Interprofessional Training in Geriatric Medicine...Shaida Talebreza, MD – University of Utah 10:45 – 11:35 a.m. Interprofessional Competencies in Geriatrics In the first section

2012 Western Regional Reynolds Grantee Meeting – ‘Geri-West’

Interprofessional Training in Geriatric Medicine

Thursday, July 12th – Saturday, July 14th, 2012

Newport Beach Marriott Hotel & Spa

900 Newport Center Drive Newport Beach, CA

AGENDA

DAY 1: Thursday, July 12, 2012 – Canaletto Ristorante Veneto

545 Newport Center Drive, Newport Beach, CA

5:15 p.m. Shuttle (or walk) to Canaletto Ristorante Veneto Lobby of Newport

Beach Marriott

5:30 – 6:00 p.m. Reception

Canaletto Ristorante

Veneto

6:00 – 6:10 p.m. Welcome and Introduction

Lisa Gibbs, MD and Laura Mosqueda, MD – UC Irvine

6:10 - 7:00 p.m. Keynote Address

Now More than Ever: Systems for Chronicity, Complexity and Geriatrics

Jennie Chin Hansen, RN, MSSN, FAAN

CEO, American Geriatrics Society

7:00 – 8:30 p.m. Dinner

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2012 Geri-West Meeting

DAY 2: Friday, July 13, 2012 - Newport Beach Marriott Hotel & Spa

7:30 – 8:30 a.m. Breakfast Emerald Cove

8:30 – 8:45 a.m. The Western Region: A Collaboration Among Educators

in Geriatrics

Meeting Overview

Lisa Gibbs, MD – UC Irvine

Sapphire Cove

8:45 – 10:30 a.m. Forum on Interprofessional Team Training: Methods

and Assessments

Sapphire Cove

10:30 – 10:45 a.m. Break Emerald Cove

10:45 – 11:35 a.m. Interprofessional Competencies in Geriatrics

Timothy W. Farrell, MD and Marilyn Luptak, PhD, MSW –

University of Utah

Kamal Masaki, MD, Misty Yee, MS and Katherine Kim, MPH

– University of Hawaii

Sapphire Cove

11:40 a.m. –

12:30 p.m.

Interprofessional Training in Telemedicine

Devon Neale, MD – University of New Mexico

Mark Supiano, MD – University of Utah

Sapphire Cove

12:30 – 1:30 p.m. Lunch Emerald Cove

1:30 – 2:40 p.m. Geri-West: Learning About Each Other Sapphire Cove

2:40 – 2:50 p.m. Break Emerald Cove

2:50 – 3:50 p.m. What is Special about Geriatric Medicine in the West?

A Facilitated Discussion of the Future of Geri-West

Johanna Shapiro, PhD – UC Irvine

Sapphire Cove

4:00 p.m. Networking and Collaboration (Unstructured Time)

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DAY 3: Saturday, July 14, 2012 - Newport Beach Marriott Hotel & Spa

7:30 – 8:30 a.m. Breakfast Emerald Cove

8:00 – 8:30 a.m. Planning Committee Session

Emerald Cove

8:30 – 9:15 a.m. Ethnogeriatrics in the West


Ritabelle Fernandes, MD, MPH – University of Hawaii

Lauren Okamoto, MD – University of Hawaii

Sapphire Cove

9:15 – 10:00 a.m. U.S.-Mexico Border and Aging

Mindy Fain, MD – University of Arizona

Sapphire Cove

10:00 – 10:15 a.m.

Break Emerald Cove

10:15 – 11:15 a.m. Evaluation and Assessment in Interprofessional

Education

Josette Rivera, MD – UC San Francisco

B. Josea Kramer, PhD – UC Los Angeles

Sapphire Cove

11:15 a.m. –

Noon

Conclusion: The Future of Geri-West

Summary and Action Steps

Laura Mosqueda, MD – UC Irvine

Sapphire Cove

Noon Adjourn

Boxed lunches available for pick-up

Emerald Cove

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SESSION DESCRIPTIONS

Friday, July 13, 2012

8:45 – 10:30 a.m.

Forum on Interprofessional Team Training: Methods and Assessments Overview of interprofessional training in geriatrics at each institution.

Speakers:


Sonia Sehgal, MD – UC Irvine

Nancy Weintraub, MD– UC Los Angeles

Michi Yukawa, MD – UC San Francisco

Kamal Masaki, MD – University of Hawaii

Melanie Dodd, PharmD, PhC, BCPS - University of New Mexico

Shaida Talebreza, MD – University of Utah

10:45 – 11:35 a.m.

Interprofessional Competencies in Geriatrics In the first section of this presentation, the University of Utah team will provide an overview of the "state

of the art" in interprofessional competencies nationally, followed by a non-physician's perspective on

these competencies. In the second section of this presentation, the University of Hawaii team will share

lessons learned from interprofessional curriculum implementation across a diverse range of learners.

Objectives:

1. Introduce a paradigm for IP competencies.

2. Define the "state of the art" in IP competencies, including geriatrics.

3. Discuss non-physician perspectives on IP competencies.

4. Share lessons learned from IP curricular implementation among medical students, residents, fellows

and allied health professionals.

Speakers:

Timothy W. Farrell, MD and Marilyn Luptak, PhD, MSW – University of Utah

Kamal Masaki, MD, Misty Yee, MS and Katherine Kim, MPH – University of Hawaii

11:40 a.m. – 12:30 p.m.

Interprofessional Training in Telemedicine

Project ECHO

Description:

Project Extension for Community Healthcare Outcomes (ECHO) is a novel telehealth program with a

mission of improving the capacity for management of chronic complex diseases in rural and underserved

New Mexico. This program initially was developed to educate interprofessional teams in the

management of Hepatitis C, but has expanded to educate interprofessional teams in 19 areas including

Palliative Care and Dementia Care.

Objectives:

1. To gain an understanding of the Project ECHO telehealth program

2. To determine if a similar program would be useful in your educational setting

Speaker:

Devon Neale, MD, University of New Mexico

5


AGE QI - Advancing Geriatric Education through Quality Improvement

Description:

The Advancing Geriatric Education through Quality Improvement (AGE QI) program is evolving from

our initial Reynolds supported program of team based geriatric education and practice improvement to

provide support to VA community based outpatient clinic (CBOC) Patient Aligned Care Teams (PACT).

Our initial focus has been to provide medication management immediately following hospital discharge

using EMR-based clinical reminders and telehealth support with a geriatrician and a PharmD.

Objectives:

1. Present AGE QI background information and outcomes

2. Describe current VA rural health project focus on medication management

3. Outline future plans to integrate telehealth support for rural CBOC PACT programs

Speaker:


1:30 – 2:40 p.m.

Geri-West: Learning About Each Other

Overview of each school’s Geriatrics education programs and unique, cutting edge projects.

Speakers:

Mindy Fain, MD and Jane Mohler, FNP-c, MPH, PhD – University of Arizona


Bruce Ferrell, MD – UC Los Angeles


Kamal Masaki, MD – University of Hawaii

Janice Knoefel, MD, MPH – University of New Mexico


2:50 – 3:50 p.m.

What is Special about Geriatric Medicine in the West?

A Facilitated Discussion of the Future of Geri-West

Facilitator:

Johanna Shapiro, PhD – UC Irvine

6


Saturday, July 14, 2012

8:30 – 9:15 a.m.

Ethnogeriatrics in the West

Ethnogeriatrics: Overview of Cultural Diversity in Geri West Programs

Description:

The introduction will be a brief overview of the diverse geriatric populations in our regions, followed by

an overview of UC Irvine’s Ethnogeriatric program.

Speaker:


Alternative Healthcare Delivery for Asian Pacific Islanders

Description:

This session will review diabetes group visits and memory clinic for Asian Pacific Islanders using

medical students, residents, and fellows. It will also discuss a culturally appropriate patient navigation

curriculum and training for allied health professionals conducted in the Marshall Islands.

Learning objectives

1. Understand the delivery of diabetes group visits in Asian Pacific Islanders.

2. Promote collaborative management of dementia using a multidisciplinary team approach.

3. Describe patient navigation curriculum and training in the Republic of Marshall Islands.

Speaker:

Ritabelle Fernandes, MD, MPH

Ethnogeriatrics in Residency: University of Hawaii Family Medicine Program

Description:

Provide an overview of how ethnogeriatrics/cross-cultural sensitivity is taught to residents at the

University of Hawaii. My presentation highlights how this is done in the Family Medicine Residency

Program. It also touches on some of the research and interdepartmental collaborative efforts that are

taking place.

Speaker:

Lauren Okamoto, MD – University of Hawaii

9:15 – 10:00 a.m.

U.S.-Mexico Border and Aging

Purpose:

The purpose of this session is to briefly describe the US-Mexico Border region and familiarize ourselves

with current healthcare goals, as well as brainstorm potential emerging aging-related focus areas.

Objectives:

Define the US-Mexico Border region

Discuss key health-related border goals and issues

Examine ways in which our collective geriatric wisdom and experiences might be utilized to

address/anticipate aging-related problems in the US-Mexico border regions

Speaker:


7


10:15 – 11:15 a.m.

Evaluation and Assessment in Interprofessional Education Interprofessional Education and Assessment

Description:

This session will review the state of assessment in interprofessional education and discuss general

approaches and tools. The assessment and evaluation of a longitudinal workforce development program

with multisite learning and multi-disciplinary competencies will also be discussed.

Objectives:

Recognize unique issues of assessment in interprofessional education

Describe general approaches and tools for measurement of interprofessional competencies

Discuss successful and unsuccessful strategies in evaluation of continuing education for

workforce development based on principles of adult learning

Speaker:


Learning objective

Discuss successful and unsuccessful strategies in evaluation of continuing education for workforce

development based on principles of adult learning.

Speaker:

B. Josea Kramer, PhD – UC Los Angeles

11:15 a.m. - Noon

Conclusion: Geri-West Summary and Action Steps Facilitator:


8


GERI-WEST PLANNING COMMITTEE

Mindy Fain, MD

Professor of Medicine

Chief, Geriatrics, General Internal Medicine and

Palliative Medicine

Co-Director, Arizona Center on Aging

University of Arizona College of Medicine

Lisa Gibbs, MD

Professor of Family Medicine

Associate Director, Program in Geriatrics

University of California, Irvine School of Medicine

Carla Herman, MD

Professor of Medicine and Chief of Geriatrics

Division of Geriatrics and Internal Medicine

The University of New Mexico School of Medicine

Kamal Masaki, MD

Principal Investigator

Professor & Chair, Department of Geriatric Medicine

John A. Burns School of Medicine

University of Hawaii at Manoa

Josette Rivera, MD

Assistant Clinical Professor

Division of Geriatrics

University of California, San Francisco

Mark A. Supiano, M.D.

Director, Salt Lake City Geriatric Research Education

and Clinical Center

Professor and Chief, Division of Geriatric Medicine

Executive Director, University of Utah Center on

Aging

Zaldy Tan, MD, MPH

Associate Professor


University of California, Los Angeles

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2012 SPEAKERS & FACILITATORS

Melanie A. Dodd, Pharm.D., Ph.C., BCPS

Associate Professor of Pharmacy in Geriatrics

College of Pharmacy

The University of New Mexico

Mindy Fain, MD



Palliative Medicine


University of Arizona College of Medicine

Timothy W. Farrell, MD

Assistant Professor of Medicine (Clinical)

Adjunct Assistant Professor of Family Medicine


University of Utah School of Medicine


Associate Professor

Department of Geriatric Medicine


University of Hawaii

Bruce Ferrell, MD

Philo Woodrow Van Wagoner Professor of

Medicine and Geriatrics

Associate Chief, Division of Geriatrics

Director, UCLA Adult Palliative Care Services

Lisa Gibbs, MD




Jennie Chin Hansen, RN, MSN, FAAN

Chief Executive Officer

American Geriatrics Society

Katherine Kim, MPH GEC and Reynolds Program Coordinator Department of Geriatric Medicine

John A Burns School of Medicine


Janice E. Knoefel, MD, MPH

Professor

Departments of Internal Medicine (Geriatrics) &

Neurology

University of New Mexico

B. Josea Kramer, PhD

Associate Director for Education/Evaluation

Geriatric Research Education Clinical Center

(GRECC)

VA Greater Los Angeles Healthcare System;

Adjunct Professor, Division of Geriatrics

David Geffen School of Medicine at UCLA

Marilyn Luptak, PhD, MSW

Associate Professor and Director, Social Work in

Aging Emphasis

Spafford Endowed Chair in Social Work

Hartford Geriatric Social Work Faculty Scholar

University of Utah College of Social Work

Kamal Masaki, MD


Professor & Chair, Department of Geriatric

Medicine



10


Jane Mohler, FNP-c, MPH, PhD

Assoc. Professor, University of Arizona Colleges of

Medicine, Pharmacy, Public Health and Nursing

Assoc. Director of Research and Development,

Arizona Center on Aging

Co-Director, Arizona Geriatric Education Center

Laura Mosqueda, MD

Chair and Professor of Family Medicine Director of Geriatrics Ronald W. Reagan Endowed Chair in Geriatrics University of California, Irvine School of Medicine

Devon Neale, MD

Assistant Professor


Department of Internal Medicine

University of New Mexico School of Medicine

Lauren Okamoto, MD

Clinical Instructor of Geriatric Medicine



Josette Rivera, MD




Sonia Sehgal, MD

Associate Clinical Professor, Medicine


Johanna Shapiro, PhD

Professor

Director, Program in Medical Humanities and Arts

Department of Family Medicine



Director, Salt Lake City Geriatric Research

Education and Clinical Center



Aging

Shaida Talebreza, MD

Clinical Instructor, Division of Geriatrics


Medical Director, Haven HealthCare Home Health

and Hospice

Palliative Care Specialist, VA Home-Based

Primary-Care Team, VA Salt Lake City Health Care

System

Nancy Weintraub, MD

Clinical Professor of Medicine

David Geffen School of Medicine

Director, VA/UCLA Geriatric Medicine Fellowship

Misty Yee, MS

Education Specialist




Michi Yukawa, MD, MPH

Associate Professor of Medicine

Medical Director, Community Living Center

(SFVAMC)



11


ATTENDEES

University of Arizona

Mindy Fain, MD



Palliative Medicine


Gerri Lamb, PhD, RN, FAAN

College of Nursing and Health Innovation

Arizona State University

Jeannie Lee, PharmD, BCPS

Assistant Professor

College of Pharmacy, College of Medicine

Jane Mohler, FNP-c, MPH, PhD

Assoc. Professor, University of Arizona Colleges of

Medicine, Pharmacy, Public Health and Nursing

Assoc. Director of Research and Development,

Arizona Center on Aging

Co-Director, Arizona Geriatric Education Center

Farhad Shirazi, MD, PhD

Medical Director of Arizona Poison and Drug

Information Center

University of California, Irvine

Rachel Austin, MSN, NP

Program in Geriatrics

Lisa Gibbs, MD



Bernadette Milbury, RN, MSN, ANP-BC, OCN©

Health Sciences Clinical Instructor

Program in Nursing Science

Laura Mosqueda, MD

Chair and Professor of Family Medicine Director of Geriatrics Ronald W. Reagan Endowed Chair in Geriatrics

Maureen Movius, RN MN CNS

Associate Clinical Professor

Program in Nursing Science

Elizabeth O’Toole, MSPH

Project Coordinator

Program in Geriatrics

Bonnie Olsen, PhD

Psychologist


Sonia Sehgal, MD

Associate Clinical Professor, Medicine

Johanna Shapiro, PhD

Professor

Director, Program in Medical Humanities and Arts


12


University of California, Los Angeles

Bruce Ferrell, MD

Philo Woodrow Van Wagoner Professor of

Medicine and Geriatrics

Associate Chief, Division of Geriatrics

Director, UCLA Adult Palliative Care Services

B. Josea Kramer, PhD

Associate Director for Education/Evaluation

Geriatric Research Education Clinical Center

(GRECC)

VA Greater Los Angeles Healthcare System;

Adjunct Professor, Division of Geriatrics

Ming Lee, PhD

Evaluator


Zaldy Tan, MD, MPH

Associate Professor


Nancy Weintraub, MD

Clinical Professor of Medicine, David Geffen

School of Medicine

Director, VA/UCLA Geriatric Medicine Fellowship


Anna Chang, MD

Associate Professor

Division of Geriatrics, Department of Medicine

Michael Harper, MD


Vice Chief, Division of Geriatrics

Director, Geriatrics Fellowship Program

Josette Rivera, MD



Michi Yukawa, MD, MPH


Medical Director, Community Living Center

(SFVAMC)





Associate Professor


JABSOM

Katherine Kim, MPH GEC and Reynolds Program Coordinator Department of Geriatric Medicine


Kamal Masaki, MD


Professor & Chair, Department of Geriatric

Medicine


Lauren Okamoto, MD

Clinical Instructor of Geriatric Medicine


Misty Yee, MS

Education Specialist



13


University of New Mexico

Melanie A. Dodd, Pharm.D., Ph.C., BCPS

Associate Professor of Pharmacy in Geriatrics

College of Pharmacy

Janice E. Knoefel, MD, MPH

Professor

Departments of Internal Medicine (Geriatrics) & Neurology

Devon Neale, MD

Assistant Professor


Department of Internal Medicine

University of Utah

Cherie Brunker, MD

Associate Professor

Chief, Division of Geriatrics for Intermountain

Healthcare

University of Utah Hartford Center of Geriatric

Nursing Excellence

Timothy W. Farrell, MD

Assistant Professor of Medicine (Clinical)

Adjunct Assistant Professor of Family Medicine


Marilyn Luptak, PhD, MSW

Associate Professor and Director, Social Work in

Aging Emphasis

Spafford Endowed Chair in Social Work

Hartford Geriatric Social Work Faculty Scholar

Susan Saffel-Shrier, MS, RD, CD, Certifies

Gerontologist

Associate Professor

Department of Family and Preventive Medicine


Director, Salt Lake City Geriatric Research

Education and Clinical Center



Aging

Shaida Talebreza, MD

Clinical Instructor, Division of Geriatrics


Medical Director, Haven HealthCare Home Health

and Hospice

Palliative Care Specialist, VA Home-Based

Primary-Care Team, VA Salt Lake City Health Care

System

Documents

Interprofessional Training in Geriatric Medicine...Shaida Talebreza, MD – University of Utah 10:45 – 11:35 a.m. Interprofessional Competencies in Geriatrics In the first section