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Who Will Take Care of Me When I Am Old? Addressing the Geriatric Workforce Crisis
2017 AAGP Annual Meeting WHO WILL TAKE CARE OF ME WHEN I AM OLD? ADDRESSING THE GERIATRIC WORKFORCE CRISIS Session 209 LalithKumar K. Solai1; Noll Campbell2; Ellen M. Whyte3 1
University of Pittsburgh, Pittsburgh, PA Purdue University, Indianapolis, IN 3 University of Pittsburgh School of Medicine, Pittsburgh, PA 2
Abstract: Americans 65 years old and over currently represent 13% of the US population and will grow to 20% of the population by 2050. Currently, there is a clear shortage of specialists to care for the elderly – there are approximately 3.8 geriatricians per 10, 000 older Americans and roughly 1 geriatric trained psychiatrist for every 11,128 older Americans (American Geriatrics Society, 2011). These ratios will become even more inadequate over time because the number of older Americans is increasing and the number of physicians a entering fellowships in either geriatric medicine or geriatric psychiatry is decreasing. As a result, most elderly will never be treated by a geriatric trained physician. As geriatric trained professionals, we frequently have opportunities to educate our non -geriatric trained colleagues, be it through collaboration with primary care, academic programs at medical schools, our administrative roles in which we influence the training of staff, or in our interaction with family-caregivers. This symposium will present several unique programs that aim to provide geriatric mental health training to a diverse array of clinicians including physicians, nurses, occupational and physical therapists, social workers, and direct caregivers. Strategies to be discussed include formal academic programs utilizing case based learning targeing an interprofessional audience, direct to primary care teaching that includes consultation on practice change, and caregiver education (both formal and informal caregivers) focusing on delivering easy to understand concepts and skills. This symposium will provide attendees insights into various educational approaches that will inform their abilities to educate their colleagues, be it through the creation of formal educational program, ongoing staff education or consultation with other professionals. Faculty Disclosures: LalithKumar K. Solai Nothing to disclose Noll Campbell Nothing to disclose Ellen M. Whyte Nothing to disclose
WINDOWS INTO THE BRAIN: FUNCTIONAL NETWORKS INFORMING TREATMENT IN LATE-LIFE DEPRESSION Session 210 Warren D. Taylor1; Sara Weisenbach2; Faith Gunning3; Olu Ajilore4 1
Vanderbilt University, Nashville, TN University of Utah, Salt Lake City, UT 3 Weill Cornell Medicine, White Plains, NY 4 University of Illinois at Chicago, Chicago, IL 2
Abstract: There is a significant body of work associating late-life depression with a wide range of differences in brain morphology, white matter microstructure, and functional response to a range of stimuli. More recent work has focused on the intrinsic functional networks, geographically distinct brain regions that are functionally linked and work together to coordinate critical processes such as executive control, monitoring of internal and external stimuli, and memory function, amongst others. Using a variety of methods, this work has led to improved understanding of how altered functional connectivity within these networks and across these networks may influence the clinical presentation of late-life depression but also influence and change with treatment. Presentations will focus on two key intrinsic networks: the cognitive control network and default mode network. Across the presentations, we will discuss how connectivity within and between these networks are altered in late-life
S14
Am J Geriatr Psychiatry 25:3S, Supplement 1
University of Pittsburgh, Pittsburgh, PA Purdue University, Indianapolis, IN 3 University of Pittsburgh School of Medicine, Pittsburgh, PA 2
Abstract: Americans 65 years old and over currently represent 13% of the US population and will grow to 20% of the population by 2050. Currently, there is a clear shortage of specialists to care for the elderly – there are approximately 3.8 geriatricians per 10, 000 older Americans and roughly 1 geriatric trained psychiatrist for every 11,128 older Americans (American Geriatrics Society, 2011). These ratios will become even more inadequate over time because the number of older Americans is increasing and the number of physicians a entering fellowships in either geriatric medicine or geriatric psychiatry is decreasing. As a result, most elderly will never be treated by a geriatric trained physician. As geriatric trained professionals, we frequently have opportunities to educate our non -geriatric trained colleagues, be it through collaboration with primary care, academic programs at medical schools, our administrative roles in which we influence the training of staff, or in our interaction with family-caregivers. This symposium will present several unique programs that aim to provide geriatric mental health training to a diverse array of clinicians including physicians, nurses, occupational and physical therapists, social workers, and direct caregivers. Strategies to be discussed include formal academic programs utilizing case based learning targeing an interprofessional audience, direct to primary care teaching that includes consultation on practice change, and caregiver education (both formal and informal caregivers) focusing on delivering easy to understand concepts and skills. This symposium will provide attendees insights into various educational approaches that will inform their abilities to educate their colleagues, be it through the creation of formal educational program, ongoing staff education or consultation with other professionals. Faculty Disclosures: LalithKumar K. Solai Nothing to disclose Noll Campbell Nothing to disclose Ellen M. Whyte Nothing to disclose
WINDOWS INTO THE BRAIN: FUNCTIONAL NETWORKS INFORMING TREATMENT IN LATE-LIFE DEPRESSION Session 210 Warren D. Taylor1; Sara Weisenbach2; Faith Gunning3; Olu Ajilore4 1
Vanderbilt University, Nashville, TN University of Utah, Salt Lake City, UT 3 Weill Cornell Medicine, White Plains, NY 4 University of Illinois at Chicago, Chicago, IL 2
Abstract: There is a significant body of work associating late-life depression with a wide range of differences in brain morphology, white matter microstructure, and functional response to a range of stimuli. More recent work has focused on the intrinsic functional networks, geographically distinct brain regions that are functionally linked and work together to coordinate critical processes such as executive control, monitoring of internal and external stimuli, and memory function, amongst others. Using a variety of methods, this work has led to improved understanding of how altered functional connectivity within these networks and across these networks may influence the clinical presentation of late-life depression but also influence and change with treatment. Presentations will focus on two key intrinsic networks: the cognitive control network and default mode network. Across the presentations, we will discuss how connectivity within and between these networks are altered in late-life
S14
Am J Geriatr Psychiatry 25:3S, Supplement 1