COURSE INFO
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Sponsored by: |
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| Course Description |
The elderly patient presents unique behavioral health challenges to health care practitioners. The elderly make up approximately 13% of the U.S. population, yet account for 57% of primary care physician office visits. The increasing demand for geriatric psychiatric care requires that general practitioners and their staff acquire
specialized skills and knowledge pertaining to the unique circumstances of the elderly patient and the role of family or caregiver.
This course addresses evidence-based protocols for the diagnosis and treatment of behavioral and mental health disorders in the elderly. All content will be aligned with the Geriatric Psychiatry Core Competencies of the American Board of Psychiatry and Neurology, as well as the Practice Parameters and Guidelines of the American Psychiatric Association, American Academy of Neurology and American Psychological Association.
Correctly diagnosing conditions such as cognitive impairment and memory disorders early in the treatment continuum will optimize patient function, improve caregiving, prevent premature long-term care placement, and the enhance safety and quality of life of the patient, as well as that of the caregiver.
Collaborative care, involving both primary care physicians and mental health specialists, has been shown to enhance quality of care and improve outcomes. This course provides an opportunity for important dialogue between PCPs, Specialists, Nurses, and Allied Health Professionals. |
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| Faculty Disclosure |
The University of South Florida College of Medicine adheres to the ACCME Standards regarding commercial support of continuing medical education. It is the policy of the USF College of Medicine that the faculty and planning committee disclose real or apparent conflicts of interest relating to the topics of this educational activity, that relevant conflict(s) of interest are resolved, and also that speakers will disclose any unlabeled/unapproved use of drug(s) or device(s) during their presentation. Detailed disclosure will be made in the course syllabus. |
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| Target Audience |
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This program has been developed to meet the educational needs of healthcare practitioners involved in the evaluation and treatment of aging individuals, including Primary Care Physicians, Specialty Care Physicians, Psychiatrists, Psychologists, Nurse Practitioners, Physician Assistants, Pharmacists, Long-Term Care Specialists, Social Workers, and Hospice Professionals. |
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| Objectives |
| Upon completion of this activity, the participant will be able to: |
- Utilize evidence and risk factors in the management of dementia;
- Implement behavioral and pharmacologic strategies in the management of behavioral problems associated with dementia;
- Diagnose dementia at the appropriate time using a reasonable workup, including computerized testing;
- Use evidence-based therapies for late-life depression;
- Assess the risks and benefits of using ECT in the elderly; and
- Identify pharmacologic treatments for pain management, bipolar disorder, and impulse control disorder in the elderly.
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| Accreditation |
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Physicians: The University of South Florida College of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The University of South Florida College of Medicine designates this educational activity for a maximum of 12 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
Nurses: The University of South Florida College of Nursing is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. This activity is for 12 contact hours.
Psychologists: The University of South Florida College of Medicine is approved by the American Psychological Association to sponsor continuing education for psychologists. The University of South Florida College of Medicine maintains responsibility for this program and its content. This activity is for 12 credits.
Florida Licensed Clinical Social Workers, Florida Licensed Marriage and Family Therapists, Florida Licensed Mental Health Counselors: The University of South Florida College of Public Health is an approved provider (BAP#433 – Exp. 3/31/09) of continuing education credits for clinical social work, marriage and family therapy, and mental health counseling. This program has been reviewed and approved for up to 14.5 contact hours.
Pharmacists: The University of South Florida College of Medicine is accredited by the  Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. This program has been approved for 12 contact hours. Universal program number is as follows: 230-000-08-004-L01-P.
To receive continuing education credit, a pharmacist must attend the accredited sessions and must return the program evaluation instrument. In order to receive full credit, registrants must register no later than 10 minutes after the start of the meeting and must attend the entire meeting.
All participants who are requesting pharmacy credit should expect to receive their statement of credit either on-site or within 4 weeks by U.S. Mail upon the conclusion of the activity.
Others:Certificates of attendance are available for all other participants. |
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| Program Agenda |
Friday, August 1, 2008 |
1:00 pm – 6:30 pm |
Registration Desk Open |
2:00 pm – 2:10 pm |
Welcome & Introductions (Francisco Fernandez, MD) |
2:10 pm – 3:00 pm |
Diagnosis and Pathology of Dementia
(Theresa A. Zesiewicz, MD)
This presentation will focus on both the AAN and APA Practice Guidelines on diagnosis of dementia, its etiology and pathogenesis. Dementing illnesses such as Alzheimer’s disease, Lewy Body dementia, fronto-temporal dementia, and vascular dementia will be reviewed along with potential therapeutic strategies. |
3:00 pm – 3:50 pm |
Neuropsychological Assessment – Computerized
(Michael R. Schoenberg, PhD, ABPP-CN)
Over the past 10 years, limitations on access to trained neuropsychologists has been supplanted by a variety of tests. This presentation will focus on the benefits and limitations of computerized testing and when it is appropriate to utilize these tests versus conventional testing. |
3:50 pm – 4:10 pm |
Panel Discussion |
4:10 pm – 4:30 pm |
Break & Exhibits |
4:30 pm – 5:20 pm |
Dementia Prevention and Treatment
(Maria T. Caserta, MD, PhD)
Pharmacotherapy is often the central intervention used to improve symptoms or delay the progression of dementia syndromes. The available agents vary with respect to their therapeutic actions and are supported by varying levels of evidence for efficacy. This report is a systematic evaluation of the evidence for pharmacological interventions for the treatment of dementia in the domains of cognition, global function, behavior/mood, quality of life/activities of daily living, and caregiver burden. |
5:20 pm – 6:10 pm |
Compliance Enhancement (Angel Wolf, MBA, PharmD, BCPP)
Elderly patient noncompliance is one of the most difficult aspects of the geriatric drug use process. This presentation will focus on individualized therapies, the provision of enhanced verbal and written patient counseling, and use of unit-dose, blister packaged, and specialized compliance packaging as proven means to the endpoint of improvement of elderly patient compliance. |
6:10 pm – 6:30 pm |
Panel Discussion |
6:30 pm – 8:00 pm |
Poolside Welcome Reception |
Saturday, August 2, 2008 |
7:00 am – 8:00 am |
Continental Breakfast & Exhibits |
8:00 am – 8:10 am |
Welcome & Announcements (Francisco Fernandez, MD) |
8:10 am – 9:00 am |
Late Life Depression and its Treatment
(Maria T. Caserta, MD, PhD)
This presentation will have a practical focus and will highlight one of the most common clinical problems. Diagnostic issues will be presented along with evidence in supporting various treatment strategies, followed by a review of formal guidelines and where they exist. |
9:00 am – 9:50 am |
Suicide Assessment in the Elderly
(Lisa M. Brown, PhD)
85% of people dying by suicide over the age of 65 are men and over 80% of elderly suicidal deaths involve the use of firearms. Older adults who are suicidal are also more likely to be suffering from illnesses, such as dementia, and be divorced or widowed. This presentation will provide the clinician with a practical approach to clinical interviewing, assessment, and a strategy for suicide prevention. |
9:50 am – 10:10 am |
Panel Discussion |
10:10 am – 10:30 am |
Break & Exhibits |
10:30 am – 11:20 am |
ECT in the Elderly
(Jonathan T. Stewart, MD)
Depression tends to last longer in elderly adults and it also increases their risk of death. Studies of nursing home patients with physical illnesses have shown that the presence of depression substantially increased the likelihood of death from those illnesses. When the depression is severe and conventional treatments have failed, electroconvulsive therapy is safe and effective alternative. This presentation will go over the indications for ECT and the safe administration of this life-saving treatment. |
11:20 am – 12:10 pm |
Pain Management in the Elderly
(Francisco Fernandez, MD)
Pain is more common among the elderly than among younger adults. In one study, pain prevalence in the elderly ranged from 36% to 88% and prevalence may be higher among nursing home residents. This presentation will review the more common causes of pain in the elderly, including its comorbidity with illnesses such as dementia and Alzheimer’s disease, as well as the most common therapeutic strategies. |
12:10 pm – 12:30 pm |
Panel Discussion |
Sunday, August 3, 2008 |
7:00 am – 8:00 am |
Continental Breakfast & Exhibits |
8:00 am – 8:10 am |
Welcome & Announcements (Francisco Fernandez, MD) |
8:10 am – 9:00 am |
Spiritual Care in the Elderly
(Ned H. Cassem, SJ, MD)
The need for spiritual care is particularly crucial as we age. Questions arise for the elderly, especially those that are ill, that focus on life and death, meaning and purpose, loneliness and loss. These issues are often magnified when the individual is placed in a long-term care facility or hospice. This presentation will focus on finding meaning at the end of life and a review of the spiritual resources of elderly patients inclusive of those with dementing illness. |
9:00 am – 9:50 am |
Management of Bipolar Disease in the Elderly
(Brian Keefe, MD, JD)
Treatment of the elderly population with bipolar disorder represents a distinct challenge in modern psychiatry, especially as the number of geriatric patients continues to grow. This review will highlight the demographics and characterization of bipolar disorder in the elderly as well as the pharmacologic management of the disease. |
9:50 am – 10:10 am |
Panel Discussion |
10:10 am – 10:30 am |
Break & Exhibits |
10:30 am – 11:20 am |
Impulse Control Disorders in the Elderly
(Patrick Marsh, MD)
Impulse Control Disorders (ICD) are a specific group of impulsive behaviors that have been accepted as psychiatric disorders under the DSM-IV-TR. While anyone can be capable of impulsive behaviors, these disorders pose significant problems in the elderly where the individual may have more than one formal psychiatric diagnosis, such as dementia. This presentation will review ICD in the elderly and provide treatment guidelines. |
11:20 am – 12:10 pm |
Sleep and Anxiety in the Elderly
(Francisco Fernandez, MD)
Sleep disorders in the elderly involve any disruptive pattern of sleep such as problems with falling or staying asleep, excessive sleep, or abnormal behaviors associated with sleep. These disorders often occur comorbidly with other psychiatric disorders, such as dementia and Alzheimer’s disease. This presentation will focus on treatment options in the elderly patient inclusive of alternative therapies. |
12:10 pm – 12:30 pm |
Panel Discussion |
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| Faculty |
| Course Directors |
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Francisco Fernandez, MD
Professor & Chair
Department of Psychiatry &
Behavioral Medicine
Director, Memory Disorders Clinic
University of South Florida
College of Medicine
Tampa, Florida |
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| Course Faculty |
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Lisa M. Brown, PhD
Assistant Professor
Department of Aging and Mental Health
Louis de la Parte
Florida Mental Health Institute
Assistant Neuropsychologist
Memory Disorders Clinic
University of South Florida
College of Medicine
Tampa, Florida |
Michael R. Schoenberg, PhD, ABPP-CN
Assistant Professor of Neurology
Director, Neuropsychology Program
Comprehensive Epilepsy Center
Case Western Reserve University
School of Medicine
Cleveland, Ohio |
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Maria T. Caserta, MD, PhD
Professor & Chief
Geriatric Psychiatry Program
Department of Psychiatry &
Behavioral Medicine
Medical Director
Memory Disorders Clinic
University of South Florida
College of Medicine
Tampa, FL |
Jonathan T. Stewart, MD
Chief, Geropsychiatry Section
Bay Pines VA Medical Center
Professor of Psychiatry
University of South Florida
College of Medicine
Tampa, Florida |
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Ned H. Cassem, SJ, MD
Professor of Psychiatry
Harvard Medical School
Massachusetts General Hospital
Boston, Massachusetts |
Angel Wolf, MBA, PharmD, BCPP
Assistant Professor of Pharmacy
Florida A&M University-COPPS
Tampa Bay Division
Clinical Pharmacist
University of South Florida
College of Medicine
Tampa, Florida |
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Brian Keefe, MD, JD
Assistant Professor
Department of Psychiatry &
Behavioral Medicine
Director, Residency Training in Psychiatry
University of South Florida
College of Medicine
Medical Director of Psychiatric Services
Tampa General Hospital
Tampa, Florida |
Theresa A. Zesiewicz, MD, FAAN
Associate Professor of Neurology
Assistant Director
Parkinson's Disease & Movement Disorders Center
University of South Florida
College of Medicine
Tampa, Florida
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Patrick Marsh, MD
Assistant Professor
Department of Psychiatry &
Behavioral Medicine
University of South Florida
College of Medicine
Tampa, Florida |
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| Registration |
Full Conference – Early Fee (postmarked by 7/7/08) |
$179 |
Full Conference – Late Fee (received after 7/7/08) |
$249 |
Single Day Fee |
$75 |
Fees include the course syllabus, certificate of attendance, reception, continental breakfasts, and breaks. Upon receipt and processing of your registration, you will be mailed a confirmation letter.
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Online and fax registration is no longer available for this course, but you can register on-site at the Sheraton Sand Key Resort at the start of the program. Please download the registration form using the link below and bring your completed form and payment with you in order to register on-site. If you have any questions, please e-mail smakar@health.usf.edu.
PRINTABLE REGISTRATION FORM |
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| Refunds and Cancellation:
Cancellations must be received in writing by Friday, July 18, 2008, and will be subject to a $35.00 processing fee. No refunds will be given for cancellations after July 18, 2008, but you may transfer your registration to a colleague.
The University of South Florida reserves the right to cancel this program due to unforeseen circumstances, in which case a full refund will be given to participants. The University of South Florida will not be responsible for travel expenses incurred by the participant in the unlikely event that the program is cancelled. |
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| Location |
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 Sheraton Sand Key Resort
1160 Gulf Boulevard
Clearwater Beach, FL 33767
727-595-1611
www.sheratonsandkey.com
Sink your toes into 10 acres of sugar-white sands at this exclusive beach resort located in Clearwater Beach, Florida. Enjoy pool and beach activities, tennis, spa services, fitness center, shopping, casual and fine dining, and more. The Clearwater Beach area offers many opportunities for fun. Ideas for free-time activities can be found in the section below and at the hotel's concierge desk.
A limited number of rooms have been reserved for this meeting at a special rate of $152 per night plus applicable sales tax. For reservations, please call 727-595-1611 and identify yourself as a participant of the USF Geriatric Psychiatry Conference to receive the special group rate. Group rates cannot be guaranteed after July 4, 2008, so be sure to make your reservation early!
PARKING – The Sheraton Sand Key Resort offers complimentary self-parking; however, parking is very limited, so it is recommended that attendees arrive early to allow sufficient time to locate a space.
Clearwater Beach Activities and Transportation (PDF format)
Activity Flyer
Jolley Trolley Schedule
PSTA Trolley
Looper Trolley |
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| Accommodations for Disabilities |
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Please notify the CPD Office,
12901 Bruce B. Downs Blvd., MDC Box 60, Tampa, Florida, 33612 or call (813) 974-4296
a minimum of ten working days in advance of the event if a reasonable accommodation
for a disability is needed.
Events, activities and facilities of the University of South Florida are available without regard to race, color, sex, national origin, disability, age, or Vietnam veteran status as provided by law and in accordance with the University's respect for personal dignity. |
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