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Dementia, Elder Abuse, and Driving

Course Description | Faculty | Accreditation | General Information

Course Description

Acknowledgement: This module is supported by a grant from the Donald Reynolds Foundation.

Dementia is an important diagnosis that is frequently missed until its later stages. In this module, clinicians will learn the proper diagnosis and treatment of patients presenting with memory loss, manage associated behavioral problems, recognize signs of elder abuse and familiarize themselves with physician responsibility and options related to unsafe elderly drivers.

Original Release: 9/4/2009
Most Recent Update: 9/17/2013
Termination Date: 9/17/2016

NUMBER OF CREDIT HOURS: The Harvard Medical School designates this enduring material for a maximum of 3 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This course should take approximately 3 hours to complete.

COST: $60.00 for the average learner. Participants living in emerging nations receive a 50% discount or can register for free. See our International Pricing Page for details.

OVERALL LEARNING OBJECTIVES:

  1. Familiarize clinicians on the diagnosis and management of dementia.
  2. Improve recognition and management of elder abuse.
  3. Provide information on medico-legal and psychosocial issues surrounding unsafe elderly drivers.

CLINICAL LEARNING OBJECTIVES:

  1. Recognize and diagnose dementia, Alzheimer's dementia and vascular dementia based on DSM-IV criteria.
  2. Distinguish between the common types of dementia (Alzheimer's, vascular, Lewy body) and less common forms (normal pressure hydrocephalus, frontal lobe dementia).
  3. List available treatments for Alzheimer's dementia and vascular dementia and distinguish them according to mechanism of actions and indications.
  4. Recognize confounding conditions (delirium, depression, sensory impairments, drug toxicity) in the evaluation of dementia.
  5. Manage behavioral problems and mood disorders in dementia patients.
  6. Recognize signs of elder mistreatment and be familiar with physician's reporting responsibilities.
  7. Enumerate appropriate cognitive, laboratory, and imaging tests for the evaluation of patient presenting with cognitive problems.
  8. Recognize mild cognitive impairment (MCI) and distinguish it from dementia and normal cognition.
  9. Know the resources available to help address physician concerns regarding driving safety in elderly and/or demented patients.

METHOD OF PARTICIPATION:

Registrants participate in the learning process by answering interactive multiple choice questions that are dispersed throughout the case presentation. You must answer a question correctly in order to continue through the course. If you answer a question incorrectly, you will be prompted to try again.

In order to earn credit, physicians must complete the entire educational activity before the termination date (see above). Non-physicians may register for the course but are not eligible for AMA PRA Category 1 Credits™. Instead, non-physicians will earn a certificate of participation after successfully completing the course before its termination date.

COMBINATION OF MEDIA USED:

This internet enduring material is a case-based, interactive presentation comprised mainly of text, interactive questions, and images. A variety of media, including video clips, audio clips, and Flash animation, may be presented. Links to any necessary plugins are provided when necessary, but no plugins are required for general use of the CME website, and you may skip the multimedia presentation(s) within the course if you choose.

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Faculty
ZALDY TAN, M.D., M.P.
Course Director
Dr. Zaldy S. Tan is Assistant Professor of Medicine at Harvard Medical School and Director of Education at the Brigham and Women's Hospital Division of Aging and the GRECC, VA Boston Healthcare System. He is an investigator at the Framingham Heart Study, where his research focuses on the risk and protective factors for dementia. Dr Tan was the founding director of the Memory Disorders Clinic at the Beth Israel Deaconess Medical Center. His current clinical practice focuses on the promotion of healthy aging and the prevention of disease. He is also Associate Program Director of the Harvard Geriatric Medicine Fellowship and performs research on the use of instructional technology in quality improvement initiatives for older patients.

DISCLOSURE:
Reported no relevant financial relationships with commercial entities



TIMOTHY LOO, M.D.
Course Co-Director
Dr. Loo is an Instructor in Medicine at the Beth Israel Deaconess Medical Center in Boston, MA.

DISCLOSURE:
Reported no relevant financial relationships with commercial entities



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Reviewers
ANGELA CATIC, MD
Reviewer
Dr. Angela Catic, a geriatric clinician educator at Beth Israel Deaconess Medical School and Harvard Medical School, is the recipient of a Hartford Center for Excellence Research Fellowship Award and two Geriatric Academic Career Awards. She utilized these awards to develop multidisciplinary educational programs regarding the safety of elders during acute hospitalization. Particular areas of focus include pain management; delirium prevention and management; successful care transitions; and appropriate care of elders with advanced dementia.

Dr. Catic also co-directs ECHO-AGE, a tele-medicine educational program which trains long term care providers in the management of elders with dementia and associated behavioral issues. She holds a number of leadership roles including directing the Harvard Geriatric Medicine Fellowship program, leading the fourth year Harvard Medical School geriatric elective, and directing the educational component of the geriatric elective for internal medicine residents at Beth Israel Deaconess Medical Center.

DISCLOSURE:
The commercial entities which which we have relationships do not produce, market, re-sell, or distribute health care goods or services relevant to the content I am planning, developing, presenting, or evaluating for the activity.



MEDHA MUNSHI
Reviewer
Dr. Munshi is an Associate Professor of Medicine at the Beth Israel Deaconess Medical Center.

DISCLOSURE:
The commercial entities with which I have relationships do not produce health-care related products or services relevant to the content I am planning, developing or presenting for this activity.



PETER J. ZUROMSKIS, MD
Reviewer
Dr. Zuromskis clinical practice in general internal medicine is based in Lexington Center, where he sees 3500 to 4000 patients annually. His focus is on academic quality medicine, and for 2-4 of his sessions weekly, he has resident working under his direction. He maintains an active role in in-patient care. He has served as a member of the Harvard Medical School Admissions Committee, and remains a senior fellow of the Holmes Society where he serves as a designated mentor to 2-3 students.

His public health activites involve availability for consultation on matters of nuclear-biologic-chemical warfare/terrorism as a reserve Captain in the US Naval Reserve. He regularly serves as a consultant to Risk Management Foundation as a case reviewer and defense witness.

DISCLOSURE:
Reported no relevant financial relationships with commercial entities



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Course Planners
SANJIV CHOPRA, MD
Planner
Dr. Sanjiv Chopra is Professor of Medicine at Harvard Medical School. He is also the the James Tullis Firm Chief in the Department of Medicine and a Senior Consultant in Hepatology at the Beth Israel Deaconess Medical Center, Boston. He served as Faculty Dean for Continuing Education at HMS for 12 years. Dr. Chopra has more than 150 publications and seven books to his credit. Dr. Chopra is Editor-in-Chief of the Hepatology Section of UpToDate, the most widely used electronic textbook in the world subscribed to by more than 850,000 physicians in 149 countries. He is also the recipient of numerous awards and accolades. For a complete bio, click here.

DISCLOSURE:
Reported no relevant financial relationships with commercial entities



ANDI LONG, EdM
Planner
Andi Long directs the Department of Continuing Education’s Distance Learning group, which offers a variety of online continuing medical education programs to health care professionals around the world. Andi develops strategies for new pilot programs and systematically rolls out new distance learning initiatives and has a leadership role in IT planning and other online processes for HMS DCE. She oversees the day-to-day operations of each distance learning activity and ensures ACCME compliance across all enduring programs. She has had the privilege of working with hundreds of Harvard Medical School Faculty members to develop high-quality, engaging online programs that physicians in more than 170 countries have taken part in. Andi earned her Ed.M. in Technology, Innovation, and Education from Harvard Graduate School of Education and graduated from Bridgewater State College with a degree in English. Her professional interests focus on teaching and learning with new technologies and online course development.

DISCLOSURE:
Reported no relevant financial relationships with commercial entities



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Accreditation

NUMBER OF CREDITS: 3 

The Harvard Medical School is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The Harvard Medical School designates this enduring material for a maximum of 3 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This course should take approximately 3 hours to complete.

Within 2 weeks of completing the course, you will receive your certificate via email.

Click the image to view a sample of the certificate


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General Information

HARDWARE/SOFTWARE REQUIREMENTS

Computers
Any computer running Windows, Mac OS, or Unix machines are supported.


Internet Connection
Your computer should be configured to access the Internet. A high speed internet connection may be required to view some of the large multimedia files.

Browsers
Firefox or Internet Explorer 5.5 or higher are recommended. JavaScript and cookies must be enabled.

Plugins
Some of the multimedia resources in this course require Apple Quicktime, RealMedia, or a Flash player. You will be prompted to download the appropriate plugin when necessary. No plugins are required for general use of the CME website, and you may skip the multimedia presentation(s) within the course if you choose.


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