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Medicine Grand Rounds - Frail Older Adults and How to Find Them

Dr. Johnson discusses the concept of frailty, which is predominantly a condition of older adults. However, he suggests that it should be based on predictors of poor health outcomes such as weakness, poor endurance, low activity and weight loss. A combination of risk factors, including gait assessment, can help providers identify which of their patients are truly frail and should be counseled about functional abilities and safety.

Activity Details

Start Date:  August 14, 2020
End Date:  August 14, 2023

You may claim CME credit for successful completion of this online course. In order to claim credit, you must follow these steps:

  1. Register for the learning activity by creating an account or logging in to your account.
  2. Click Continue to navigate to the Activity Material tab. Click View Presentation to view the recording. View the entire presentation.
  3. Return to this Activity page.
  4. Click Continue to navigate to the Evaluation tab; then click the Launch button to start the evaluation.
  5. Complete and Submit the evaluation and attestation form.

When the evaluation is submitted, you will be awarded credit. You may access your transcript for verification of participation at any time via Your Account. Need help? Visit the Support Page, send an Email, or call the Center for Learning and Professional Development at (603) 653-1234, Option 1.

Learning Outcome

Participants will be able to critique the empirical evidence supporting the concept of frailty, apply theories of frailty in clinical care, and discuss a best management plan with and for patients who are at higher risk of morbidity and mortality because of frailty.

  • Theodore M. Johnson, II, MD, MPH
    Chief, General Medicine/Geriatrics
    Paul Seavey Chair in Medicine
    Emory University School of Medicine

    About our presenter: 
    Dr. Johnson received his medical degree from Northwestern University and a Master of Public Health from the University of North Carolina-Chapel Hill, and completed training in internal medicine and geriatric medicine. In 1997, he joined the medical school faculty at Emory and at the Atlanta VA Medical Center.  He is currently the Paul Seavey Chair and Division Chief of the Emory Division of General Medicine and Geriatrics, and Chair of the Emory Family and Preventive Medicine Department. 

    Please join the Department of Medicine in welcoming Dr. Johnson for Medicine Grand Rounds.

Dartmouth-Hitchcock is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Dartmouth-Hitchcock designates this enduring material for a maximum of 1 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Requirements for Successful Completion

In order to receive credit for this Continuing Medical Education (CME) activity, you must:

  • View the entire presentation
  • Complete the online Attestation of Attendance & Evaluation Form (you must register to access).

In accordance with the disclosure policy of Dartmouth-Hitchcock/Geisel School of Medicine at Dartmouth as well as standards set forth by the Accreditation Council on Continuing Medical Education and the Nursing Continuing Education Council standards set forth by the American Nurses Credentialing Center Commission on Accreditation, continuing medical education and nursing education activity director(s), planning committee member(s), speaker(s), author(s) or anyone in a position to control the content have been asked to disclose any financial relationship* they have to a commercial interest (any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on patients). Such disclosure is not intended to suggest or condone bias in any presentation, but is elicited to provide participants with information that might be of potential importance to their evaluation of a given activity.

The following Activity Physician Director(s), planning committee member(s), speaker(s), author(s) or anyone in a position to control the content have reported the following financial interest or relationship* with various companies/organizations. The Activity Director and Planning Committee member roles were resolved by altering the individual’s control over content about the products or services of the commercial interest by the Associate Dean for CME and the Department of Medicine Chair. The potential speaker conflicts have been resolved by validating the activity content through independent peer review by Kelly Kieffer, MD. All potential conflict(s) were resolved.

* Kelly Kieffer, MD ~ her spouse is a consultant for OcculoBio. 

* Richard I. Rothstein, MD ~ has research support from Baranova (research grant to Dartmouth-Hitchcock Medical Center) and is on the Scientific Advisory Board for Allurion.

* Theodore M. Johnson, II, MD, MPH ~ is a consultant for Astellas pharmaceutical-health services research; is an author for UpToDate, and has a patent for a GaitRate device.

Other planning committee member(s), speaker(s), activity director(s), author(s) or anyone in a position to control the content for this program report no financial interest or relationship* with any company(ies) or organizations whose product may be germane to the content of their presentations.

*A “financial interest or relationship" refers to an equity position, receipt of royalties, consultantship, funding by a research grant, receiving honoraria for educational services elsewhere, or to any other relationship to a company that provides sufficient reason for disclosure, in keeping with the spirit of the stated policy.

Bibliographic References
  • See presentation for bibliographic sources to allow for further study.

Provider Contact Information

Provider contact information for questions regarding accreditation of the activity:

Center for Learning and Professional Development
Dartmouth-Hitchcock Medical Center

Type:     Internet Activity (Enduring Material)
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