CME Ground Rounds Live

FREE ACCME accredited CME/CEU activities for all provider types

 

Gain knowledge and understanding about diagnosis and management of Alzheimer disease and related dementias

View and register for LIVE CME/CEU activities shown below.

Dementia and Caregiver Burnout: Assessment, social, and community support

Live December 16, 2022, 2022 12:00-1:00pm (PST)

This course will review the assessment of caregiver burnout, preventative strategies to avoid caregiver burnout, introduce the role of supportive services such as education, social support, caregiver support, and counseling services have in reducing caregiver burnout, as well and provide helpful communication strategies to use when caring for someone with dementia.

Integrative Medicine in Neurodegenerative Disease

Live January 27, 2023 12:00-1:00pm (PST)

This course will define Medicine as an evidence-based complement to traditional medical therapy and review the applications of Integrative Medicine in promoting cognitive and behavioral health. The course will also discuss local resources for integrative therapies available to patients in Nevada. 

Treatment Options for the General Practitioner

Live February 24, 2023 12:00-1:00pm (PST)

This course will address common medications used to treat cognitive symptoms, review possible interactions with other medications common used in the older adult population, review high risk medication interactions, discuss mobility complications of medications commonly used to treat cognitive disorders, compare and contrast benefits and risks of medications used to treat cognitive disorders, de-prescribe / reduce dosage based on “What Matters” to the patient.   

Non-Pharmacological Interventions: Cognitive Preservation Strategies for Adults of All Ages

Live March 24, 2023 12:00-1:00pm (PST)

This course will discuss the importance of each of the six pillars of brain health:  exercise, nutrition, sleep and relaxation, mental fitness, social connection, and controlling other risk factors.  This topic will include information on the latest clinical trial programs for MCI and dementia.  

How Medications and Physical Conditions Contribute to Cognitive Decline

Live April 28, 2023 12:00-1:00pm (PST)

This course will address common medications used to treat cognitive symptoms, review possible interactions with other medications common used in the older adult population, review high risk medication interactions, discuss mobility complications of medications commonly used to treat cognitive disorders, compare and contrast benefits and risks of medications used to treat cognitive disorders, de-prescribe / reduce dosage based on “What Matters” to the patient.

Loneliness in Older Adults

Live May 26, 2023 12:00-1:00pm (PST)

Loneliness, physical health, and age have strong effects on physical well-being.  This course will review the effects of loneliness in the geriatric population, mechanisms to help combat loneliness and the effects perceived loneliness has on anxiety, physical and mental health in the geriatric popluation.   

Developing a Dementia Friendly Practice 

Live June 23, 2023 12:00-1:00pm (PST)

This course will briefly summarize the components of the 4M’s framework of an Age-friendly Health System.  Discussion will include resources for providers such as the “What Matters” questionnaire, high risk medication screening tools, simple mobility screening samples that can be used in the primary care setting, mentation screening tools, advance care planning documents, annual wellness visit billing protocols, and mechanisms to achieve the necessary components of an Age-friendly Health System. 

Online Post-Test and CE/CME Credit Form

Evaluation and Claim Credit

To begin the video, scroll to “Course Content”. Click the name of the video to begin. Once you begin the video, you must watch it in its entirety to claim credit. Fast-forwarding has been disabled. You may pause the video briefly if needed. Do not close the browser window as doing so will require you to start over.

Instructions to Claim Your CME AMA PRA Category 1 Certificate: (Live ONLY – On-demand: please follow instructions below)

Copy and paste the link below into your browser

https://cmetracker.net/UNEV/Publisher?page=pubOpen#/getCertificate

 

Sign in to the CME portal to activate account or create an account

Enter the Activity Code for this event (will be provided on day of event)

Once you complete the online evaluation you will be able to print or download your certificate. 

If you are claiming credits as a SW, PT/OT/ST, of Psychologist, you may print your certificate directly from our website at the end of this activity once you’ve completed the evaluation:

Once you have reached the end of the video, you will be prompted to complete a Post-test and a Post-activity evaluation form.  Once these activities are completed, click the “Download Certificate” button to print a copy of your certificate. 

 

Failure to complete the process will result in the credit not being awarded to you.

For questions concerning the online evaluation or your certificate, please contact Kate Ingalsby at (702) 219-4938 or email at ingalsk@ccf.org

Continuing Education Credit

This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education through the joint providership of the University of Nevada, Reno School of Medicine and the Division of Child and Family Services. The University of Nevada, Reno School of Medicine is accredited by the ACCME to provide continuing medical education to physicians.

Physicians: The University of Nevada, Reno School of Medicine designates this enduring material for a maximum of 1.0 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurses: The University of Nevada, Reno School of Medicine approves this program for 1.0 hours of nursing continuing education credit.

Disclosures

As an accredited provider of continuing medical education through the Accreditation Council for Continuing Medical Education (ACCME) the University of Nevada, Reno School of Medicine must ensure balance, independence, objectivity, and scientific rigor in all its educational activities. In order to assure that information is presented in a scientific and objective manner, The University of Nevada, Reno School of Medicine requires that anyone in a position to control or influence the content of a continuing medical education activity disclose relevant financial relationships with any commercial or proprietary entity producing health care goods or services relevant to the content being planned or presented. Following are those disclosures.

All presenters, planners or anyone in a position to control the content of this continuing medical education activity have disclosed all affiliations/financial interests (if any) and indicated whether they or their spouse/legally recognized domestic partner has any financial relationships with commercial interests related to the content of this activity.

Bibliographic Sources

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Differential Diagnosis of Dementia

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Motor and Visuospatial Syndromes of Dementia

McKhann GM, Knopman DS, Chertkow H, et al. The diagnosis of dementia due to Alzheimer’s disease: recommendations from the National Institute on Aging-Alzheimer’s Association workgroups on diagnostic guidelines for Alzheimer’s disease. Alzheimers Dement. 2011;7(3):263-269.

Bondi MW, Edmonds EC, Salmon DP. Alzheimer’s Disease: Past, Present, and Future. J Int Neuropsychol Soc. 2017;23(9-10):818-831.

Jack CR, Jr., Holtzman DM. Biomarker modeling of Alzheimer’s disease. Neuron. 2013;80(6):1347-1358.

Jak AJ, Bangen KJ, Wierenga CE, Delano-Wood L, Corey-Bloom J, Bondi MW. Contributions of neuropsychology and neuroimaging to understanding clinical subtypes of mild cognitive impairment. Int Rev Neurobiol. 2009;84:81-103.

Petersen RC, Knopman DS. MCI is a clinically useful concept. Int Psychogeriatr. 2006;18(3):394-402; discussion 409-314.

Cerhan JR, Folsom AR, Mortimer JA, et al. Correlates of cognitive function in middle-aged adults. Atherosclerosis Risk in Communities (ARIC) Study Investigators. Gerontology. 1998;44(2):95-105.

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Subjective Complaints of Dementia: Insight and Memory

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Blom, K., Koek, H. L., Zwartbol, M. H., van der Graaf, Y., Kesseler, L., Biessels, G. J., … & de Borst, G. J. (2019). Subjective cognitive decline, brain imaging biomarkers, and cognitive

functioning in patients with a history of vascular disease: The SMART-Medea study. Neurobiology of aging, 84, 33-40.

Buckley, R. F., Hanseeuw, B., Schultz, A. P., Vannini, P., Aghjayan, S. L., Properzi, M. J., Jackson, J. D., Mormino, E. C., Rentz, D. M., Sperling, R. A., Johnson, K. A., & Amariglio, R. E.(2017). Region-Specific Association of Subjective Cognitive Decline With Tauopathy

Independent of Global β-Amyloid Burden. JAMA neurology, 74(12), 1455–1463.

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Goodwin G. M. (1997). Neuropsychological and neuroimaging evidence for the involvement of the frontal lobes in depression. Journal of psychopharmacology (Oxford,

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Jack Jr, C. R., Knopman, D. S., Jagust, W. J., Shaw, L. M., Aisen, P. S., Weiner, M. W., … & Trojanowski, J. Q. (2010). Hypothetical model of dynamic biomarkers of the Alzheimer’s

pathological cascade.

The Lancet Neurology, 9(1), 119-128.Lee, Y.C., Kang, J.M., Lee, H. et al. Subjective cognitive decline and subsequent dementia: a nationwide cohort study of 579,710 people aged 66 years in South Korea. Alz Res Therapy 12, 52 (2020). https://doi.org/10.1186/s13195-020-00618-1

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NIA-AA research framework: toward a biological definition of Alzheimer’s

disease. Alzheimers Dement 14 (4): 535–562.

Liew, T.M. Subjective cognitive decline, anxiety symptoms, and the risk of mild cognitive impairment and dementia. Alz Res Therapy 12, 107 (2020).

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Murman D. L. (2015). The Impact of Age on Cognition. Seminars in hearing, 36(3), 111–121. https://doi.org/10.1055/s-0035-1555115

Perrotin, A., Mormino, E. C., Madison, C. M., Hayenga, A. O., & Jagust, W. J. (2012). Subjective cognition and amyloid deposition imaging: a Pittsburgh Compound B positron

emission tomography study in normal elderly individuals. Archives of neurology, 69(2), 223-229.

Slot, R., Sikkes, S., Berkhof, J., Brodaty, H., Buckley, R., Cavedo, E., Dardiotis, E., Guillo-Benarous, F., Hampel, H., Kochan, N. A., Lista, S., Luck, T., Maruff, P., Molinuevo, J. L.,

Kornhuber, J., Reisberg, B., Riedel-Heller, S. G., Risacher, S. L., Roehr, S., Sachdev, P. S., … van der Flier, W. M. (2019). Subjective cognitive decline and rates of incident

Alzheimer’s disease and non-Alzheimer’s disease dementia. Alzheimer’s & dementia : the journal of the Alzheimer’s Association, 15(3), 465–476. https://doi.org/10.1016/j.jalz.2018.10.003

Van Etten, E. J., Bharadwaj, P. K., Nguyen, L. A., Hishaw, G. A., Trouard, T. P., & Alexander, G. E. (2020). Right hippocampal volume mediation of subjective memory complaints differs by hypertension status in healthy aging. Neurobiology of Aging, 94, 271-280.

 

Medical Issues that Contribute to Cognitive Impairment

Plassman, Annals of Internal Medicine, 2008

Doraiswamy et al. Prog Neuropsychopharmacol Biol Psychiatry 2002

[Prescribing Information] Accera Inc. 2009.

Jack CR, Jr., Holtzman DM. Biomarker modeling of Alzheimer’s disease. Neuron. 2013;80 (6):1347-1358.

Jak AJ, Bangen KJ, Wierenga CE, Delano-Wood L, Corey-Bloom J, Bondi MW. Contributions of neuropsychology and neuroimaging to understanding clinical subtypes of mild cognitive impairment. Int Rev Neurobiol. 2009;84:81-103.

Petersen RC, Knopman DS. MCI is a clinically useful concept. Int Psychogeriatr. 2006;18 (3):394-402; discussion 409-314.

Cerhan JR, Folsom AR, Mortimer JA, et al. Correlates of cognitive function in middle-aged adults. Atherosclerosis Risk in Communities (ARIC) Study Investigators. Gerontology. 1998;44 (2):95-105.

The Importance of Non-Neurologic Symptoms in Dementia Care

Zarian, et al. J Natl Med Assoc 1989; 81(4): 373

Martin, et al. Aging & Ment Health 2019; 23(8): 1057

J Am Geriatr Soc 2019 Apr;67(4):674-694

Irwin et al. J Palliat Med 2013 Apr; 16(4): 423

 

Missed Diagnosis – Lost Opportunities

Bradford et al 2009. Alz Dis Assoc Disord

Harvard School of Public Health 2011

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Carpenter et al 2008 JAGS

Baile et al. The Oncologist  Aug 2000

 

Incorporating a Dementia Strategy into your Practice

G Epstein-lubow – Health Affairs, 2014 – healthaffairs.org

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Alzheimer’s and Dementia Resources for Professionals webpage for more information on assessing cognitive impairment https://www.nia.nih.gov/health/alzheimers-dementia-resources-for-professionals 

CY 2018 Physician Fee Schedule final rule (82 FR 53077) replaced G0505 with CPT code 99483 https://www.govinfo.gov/content/pkg/FR-2017-11-15/pdf/2017-23953.pdf#page=102

CY 2021 Physician Fee Schedule final rule (85 FR 84472) modified CPT code 99483 by adding it as a permanent telehealth service, increasing its valuation, and defining it as a primary care service in the Medicare Shared Savings Program https://www.govinfo.gov/content/pkg/FR-2020-12-28/pdf/2020-26815. pdf#page=278 

Medicare Wellness Visits educational tool for more information about AWV’s https://www.cms.gov/ Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/preventive-services/medicarewellness-visits.html

 

Action Planning after a Dementia Diagnosis

 

“When Patients and Their Families Feel Like Hostages to Health Care” Leonard L. Berry, PhD, MBA; et. All Mayo Clinic Proceedings

 

N Engl J Med 2019; 381:2369-2370 Sarah H. Cross, M.S.W., M.P.H.
Duke University Sanford School of Public Policy, Durham, NC

07/29/2021, 05/20/2021, 04/01/2021, 03/11/2021, & 02/23/2021. (n.d.). Bringing meaning and purpose into the lives of elders through creative engagement. TimeSlips. https://www.timeslips.org/.

Brain Health I: The Sceince Behind Brain Health

 

Gomes-Osman et al. Neurol: ClinPrac 2018

Morris et al. Alzheimer’s& Dementia 2015

Vals-Pedret et al. JAMA 2015

Lehtisalo et al. Alzheimer’s & Dementia 2018

Middleton & Yaffe. Arch Neurol 2009

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Brain Health II: Agents of Change

 

Gill Livingston, et. al. Dementia Prevention, Intervention and Care. Lancet 2017: 390:2673-734.

Feart, Catherine, et al. “Adherence to a Mediterranean diet, cognitive decline, and risk of dementia.” JAMA 302.6 (2009): 638−648.

Psaltopoulou, Theodora, et al. “Mediterranean diet, stroke, cognitive impairment, and depression: a meta-analysis.” Annals of Neurology 74.4 (2013): 580−591. “Mediterranean-style diets linked to better brain function in older adults”

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A John, K Ali, H MarshPH Reddy – Ageing research reviews, 2021 – Elsevier

Healthcare Professionals Courses

The Cleveland Clinic Lou Ruvo Center for Brain Health offers ACCME accredited CME grand Rounds courses both live and on-demenad.  CME/CEU is provided at no cost.

Medical student, resident and fellow training

The Cleveland Clinic Lou Ruvo Center for Brain Health offers various types education and training for interns, residents and fellows interested in the field of neuro-psychiatry.

Community Based Education

Whether you have a career in healthcare, are a caregiver, or serve the community in various capacities, it is likely you will encounter individuals living with dementia and their caregivers.  Our E-learning courses make it easy to learn more about the challenges and experiences individuals living with dementia and caregivers face each day.  

Patient and Caregiver Education

Education is key when diagnosed with a neurodegenerative disease.  Access free live and on-demand caregiver and community education and resources.