments or preventive measures.
2. Ongoing efforts include development of disease modifying treatments, earlier detection of disease, and identification of potentially modifiable risk factors.
3. Abnormalities of insulin action in the brain may be related to the development and progression of Alzheimer’s Disease. Studies to evaluate whether improving insulin resistance can attenuate cognitive decline are underway. |
Topic: House Calls.
Presented by:
Bennett Parnes, MD
Tom Lally, MD
Family Medicine
University of Colorado
Presentation Handout in .pdf format. |
To be Teleconferenced to DVAMC Rm 2-B107
Learning Objectives:
1. Be familiar with the history of housecalls, including its decline and resurgence.
2. Differentiate among the various current housecall models in the USA.
3. Understand the successes and challenges of a modern private housecall practice.
4. Understand the different models providing house call medicine.
5. Have an in depth understanding of what a modern housecall practice can deliver to homebound Medicare recipients.
6. Understand what type of patient would benefit from a housecall. |
Topic: PACE - Intersection of Care and Policy
Presented by:
Emily Downing, MD
Geriatrics Fellow
University of Colorado
Presentation Handout in .pdf format. |
To be Teleconferenced to DVAMC Rm 2-B107
Learning Objectives:
1. Understand the PACE care model, and it’s effects on clinical outcomes.
2. Describe who is eligible for PACE.
3. Explain the basics of PACE funding. |
Topic: Testosterone Supplementation in Older Men
Presented by:
Robert Schwartz, MD
Goodstein Professor of Medicine/Geriatrics,
Division of Geriatric Medicine,
University of Colorado Denver (AMC)
Presentation Handout in .pdf format. |
To be Teleconferenced to DVAMC Rm 2-B107
Learning Objectives:
Participants will better understand,
1. Effects of age on testosterone levels
2. Potential effects of declining testosterone levels (“andropause”)
3. Diagnosis of Androgen Deficiency
4. Studies of testosterone replacement or supplementation
5. Risks and benefits of testosterone supplementation/replacement |
Topic: An Introduction to Environmental Gerontology: Micro and Macro Approaches to Design for Dementia Patients
Presented by:
Mary Fran De Rose
Graduate Student, Design & Planning,
CU Boulder
Principal, DRMK/Sullivan + Partners
Presentation Handout in .pdf format. |
To be Teleconferenced to DVAMC Rm 2-B107
Learning Objectives:
Participants will better understand,
1. Recognize the elements of environmental gerontology at different levels of population scale
2. Understand the benefits of (micro-to-macro) architectural design as an intervention to improve the quality of life for older adults
3. Identify resources (e.g. authors; websites; organizations) that are conducting research on different facets of environmental gerontology |
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