Home » 2012-2013 Geriatric grand rounds

2012-2013 geriatric grand rounds

Below you can find the 2012-2013 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 2012-2013 Geriatric Grand Rounds Schedule.




8:00AM - 8:30AM


8:30AM - 9:30AM

July 6, 2012 Independence Day Weekend NO GRAND ROUNDS
July 13, 2012 Joan Weinryb, MD

Article: Cognitive Trajectories after Postoperative Delirium

Summary: Unavailable
Biology of Aging
Robert Pignolo, MD
July 20, 2012 Nalaka Gooneratne, MD

Article: Sleep Disordered Breathing with Excessive Daytime Sleepiness is a Risk Factor for Mortality in Older Adults

Summary: Available
A Brief History of Geriatric Medicine and Grand Rounds
Mary Ann Forciea, MD
July 27, 2012 Case Presentation: Joshua Uy, MD Integrating Telehealth Technology for Chronic Illness and Comorbid Depression Among Homebound Elderly: Tele-HEART Trial
Zvi D. Gellis, PhD

Supplemental article: Outcomes of a Telehealth Intervention for Homebound Older Adults With Heart or Chronic Respiratory Failure: A Randomized Controlled Trial
August 3, 2012 Ravi Jayadevappa, PhD

Article: Pay-For-Performance Programs to Reduce Racial/Ethnic Disparities: What Might Different Designs Achieve?

Summary: Available
Cultural Aspects of Geriatric Primary Care
Jerry Johnson, MD

The Provider's Guide to Quality Culture:

Online Quiz
Printer-friendly Quiz
Quiz Answers

Supplemental material:
CAHPS Cultural Competence Item Set 1-31-12
August 10, 2012 Lynsey Brandt, MD, PharmD

Article: Effect of a Pharmacist Intervention on Clinically Important Medication Errors After Hospital Discharge: A Randomized Trial

Summary: Available
EMR and Medications Mistakes
Laura A. Finn, CGP, FASCP, RPh

Supplemental material:
EMR and Medications Mistakes Handout
August 17, 2012 Melissa Livney, PsyD

Article: Knowledge of and Attitudes Toward Nonpharmacological Interventions for Treatment of Behavior Symptoms Associated With Dementia: A Comparison of Physicians, Psychologists, and Nurse Practitioners

Summary: Unavailable
The Agitated Nursing Home Patient
Steven Huege, MD
August 24, 2012 3 Journal Clubs David Casarett, MD:
Article: Haloperidol prophylaxis decreases delirium incidence in elderly patients after noncardiac surgery: A randomized controlled trial

Summary: Unavailable

Sefi Knoble, MD:
Article: Glycosylated Hemoglobin and Functional Decline in Community-Dwelling Nursing Home-Eligible Elderly Adults with Diabetes Mellitus

Summary: Available

Avishek Kumar, MD:
Article: Bisphosphonate Use and the Risk of Subtrochanteric or Femoral Shaft Fractures in Older Women

PowerPoint Slides: Available
August 31, 2012 Labor Day Weekend NO GRAND ROUNDS
September 7, 2012 3 Case Presentations Charles Spencer, MD; Mary Ann Forciea, MD; Amy Corcoran, MD
September 14, 2012 Lesley Carson, MD

Article: Association Between Glycemic Control and Hip Fracture

Summary: Available
Crystal Diseases (Part 2 of "Impact of Arthritis in the Elderly" from March 16, 2012)
Edna Schwab, MD
September 21, 2012 Journal Club
Carly Lam, MD

Article: Fidaxomicin versus Vancomycin for Clostridium difficileInfection

Summary: Available

Supplement: PowerPoint Slides
Update on Patient Navigators and GI Service (8:30AM-8:40AM)
Timothy C. Hoops, MD
Journal Club
Ravi Jayadevappa, PhD

Radical Prostatectomy versus Observation for Localized Prostate Cancer

Summary: Available
September 28, 2012 Patrick Dostal, MD

Article: Development and Validation of a Coronary Risk Prediction Model for Older U.S. and European Persons in the Cardiovascular Health Study and the Rotterdam Study

Summary: Available
Year in Review
John Bruza, MD
October 5, 2012 Joel Streim, MD

Article: Sleep Disturbance and Older Adults' Inflammatory Responses to Acute Stress

Handout: Available
Updates in EPIC
Colleen Pinder
October 12, 2012
Oral Medicine Grand Rounds at Ralston
Juan Bugueno, DDS
Patrick Dostal, MD
Thamer Musbah, BDS
October 19, 2012 Purva Gumaste, MD

Article: Methicillin-Resistant Staphylococcus aureus Burden in Nursing Homes Associated with Environmental Contamination of Common Areas

Handout: Available
Re-Inventing Risk: Classification and Its Consequences for Surgery in the Elderly
Mark D. Neuman, MD
October 26, 2012 2 Journal Clubs Steven Huege, MD:
Article: Relapse Risk after Discontinuation of Risperidone in Alzheimer's Disease (Both presenters unknowingly chose the same article)

Summary: Available
Supplemental material: Neuropsychiatric Inventory (NPI)

Mary Ann Forciea, MD:
Article: Relapse Risk after Discontinuation of Risperidone in Alzheimer's Disease (Both presenters unknowingly chose the same article)

Summary: Available
November 2, 2012 Nalaka Gooneratne, MD

Article: Short-term effects of daily aspirin on cancer incidence, mortality, and non-vascular death: analysis of the time course of risks and benefits in 51 randomised controlled trials

Summary: Available
Models of Community Based Long Term Care
Jeanette Gallagher, LMSW; Bruce Kinosian, MD; Jean Yudin, CRNP
November 9, 2012 Jerry Johnson, MD

Article: Patients' Expectations about Effects of Chemotherapy for Advanced Cancer

Summary: Available
Why We Still Need Narrative to Practice Medicine and Medical Science
Jason Karlawish, MD
November 16, 2012 2 Case Presentations Avishek Kumar, MD; Carly Lam, MD
November 23, 2012 Thanksgiving Holiday NO GRAND ROUNDS
November 30, 2012 Edna Schwab, MD

Article: A Pooled Analysis of Vitamin D Dose Requirements for Fracture Prevention

Summary: Available
Is it Worth it?: Utilizing an 8-step Tool for Successful Decision-making in Long Term Care
Amy Corcoran, MD; Josh Uy, MD

Supplemental Materials:

Conceptual Framework Worksheet

Efficacy in Treatment of Hypertension, Hyperlipidemia, Diabetes, Systolic Congestive Heart Failure, and Osteoporosis
December 7, 2012 Mary Ann Forciea, MD

Article: Effects of an Intervention to Increase Bed Alarm Use to Prevent Falls in Hospitalized Patients: A Cluster Randomized Trial

Summary: Available
Management of Hypertension
Raymond R. Townsend, MD
December 14, 2012 John Bruza, MD

Article: Associations Between Aldosterone Antagonist Therapy and Risks of Mortality and Readmission Among Patients With Heart Failure and Reduced Ejection Fraction

Summary: Unavailable

Supplemental material: Medicare's Role and Future Challenges
Device Implants and New Concepts of Bacterial Resistance - The Mystery
Albert Giovenella, PhD
December 21, 2012 Winter Break NO GRAND ROUNDS
December 28, 2012 Winter Break NO GRAND ROUNDS
January 4, 2013 Winter Break NO GRAND ROUNDS
January 11, 2013 3 Case Presentations Lynsey Brandt, PharmD; Patrick Dostal, MD; Purva Gumaste, MD
January 18, 2013 3 Journal Clubs Lesley Carson, MD:

Article: Unavailable

Summary: Unavailable

Melissa Livney, PsyD:

Article: The Effect of Subsyndromal Symptoms of Depression and White Matter Lesions on Disability for Individuals With Mild Cognitive Impairment

Summary: Available

Joan Weinryb, MD:

Article: Direct Admission to Intermediate Care for Older Adults With Reactivated Chronic

Summary: Unavailable
January 25, 2013 Philip C. Taylor, MD

Article: Geriatrics and the Triple Aim: Defining Preventable Hospitalizations in the Long-Term Care Population

Supplemental article #1: Potentially Avoidable Hospitalizations of Dually Eligible Medicare and Medicaid Beneficiaries from Nursing Facility and Home- and Community-Based Services Waiver Programs

Supplemental article #2:
The Triple Aim: Care, Health, And Cost

Summary: Unavailable
Hearing Loss in Geriatric Primary Care
Mary Ann Forciea, MD; Josh Uy, MD
February 1, 2013 Avishek Kumar, MD

Article: Managing sleep disorders in the elderly

Supplemental material: Epworth Sleepiness Scale
Sleep Disorders in Older Adults
Nalaka Gooneratne, MD
February 8, 2013
Updates in EPIC
Colleen Pinder

Location: Board Room on 1st floor of Ralston
No Journal Club this morning. Grand Rounds will run from 8am until 9am.
February 15, 2013 Deborah Way, MD

Article: Early Palliative Care in Advanced Lung Cancer

Summary: Unavailable
Preoperative Cardiac Risk Assessment and Perioperative Management
Nadia L. Bennett, MD
February 22, 2013 Steven Huege, MD

Article: Can Medical Students Afford to Choose Primary Care? An Economic Analysis of Physician Education Debt Repayment

Summary: Available
Quality and Cost of Prostate Cancer Care: Implications for Racial and Ethnic Disparities
Ravi Jayadevappa, PhD
March 1, 2013 3 Case Presentations Jerry Johnson, MD; Charles Spencer, MD; Josh Uy, MD
March 8, 2013 3 Journal Clubs Sefi Knoble, MD

Article: The Psychophysics of Transition to Long Term Care

Summary: Available

Samir Patel, MD

Article: Effect of exercise on depression severity in older people: systematic review and meta-analysis of randomised controlled trials

Slides: Available

Amy Corcoran, MD

Article: Influence of Hospice on Nursing Home Residents with Advanced Dementia Who Received Medicare-Skilled Nursing Facility Care Near the End of Life

Summary: Unavailable
March 15, 2013
Oral Medicine Grand Rounds at at University of Pennsylvania School of Dental Medicine
Juan Bugueno, DDS; Chizobam Idahosa, DDS; Mary Ann Forciea, MD; Purva Gumaste, MD
March 22, 2013 David Casarett, MD

Article: Change in End-of-Life Care for Medicare BeneficiariesSite of Death, Place of Care, and Health Care Transitions in 2000, 2005, and 2009

Summary: Unavailable
Parkinson's Disease: The Quintessential Neuropsychiatric Illness
Daniel Weintraub, MD
March 29, 2013 Good Friday NO GRAND ROUNDS
April 5, 2013 3 Journal Clubs Lesley Carson, MD
Articles: Apixaban for Extended Treatment of Venous Thromboembolism

Extended Use of Dabigatran, Warfarin, or Placebo in Venous Thromboembolism

Summary: Unavailable

Edna Schwab, MD
Article: Uric Acid Measurement Improves Prediction of Cardiovascular Mortality in Later Life

Summary: Available

John Bruza, MD
Article: Long-Term Outcomes in Elderly Survivors of In-Hospital Cardiac Arrest

Supplemental Abstracts:

In-hospital cardiopulmonary resuscitation. Survival in 1 hospital and literature review.

Cardiopulmonary resuscitation of adults in the hospital: a report of 14720 cardiac arrests from the National Registry of Cardiopulmonary Resuscitation.

Duration of resuscitation efforts and survival after in-hospital cardiac arrest: an observational study

Summary: Unavailable
April 12, 2013 Purva Gumaste, MD

Article: Long-term Cognitive Impairment and Functional Disability Among Survivors of Severe Sepsis
From War To Home: The Health Impacts of Military Service and Deployment
Gala True, PhD
April 19, 2013 Albert Giovenella, PhD

Article: Varicella Zoster Virus – Specific Immune Responses to a Herpes Zoster Vaccine in Elderly Recipients With Major Depression and the Impact of Antidepressant Medications

Summary: Available
Innovation in Communication - Thoughts for Research and Practice
Laura Hanson, MD, MPH
April 26, 2013 Stephanie R. Johnson, CRNP

Article: Every Patient Is an Individual: Clinicians Balance Individual Factors When Discussing Prognosis with Diverse Frail Elderly Adults

Slides: Available
Plasma and CSF Biomarkers in Neurodegenerative Diseases and the Importance of Coincident Pathologies
Jon B. Toledo, MD
May 3, 2013 Case Presentation by
Jason Karlawish, MD

Intimacy in LTC
Olga Achildi, MD; Melanie Asbury, MD; Samir Patel, MD

May 10, 2013 Rachel Miller, MD

Articles: Conflicting Messages: Examining the Dynamics of Leadership on Interprofessional Teams

Perspective: A Business School View of Medical Interprofessional Rounds: Transforming Rounding Groups Into Rounding Teams

Summary: Unavailable
Update on Complementary and Alternative Medicine
Sharon L. Kolasinski, MD, FACP, FACR
May 17, 2013 Mary Ann Forciea, MD

Article: Vitamin D and Calcium Supplementation to Prevent Fractures in Adults: U.S. Preventive Services Task Force Recommendation Statement

Summary: Unavailable
Fellows QI Presentations
Patrick Dostal, MD; Purva Gumaste, MD; Avishek Kumar, MD; Carly Lam, MD
May 24, 2013 Friday Before Memorial Day NO GRAND ROUNDS
June 7, 2013 Deborah Way, MD

Article: Monetary Costs of Dementia in the United States
Paget's Disease of Bone
Robert Pignolo, MD
June 14, 2013 Mary Ann Forciea, MD

Article: Study of the ketogenic agent AC-1202 in mild to moderate Alzheimer's disease: a randomized, double-blind, placebo-controlled, multicenter trial

Slides: Available
Is there a Distinct Phenotype to Memory Loss in Alzheimer's Disease?
David A. Wolk, MD


8:00AM - 9:00AM


9:00AM - 9:30AM

June 21, 2013 The Place for Mental Health in Accountable Care
Donovan Maust, MD
Sefi Knoble, MD

Article: A controlled trial of an intervention to increase resident choice in long term care

Summary: Available

Supplemental Information: QAPI Description and Background
June 28, 2013 Urologic Oncology in the Geriatric Patient
Thomas J. Guzzo, MD, MPH