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As the proportion of older adults increases, providing up to date and quality care to them is of great importance to general internists, who provide the bulk of their primary care. Update in Geriatrics will review important advances in the clinical care of older adults published recently. Topics will include advances in the diagnosis and management of geriatric syndromes, management of multi-morbidity, and systems of care. Chronic disease treatment trials focused on older adults or with a significant proportion of older adults will also be included. The strength of the evidence will be discussed as well as potential impact the work could have on current clinical practice and education. Articles selection criteria will emphasize high quality studies that may be immediately applicable in practice.

Dr. Lindquist will address a new movement in Geriatrics called "Lifespan Planning" or "4th Quarter Planning.” Different than end-of-life, lifespan planning helps seniors and their families plan for the 5-20 years before death (e.g. 70 y/o, 80 y/o, 90 y/o), as seniors experience progressing disability and increasing home needs. A freely available online tool ( will be discussed to help seniors and their families complete lifespan planning, linking them to local and national services (e.g. caregivers, area agencies on aging, social services, etc.).

three generations of aging

Dr. Nemeroff will review the signs of aging, along with diseases and conditions that cause behavioral changes in this population. He will discuss some common myths about aging and how to combat these via judicious use of resources available to a primary care practitioner.


Join this talk for an enlightening look at health system waste and failures. Dr. Nash will provide an essential road map connecting high-value care to population health. With this model, participants will be equipped to evaluate and improve the future of patient engagement.This presentation will (1) provide an update on criteria to diagnose osteoporosis and identification of persons at high risk of fracture; (2) review treatment guidelines; and (3) discuss new concepts regarding treatment, such as drug selection, duration of treatment, drug holidays, and standard treatment approach vs. goal-directed treatment.


Our patients are aging before our very eyes. A 72-year-old patient who used to come bounding down the hallway, is now, fifteen years later, using a walker and taking ten minutes to enter the exam room. We are facing questions from concerned adult children about whether their parents -- your patients -- are safe living, driving, or managing finances alone. Participants will review the factors that impact aging-in-place, learn about office-based tests evaluating a senior’s independence, receive information regarding available support resources, and gain insights on navigating transitions to long-term communities. The lecture will also discuss the options in long-term care living and innovative alternatives in the long-term care field.

It is estimated that one out of 10 older adults experiences some form of abuse or neglect by a caregiver each year. Learn about screening tests and evaluations that a physician can use to detect elder abuse and neglect and acquire skills to outline plans for an intervention in cases of elder abuse.

End of Life Challenges

The capabilities of medicine and technology have evolved to provide ever increasingly complex care and keep patients alive in health states that they might not desire. This has created an added responsibility for the physician to anticipate future care needs and to guide treatments as patients become more ill and less functional. Advance care planning is an essential tool in the physician’s armamentarium and this skill set must be honed to ensure that patients receive care consistent with their informed preferences and appropriate to their prognosis. In this activity, Dr. Wenger will discuss the components of advance care planning including serial discussion with patients about clinical circumstances and prognosis, incorporating specific tools, coordinating among the team of physicians caring for a patient across venues of care. He will address how to building strong relationships with patients and families, and keep a consistent focus on goals of care to provide high quality treatment and achieve optimal end-of-life care.

This activity will define palliative care, both as its own medical subspecialty and as a component of all physician practice. Using a compelling case vignette, Dr. Buss will illustrate missed opportunities for integrating palliative care into patient care. Sentinel studies that examine the impact of palliative care on patient outcomes will be reviewed along with differences between palliative care and hospice care. Dr. Buss will discuss strategies to identify which patients need palliative care and offer strategies for initiating conversations about patient’s quality of life and future goals.

Practical Assessment of Fall Risk in the Elderly

Among the elderly, falls are the top cause of both fatal and non-fatal injuries. This program aims to bring awareness to the importance of falls as a geriatric syndrome as well as identify assessment tools that can be used to detect which patients are at risk for falls and patients who do fall. This program will also review evidence based interventions for the prevention and management of falls. 


Research and advancement increase the capability of medicine to provide complex care. Technology can keep patients alive in states that they might not desire. Today, clinicians are responsible for (1) anticipating future care needs and (2) guiding treatments as patients become more ill and less functional. An essential tool in the clinician armamentarium, advance care planning is a skill set that must be honed to ensure that patients receive care both consistent with their informed preferences and appropriate to their prognosis. Advance care planning includes serial discussion with patients about clinical circumstances and prognosis, incorporates specific tools, requires coordination among the team of clinicians caring for a patient across venues of care, and may be facilitated by advance care planning structures. Sometimes the process also requires setting limits and addressing maladaptive coping. Building strong relationships with patients and families, and a consistent focus on goals of care is key to high quality treatment for the complex patient and achieving optimal end of life care.

painted profile of a face with a giant hole in the head

In this activity, Dr. Galluzzi will discuss common types of cognitive impairment in geriatric patients. In addition, she will review recent advances in biomarker testing for Alzheimer’s disease.

In this Clinical Coffee Break, Lee Lindquist offers practical steps for helping elderly patients and their families plan for medical emergencies, hospitalization, rehabilitation and placement in a skilled nursing facility.