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2013-2014 Geriatric Educational Conference and Geriatric Journal Club

Below you can find the 2013-2014 Geriatric Grand Rounds Schedule, PowerPoint slides, Journal Club articles, Journal Club summary, and other supplemental materials within the schedule. Click the hyperlink for the desired file where available.

Click the link for a PDF of the 2013-2014 Geriatric Educational Conference and Geriatric Journal Club Schedule.

Date Geriatric Journal Club

(Time is 8:00 am - 8:30 am unless otherwise noted)
Geriatric Educational Conference

(Time is 8:30 am - 9:30 am unless otherwise noted)
July 5, 2013 Independence Day Weekend No Geriatric Journal Club or Geriatric Educational Conference
July 12, 2013 Lesley Carson, MD

Article: Implementation of a Care Transitions Model for Low-Income Older Adults: A High-Risk, Vulnerable Population

Summary: Unavailable
Cultural Aspects of Geriatric Primary Care

Jerry Johnson, MD
July 19, 2013 Joshua D. Uy, MD

Article: Home-Based Walking Exercise Intervention in Peripheral Artery Disease - A Randomized Clinical Trial

Summary: Available
Biology of Aging

Robert J. Pignolo, MD, PhD
July 26, 2013 Nalaka Gooneratne, MD

Article: Feasibility, Reliability, and Validity of a Smartphone
Based Application for the Assessment of Cognitive
Function in the Elderly

Summary: Available

Brief History of Geriatric Medicine

Mary Ann Forciea, MD
August 2, 2013 Sara Manning

Article: Statin Toxicity From Macrolide Antibiotic Coprescription: A Population-Based Cohort Study

Summary: Available
Topic: Accreditation Council for Graduate Medical Education (ACGME) Competencies

Steven Huege, MD; Edna P. Schwab, MD
August 9, 2013 Lynsey Brandt, MD, PharmD

Article: Geriatric Patient Care by U.S. Pharmacists in Healthcare Teams: Systematic Review and Meta-Analyses

Summary: Unavailable
Avoiding Medication Errors with Electronic Systems

Laura A. Finn, CGP, FASCP, RPh
August 16, 2013 Joan Weinryb, MD

Article: Effect of a Person-Centered Mouth Care Intervention on Care Processes and Outcomes in Three Nursing Homes

Supplement material: In Nursing Homes, an Epidemic of Poor Dental Hygiene

Silness-Löe Index

Summary: Unavailable
Year in Review

John Bruza, MD
August 23, 2013 8:00 am - 9:30 am

Three Palliative Care Journal Clubs

David Casarett, MD

Article: Randomized Controlled Trial of a Structured Intervention to Facilitate End-of-Life Decision Making in Patients With Advanced Cancer

Summary: Unavailable

Amy Corcoran, MD:

Article: Quality of Hospice Care for Individuals with Dementia
Supplement material: Editorial comments on article by Kathleen Unroe, MD and Diane E. Meier, MD

Summary: Available

Neha Jeurkar, MD

Article: Expectations About the Effectiveness of Radiation Therapy Among Patients With Incurable Lung Cancer

Summary: Available
August 30, 2013 Labor Day Weekend No Geriatric Journal Club or Geriatric Educational Conference
September 6, 2013 8:00 am - 9:30 am

Two Case Presentations

Charles Spencer, MD
Sefi Knoble, MD
September 13, 2013 Anjana Ranganathan, MD

Article: Systematic Monitoring and Treatment of Physical
Symptoms to Alleviate Fatigue in Patients With Advanced
Cancer: A Randomized Controlled Trial

Summary: Available
Symptom Management at the End of Life
(for the on-call practitioner)

Deborah Way, MD
September 20, 2013 Cynthia Gneco, MD

Article: The Effect of Surgical and Nonsurgical Treatment on Longitudinal
Outcomes of Lumbar Spinal Stenosis Over 10 Years

Summary: Available
Spinal Stenosis

Harvey E. Smith, MD
September 27, 2013 Patrick Dostal, MD

Article: Effectiveness of a multi-component intervention to reduce delirium incidence in elderly care wards

Summary: Available
Alternatives to AGS-Beers Listed Medications

Charles E. Leonard, PharmD, MSCE
October 4, 2013 7:30AM - 9:00AM

October 11, 2013 Mary Ann Forciea, MD Advocating for the Elderly: Telling Stories to Improve Health and Health Care

Louise Aronson, MD, MFA
October 18, 2013 Updates in EPIC

J.T. Howell, MD
October 25, 2013 8:00 am - 9:00 am

Two Journal Clubs

Oleg Shulik, MD

Article: Clopidogrel with Aspirin in Acute Minor Stroke or Transient Ischemic Attack

Summary: Available

Jason Karlawish, MD

Article: Agreement Among Cardiovascular Disease Risk Calculators

Summary: Unavailable
November 1, 2013 Jane Cahill, MD

Article: Operationalization of Frailty Using Eight Commonly Used
Scales and Comparison of Their Ability to Predict All-Cause

Summary: Available
Independence at Home

Mary Ann Forciea, MD; Bruce Kinosian, MD; Jean Yudin, CRNP
November 8, 2013 Melissa Livney, PsyD

Article: Animal-Assisted Therapy and Agitation and Depression in Nursing Home Residents with Dementia: A Matched Case-Control Trial

Summary: Available

Supplement material: Cohen-Mansfield Agitation Inventory (CMAI)
The Agitated Nursing Home Patient

Steven Huege, MD
November 15, 2013 Alysa Krain, MD

Article: Relationship Between Asking an Older Adult About Falls and Surgical Outcomes

Summary: Available
The Redefinition of Aging in American Surgery

Mark D. Neuman, MD
November 22, 2013 Canceled No Geriatric Journal Club or Geriatric Educational Conference
November 29, 2013 Thanksgiving No Geriatric Journal Club or Geriatric Educational Conference
December 6, 2013 Ravi Jayadevappa, PhD

Article: Urologists' Use of Intensity-Modulated Radiation Therapy for Prostate Cancer

Summary: Unavailable
How to Discuss CPR and Make a Recommendation

Joshua D. Uy, MD

December 13, 2013 8:00 am - 9:00 am

Two Case Presentations

Lesley Carson, MD
Jane Cahill, MD
9:00am – 9:30am

Closed Faculty Review for Fellowship Rankings
December 20, 2013 8:00 am - 9:00 am

Exercise and Urinary Incontinence

Lily Arya, MD; Diane K. Newman, DNP, CRNP, FAAN, BCB-PMD
December 27, 2013 Winter Break No Geriatric Journal Club or Geriatric Educational Conference
January 3, 2014 Winter Break No Geriatric Journal Club or Geriatric Educational Conference
January 10, 2014 Cynthia Gneco, MD

Article: The mediating effect of chronic pain on the relationship between obesity and physical function and disability in older adults.

Summary: Available
Obesity and Continence Care in Nursing Home Residents

Christine Bradway, PhD, CRNP, FAAN
January 17, 2014 Mary Ann Forciea, MD

Article: Continuing cancer screening later in life: attitudes and intentions among older adults in England.

Summary: Available
Update on Benign Prostatic Hyperplasia (BPH)

William I. Jaffe, MD
January 24, 2014 8:00 am - 9:30 am

Three Case Presentations

Jerry Johnson, MD
Bruce Kinosian, MD, & Stephanie Johnson, CRNP
Alysa Krain, MD
January 31, 2014 Case Presentation:

Sefi Knoble, MD
Two Journal Clubs

Edna Schwab, MD

Article: Two Phase 3 Trials of Bapineuzumab in Mild-to-Moderate Alzheimer's Disease

Summary: Available

Rachel Miller, MD

Article: Behavioral Treatment of Insomnia: Also Effective for Nocturia

Summary: Unavailable
February 7, 2014 8:00 am - 9:00 am
Morbidity and Mortality Conference

John Bruza, MD

Supplemental article: The Changing Profile of Autopsied Deaths in the United States, 1972-2007
February 14, 2014 Canceled No Geriatric Journal Club or Geriatric Educational Conference
February 21, 2014 8:00 am - 9:00 am

Case Presentation:

Mary Ann Forciea, MD
February 28, 2014 8:00 am - 9:00 am

Update on Prostate Cancer Study

Ravi Jayadevappa, PhD
March 7, 2014 Oleg Shulik, MD

Article: Cardiovascular Effects of Intensive Lifestyle Intervention in Type 2 Diabetes

Summary: Unavailable
How Are We Trying to Prevent Alzheimer’s Disease?

Jason Karlawish, MD
March 14, 2014 Nalaka Gooneratne, MD

Article: Self-relaxation training can improve sleep quality and cognitive functions in the older: a one-year randomised controlled trial

Summary: Available
Innovations at Home-based Primary Care

Reference List

Mary Ann Haggerty; Rachel Miller, MD
March 21, 2014 7:30 am- 9:00 am

Oral Medicine Grand Rounds at University of Pennsylvania School of Dental Medicine
Evans Building, 2nd Floor, Sig Seigel Conference Room
4001 Spruce Street, Philadelphia, Pa 19104

Mary Ann Forciea, MD
Case topic: Halitosis

Cynthia Gneco, MD
Case topic: Macroglossia

Chizobam N. Idahosa, DDS
Case topic/symptoms: Xerostomia; Candidiasis; Dry, fissured tongue; "Hairy teeth" sensation; ulcer with keratosis; Glossodynia

Jaisri Thoppay, BDS
Case topic: Burning mouth syndrome
Supplemental article on topic that was co-authored by Dr. Thoppay: Burning Mouth Syndrome
March 28, 2014 Joshua D. Uy, MD

Article: Recommendations for the Identification of Chronic Hepatitis C Virus Infection Among Persons Born During 1945–1965

Summary: Unavailable
Compounds of Medical Need

Albert Giovenella, PhD
April 4, 2014 David Casarett, MD, MA

Article: An open-label extension study to investigate the long-term safety and tolerability of THC/CBD oromucosal spray and oromucosal THC spray in patients with terminal cancer-related pain refractory to strong opioid analgesics

Summary: Unavailable
Piloting an Interprofessional Education Workshop: Teaching others palliative care communication skills

Amy Corcoran, MD; Neha Jeurkar Darrah, MD;
Diane E. Hadley, PharmD, BCACP
April 11, 2014 Deborah Way, MD

Article: The cost-effectiveness of the decision to hospitalize nursing home residents with advanced dementia

Summary: Unavailable
Updates in EPIC

Dave Smith
April 18, 2014 Good Friday No Geriatric Journal Club or Geriatric Educational Conference
April 25, 2014 Lesley Carson, MD

Article: The Incidence and Determinants of Primary Nonadherence With Prescribed Medication in Primary Care: A Cohort Study

Summary: Available
Osteoporosis: Myths & Legends

Robert J. Pignolo, MD, PhD
May 2, 2014 Overview of Colorectal Surgery Services and Treatments

Brian Kann, MD
Penn Presbyterian Medical Center
Non-Pharmacologic Management of Dementia Behaviors

Catherine Verrier Piersol, PhD, OTR/L
May 9, 2014 8:30 am- 9:00 am

Special Presentation by UPenn Engineering Students to Demonstrate Their Newly-designed Chair Lift
May 16, 2014 American Geriatrics Society Conference No Geriatric Journal Club or Geriatric Educational Conference
May 23, 2014 Friday Before Memorial Day No Geriatric Journal Club or Geriatric Educational Conference
May 30, 2014 Case Presentation:

Jane Cahill, MD
Cynthia Gneco, MD
Are some of us more equal? Racial and Ethnic disparities in Pain Outcomes in the United States

Salimah H. Meghani, PhD, MBE, RN, FAAN
June 6, 2014 Jean Yudin, CRNP

Article: Effect of Structured Physical Activity on Prevention of Major Mobility Disability in Older Adults
The LIFE Study Randomized Clinical Trial

Summary: Available
Disaster Evacuation for Older Adults Designated as Homebound

Patrick Dostal, MD
June 13, 2014 Kathy Witta, CRNP

Article: Successfully Reducing Antibiotic Prescribing in Nursing Homes

Summary: Available
Fellows' Quality Improvement (QI) Presentations

QI Project by Jane Cahill, MD, and Cynthia Gneco, MD;

Alysa Krain, MD;

QI Project by Oleg Shulik, MD
June 20, 2014 Bruce Kinosian, MD

Article: Should Colorectal Cancer Screening Be Considered in Elderly Persons Without Previous Screening?

Supplemental Editorial: A “Green Banana” Worth Buying in Older Age: Colorectal Cancer Screening for Persons Older Than 75 Years Without Previous Screening

Website for Prognostic Indices
Treatment Intensity for Patients with Serious Illness: Exploring Sources of Variation

Amy S. Kelley, MD, MSHS
June 27, 2014 8:00 am - 9:30 am

Three Case Presentations:

Charles Spencer, MD
Lynsey Brandt, PharmD
Edna Schwab, MD