FSU-Pensacola
Geriatrics Education Director Meeting
Speaker: John Agens, MD
Objectives: At the conclusion, the participant should be able to:
1) RECOGNIZE that primary care geriatrics students are responsible for determining if patients are on Beers list drugs; 2) DISCUSS empiric evidence for how frequently Beers criteria drugs are implicated in adverse drug events compared to other drug categories; 3) DISCUSS recent evidence based studies concerning anticholinergic medication and adverse effects on cognition; 4) DISCUSS how to engage a student in a discussion of shared decision making when thinking about initiating or stopping an anticholintergic drug for urge urinary incontinence: non-medication option, targets, and goals for each medication; 5) RECOGNIZE factors that promote shared decision making in deprescribing: Patient goals and physician targets for medication outcomes; 6) RECOGNIZE evidence that medication can be withdrawn safely and effectively; 7) DISCUSS the EMPOWER trial about how information given to patients triggered them to discuss reducing benzodiazepines with their providers, and reduce their medication using a step by step weaning program; 8) CONSIDER having a student look up useful tools https://www/deprescribingnetwork.ca/clinician-tools; 9) WORK through clinical cases of deprescribing of Beers list drugs and non-Beers list drugs; 10) REVIEW principles of a process of deprescribing that can be used as a framework for discussing with patients or students.
Questions and answers will allow for audience participation.