Don’t Gamble with your Geriatric Patients! Strategies To Stack the Deck in their Favor

Co-Moderator(s)

• 

  Nicole Saur, MD, FACS, FASCRS (she/her/hers)

  Associate Professor of Clinical Surgery
  University of Pennsylvania
  University of Pennsylvania
  Philadelphia, PA, United States

  All relevant financial disclosures have been managed and will be listed below.
  This individual has no relevant relationships with ineligible companies.
• 

  Isacco Montroni, MD, PhD (he/him/his)

  Chief, Division of Colorectal Surgery
  AUSL Romagna, Ospedale Santa Maria delle Croci
  Ravenna School of Medicine
  Ravenna, Italy

  All relevant financial disclosures have been managed and will be listed below.
  This individual has no relevant relationships with ineligible companies.

CME Credit: 0.75
Contact Hours: 0.75

ASCRS has invested in improving the care of Geriatric Surgical Patients. General Sessions, publications including the Clinical Practice Guideline for the Perioperative Evaluation and Management of Frailty Among Older Adults Undergoing Colorectal Surgery, and the development of the Geriatric Special Interest Group (SIG) have built the foundation of Geriatric Surgery Care for ASCRS members. The Geriatric SIG has developed a practical multiple-year curriculum for ASCRS members to integrate Geriatric Surgery Care into their unique practice.

This is the first symposium in the curriculum aiming at helping colorectal surgeons integrate geriatric surgery principles into their busy clinical practices. The symposium will first focus on the issue of 'frailty fatigue' that occurs when surgeons are inundated with information about the importance of frailty screening, but not provided with realistic, practical solutions for their own practices. Attendees will then learn efficient strategies to integrate the optimization of nutrition and physical status into surgical practices with varied structures and resources. Adverse events, especially in older adults, are costly and attendees will next learn how to use the cost savings of improved outcomes to make a case to administrators to invest in a multidisciplinary geriatric program. Finally, attendees will be introduced to the concept of left-digit bias and how ageism could affect surgical decision-making.

This symposium provides a framework to build a unique, cost-effective, and patient-centered geriatric surgery program. Surgeons will be able to stack the deck in their patients' favor.

Presentations:

• 2:15 PM – 3:05 PM ET, USA

  Don’t Gamble with Your Geriatric Patients! Strategies to Stack the Deck in Their Favor
  

  Co-Moderator: Nicole M. Saur, MD, FACS, FASCRS (she/her/hers) – University of Pennsylvania

  Co-Moderator: Isacco Montroni, MD, PhD (he/him/his) – AUSL Romagna, Ospedale Santa Maria delle Croci
• 2:15 PM – 2:17 PM ET, USA

  Introduction
  

  Speaker: Nicole M. Saur, MD, FACS, FASCRS (she/her/hers) – University of Pennsylvania

  Speaker: Isacco Montroni, MD, PhD (he/him/his) – AUSL Romagna, Ospedale Santa Maria delle Croci
• 2:17 PM – 2:24 PM ET, USA

  Combatting ‘frailty Fatigue’ with Innovative Approaches to Frailty Assessment
  

  Speaker: Julia R. Berian, MD, MS (she/her/hers) – University of Wisconsin-Madison
• 2:24 PM – 2:35 PM ET, USA

  Prehabilitation Masterclass: Practical Strategies for High-yield Nutrition and Physical Function Optimization Preoperatively
  

  Speaker: Chelsia Gillis, RD, PhD – McGill University Health Centre
• 2:35 PM – 2:42 PM ET, USA

  Cost-effectiveness of Multidisciplinary Geriatric Surgery Programs. Better Outcomes Cost Less!
  

  Speaker: Susan Gearhart, MD – Johns Hopkins University
• 2:42 PM – 2:49 PM ET, USA

  Left-digit Bias: Identifying and Mitigating Ageism in Your Colorectal Surgery Practice
  

  Speaker: Fergal Fleming, MD MPH FRCSI FACS – University of Rochester Medical Center
• 2:49 PM – 3:05 PM ET, USA

  Panel Discussion
  

  Panelist: Nicole M. Saur, MD, FACS, FASCRS (she/her/hers) – University of Pennsylvania

  Panelist: Isacco Montroni, MD, PhD (he/him/his) – AUSL Romagna, Ospedale Santa Maria delle Croci

  Panelist: Julia R. Berian, MD, MS (she/her/hers) – University of Wisconsin-Madison

  Panelist: Chelsia Gillis, RD, PhD – McGill University Health Centre

  Panelist: Susan Gearhart, MD – Johns Hopkins University

  Panelist: Fergal Fleming, MD MPH FRCSI FACS – University of Rochester Medical Center