General Session II: This Year in Review in Long-Term Care 2023

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1.75 CME / 1.75 CMD Management / 1.75 MOC / 1.5 Pharmacology Hours

In this session, we present 9-12 articles published in the past year which have the potential to impact the practice of medicine and the processes of care for frail elders in the continuum of care. All articles are chosen through a Modified Delphi approach and critically appraised by experienced, multidisciplinary practitioners and educators. This presentation has been well received each year and is often the site of spirited discussion.

Selected Articles:

  • A Randomized Controlled Trial of Heart Failure Disease Management in Skilled Nursing Facilities
  • Coronary Artery Disease: A Post Hoc Secondary Analysis of the AFIRE Trial Impact of Upgraded Lighting on Falls in Care Home Residents
  • Cost effectiveness and return on investment of C reactive protein point of care testing in comparison with usual care to reduce antibiotic prescribing for lower respiratory tract infections in nursing homes: a cluster randomised trial
  • Dapagliflozin in Heart Failure with Mildly Reduced or Preserved Ejection Fraction
  • Disease Management in Skilled Nursing Facilities Improves Outcomes for Patients With a Primary Diagnosis of Heart Failure
  • Effect of Varying Repositioning Frequency on Pressure Injury Prevention in Nursing Home Residents: TEAM UP Trial Results
  • Effectiveness and cost effectiveness of a telemedicine programme for preventing unplanned hospitalisations of older adults living in nursing homes: the GERONTACCESS cluster randomized clinical trial
  • Effectiveness of a resilience targeted intervention based on "I have, I am, I can" strategy on nursing home older adults' suicidal ideation: A randomized controlled trial
  • Mindfulness Based Intervention for the Reduction of Compassion Fatigue and Burnout in Nurse Caregivers of Institutionalized Older Persons with Dementia: A Randomized Controlled Trial
  • Rivaroxaban Monotherapy vs Combination Therapy With Antiplatelets on Total Thrombotic and Bleeding Events in Atrial Fibrillation With Stable
  • Supplemental Vitamin D and Incident Fractures in Midlife and Older Adults
  • The Effect of Sun Light Exposure to the Level of Vitamin D in Elderly People Living in Nursing Home

Learning Objectives:

At the completion of this session, learners will be able to:
  • Consider changes in your practice based on recent publications.
  • Identify publications that are controversial and/or may affect the direction of research.
  • Describe techniques for critiquing publications.
  • Discuss the recent evidence relevant to PALTC populations.

Presenters:

hnMilta Little, DO, CMD, is an Associate Professor of Geriatric Medicine at Duke University. She joined the Duke Division of Geriatrics in 2019 from St. Louis University, where she completed her fellowship training and started her academic career. She has extensive experience in caring and advocating for older adults across care settings. Dr. Little is the incoming President for AMDA: The Society for PALTC Medicine. Her primary scholarly interests are interprofessional education, deprescribing initiatives, and implementation of Dementia-Friendly and Age-Friendly Health System programs across settings of care.

hnAngela Sanford, MD, CMD, is an Associate Professor of Medicine at Saint Louis University School of Medicine. She is the interim director of the Division of Geriatric Medicine. She is a certified medical director and functions as a medical director in the nursing home, assisted living and homehealth care setting. She is clinically active in the PALTC setting, ambulatory clinic, and hospital geriatric medicine consult services. Dr. Sanford supervises medical students, residents and geriatric medicine fellows in the geriatric continuum of care.

hnJulie Gammack, MD, CMD, FACP, received her Medical Degree from the University of Minnesota followed by an internal medicine residency and geriatric medicine fellowship at the University of Washington School of Medicine. She was on faculty for two years at Baylor College of Medicine in the Section of Geriatrics and then joined Saint Louis University Division of Geriatric Medicine. Dr. Gammack is a Professor of Medicine and Associate Dean for Graduate Medical Education. She is a former program director for the Geriatric Medicine Fellowship Program, Certified Medical Director, and is a medical director at a teaching nursing home. Her teaching and administrative interests are focused on long-term care and medical education.

Credit Information:

Activity Created: 3/2023
Credits Expire: 3/2026

  • 1.75 CME
  • 1.75 CMD Clinical
  • 1.75 MOC
  • 1.5 Pharmacology Credit

 

 

Credit Statements: 

 

CME: AMDA – The Society for Post-Acute and Long-Term Care Medicine designates this enduring material for a maximum of 1.75 AMA PRA Category 1 Credit(s)TM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

AMDA – The Society for Post-Acute and Long-Term Care Medicine for Post-Acute and Long-Term Care Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

CMD: This self-study activity has been pre-approved by the American Board of Post-Acute and Long-Term Care Medicine (ABPLM) for a total of 1.75 clinical hour(s) toward certification or recertification as a Certified Medical Director (CMD) in post-acute and long-term care medicine. The CMD program is administered by the ABPLM. Each physician should claim only those hours of credit actually spent on the activity.

ABIM Maintenance of Certification (MOC): Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1.75 Medical Knowledge MOC points and patient safety credit in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program.

Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

*This activity satisfies the requirements for 1.5 Pharmacology Hours for Nurse Practitioners.

Visit the Continuing Education page for information on if and how you can claim credit/hours for AMDA’s education.

Disclosure Information:
The Society requires the disclosure of all speaker/faculty/planner’s relevant financial relationships; presence of off-label use of a device or medication; and discussion of any experimental, new or evolving topic prior to each accredited education activity.

If the learner perceives any bias toward a commercial product or service, advocation of unscientific approaches to diagnosis or therapy, or recommendation, treatment, or manners of practicing healthcare that are determined to have risks or dangers that outweigh the benefits or are known to be ineffective in the treatment of patients please report this to the Society’s staff.

  • Julie Gammack, MD, CMD (Planner & Speaker): Stockholder: Amarin
  • Kenya Rivas Velasquez, MD, CMD, FAAFP (Planner & Speaker): OptumRx: Stockholder
  • All other planners, speakers, and AMDA staff have no relationships with ineligible companies.

All relevant financial relationships have been identified and mitigated.

 

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