Edinburgh International Course in Medicine of the Older Adult

Welcome and introductory remarks

Professor Mark Strachan, President, Royal College of Physicians of Edinburgh

Update on osteoporosis and fracture risk
 Professor David Armstrong, Consultant Rheumatologist and Osteoporosis Specialist, Altnagelvin Hospital, Londonderry, Northern Ireland

  * diagnosis * shared decision making * updates in management * complex cases * renal impairment  

Older people's trauma - for the generalist
 Dr Surabhi Varma, Consultant Orthogeriatrician and Trauma Director, West Middlesex University Hospital

 * advanced trauma life support guidance * traumatic brain injury * rib fractures * spinal cord injuries * predicting outcomes * palliative care following trauma

Brain injuries in older people following trauma (neurosurgery and rehabilitation perspectives)
Mr Kevin Tsang, Consultant Neurosurgeon, Imperial College Healthcare NHS Trust
Rachel Foote, Senior Neuro-Physiotherapist, Imperial College Healthcare NHS Trust

*surgical vs conservative management *subdural haematoma *re-imaging *prognostication *long-term outcomes *long-term outcomes

Spinal injuries in older people following trauma (neurosurgery and rehabilitation perspectives) 
Mr Kevin Tsang, Consultant Neurosurgeon, Imperial College Healthcare NHS Trust
Rachel Foote, Senior Neuro-Physiotherapist, Imperial College Healthcare NHS Trust

*C-spine injuries *use of collars *surgical vs conservative management *”bed-rest” vs deconditioning *managing delirium in the context of unstable injuries

Hospital at home - 15 years on and still growing
Dr Helen Morgan, Clinical Lead and Consultant in Medicine for the Older Adults, NHS Lanarkshire

* how can we optimally care for people in own homes * what level of treatment can we provide * role of telemedicine * team make up * application around the world 

Providing high quality care in care homes
Professor Adam Gordon, Professor of Care of Older People, Academic Centre of Healthy Ageing, Queen Mary University of London and Barts Health NHS Trust

* measuring and improving quality of life * wearable devices * social networks analysis * medication use * impact of practice care on survival * application around the world

Remote and rural medicine
Dr Stephen Makin, Consultant Geriatrician/Senior Clinical Lecturer, NHS Highland/University of Aberdeen

• case finding/screening
• CGA in primary care
• remote and rural medicine
• primary-secondary care interface
• alternatives to acute admission
• case studies
• application around the world

Parkinson's or parkinsonism?
Dr Sarah Marrinan, Consultant Physician, Medicine of the Elderly, Royal Infirmary of Edinburgh

• how to diagnose parkinsonian syndromes
• cortico basal degeneration/progressive supranuclear palsy/multisystem atrophy
• approach to aid diagnosis
• when to refer
• updates in management

Help, my patient can't swallow
Dr Elizabeth Visser, Consultant Neurologist, Aberdeen Royal Infirmary 
and Collette Hughes, Lead Speech & Language Therapist in Neurosciences, Aberdeen Royal Infirmary

• assessment
• differential diagnosis
• myasthenia gravis
• MND
• next steps

Updates in Delirium
Professor Alasdair MacLullich, Professor of Geriatric Medicine, NHS Lothian

• what's new
• early recognition
• symptom management
• prognosis
• follow-up

Updates in Dementia
Dr Louise Tayler-Grint, Consultant Liaison and Old Age Psychiatry, NHS Tayside

• what's new
• diagnosis
• subtypes
• stress and distress
• management

Optimising sleep for older people and ourselves
Dr Paul Reading, Consultant Neurologist, South Tees Hospitals NHS Foundation Trust.

• physiology
• assessment
• non-pharmacology management
• pharmacology management
• sleep and wellbeing in healthcare workers

Caring for you so you can care for others
Dr Helen Garr, Medical Director, NHS Practitioner Health

• moral injury
• impact of complaints and attending Coroner’s Court, including practical strategies for managing these challenges
• Recognising signs that you or your colleagues may be struggling
• Learning practical tools to support mental health and wellbeing at work
  
   

Avoiding pitfalls in acute stroke
Dr John Reid, Consultant Stroke Neurologist, Aberdeen Royal Infirmary

• getting the diagnosis right - implications of the right/wrong diagnosis
• evidenced based guidance for interventions that influence outcome

Rehabilitation after stroke - an update for physicians
Professor Gillian Mead, Professor of Stroke and Elderly Care Medicine, University of Edinburgh and Head, Ageing and Health, Usher Institute, University of Edinburgh

• what's new
• outcome measures
• transferring good practice into other settings

Dizziness at the front door
Dr Jenny Harrison, Consultant Geriatrician, East Lothian Community Hospital

• what's new
• aids to diagnosis
• bedside manoeuvres
   

Eyes for the non-ophthalmologist, a guide
Mr Pankaj Agarwal, Consultant Ophthalmologist, Princess Alexandra Eye Pavilion, Edinburgh

• the ageing eye
• glaucoma
• age related macular degeneration
• cataracts
• new treatment advances

Anorectal function and ageing
Dr Emma Carrington, Clinical Associate Professor in Colorectal Surgery, Imperial College, London

• assessment
• faecal incontinence
• atonic bowel
• updates in management
• when to refer

Intensive care for the older adult
Dr Bryan Yates, Consultant in Critical Care and Respiratory Medicine, Northumbria NHS

• what can intensive care offer your patient?
• who benefits? who doesn't?
• what are the risks in the frailer patient?
   

Management of diabetes in the older adult with frailty
Professor Mark Strachan, Consultant Physician in Endocrinology, Diabetes and Acute Medicine, NHS Lothian

• target HbA1c
• drug choice
• management of complications
• diabetic control at end of life

Managing HIV in the older adult
Dr Naomi Bulteel, Consultant in Infectious Diseases and General Medicine, NHS Lothian

• frailty assessment
• side effects of antiretroviral therapy
• late diagnosis and stigma

Surgical management of an older person. Anaesthetic approach
Dr Jane de Pennington, Anaesthesia, The Newcastle upon Tyne Hospitals NHS Foundation Trust

• the role of the anaesthetist in the MDT
• pre-operative risk assessment in older people
• post-op pain management

Surgical and expectant management of an older person with bladder cancer.  Surgical approach
Professor Param Mariappan, Consultant Urological Surgeon, Western General Hospital, Edinburgh

• the role of the surgeon in the MDT
• conservative options

Surgical management of an older person. Geriatric medical approach
Dr Anne Duffty, Consultant Geriatrician, Hairmyres

• the role of geriatrician in MDT
• using CGA in peri-operative setting
• setting up a POPS service

Update on the management of prostate disease
Mr Abhishek Sharma, Consultant Urological Surgeon, NHS Lothian

• Prostatic and urinary tract symptoms
• Management of benign prostatic obstruction (BPO/BPE/BPH)
• Contemporary management of prostate cancer

Legs off? Practical vascular surgery for older people
Dr Alex Vesey, Consultant Vascular Surgeon, Southwest Scotland Vascular Network

• atherosclerosis - modern understanding and medical therapy
• the grotty foot - assessment & decision making in peripheral arterial disease, diabetic foot and amputation
• venous disease in the older patient

Cardiology
Dr Andrew Chapman, Consultant Cardiologist, NHS Lothian and Senior Lecturer, University of Edinburgh

• updates in interventional cardiology
• when to refer for TAVI
• peri-operative management of heart failure

Living and dying with cardiac implantable devices
Dr Honey Thomas, Consultant Cardiologist, Northumbria Healthcare NHS Foundation Trust

• understand the types of cardiac implantable electronic devices (loop recorders, simple pacemakers, resynchronisation pacemakers and defibrillators)
• indications for implant
• troubleshooting cardiac devices on the acute medical unit
• end of life considerations in people with cardiac devices (with particular attention on ICD management)

From itch to ulcer - the top skin presentations in older adults - and how to treat them
Dr Katie Duncan, Consultant Dermatologist, NHS Highland

• top 10 most likely skin presentation in older people
• a walk through skin presentations in the older person
• optimum wound care
• a dressing update

Medicines optimisation for older people with frailty
Dr Henry Woodford, Consultant Geriatrician, Northumbria Healthcare NHS Foundation Trust

• why people with frailty need a different approach
• how to identify inappropriate polypharmacy
• how to align prescribing with person-centred goals

Management of CKD in older people with frailty
Dr Tim Shipley, Consultant Renal Physician, South Tees NHS

• prognostication
• disease modification
• management of complications
• end stage renal failure