{"product_id":"wc-0efe51bcb5f34c14-50429","title":"Mass General Brigham Geriatrics for Surgical Clinicians 2025","description":"\u003cdiv\u003e\r\n\u003ch1 data-pm-slice=\"1 1 []\"\u003eMass General Brigham Geriatrics for Surgical Clinicians 2025\u003c\/h1\u003e\r\n\u003ch2\u003eMass General Brigham Geriatrics for Surgical Clinicians 2025 | Geriatric Surgery, Perioperative Care, Frailty, Delirium, Dementia, Polypharmacy, Prehabilitation, Falls Prevention \u0026amp; Age-Friendly Surgical Care\u003c\/h2\u003e\r\nThe \u003cstrong\u003eMass General Brigham Geriatrics for Surgical Clinicians 2025\u003c\/strong\u003e course provides a comprehensive, evidence-based educational review of the unique medical, surgical, functional, and psychosocial needs of older adults undergoing surgical procedures.\r\n\r\nDeveloped by faculty from Harvard Medical School teaching hospitals and offered by \u003cstrong\u003eBrigham and Women's Hospital\u003c\/strong\u003e, this two-day educational program brings together experts in surgery, geriatric medicine, anesthesiology, palliative care, rehabilitation, perioperative medicine, nursing, and healthcare delivery.\r\n\r\nHeld May 22–23, 2025, the program examines practical approaches to improving surgical outcomes in older adults through age-friendly clinical care, perioperative risk assessment, delirium prevention, medication optimization, mobility preservation, prehabilitation, and patient-centered decision-making.\r\n\r\nIn the United States, approximately 40% of inpatient procedures are performed on adults aged 65 years and older. At major Mass General Brigham trauma centers, more than half of injured patients are older adults, many of whom experience frailty and complex medical conditions.\r\n\r\nThese demographic changes highlight the need for surgical clinicians to understand geriatric syndromes, age-related physiological changes, multimorbidity, polypharmacy, cognitive impairment, functional vulnerability, and the importance of individualized treatment goals.\r\n\r\nThe \u003cstrong\u003eMass General Brigham Geriatric Surgery 2025\u003c\/strong\u003e curriculum is organized around the Age-Friendly Health Systems framework, incorporating the four core Ms — \u003cstrong\u003eMedication, Mobility, Mentation, and What Matters\u003c\/strong\u003e — together with Multicomplexity.\r\n\r\nThe course emphasizes clinical strategies to reduce preventable complications, including postoperative delirium, falls, infections, functional decline, prolonged hospitalization, readmissions, and caregiver burden.\r\n\r\nThrough expert-led presentations, clinical case discussions, multidisciplinary workshops, and practical care-planning exercises, this program provides an educational framework for integrating geriatric principles into surgical practice.\r\n\u003ch2\u003eCourse Details\u003c\/h2\u003e\r\n\u003cul data-spread=\"false\"\u003e\r\n \t\u003cli\u003e\n\u003cstrong\u003eCourse:\u003c\/strong\u003e Mass General Brigham Geriatrics for Surgical Clinicians 2025\u003c\/li\u003e\r\n \t\u003cli\u003e\n\u003cstrong\u003eOfficial Program:\u003c\/strong\u003e Perioperative Care of the Older Adult\u003c\/li\u003e\r\n \t\u003cli\u003e\n\u003cstrong\u003eAcademic Institution:\u003c\/strong\u003e Harvard Medical School\u003c\/li\u003e\r\n \t\u003cli\u003e\n\u003cstrong\u003eOffered By:\u003c\/strong\u003e Brigham and Women's Hospital\u003c\/li\u003e\r\n \t\u003cli\u003e\n\u003cstrong\u003eHealthcare System:\u003c\/strong\u003e Mass General Brigham\u003c\/li\u003e\r\n \t\u003cli\u003e\n\u003cstrong\u003eDepartment:\u003c\/strong\u003e Department of Surgery \/ Center for Geriatric Surgery\u003c\/li\u003e\r\n \t\u003cli\u003e\n\u003cstrong\u003eDates:\u003c\/strong\u003e May 22–23, 2025\u003c\/li\u003e\r\n \t\u003cli\u003e\n\u003cstrong\u003eOfficial Course Format:\u003c\/strong\u003e Continuing Medical Education Program\u003c\/li\u003e\r\n \t\u003cli\u003e\n\u003cstrong\u003eDuration:\u003c\/strong\u003e Two Days\u003c\/li\u003e\r\n \t\u003cli\u003e\n\u003cstrong\u003ePrimary Specialty:\u003c\/strong\u003e Geriatric Medicine\u003c\/li\u003e\r\n \t\u003cli\u003e\n\u003cstrong\u003eAdditional Focus:\u003c\/strong\u003e General Surgery, Trauma Surgery, Orthopedic Surgery, Anesthesiology, Perioperative Medicine, Palliative Care, Rehabilitation and Internal Medicine\u003c\/li\u003e\r\n \t\u003cli\u003e\n\u003cstrong\u003eLanguage:\u003c\/strong\u003e English\u003c\/li\u003e\r\n \t\u003cli\u003e\n\u003cstrong\u003eEducational Focus:\u003c\/strong\u003e Age-Friendly Surgery and Geriatric Perioperative Care\u003c\/li\u003e\r\n \t\u003cli\u003e\n\u003cstrong\u003eCurriculum Framework:\u003c\/strong\u003e Medication, Mobility, Mentation, What Matters and Multicomplexity\u003c\/li\u003e\r\n \t\u003cli\u003e\n\u003cstrong\u003eEducational Methods:\u003c\/strong\u003e Expert Lectures, Case-Based Workshops, Clinical Discussions and Multidisciplinary Panels\u003c\/li\u003e\r\n\u003c\/ul\u003e\r\nThe original course provides structured education on integrating geriatric assessment and management into surgical workflows.\r\n\r\nPublisher registration, official educational credits, certificates, and account access are separate from educational files distributed through MedicalAmboss.\r\n\u003ch2\u003eTarget Audience\u003c\/h2\u003e\r\nThe program is designed for surgical clinicians and healthcare professionals involved in the evaluation, treatment, and recovery of older adults undergoing surgery.\r\n\r\nThe target audience includes:\r\n\u003cul data-spread=\"false\"\u003e\r\n \t\u003cli\u003eGeneral Surgeons\u003c\/li\u003e\r\n \t\u003cli\u003eTrauma Surgeons\u003c\/li\u003e\r\n \t\u003cli\u003eOrthopedic Surgeons\u003c\/li\u003e\r\n \t\u003cli\u003eAnesthesiologists\u003c\/li\u003e\r\n \t\u003cli\u003eGeriatricians\u003c\/li\u003e\r\n \t\u003cli\u003ePalliative Care Specialists\u003c\/li\u003e\r\n \t\u003cli\u003ePhysical Medicine and Rehabilitation Physicians\u003c\/li\u003e\r\n \t\u003cli\u003ePerioperative Medicine Physicians\u003c\/li\u003e\r\n \t\u003cli\u003eInternal Medicine Physicians\u003c\/li\u003e\r\n \t\u003cli\u003eHospitalists\u003c\/li\u003e\r\n \t\u003cli\u003eSurgical Residents\u003c\/li\u003e\r\n \t\u003cli\u003eGeriatric Medicine Fellows\u003c\/li\u003e\r\n \t\u003cli\u003eSurgical Advanced Practice Providers\u003c\/li\u003e\r\n \t\u003cli\u003ePhysician Assistants\u003c\/li\u003e\r\n \t\u003cli\u003eNurse Practitioners\u003c\/li\u003e\r\n \t\u003cli\u003eRegistered Nurses\u003c\/li\u003e\r\n \t\u003cli\u003eRehabilitation Specialists\u003c\/li\u003e\r\n \t\u003cli\u003ePhysical Therapists\u003c\/li\u003e\r\n \t\u003cli\u003eCare Coordinators\u003c\/li\u003e\r\n \t\u003cli\u003eOther Healthcare Professionals Involved in Older Adult Surgical Care\u003c\/li\u003e\r\n\u003c\/ul\u003e\r\nThe course is particularly relevant to clinicians seeking to improve perioperative safety, reduce postoperative complications, optimize functional recovery, and provide patient-centered surgical care for older adults.\r\n\u003ch2\u003eProgram Overview\u003c\/h2\u003e\r\nOlder surgical patients frequently present with combinations of frailty, multiple chronic diseases, cognitive impairment, mobility limitations, medication-related risks, and complex social support needs.\r\n\r\nThese factors can increase the likelihood of postoperative delirium, falls, prolonged hospital stays, loss of independence, readmission, and other adverse outcomes.\r\n\r\nThe \u003cstrong\u003eMass General Brigham Geriatrics for Surgical Clinicians 2025\u003c\/strong\u003e program addresses these challenges through a multidisciplinary review of age-friendly surgical care.\r\n\r\nThe curriculum covers:\r\n\u003cul data-spread=\"false\"\u003e\r\n \t\u003cli\u003eAge-Friendly Surgical Care\u003c\/li\u003e\r\n \t\u003cli\u003eGeriatric Surgical Assessment\u003c\/li\u003e\r\n \t\u003cli\u003eThe 4Ms Framework\u003c\/li\u003e\r\n \t\u003cli\u003eMulticomplexity\u003c\/li\u003e\r\n \t\u003cli\u003eFrailty\u003c\/li\u003e\r\n \t\u003cli\u003eDementia\u003c\/li\u003e\r\n \t\u003cli\u003ePostoperative Delirium\u003c\/li\u003e\r\n \t\u003cli\u003eDelirium Prevention\u003c\/li\u003e\r\n \t\u003cli\u003eFalls and Fracture Risk\u003c\/li\u003e\r\n \t\u003cli\u003eMobility Preservation\u003c\/li\u003e\r\n \t\u003cli\u003eRehabilitation\u003c\/li\u003e\r\n \t\u003cli\u003ePrehabilitation\u003c\/li\u003e\r\n \t\u003cli\u003eMedication Reconciliation\u003c\/li\u003e\r\n \t\u003cli\u003ePolypharmacy\u003c\/li\u003e\r\n \t\u003cli\u003eDeprescribing\u003c\/li\u003e\r\n \t\u003cli\u003eBeers Criteria\u003c\/li\u003e\r\n \t\u003cli\u003eAnesthesia in Older Adults\u003c\/li\u003e\r\n \t\u003cli\u003eGeriatric Pain Management\u003c\/li\u003e\r\n \t\u003cli\u003eSerious Illness Conversations\u003c\/li\u003e\r\n \t\u003cli\u003eGoals of Care\u003c\/li\u003e\r\n \t\u003cli\u003ePatient Preferences\u003c\/li\u003e\r\n \t\u003cli\u003eCaregiver Support\u003c\/li\u003e\r\n \t\u003cli\u003eShared Decision-Making\u003c\/li\u003e\r\n \t\u003cli\u003eSafe Transitions of Care\u003c\/li\u003e\r\n \t\u003cli\u003eGeriatric Surgery Care Models\u003c\/li\u003e\r\n \t\u003cli\u003eMultidisciplinary Perioperative Management\u003c\/li\u003e\r\n\u003c\/ul\u003e\r\nThe educational structure combines lectures, interactive case-based workshops, faculty discussions, and practical approaches to implementing age-friendly surgical care pathways.\r\n\u003ch2\u003eLearning Objectives\u003c\/h2\u003e\r\nAfter completing the original educational activity, participants should be better able to:\r\n\u003col start=\"1\" data-spread=\"true\"\u003e\r\n \t\u003cli\u003eDescribe and apply the Age-Friendly Health Systems framework — Medication, Mobility, Mentation, and What Matters — while incorporating Multicomplexity into the care of older surgical patients.\u003c\/li\u003e\r\n \t\u003cli\u003ePerform structured delirium assessments, investigate precipitating factors, recognize underlying etiologies, and develop safe non-pharmacological and, when necessary, pharmacological management strategies.\u003c\/li\u003e\r\n \t\u003cli\u003eRecognize clinical risk factors for falls, fractures, and functional decline and develop practical approaches to prehabilitation, rehabilitation, and postoperative mobility optimization.\u003c\/li\u003e\r\n \t\u003cli\u003eConduct comprehensive medication reconciliation, recognize potentially inappropriate medications using established tools such as the Beers Criteria, and apply appropriate deprescribing principles.\u003c\/li\u003e\r\n \t\u003cli\u003eAssess patients' goals, values, treatment preferences, and priorities and integrate these considerations into surgical decision-making.\u003c\/li\u003e\r\n \t\u003cli\u003eRecognize the relationship between common geriatric syndromes, including frailty and dementia, and adverse postoperative outcomes.\u003c\/li\u003e\r\n \t\u003cli\u003eCoordinate safe transitions of care and engage patients, caregivers, surrogates, and multidisciplinary healthcare teams before, during, and after surgery.\u003c\/li\u003e\r\n \t\u003cli\u003eApply practical approaches to perioperative assessment, anesthesia-related considerations, pain management, and prevention of hospitalization-associated complications in older adults.\u003c\/li\u003e\r\n \t\u003cli\u003eIdentify opportunities to implement evidence-informed geriatric surgical care models that support improved safety, function, and patient-centered outcomes.\u003c\/li\u003e\r\n\u003c\/ol\u003e\r\nThese objectives reflect the supplied course goals and the educational themes documented in the 2025 program.\r\n\u003cdiv\u003e\r\n\r\n\u003chr\u003e\r\n\r\n\u003c\/div\u003e\r\n\u003ch1\u003eOfficial Program Topics\u003c\/h1\u003e\r\n\u003ch2\u003eDay 1 – Thursday, May 22, 2025\u003c\/h2\u003e\r\n\u003cem\u003eAll times are Eastern Time.\u003c\/em\u003e\r\n\u003ch2\u003eSession I – Age-Friendly Surgical Care\u003c\/h2\u003e\r\n\u003ch3\u003eKeynote: Surgery in Older Adults: An Age-Friendly Approach\u003c\/h3\u003e\r\n\u003cstrong\u003e9:00 AM – 9:30 AM\u003c\/strong\u003e\r\n\r\n\u003cstrong\u003eFaculty:\u003c\/strong\u003e Zara Cooper, MD, MSc\r\n\r\nThis opening keynote examines the clinical importance of developing age-friendly surgical services for the growing population of older adults.\r\n\r\nThe presentation introduces principles of geriatric surgical care and the importance of aligning surgical treatment with patients' medical conditions, functional status, and individual priorities.\r\n\r\nImportant considerations include:\r\n\u003cul data-spread=\"false\"\u003e\r\n \t\u003cli\u003eAge-Friendly Surgery\u003c\/li\u003e\r\n \t\u003cli\u003eOlder Adult Surgical Population\u003c\/li\u003e\r\n \t\u003cli\u003eGeriatric Syndromes\u003c\/li\u003e\r\n \t\u003cli\u003eSurgical Risk Assessment\u003c\/li\u003e\r\n \t\u003cli\u003eMultimorbidity\u003c\/li\u003e\r\n \t\u003cli\u003eFrailty\u003c\/li\u003e\r\n \t\u003cli\u003eFunctional Vulnerability\u003c\/li\u003e\r\n \t\u003cli\u003ePatient-Centered Care\u003c\/li\u003e\r\n \t\u003cli\u003ePerioperative Safety\u003c\/li\u003e\r\n \t\u003cli\u003eSurgical Outcomes\u003c\/li\u003e\r\n \t\u003cli\u003eMultidisciplinary Collaboration\u003c\/li\u003e\r\n \t\u003cli\u003eAge-Friendly Clinical Pathways\u003c\/li\u003e\r\n\u003c\/ul\u003e\r\nThe keynote establishes the importance of incorporating geriatric principles into routine surgical decision-making.\r\n\u003ch2\u003eSession II – Mentation and Cognitive Health\u003c\/h2\u003e\r\n\u003ch3\u003eMentation: Preventing and Addressing Delirium in Surgical Patients\u003c\/h3\u003e\r\n\u003cstrong\u003e9:30 AM – 10:10 AM\u003c\/strong\u003e\r\n\r\n\u003cstrong\u003eFaculty:\u003c\/strong\u003e Sevdenur Cizginer Konuk, MD, MPH, AGSF\r\n\r\nThis session reviews the recognition, prevention, evaluation, and management of delirium in older surgical patients.\r\n\r\nPostoperative delirium is an important complication associated with cognitive dysfunction, prolonged hospitalization, loss of functional independence, and other adverse outcomes.\r\n\r\nImportant topics include:\r\n\u003cul data-spread=\"false\"\u003e\r\n \t\u003cli\u003ePostoperative Delirium\u003c\/li\u003e\r\n \t\u003cli\u003eDelirium Risk Factors\u003c\/li\u003e\r\n \t\u003cli\u003eCognitive Screening\u003c\/li\u003e\r\n \t\u003cli\u003eDelirium Assessment\u003c\/li\u003e\r\n \t\u003cli\u003eAcute Changes in Mental Status\u003c\/li\u003e\r\n \t\u003cli\u003ePrecipitating Factors\u003c\/li\u003e\r\n \t\u003cli\u003eMedication-Associated Delirium\u003c\/li\u003e\r\n \t\u003cli\u003eInfection and Metabolic Causes\u003c\/li\u003e\r\n \t\u003cli\u003eNon-Pharmacological Prevention\u003c\/li\u003e\r\n \t\u003cli\u003eOrientation and Sleep Preservation\u003c\/li\u003e\r\n \t\u003cli\u003eEarly Mobility\u003c\/li\u003e\r\n \t\u003cli\u003eFamily Engagement\u003c\/li\u003e\r\n \t\u003cli\u003eManagement Strategies\u003c\/li\u003e\r\n\u003c\/ul\u003e\r\nThe educational emphasis is on timely recognition and safe management of delirium throughout the surgical continuum.\r\n\u003ch3\u003eCase-Based Workshop: Delirium and Dementia Surgical Cases\u003c\/h3\u003e\r\n\u003cstrong\u003e10:10 AM – 10:55 AM\u003c\/strong\u003e\r\n\r\n\u003cstrong\u003eFaculty:\u003c\/strong\u003e\r\n\u003cul data-spread=\"false\"\u003e\r\n \t\u003cli\u003eDeborah Lee, MD\u003c\/li\u003e\r\n \t\u003cli\u003eSharon Levine, MD, AGSF\u003c\/li\u003e\r\n\u003c\/ul\u003e\r\nThis interactive workshop applies clinical principles to surgical cases involving delirium and dementia.\r\n\r\nImportant considerations include:\r\n\u003cul data-spread=\"false\"\u003e\r\n \t\u003cli\u003eDelirium Versus Dementia\u003c\/li\u003e\r\n \t\u003cli\u003ePreoperative Cognitive Assessment\u003c\/li\u003e\r\n \t\u003cli\u003eBaseline Cognitive Impairment\u003c\/li\u003e\r\n \t\u003cli\u003eRisk Stratification\u003c\/li\u003e\r\n \t\u003cli\u003ePostoperative Mental Status Changes\u003c\/li\u003e\r\n \t\u003cli\u003eRecognition of Reversible Causes\u003c\/li\u003e\r\n \t\u003cli\u003eMedication Review\u003c\/li\u003e\r\n \t\u003cli\u003eSafe Care Planning\u003c\/li\u003e\r\n \t\u003cli\u003eFamily and Caregiver Involvement\u003c\/li\u003e\r\n \t\u003cli\u003eMultidisciplinary Treatment\u003c\/li\u003e\r\n\u003c\/ul\u003e\r\nThe case-based format supports practical diagnostic and management decisions.\r\n\u003ch2\u003eSession III – Patient Priorities and Surgical Decisions\u003c\/h2\u003e\r\n\u003ch3\u003eWhat Matters Most: Addressing Goals and Priorities for Surgical Patients\u003c\/h3\u003e\r\n\u003cstrong\u003e10:55 AM – 11:35 AM\u003c\/strong\u003e\r\n\r\n\u003cstrong\u003eFaculty:\u003c\/strong\u003e Elizabeth Lilley, MD, MPH\r\n\r\nThis presentation examines the importance of identifying what matters most to older patients before proceeding with surgical interventions.\r\n\r\nImportant clinical considerations include:\r\n\u003cul data-spread=\"false\"\u003e\r\n \t\u003cli\u003ePatient Values\u003c\/li\u003e\r\n \t\u003cli\u003eGoals of Care\u003c\/li\u003e\r\n \t\u003cli\u003eShared Decision-Making\u003c\/li\u003e\r\n \t\u003cli\u003eQuality of Life\u003c\/li\u003e\r\n \t\u003cli\u003eFunctional Priorities\u003c\/li\u003e\r\n \t\u003cli\u003eTreatment Preferences\u003c\/li\u003e\r\n \t\u003cli\u003eSurgical Risk-Benefit Discussions\u003c\/li\u003e\r\n \t\u003cli\u003eSerious Illness Communication\u003c\/li\u003e\r\n \t\u003cli\u003ePatient Autonomy\u003c\/li\u003e\r\n \t\u003cli\u003eAlignment of Treatment With Patient Goals\u003c\/li\u003e\r\n\u003c\/ul\u003e\r\nThe session emphasizes incorporating patient priorities into surgical planning and postoperative care decisions.\r\n\u003ch2\u003eSession IV – Frailty and Functional Vulnerability\u003c\/h2\u003e\r\n\u003ch3\u003eFrailty in Older Surgical Patients\u003c\/h3\u003e\r\n\u003cstrong\u003e12:20 PM – 1:00 PM\u003c\/strong\u003e\r\n\r\n\u003cstrong\u003eFaculty:\u003c\/strong\u003e Ariela Orkaby, MD, MPH\r\n\r\nThis session reviews frailty and its importance in geriatric surgical risk assessment.\r\n\r\nFrailty reflects increased physiological vulnerability and may be associated with greater susceptibility to postoperative complications and functional decline.\r\n\r\nImportant considerations include:\r\n\u003cul data-spread=\"false\"\u003e\r\n \t\u003cli\u003eFrailty Definition\u003c\/li\u003e\r\n \t\u003cli\u003eClinical Recognition\u003c\/li\u003e\r\n \t\u003cli\u003eFrailty Screening\u003c\/li\u003e\r\n \t\u003cli\u003eFunctional Assessment\u003c\/li\u003e\r\n \t\u003cli\u003ePhysiological Reserve\u003c\/li\u003e\r\n \t\u003cli\u003eMultimorbidity\u003c\/li\u003e\r\n \t\u003cli\u003eSurgical Risk\u003c\/li\u003e\r\n \t\u003cli\u003ePostoperative Complications\u003c\/li\u003e\r\n \t\u003cli\u003eFunctional Decline\u003c\/li\u003e\r\n \t\u003cli\u003eRisk Stratification\u003c\/li\u003e\r\n \t\u003cli\u003eIndividualized Treatment Planning\u003c\/li\u003e\r\n\u003c\/ul\u003e\r\nThe presentation emphasizes the clinical importance of incorporating frailty into preoperative evaluation.\r\n\u003ch3\u003eCase-Based Workshop: Supporting Caregivers and Surrogates Before, During and After Surgery\u003c\/h3\u003e\r\n\u003cstrong\u003e1:00 PM – 1:45 PM\u003c\/strong\u003e\r\n\r\n\u003cstrong\u003eFaculty:\u003c\/strong\u003e\r\n\u003cul data-spread=\"false\"\u003e\r\n \t\u003cli\u003eZara Cooper, MD, MSc\u003c\/li\u003e\r\n \t\u003cli\u003eTamryn Fowler Gray, PhD, RN, MPH\u003c\/li\u003e\r\n\u003c\/ul\u003e\r\nThis workshop examines caregiver and surrogate involvement throughout the surgical process.\r\n\r\nImportant areas include:\r\n\u003cul data-spread=\"false\"\u003e\r\n \t\u003cli\u003eCaregiver Support\u003c\/li\u003e\r\n \t\u003cli\u003eSurrogate Decision-Making\u003c\/li\u003e\r\n \t\u003cli\u003eFamily Communication\u003c\/li\u003e\r\n \t\u003cli\u003ePreoperative Planning\u003c\/li\u003e\r\n \t\u003cli\u003ePostoperative Support\u003c\/li\u003e\r\n \t\u003cli\u003eShared Decision-Making\u003c\/li\u003e\r\n \t\u003cli\u003ePatient Preferences\u003c\/li\u003e\r\n \t\u003cli\u003eCaregiver Burden\u003c\/li\u003e\r\n \t\u003cli\u003eDischarge Planning\u003c\/li\u003e\r\n \t\u003cli\u003eHome Recovery\u003c\/li\u003e\r\n \t\u003cli\u003eCoordination of Care\u003c\/li\u003e\r\n\u003c\/ul\u003e\r\nThe workshop highlights the importance of addressing both patient and caregiver needs.\r\n\u003ch2\u003eSession V – Mobility and Rehabilitation\u003c\/h2\u003e\r\n\u003ch3\u003eRehab, Prehab, and Falls: Optimizing Mobility Throughout the Surgical Continuum\u003c\/h3\u003e\r\n\u003cstrong\u003e1:45 PM – 2:25 PM\u003c\/strong\u003e\r\n\r\n\u003cstrong\u003eFaculty:\u003c\/strong\u003e\r\n\u003cul data-spread=\"false\"\u003e\r\n \t\u003cli\u003eJulia Loewenthal, MD\u003c\/li\u003e\r\n \t\u003cli\u003eNancy Latham, PhD, PT\u003c\/li\u003e\r\n\u003c\/ul\u003e\r\nThis session reviews mobility preservation and rehabilitation strategies for older surgical patients.\r\n\r\nImportant topics include:\r\n\u003cul data-spread=\"false\"\u003e\r\n \t\u003cli\u003eMobility Assessment\u003c\/li\u003e\r\n \t\u003cli\u003eFunctional Status\u003c\/li\u003e\r\n \t\u003cli\u003eFalls Risk\u003c\/li\u003e\r\n \t\u003cli\u003eFracture Risk\u003c\/li\u003e\r\n \t\u003cli\u003ePrehabilitation\u003c\/li\u003e\r\n \t\u003cli\u003ePostoperative Rehabilitation\u003c\/li\u003e\r\n \t\u003cli\u003eMuscle Strength\u003c\/li\u003e\r\n \t\u003cli\u003eBalance\u003c\/li\u003e\r\n \t\u003cli\u003eEarly Mobilization\u003c\/li\u003e\r\n \t\u003cli\u003eFunctional Recovery\u003c\/li\u003e\r\n \t\u003cli\u003ePhysical Therapy\u003c\/li\u003e\r\n \t\u003cli\u003eFall Prevention\u003c\/li\u003e\r\n\u003c\/ul\u003e\r\nThe presentation emphasizes maintaining mobility and reducing avoidable functional decline before and after surgery.\r\n\u003ch2\u003eSession VI – Multicomplexity and Care Delivery\u003c\/h2\u003e\r\n\u003ch3\u003eMulticomplexity: Considering Transitions of Care and Payment Models for Geriatric Surgery Patients\u003c\/h3\u003e\r\n\u003cstrong\u003e2:40 PM – 3:20 PM\u003c\/strong\u003e\r\n\r\n\u003cstrong\u003eFaculty:\u003c\/strong\u003e Esteban Franco-Garcia, MD, AGSF\r\n\r\nThis session examines the challenges associated with managing older surgical patients with multiple concurrent medical, functional, and social care needs.\r\n\r\nImportant considerations include:\r\n\u003cul data-spread=\"false\"\u003e\r\n \t\u003cli\u003eMulticomplexity\u003c\/li\u003e\r\n \t\u003cli\u003eMultimorbidity\u003c\/li\u003e\r\n \t\u003cli\u003eHealthcare Coordination\u003c\/li\u003e\r\n \t\u003cli\u003eTransitions of Care\u003c\/li\u003e\r\n \t\u003cli\u003eHospital Discharge\u003c\/li\u003e\r\n \t\u003cli\u003eRehabilitation Placement\u003c\/li\u003e\r\n \t\u003cli\u003eCare Delivery Models\u003c\/li\u003e\r\n \t\u003cli\u003ePayment Models\u003c\/li\u003e\r\n \t\u003cli\u003eReadmission Risk\u003c\/li\u003e\r\n \t\u003cli\u003eMultidisciplinary Care Planning\u003c\/li\u003e\r\n\u003c\/ul\u003e\r\nThe presentation explores how healthcare systems can better coordinate care for complex geriatric surgical patients.\r\n\u003ch3\u003eCase-Based Workshop: Serious Illness Conversations: A Guide for Communication About Goals of Care\u003c\/h3\u003e\r\n\u003cstrong\u003e3:20 PM – 4:05 PM\u003c\/strong\u003e\r\n\r\n\u003cstrong\u003eFaculty:\u003c\/strong\u003e\r\n\u003cul data-spread=\"false\"\u003e\r\n \t\u003cli\u003eRachelle Bernacki, MD, MS\u003c\/li\u003e\r\n \t\u003cli\u003eElizabeth Lilley, MD, MPH\u003c\/li\u003e\r\n\u003c\/ul\u003e\r\nThis interactive workshop explores clinical communication with older adults facing serious illness and difficult surgical decisions.\r\n\r\nImportant topics include:\r\n\u003cul data-spread=\"false\"\u003e\r\n \t\u003cli\u003eSerious Illness Conversations\u003c\/li\u003e\r\n \t\u003cli\u003eGoals-of-Care Discussions\u003c\/li\u003e\r\n \t\u003cli\u003ePrognostic Communication\u003c\/li\u003e\r\n \t\u003cli\u003ePatient Values\u003c\/li\u003e\r\n \t\u003cli\u003eShared Decision-Making\u003c\/li\u003e\r\n \t\u003cli\u003eAdvance Care Planning\u003c\/li\u003e\r\n \t\u003cli\u003eTreatment Preferences\u003c\/li\u003e\r\n \t\u003cli\u003eFamily Participation\u003c\/li\u003e\r\n \t\u003cli\u003eSurrogate Decision-Making\u003c\/li\u003e\r\n \t\u003cli\u003ePalliative Care Integration\u003c\/li\u003e\r\n\u003c\/ul\u003e\r\nThe session emphasizes compassionate, structured, and patient-centered communication.\r\n\u003cdiv\u003e\r\n\r\n\u003chr\u003e\r\n\r\n\u003c\/div\u003e\r\n\u003ch2\u003eDay 2 – Friday, May 23, 2025\u003c\/h2\u003e\r\n\u003ch2\u003eSession VII – Multicomplexity in Geriatric Surgery\u003c\/h2\u003e\r\n\u003ch3\u003eIntroduction to Day 2: Navigating Multicomplexity in Older Surgical Patients\u003c\/h3\u003e\r\n\u003cstrong\u003e9:00 AM – 9:15 AM\u003c\/strong\u003e\r\n\r\n\u003cstrong\u003eFaculty:\u003c\/strong\u003e Rachelle Bernacki, MD, MS\r\n\r\nThe second day introduces additional clinical and organizational challenges in the perioperative care of older adults.\r\n\r\nThe discussion emphasizes coordination of medical, surgical, geriatric, and psychosocial care needs.\r\n\u003ch2\u003eSession VIII – Preoperative Evaluation\u003c\/h2\u003e\r\n\u003ch3\u003ePeri-Operative Evaluation of Geriatric Surgery Patients\u003c\/h3\u003e\r\n\u003cstrong\u003e9:15 AM – 9:55 AM\u003c\/strong\u003e\r\n\r\n\u003cstrong\u003eFaculty:\u003c\/strong\u003e\r\n\u003cul data-spread=\"false\"\u003e\r\n \t\u003cli\u003eRachelle Bernacki, MD, MS\u003c\/li\u003e\r\n \t\u003cli\u003eChristy Cauley, MD, MPH\u003c\/li\u003e\r\n\u003c\/ul\u003e\r\nThis presentation reviews important elements of preoperative evaluation in older adults.\r\n\r\nKey considerations include:\r\n\u003cul data-spread=\"false\"\u003e\r\n \t\u003cli\u003eComprehensive Preoperative Assessment\u003c\/li\u003e\r\n \t\u003cli\u003eMedical Comorbidities\u003c\/li\u003e\r\n \t\u003cli\u003eFrailty\u003c\/li\u003e\r\n \t\u003cli\u003eCognitive Function\u003c\/li\u003e\r\n \t\u003cli\u003eFunctional Status\u003c\/li\u003e\r\n \t\u003cli\u003eMedication Review\u003c\/li\u003e\r\n \t\u003cli\u003eNutritional Assessment\u003c\/li\u003e\r\n \t\u003cli\u003eSurgical Risk Stratification\u003c\/li\u003e\r\n \t\u003cli\u003ePatient Goals\u003c\/li\u003e\r\n \t\u003cli\u003ePerioperative Planning\u003c\/li\u003e\r\n \t\u003cli\u003eMultidisciplinary Evaluation\u003c\/li\u003e\r\n\u003c\/ul\u003e\r\nThe session emphasizes identifying modifiable risks and integrating geriatric considerations into surgical preparation.\r\n\u003ch3\u003eCase-Based Workshop: Pre-Operative Evaluation and Pre-Habilitation\u003c\/h3\u003e\r\n\u003cstrong\u003e9:55 AM – 10:40 AM\u003c\/strong\u003e\r\n\r\n\u003cstrong\u003eFaculty:\u003c\/strong\u003e\r\n\u003cul data-spread=\"false\"\u003e\r\n \t\u003cli\u003eChristy Cauley, MD, MPH\u003c\/li\u003e\r\n \t\u003cli\u003eEsteban Franco-Garcia, MD, AGSF\u003c\/li\u003e\r\n\u003c\/ul\u003e\r\nThis interactive workshop applies preoperative geriatric assessment and prehabilitation concepts to clinical cases.\r\n\r\nImportant topics include:\r\n\u003cul data-spread=\"false\"\u003e\r\n \t\u003cli\u003ePreoperative Risk Assessment\u003c\/li\u003e\r\n \t\u003cli\u003eFrailty Screening\u003c\/li\u003e\r\n \t\u003cli\u003eFunctional Optimization\u003c\/li\u003e\r\n \t\u003cli\u003ePrehabilitation\u003c\/li\u003e\r\n \t\u003cli\u003eMobility Improvement\u003c\/li\u003e\r\n \t\u003cli\u003eNutritional Considerations\u003c\/li\u003e\r\n \t\u003cli\u003ePatient Education\u003c\/li\u003e\r\n \t\u003cli\u003eClinical Risk Modification\u003c\/li\u003e\r\n \t\u003cli\u003eSurgical Preparation\u003c\/li\u003e\r\n \t\u003cli\u003eIndividualized Perioperative Planning\u003c\/li\u003e\r\n\u003c\/ul\u003e\r\nThe workshop emphasizes practical interventions that may improve patients' readiness for surgery.\r\n\u003ch2\u003eSession IX – Medication Optimization\u003c\/h2\u003e\r\n\u003ch3\u003eMedications: Polypharmacy and Deprescribing for Surgical Patients\u003c\/h3\u003e\r\n\u003cstrong\u003e10:40 AM – 11:20 AM\u003c\/strong\u003e\r\n\r\n\u003cstrong\u003eFaculty:\u003c\/strong\u003e Laura Frain, MD, MPH\r\n\r\nThis session reviews medication-related risks in older surgical patients.\r\n\r\nPolypharmacy and inappropriate medication use can contribute to adverse drug events, falls, delirium, and other complications.\r\n\r\nImportant considerations include:\r\n\u003cul data-spread=\"false\"\u003e\r\n \t\u003cli\u003ePolypharmacy\u003c\/li\u003e\r\n \t\u003cli\u003eMedication Reconciliation\u003c\/li\u003e\r\n \t\u003cli\u003ePotentially Inappropriate Medications\u003c\/li\u003e\r\n \t\u003cli\u003eBeers Criteria\u003c\/li\u003e\r\n \t\u003cli\u003eMedication-Related Delirium\u003c\/li\u003e\r\n \t\u003cli\u003eDrug Interactions\u003c\/li\u003e\r\n \t\u003cli\u003eAnticholinergic Burden\u003c\/li\u003e\r\n \t\u003cli\u003eSedative Medications\u003c\/li\u003e\r\n \t\u003cli\u003eDeprescribing\u003c\/li\u003e\r\n \t\u003cli\u003ePerioperative Medication Management\u003c\/li\u003e\r\n \t\u003cli\u003eMedication Safety\u003c\/li\u003e\r\n \t\u003cli\u003eIndividualized Prescribing\u003c\/li\u003e\r\n\u003c\/ul\u003e\r\nThe presentation emphasizes safe, evidence-informed medication optimization.\r\n\u003ch3\u003eCase-Based Workshop: Medications: Geriatric Surgical Cases\u003c\/h3\u003e\r\n\u003cstrong\u003e11:20 AM – 12:05 PM\u003c\/strong\u003e\r\n\r\n\u003cstrong\u003eFaculty:\u003c\/strong\u003e\r\n\u003cul data-spread=\"false\"\u003e\r\n \t\u003cli\u003eAndrea Wershof Schwartz, MD, MPH\u003c\/li\u003e\r\n \t\u003cli\u003eLynne O'Mara, MBA, MPAS, PA-C\u003c\/li\u003e\r\n\u003c\/ul\u003e\r\nThis workshop examines medication management challenges through geriatric surgical cases.\r\n\r\nThe session applies practical principles involving:\r\n\u003cul data-spread=\"false\"\u003e\r\n \t\u003cli\u003eMedication Reconciliation\u003c\/li\u003e\r\n \t\u003cli\u003ePolypharmacy Assessment\u003c\/li\u003e\r\n \t\u003cli\u003eHigh-Risk Medications\u003c\/li\u003e\r\n \t\u003cli\u003eAdverse Drug Effects\u003c\/li\u003e\r\n \t\u003cli\u003eDeprescribing Decisions\u003c\/li\u003e\r\n \t\u003cli\u003eMedication Safety\u003c\/li\u003e\r\n \t\u003cli\u003ePerioperative Medication Review\u003c\/li\u003e\r\n \t\u003cli\u003eMultidisciplinary Collaboration\u003c\/li\u003e\r\n\u003c\/ul\u003e\r\nThe case-based approach emphasizes individualized medication decisions.\r\n\u003ch2\u003eSession X – Anesthesia and Pain Management\u003c\/h2\u003e\r\n\u003ch3\u003eAnesthesia and Pain Management in Older Surgical Patients\u003c\/h3\u003e\r\n\u003cstrong\u003e12:50 PM – 1:30 PM\u003c\/strong\u003e\r\n\r\n\u003cstrong\u003eFaculty:\u003c\/strong\u003e Matthew B. Allen, MD\r\n\r\nThis presentation reviews anesthesia and pain management considerations in older surgical patients.\r\n\r\nImportant topics include:\r\n\u003cul data-spread=\"false\"\u003e\r\n \t\u003cli\u003eGeriatric Anesthesia\u003c\/li\u003e\r\n \t\u003cli\u003eAge-Related Physiological Changes\u003c\/li\u003e\r\n \t\u003cli\u003ePerioperative Risk\u003c\/li\u003e\r\n \t\u003cli\u003eAnalgesic Selection\u003c\/li\u003e\r\n \t\u003cli\u003eMedication Sensitivity\u003c\/li\u003e\r\n \t\u003cli\u003ePostoperative Pain\u003c\/li\u003e\r\n \t\u003cli\u003eOpioid-Related Risks\u003c\/li\u003e\r\n \t\u003cli\u003eMultimodal Analgesia\u003c\/li\u003e\r\n \t\u003cli\u003eDelirium Risk\u003c\/li\u003e\r\n \t\u003cli\u003ePatient Monitoring\u003c\/li\u003e\r\n \t\u003cli\u003eIndividualized Pain Management\u003c\/li\u003e\r\n\u003c\/ul\u003e\r\nThe session emphasizes balancing adequate pain control with medication safety and prevention of postoperative complications.\r\n\u003ch3\u003eCase-Based Workshop: Surgical Pain Management for Older Adults\u003c\/h3\u003e\r\n\u003cstrong\u003e1:30 PM – 2:15 PM\u003c\/strong\u003e\r\n\r\n\u003cstrong\u003eFaculty:\u003c\/strong\u003e\r\n\u003cul data-spread=\"false\"\u003e\r\n \t\u003cli\u003eMatthew B. Allen, MD\u003c\/li\u003e\r\n \t\u003cli\u003eAlexander B. Stone, MD\u003c\/li\u003e\r\n\u003c\/ul\u003e\r\nThis interactive workshop examines practical pain management decisions in geriatric surgical cases.\r\n\r\nImportant considerations include:\r\n\u003cul data-spread=\"false\"\u003e\r\n \t\u003cli\u003ePostoperative Analgesia\u003c\/li\u003e\r\n \t\u003cli\u003eMultimodal Pain Management\u003c\/li\u003e\r\n \t\u003cli\u003eOpioid Stewardship\u003c\/li\u003e\r\n \t\u003cli\u003eMedication Side Effects\u003c\/li\u003e\r\n \t\u003cli\u003ePain Assessment\u003c\/li\u003e\r\n \t\u003cli\u003eDelirium Prevention\u003c\/li\u003e\r\n \t\u003cli\u003eSedation Risks\u003c\/li\u003e\r\n \t\u003cli\u003eIndividualized Treatment Plans\u003c\/li\u003e\r\n \t\u003cli\u003eFunctional Recovery\u003c\/li\u003e\r\n \t\u003cli\u003ePatient Comfort\u003c\/li\u003e\r\n\u003c\/ul\u003e\r\nThe workshop supports safe and effective pain management strategies for older adults.\r\n\u003ch2\u003eSession XI – Implementation of Geriatric Surgical Care Models\u003c\/h2\u003e\r\n\u003ch3\u003ePanel Discussion: Implementing Geriatric Surgery Care Models\u003c\/h3\u003e\r\n\u003cstrong\u003e2:30 PM – 3:30 PM\u003c\/strong\u003e\r\n\r\n\u003cstrong\u003eFaculty:\u003c\/strong\u003e\r\n\u003cul data-spread=\"false\"\u003e\r\n \t\u003cli\u003eAmy Bulger, MPH, RN, GERO-BC, CPHQ\u003c\/li\u003e\r\n \t\u003cli\u003eLynne O'Mara, MBA, MPAS, PA-C\u003c\/li\u003e\r\n \t\u003cli\u003eHouman Javedan, MD\u003c\/li\u003e\r\n \t\u003cli\u003eMasaya Higuchi, MD, MPH, CMD, AGSF\u003c\/li\u003e\r\n \t\u003cli\u003eNicole Genovese, PharmD, BCGP\u003c\/li\u003e\r\n\u003c\/ul\u003e\r\nThis multidisciplinary panel examines opportunities to implement geriatric-focused surgical care models.\r\n\r\nImportant themes include:\r\n\u003cul data-spread=\"false\"\u003e\r\n \t\u003cli\u003eAge-Friendly Surgical Programs\u003c\/li\u003e\r\n \t\u003cli\u003eMultidisciplinary Care\u003c\/li\u003e\r\n \t\u003cli\u003eGeriatric Co-Management\u003c\/li\u003e\r\n \t\u003cli\u003eClinical Pathway Development\u003c\/li\u003e\r\n \t\u003cli\u003eQuality Improvement\u003c\/li\u003e\r\n \t\u003cli\u003eMedication Safety\u003c\/li\u003e\r\n \t\u003cli\u003eCare Transitions\u003c\/li\u003e\r\n \t\u003cli\u003eFunctional Outcomes\u003c\/li\u003e\r\n \t\u003cli\u003eHealthcare Delivery\u003c\/li\u003e\r\n \t\u003cli\u003ePatient-Centered Care\u003c\/li\u003e\r\n \t\u003cli\u003eImplementation Challenges\u003c\/li\u003e\r\n \t\u003cli\u003eSustainable Clinical Practice\u003c\/li\u003e\r\n\u003c\/ul\u003e\r\nThe panel highlights practical approaches to incorporating geriatric principles into healthcare systems.\r\n\u003ch3\u003eCourse Wrap-Up\u003c\/h3\u003e\r\n\u003cstrong\u003e3:30 PM – 4:00 PM\u003c\/strong\u003e\r\n\r\n\u003cstrong\u003eFaculty:\u003c\/strong\u003e\r\n\u003cul data-spread=\"false\"\u003e\r\n \t\u003cli\u003eAndrea Wershof Schwartz, MD, MPH\u003c\/li\u003e\r\n \t\u003cli\u003eJulia Loewenthal, MD\u003c\/li\u003e\r\n\u003c\/ul\u003e\r\nThe concluding session reviews major educational themes and their practical implications for caring for older surgical patients.\r\n\u003cdiv\u003e\r\n\r\n\u003chr\u003e\r\n\r\n\u003c\/div\u003e\r\n\u003ch2\u003eMajor Topics Covered\u003c\/h2\u003e\r\n\u003cul data-spread=\"false\"\u003e\r\n \t\u003cli\u003eMass General Brigham Geriatrics for Surgical Clinicians 2025\u003c\/li\u003e\r\n \t\u003cli\u003ePerioperative Care of the Older Adult\u003c\/li\u003e\r\n \t\u003cli\u003eGeriatric Surgery\u003c\/li\u003e\r\n \t\u003cli\u003eAge-Friendly Surgery\u003c\/li\u003e\r\n \t\u003cli\u003eGeriatric Medicine\u003c\/li\u003e\r\n \t\u003cli\u003ePerioperative Medicine\u003c\/li\u003e\r\n \t\u003cli\u003eTrauma Surgery\u003c\/li\u003e\r\n \t\u003cli\u003eOrthopedic Surgery\u003c\/li\u003e\r\n \t\u003cli\u003eSurgical Risk Assessment\u003c\/li\u003e\r\n \t\u003cli\u003eThe 4Ms Framework\u003c\/li\u003e\r\n \t\u003cli\u003eMulticomplexity\u003c\/li\u003e\r\n \t\u003cli\u003eMedication Optimization\u003c\/li\u003e\r\n \t\u003cli\u003eMobility\u003c\/li\u003e\r\n \t\u003cli\u003eMentation\u003c\/li\u003e\r\n \t\u003cli\u003eWhat Matters\u003c\/li\u003e\r\n \t\u003cli\u003eFrailty\u003c\/li\u003e\r\n \t\u003cli\u003eDementia\u003c\/li\u003e\r\n \t\u003cli\u003ePostoperative Delirium\u003c\/li\u003e\r\n \t\u003cli\u003eDelirium Prevention\u003c\/li\u003e\r\n \t\u003cli\u003eCognitive Assessment\u003c\/li\u003e\r\n \t\u003cli\u003eFalls Prevention\u003c\/li\u003e\r\n \t\u003cli\u003eFracture Risk\u003c\/li\u003e\r\n \t\u003cli\u003ePrehabilitation\u003c\/li\u003e\r\n \t\u003cli\u003eRehabilitation\u003c\/li\u003e\r\n \t\u003cli\u003ePhysical Therapy\u003c\/li\u003e\r\n \t\u003cli\u003eFunctional Decline\u003c\/li\u003e\r\n \t\u003cli\u003ePolypharmacy\u003c\/li\u003e\r\n \t\u003cli\u003eMedication Reconciliation\u003c\/li\u003e\r\n \t\u003cli\u003eBeers Criteria\u003c\/li\u003e\r\n \t\u003cli\u003eDeprescribing\u003c\/li\u003e\r\n \t\u003cli\u003eGeriatric Anesthesia\u003c\/li\u003e\r\n \t\u003cli\u003ePostoperative Pain Management\u003c\/li\u003e\r\n \t\u003cli\u003eMultimodal Analgesia\u003c\/li\u003e\r\n \t\u003cli\u003eOpioid Stewardship\u003c\/li\u003e\r\n \t\u003cli\u003eGoals of Care\u003c\/li\u003e\r\n \t\u003cli\u003eSerious Illness Conversations\u003c\/li\u003e\r\n \t\u003cli\u003eAdvance Care Planning\u003c\/li\u003e\r\n \t\u003cli\u003eShared Decision-Making\u003c\/li\u003e\r\n \t\u003cli\u003ePalliative Care\u003c\/li\u003e\r\n \t\u003cli\u003eCaregiver Support\u003c\/li\u003e\r\n \t\u003cli\u003eSurrogate Decision-Making\u003c\/li\u003e\r\n \t\u003cli\u003eSafe Transitions of Care\u003c\/li\u003e\r\n \t\u003cli\u003eHospital Discharge Planning\u003c\/li\u003e\r\n \t\u003cli\u003eGeriatric Co-Management\u003c\/li\u003e\r\n \t\u003cli\u003eClinical Pathways\u003c\/li\u003e\r\n \t\u003cli\u003eQuality Improvement\u003c\/li\u003e\r\n \t\u003cli\u003ePatient-Centered Surgery\u003c\/li\u003e\r\n \t\u003cli\u003eFunctional Recovery\u003c\/li\u003e\r\n \t\u003cli\u003eMultidisciplinary Surgical Care\u003c\/li\u003e\r\n\u003c\/ul\u003e\r\n\u003ch2\u003eAge-Friendly Surgery and the 5Ms Framework\u003c\/h2\u003e\r\nAge-friendly surgical care emphasizes the unique needs of older adults and the importance of integrating geriatric principles into clinical practice.\r\n\r\nThe course uses four established Age-Friendly Health Systems domains together with Multicomplexity.\r\n\r\n\u003cstrong\u003eMedication\u003c\/strong\u003e\r\n\r\nOptimize medication safety, reduce inappropriate prescribing, and identify opportunities for deprescribing.\r\n\r\n\u003cstrong\u003eMobility\u003c\/strong\u003e\r\n\r\nPreserve functional independence, prevent falls, and support rehabilitation before and after surgery.\r\n\r\n\u003cstrong\u003eMentation\u003c\/strong\u003e\r\n\r\nRecognize cognitive impairment, prevent delirium, and manage mental status changes.\r\n\r\n\u003cstrong\u003eWhat Matters\u003c\/strong\u003e\r\n\r\nIdentify patient priorities, treatment preferences, and goals of care.\r\n\r\n\u003cstrong\u003eMulticomplexity\u003c\/strong\u003e\r\n\r\nAddress the interacting medical, functional, cognitive, and psychosocial challenges experienced by older surgical patients.\r\n\r\nThese principles provide a foundation for individualized surgical planning and coordinated postoperative care.\r\n\u003ch2\u003eFrailty and Geriatric Surgical Risk\u003c\/h2\u003e\r\nFrailty is an important risk factor in older surgical patients.\r\n\r\nIt may be associated with increased vulnerability to physiological stress, postoperative complications, prolonged hospitalization, and functional decline.\r\n\r\nThe course addresses:\r\n\u003cul data-spread=\"false\"\u003e\r\n \t\u003cli\u003eRecognition of Frailty\u003c\/li\u003e\r\n \t\u003cli\u003eFunctional Assessment\u003c\/li\u003e\r\n \t\u003cli\u003eRisk Stratification\u003c\/li\u003e\r\n \t\u003cli\u003ePreoperative Evaluation\u003c\/li\u003e\r\n \t\u003cli\u003ePhysiological Reserve\u003c\/li\u003e\r\n \t\u003cli\u003eSurgical Decision-Making\u003c\/li\u003e\r\n \t\u003cli\u003ePostoperative Recovery\u003c\/li\u003e\r\n \t\u003cli\u003ePatient-Centered Risk Discussions\u003c\/li\u003e\r\n\u003c\/ul\u003e\r\nUnderstanding frailty supports more individualized assessment and perioperative planning.\r\n\u003ch2\u003ePostoperative Delirium and Dementia\u003c\/h2\u003e\r\nDelirium is an important postoperative complication in older adults.\r\n\r\nIts development may be influenced by pre-existing cognitive impairment, medication exposure, infection, pain, sleep disruption, and other factors.\r\n\r\nThe course reviews:\r\n\u003cul data-spread=\"false\"\u003e\r\n \t\u003cli\u003eDelirium Screening\u003c\/li\u003e\r\n \t\u003cli\u003eDementia Assessment\u003c\/li\u003e\r\n \t\u003cli\u003eClinical Risk Factors\u003c\/li\u003e\r\n \t\u003cli\u003ePrevention Strategies\u003c\/li\u003e\r\n \t\u003cli\u003eNon-Pharmacological Management\u003c\/li\u003e\r\n \t\u003cli\u003eInvestigation of Precipitating Causes\u003c\/li\u003e\r\n \t\u003cli\u003eMedication Review\u003c\/li\u003e\r\n \t\u003cli\u003eFamily Involvement\u003c\/li\u003e\r\n \t\u003cli\u003eMultidisciplinary Management\u003c\/li\u003e\r\n\u003c\/ul\u003e\r\nThe curriculum emphasizes prevention and timely recognition of cognitive complications.\r\n\u003ch2\u003eMedication Safety and Deprescribing\u003c\/h2\u003e\r\nOlder surgical patients frequently receive multiple medications for chronic conditions.\r\n\r\nPolypharmacy can increase the risk of adverse drug events, falls, delirium, and treatment interactions.\r\n\r\nThe program examines:\r\n\u003cul data-spread=\"false\"\u003e\r\n \t\u003cli\u003eMedication Reconciliation\u003c\/li\u003e\r\n \t\u003cli\u003eBeers Criteria\u003c\/li\u003e\r\n \t\u003cli\u003ePotentially Inappropriate Medications\u003c\/li\u003e\r\n \t\u003cli\u003eDrug Interactions\u003c\/li\u003e\r\n \t\u003cli\u003eAnticholinergic Burden\u003c\/li\u003e\r\n \t\u003cli\u003eSedative Medication Risks\u003c\/li\u003e\r\n \t\u003cli\u003eDeprescribing Strategies\u003c\/li\u003e\r\n \t\u003cli\u003ePerioperative Medication Optimization\u003c\/li\u003e\r\n\u003c\/ul\u003e\r\nThese topics support safer prescribing and medication-related clinical decision-making.\r\n\u003ch2\u003ePrehabilitation, Rehabilitation and Falls Prevention\u003c\/h2\u003e\r\nMaintaining mobility and physical function is an important component of geriatric surgical care.\r\n\r\nThe course examines interventions intended to reduce functional decline and improve recovery.\r\n\r\nImportant areas include:\r\n\u003cul data-spread=\"false\"\u003e\r\n \t\u003cli\u003ePrehabilitation\u003c\/li\u003e\r\n \t\u003cli\u003ePostoperative Rehabilitation\u003c\/li\u003e\r\n \t\u003cli\u003eFalls Risk Assessment\u003c\/li\u003e\r\n \t\u003cli\u003ePhysical Therapy\u003c\/li\u003e\r\n \t\u003cli\u003eStrength and Balance\u003c\/li\u003e\r\n \t\u003cli\u003eEarly Mobilization\u003c\/li\u003e\r\n \t\u003cli\u003eFunctional Recovery\u003c\/li\u003e\r\n \t\u003cli\u003eSafe Discharge Planning\u003c\/li\u003e\r\n\u003c\/ul\u003e\r\nThese strategies are relevant throughout the surgical continuum.\r\n\u003ch2\u003eAnesthesia and Pain Management in Older Adults\u003c\/h2\u003e\r\nAnesthesia and postoperative analgesia require special consideration in older adults because of age-related physiological changes, comorbidities, and differences in medication tolerance.\r\n\r\nThe program addresses:\r\n\u003cul data-spread=\"false\"\u003e\r\n \t\u003cli\u003ePerioperative Anesthesia Assessment\u003c\/li\u003e\r\n \t\u003cli\u003eGeriatric Pain Management\u003c\/li\u003e\r\n \t\u003cli\u003eMultimodal Analgesia\u003c\/li\u003e\r\n \t\u003cli\u003eOpioid-Related Risks\u003c\/li\u003e\r\n \t\u003cli\u003eMedication Safety\u003c\/li\u003e\r\n \t\u003cli\u003eDelirium Considerations\u003c\/li\u003e\r\n \t\u003cli\u003ePatient Monitoring\u003c\/li\u003e\r\n \t\u003cli\u003eIndividualized Treatment Decisions\u003c\/li\u003e\r\n\u003c\/ul\u003e\r\nThe educational emphasis is on effective symptom management while minimizing avoidable adverse effects.\r\n\u003ch2\u003eGoals of Care and Serious Illness Communication\u003c\/h2\u003e\r\nSurgical interventions should be considered in the context of individual patient goals, expected benefits, possible complications, and functional outcomes.\r\n\r\nThe course includes dedicated sessions and workshops on:\r\n\u003cul data-spread=\"false\"\u003e\r\n \t\u003cli\u003eShared Decision-Making\u003c\/li\u003e\r\n \t\u003cli\u003eSerious Illness Conversations\u003c\/li\u003e\r\n \t\u003cli\u003ePatient Values\u003c\/li\u003e\r\n \t\u003cli\u003eTreatment Preferences\u003c\/li\u003e\r\n \t\u003cli\u003ePrognostic Communication\u003c\/li\u003e\r\n \t\u003cli\u003eCaregiver Involvement\u003c\/li\u003e\r\n \t\u003cli\u003eSurrogate Decision-Making\u003c\/li\u003e\r\n \t\u003cli\u003ePalliative Care\u003c\/li\u003e\r\n \t\u003cli\u003eAdvance Care Planning\u003c\/li\u003e\r\n\u003c\/ul\u003e\r\nThese discussions support ethically appropriate and patient-centered surgical decisions.\r\n\u003ch2\u003eTransitions of Care and Healthcare Coordination\u003c\/h2\u003e\r\nOlder surgical patients may require complex transitions between hospitals, rehabilitation facilities, home healthcare, and outpatient services.\r\n\r\nPoorly coordinated transitions may contribute to medication errors, readmissions, and gaps in care.\r\n\r\nThe program explores:\r\n\u003cul data-spread=\"false\"\u003e\r\n \t\u003cli\u003eDischarge Planning\u003c\/li\u003e\r\n \t\u003cli\u003eCare Coordination\u003c\/li\u003e\r\n \t\u003cli\u003eMedication Communication\u003c\/li\u003e\r\n \t\u003cli\u003eRehabilitation Needs\u003c\/li\u003e\r\n \t\u003cli\u003eCaregiver Preparation\u003c\/li\u003e\r\n \t\u003cli\u003eMultidisciplinary Follow-Up\u003c\/li\u003e\r\n \t\u003cli\u003eQuality Improvement\u003c\/li\u003e\r\n \t\u003cli\u003eContinuity of Care\u003c\/li\u003e\r\n\u003c\/ul\u003e\r\nThe aim is to support safer and more effective care transitions.\r\n\u003ch2\u003eImplementing Geriatric Surgical Care Models\u003c\/h2\u003e\r\nHealthcare systems are increasingly incorporating age-friendly principles into surgical services.\r\n\r\nImportant implementation considerations include:\r\n\u003cul data-spread=\"false\"\u003e\r\n \t\u003cli\u003eGeriatric Co-Management\u003c\/li\u003e\r\n \t\u003cli\u003eMultidisciplinary Teams\u003c\/li\u003e\r\n \t\u003cli\u003eClinical Pathways\u003c\/li\u003e\r\n \t\u003cli\u003eStandardized Assessment\u003c\/li\u003e\r\n \t\u003cli\u003eDelirium Prevention\u003c\/li\u003e\r\n \t\u003cli\u003eMedication Optimization\u003c\/li\u003e\r\n \t\u003cli\u003eMobility Programs\u003c\/li\u003e\r\n \t\u003cli\u003ePatient-Centered Outcomes\u003c\/li\u003e\r\n \t\u003cli\u003eQuality Measurement\u003c\/li\u003e\r\n \t\u003cli\u003eCare Delivery Improvement\u003c\/li\u003e\r\n\u003c\/ul\u003e\r\nThe course includes a dedicated panel examining implementation of geriatric surgical care models.\r\n\u003ch2\u003eCourse Leadership\u003c\/h2\u003e\r\nThe educational program is associated with faculty and leadership from Brigham and Women's Hospital and Mass General Brigham.\r\n\u003ch3\u003eZara Cooper, MD, MSc\u003c\/h3\u003e\r\n\u003cul data-spread=\"false\"\u003e\r\n \t\u003cli\u003eDirector, Center for Geriatric Surgery, Brigham and Women's Hospital\u003c\/li\u003e\r\n \t\u003cli\u003eProfessor of Surgery, Harvard Medical School\u003c\/li\u003e\r\n \t\u003cli\u003eLeadership in geriatric surgery and surgical outcomes research\u003c\/li\u003e\r\n\u003c\/ul\u003e\r\n\u003ch3\u003eRachelle Bernacki, MD, MS\u003c\/h3\u003e\r\n\u003cul data-spread=\"false\"\u003e\r\n \t\u003cli\u003eLeadership in care transformation, serious illness communication, and palliative care\u003c\/li\u003e\r\n \t\u003cli\u003eBrigham and Women's Hospital\u003c\/li\u003e\r\n \t\u003cli\u003eHarvard Medical School Faculty\u003c\/li\u003e\r\n\u003c\/ul\u003e\r\n\u003ch3\u003eJulia Loewenthal, MD\u003c\/h3\u003e\r\n\u003cul data-spread=\"false\"\u003e\r\n \t\u003cli\u003eGeriatrician, Brigham and Women's Hospital\u003c\/li\u003e\r\n \t\u003cli\u003eHarvard Medical School Faculty\u003c\/li\u003e\r\n\u003c\/ul\u003e\r\n\u003ch3\u003eAndrea Wershof Schwartz, MD, MPH\u003c\/h3\u003e\r\n\u003cul data-spread=\"false\"\u003e\r\n \t\u003cli\u003eGeriatrician, Brigham and Women's Hospital\u003c\/li\u003e\r\n \t\u003cli\u003eAssociate Professor of Medicine, Harvard Medical School\u003c\/li\u003e\r\n\u003c\/ul\u003e\r\n\u003ch2\u003eFeatured Faculty\u003c\/h2\u003e\r\nThe 2025 program includes multidisciplinary contributors such as:\r\n\u003cul data-spread=\"false\"\u003e\r\n \t\u003cli\u003eZara Cooper, MD, MSc\u003c\/li\u003e\r\n \t\u003cli\u003eRachelle Bernacki, MD, MS\u003c\/li\u003e\r\n \t\u003cli\u003eJulia Loewenthal, MD\u003c\/li\u003e\r\n \t\u003cli\u003eAndrea Wershof Schwartz, MD, MPH\u003c\/li\u003e\r\n \t\u003cli\u003eSevdenur Cizginer Konuk, MD, MPH, AGSF\u003c\/li\u003e\r\n \t\u003cli\u003eDeborah Lee, MD\u003c\/li\u003e\r\n \t\u003cli\u003eSharon Levine, MD, AGSF\u003c\/li\u003e\r\n \t\u003cli\u003eElizabeth Lilley, MD, MPH\u003c\/li\u003e\r\n \t\u003cli\u003eAriela Orkaby, MD, MPH\u003c\/li\u003e\r\n \t\u003cli\u003eTamryn Fowler Gray, PhD, RN, MPH\u003c\/li\u003e\r\n \t\u003cli\u003eNancy Latham, PhD, PT\u003c\/li\u003e\r\n \t\u003cli\u003eEsteban Franco-Garcia, MD, AGSF\u003c\/li\u003e\r\n \t\u003cli\u003eChristy Cauley, MD, MPH\u003c\/li\u003e\r\n \t\u003cli\u003eLaura Frain, MD, MPH\u003c\/li\u003e\r\n \t\u003cli\u003eLynne O'Mara, MBA, MPAS, PA-C\u003c\/li\u003e\r\n \t\u003cli\u003eMatthew B. Allen, MD\u003c\/li\u003e\r\n \t\u003cli\u003eAlexander B. Stone, MD\u003c\/li\u003e\r\n \t\u003cli\u003eAmy Bulger, MPH, RN, GERO-BC, CPHQ\u003c\/li\u003e\r\n \t\u003cli\u003eHouman Javedan, MD\u003c\/li\u003e\r\n \t\u003cli\u003eMasaya Higuchi, MD, MPH, CMD, AGSF\u003c\/li\u003e\r\n \t\u003cli\u003eNicole Genovese, PharmD, BCGP\u003c\/li\u003e\r\n\u003c\/ul\u003e\r\nThe faculty represent surgery, geriatric medicine, anesthesiology, rehabilitation, palliative care, pharmacy, nursing, and healthcare delivery.\r\n\u003ch2\u003eContinuing Medical Education\u003c\/h2\u003e\r\nThe original Mass General Brigham \/ Harvard Medical School continuing education program was designed to support the professional development of clinicians caring for older surgical patients.\r\n\r\nThe organizer administers official educational accreditation, course evaluations, and any applicable professional credit claims.\r\n\u003ch3\u003eImportant CME Notice\u003c\/h3\u003e\r\nThe original educational program and its accreditation requirements are separate from MedicalAmboss digital product purchases.\r\n\r\nPurchasing separately distributed educational files through MedicalAmboss does not provide:\r\n\u003cul data-spread=\"false\"\u003e\r\n \t\u003cli\u003eHarvard Medical School CME Credits\u003c\/li\u003e\r\n \t\u003cli\u003eOfficial Completion Certificates\u003c\/li\u003e\r\n \t\u003cli\u003eHarvard Course Registration\u003c\/li\u003e\r\n \t\u003cli\u003eLive Conference Attendance\u003c\/li\u003e\r\n \t\u003cli\u003ePublisher Streaming Access\u003c\/li\u003e\r\n \t\u003cli\u003eOfficial Harvard Accounts\u003c\/li\u003e\r\n \t\u003cli\u003ePublisher Memberships\u003c\/li\u003e\r\n \t\u003cli\u003ePublisher-Hosted Educational Extras\u003c\/li\u003e\r\n\u003c\/ul\u003e\r\n\u003ch2\u003eWhy This Course Is Relevant\u003c\/h2\u003e\r\nThe \u003cstrong\u003eMass General Brigham Geriatrics for Surgical Clinicians 2025\u003c\/strong\u003e course addresses the growing need for healthcare professionals to recognize and manage age-related vulnerabilities among surgical patients.\r\n\r\nOlder adults frequently experience increased surgical risk due to frailty, multimorbidity, polypharmacy, cognitive impairment, and reduced functional reserve.\r\n\r\nThe course provides an integrated educational review of:\r\n\u003cul data-spread=\"false\"\u003e\r\n \t\u003cli\u003eGeriatric Surgical Assessment\u003c\/li\u003e\r\n \t\u003cli\u003eFrailty\u003c\/li\u003e\r\n \t\u003cli\u003eDelirium\u003c\/li\u003e\r\n \t\u003cli\u003eDementia\u003c\/li\u003e\r\n \t\u003cli\u003eFalls and Fractures\u003c\/li\u003e\r\n \t\u003cli\u003eMedication Safety\u003c\/li\u003e\r\n \t\u003cli\u003ePrehabilitation\u003c\/li\u003e\r\n \t\u003cli\u003eRehabilitation\u003c\/li\u003e\r\n \t\u003cli\u003eAnesthesia\u003c\/li\u003e\r\n \t\u003cli\u003ePostoperative Pain\u003c\/li\u003e\r\n \t\u003cli\u003eGoals of Care\u003c\/li\u003e\r\n \t\u003cli\u003eCaregiver Support\u003c\/li\u003e\r\n \t\u003cli\u003eCare Transitions\u003c\/li\u003e\r\n \t\u003cli\u003eAge-Friendly Surgical Pathways\u003c\/li\u003e\r\n\u003c\/ul\u003e\r\nIts multidisciplinary curriculum is particularly relevant to general surgeons, trauma surgeons, orthopedic surgeons, anesthesiologists, geriatricians, palliative care clinicians, and rehabilitation specialists.\r\n\r\nThe educational program emphasizes practical strategies that can help clinicians improve patient safety, preserve function, support recovery, and align surgical care with the priorities of older adults.\r\n\u003ch2\u003eOfficial Program Reference and MedicalAmboss Purchase Scope\u003c\/h2\u003e\r\n\u003cstrong\u003eOfficial Harvard Medical School Program:\u003c\/strong\u003e\r\n\r\n\u003ca href=\"https:\/\/cmecatalog.hms.harvard.edu\/perioperative-care-older-adult\" data-rich-text-autolink=\"\"\u003ehttps:\/\/cmecatalog.hms.harvard.edu\/perioperative-care-older-adult\u003c\/a\u003e\r\n\r\n\u003cstrong\u003eOfficial 2025 Course Agenda:\u003c\/strong\u003e\r\n\r\n\u003ca href=\"https:\/\/cmecatalog.hms.harvard.edu\/courses\/perioperative-care-older-adult-overview\/perioperative-care-older-adult-agenda\" data-rich-text-autolink=\"\"\u003ehttps:\/\/cmecatalog.hms.harvard.edu\/courses\/perioperative-care-older-adult-overview\/perioperative-care-older-adult-agenda\u003c\/a\u003e\r\n\r\nThese references describe the original educational activity, including its scheduled sessions, faculty, and educational focus.\r\n\r\nThey do not establish the exact inventory of files included in a separately distributed MedicalAmboss product.\r\n\r\n\u003cstrong\u003eMedicalAmboss File Scope:\u003c\/strong\u003e This listing describes the educational subject matter for reference. Provider registration, live attendance, streaming-platform access, CME or other credit, certificates, memberships, apps, accounts, and publisher-hosted extras are not included unless explicitly listed as store files.\r\n\u003cdiv\u003e\r\n\r\n\u003chr\u003e\r\n\r\n\u003c\/div\u003e\r\n\u003ch2\u003eShort Description\u003c\/h2\u003e\r\n\u0026lt;div style=\"border:2px solid #1677b8;border-radius:10px;padding:16px;background:#f7fbfe;\"\u0026gt;\r\n\r\n\u003cstrong\u003eMass General Brigham Geriatrics for Surgical Clinicians 2025\u003c\/strong\u003e provides a comprehensive, evidence-based review of geriatric surgical care, perioperative risk assessment, frailty, delirium prevention, dementia, medication optimization, prehabilitation, postoperative rehabilitation, and age-friendly care models.\r\n\r\nThe May 22–23, 2025 program features Harvard-affiliated faculty discussing practical approaches to caring for older surgical patients, including the 4Ms framework, multicomplexity, surgical pain management, falls prevention, goals of care, caregiver support, and safe transitions of care.\r\n\u003ch3\u003eTopics\u003c\/h3\u003e\r\n\u003cul\u003e\r\n \t\u003cli\u003eKeynote: Surgery in Older Adults: An Age-Friendly Approach\u003c\/li\u003e\r\n \t\u003cli\u003eMentation: Preventing and Addressing Delirium in Surgical Patients\u003c\/li\u003e\r\n \t\u003cli\u003eCase-based Workshop: Delirium and Dementia in Surgical Cases\u003c\/li\u003e\r\n \t\u003cli\u003eWhat Matters Most: Addressing Goals and Priorities for Surgical Patients\u003c\/li\u003e\r\n \t\u003cli\u003eFrailty in Older Surgical Patients\u003c\/li\u003e\r\n \t\u003cli\u003eCase-based Workshop: Supporting Caregivers and Surrogates Before, During, and After Surgery\u003c\/li\u003e\r\n \t\u003cli\u003eRehab, Prehab and Falls: Optimizing Mobility Throughout the Surgical Continuum\u003c\/li\u003e\r\n \t\u003cli\u003eMulticomplexity: Considering Transitions of Care and Payment Models for Geriatric Surgery Patients\u003c\/li\u003e\r\n \t\u003cli\u003eCase-based Workshop: Serious Illness Conversations: A Guide for Communication About Goals of Care\u003c\/li\u003e\r\n \t\u003cli\u003ePerioperative Care for the Older Adult (Day 1 \u0026amp; Day 2 General Sessions)\u003c\/li\u003e\r\n \t\u003cli\u003eIntroduction to Day 2: Navigating Multicomplexity in Older Surgical Patients\u003c\/li\u003e\r\n \t\u003cli\u003ePeri-operative Evaluation of Geriatric Surgery Patients\u003c\/li\u003e\r\n \t\u003cli\u003eCase-based Workshop: Pre-operative Evaluation and Pre-habilitation\u003c\/li\u003e\r\n \t\u003cli\u003eMedications: Polypharmacy and Deprescribing for Surgical Patients\u003c\/li\u003e\r\n \t\u003cli\u003eCase-based Workshop: Medications: Geriatric Surgical Cases\u003c\/li\u003e\r\n \t\u003cli\u003eAnesthesia and Pain Management in Older Surgical Patients\u003c\/li\u003e\r\n \t\u003cli\u003eCase-based Workshop: Surgical Pain Management for Older Adults\u003c\/li\u003e\r\n \t\u003cli\u003ePanel Discussion\u003c\/li\u003e\r\n \t\u003cli\u003eCourse Wrap Up\u003c\/li\u003e\r\n\u003c\/ul\u003e\r\n\u003c\/div\u003e\r\n\u003c!-- MAA:RELATED:END --\u003e","brand":"Amboss","offers":[{"title":"Default Title","offer_id":67967793135770,"sku":"MED-AMB10537","price":50.0,"currency_code":"USD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0720\/8619\/2282\/files\/macs-0efe51bcb5-50429-50436-65d70b3740a36e7e44eb.jpg?v=1793059586","url":"https:\/\/ambosscourse.com\/products\/wc-0efe51bcb5f34c14-50429","provider":"Amboss","version":"1.0","type":"link"}