Overview of Section of Gerontology and Geriatric Medicine

Dr. Jeff Williamson, Chief of Gerontology and Geriatric Medicine, provides an overview of the Section of Gerontology and Geriatric Medicine. Topics include: structure of the section, culture, areas of expertise, importance of fellowship programs, diverse opportunities of the program, and our place in the Wake Forest system.

Research Opportunities

Fellow must complete a quality improvement project during their fellowship year and are assigned mentor(s) that help walk them through the process of root cause analysis and the Plan-Do-Study-Act Cycle to complete their project. 

Fellows must attend a research series during their fellowship year, which is an eight session series that covers key topics related to doing research, and are also encouraged to do a research project if desired during their fellowship year. 

The topics covered vary per year but have included:

Research 101
Study Designs-Cohorts
Study Designs-Clinical Trials (RCT,Cross-Over)
Bias and Confounding
Working with Biostatisticians
Meta-Analysis/Systematic Reviews
Survey/Questionnaire Development

Tips for Poster/Oral Presentations
Choosing a research question
Use of library resources
Study design
Wake One data/navigating IRB
Stats and Data visualization
Power and sample size

Recent Publications

Steffen,L; Cheavens,J; Vowles,K; Gabbard,J; Nguyen, H; Gan,G; Martin,E; Smith,B. Hope-related Goal Cognitions and Daily Experiences of Fatigue, Pain, and Functional Concern among Lung Cancer Patients. Supportive Care in Cancer. Support Care Cancer. 2019 Jun 01. PMID: 31152302.

Gabbard J, Jordan A, Mitchell J, Corbett M, White P, Childers J. Dying on Hospice in the Midst of an Opioid Crisis: What Should We Do Now? The American journal of hospice & palliative care. 2018:1049909118806664.

Mogul AS, Cline DM, Gabbard J, Bryant C. Missed Opportunities: Integrating Palliative Care into the Emergency Department for Older Adults Presenting as Level I Triage Priority from Long-Term Care Facilities. The Journal of emergency medicine. 2018. 

Gabbard, J., Sieber, F., & Oh, E. (2019). Postoperative Delirium. In R. Eckenhoff & N. Terrando (Eds.), The Perioperative Neurocognitive Disorders (pp. 11-23). Cambridge: Cambridge University Press. doi:10.1017/9781316402504.003 (ISBM: 9781316402504). 

Gabbard,J; McNabney,M. “End-of-Life Care for Dementia Patients in the Program of All-inclusive Care for the Elderly (PACE) - A Quality of Care Assessment”. Remedy Open Access. 2016. Volume 1. Article 1016. Page 1-5. 

Gabbard J, McNabney M. The Case for Dual Training in Geriatric Medicine and Palliative Care: The Time is Now. Am J Hosp Palliat Care. 2018 Feb;35(2):364-370. doi: 10.1177/1049909117696251. Epub 2017 Mar 1. PubMed PMID: 28273760.

Gabbard, J., Pajewski, N. M., Callahan, K. E., Dharod, A., Foley, K., Ferris, K., Williamson, J. (2019). Advance care planning for vulnerable older adults within an Accountable Care Organization: study protocol for the IMPACT randomised controlled trial. BMJ Open, 9(12). doi:ARTN e032732

Moses, A., Dharod, A., Williamson, J., Pajewski, N. M., Tuerff, D., Guo, J., & Gabbard, J. (2020). Considerations for Integrating Advance Care Planning Into the Electronic Health Record: A Primer for Clinicians. American Journal of Hospice & Palliative Medicine. doi:Artn 1049909120909303

McLouth, L. E. S., Lycan, T. W., Levine, B. J., Gabbard, J., Ruiz, J., Farris, M., . . . Petty, W. J. (2020). Patient-Reported Outcomes From Patients Receiving Immunotherapy or Chemoimmunotherapy for Metastatic Non-Small-Cell Lung Cancer in Clinical Practice. Clinical Lung Cancer, 21(3), 255-+. doi:10.1016/j.cllc.2019.11.015

Gabbard, J.; Johnson,D*; Russel, G; Spencer, S; Williamson, J; McLouth,L; Ferris,K; Sink,K; Brenes,G; Yang, M. "Prognostic Awareness, Disease and Palliative Understanding Among Caregivers of Patients With Dementia." American Journal of Hospice and Palliative Medicine®: 2019. PMID 31854201

Sheehan OC, Kharrazi H, Carl KJ, Leff B, Wolff JL, Roth DL, Gabbard J, Boyd CM. Helping Older Adults Improve Their Medication Experience (HOME) by Addressing Medication Regimen Complexity in Home Healthcare. Home Healthc Now. 2018 Jan/Feb;36(1):10-19. doi: 10.1097/NHH.0000000000000632. PubMed PMID: 29298192

Sheehan OC, Graham-Phillips AL, Wilson JD, Crews DC, Holt CL, Gabbard J, Smith KC, Wolff JL, Roth DL. Non-spouse companions accompanying older adults to medical visits: a qualitative analysis. BMC Geriatr. 2019 Mar 15;19(1):84. PubMed PMID: 30876388

Marterre B. Bruno's Score. J Pain Symptom Manage. 2018.

Gabbard, J; Breznau, C*; Marterre, B. Palliative Management Pearls for Post-Bariatric Surgery Patients. Journal of Palliative Medicine. 2019. 

Marterre B and K Clayville. Navigating the Murky Waters of Hope, Fear and Spiritual Suffering: An Expert Co-Captain’s Guide. Surgical Clinics of North America (in press), 2019.

Omlor, Rebecca. To Resuscitate or Not to Resuscitate. Pallimed Glob. August 2018.

Brooten, J. K., Buckenheimer, A. S., Hallmark, J. K., Grey, C. R., Cline, D. M., Breznau, C. J., . . . Gabbard, J. L. (2020). Risky Behavior: Hospital Transfers Associated with Early Mortality and Rates of Goals of Care Discussions. Western Journal of Emergency Medicine, 21(4), 935-942. doi:10.5811/westjem.2020.5.46067

Isaac Chua, MD, Finly Zachariah, MD et al.  Early Integrated Telehealth versus In-Person Palliative Care for Patients with Advanced Lung Cancer:A Study Protocol. JPSM. Accepted as of July 2, 2019

Kurowski-Burt A, Sedney C, Smith M, Dekeseredy P, Grey C, Boo S. Therapeutic nihilism of neurological diseases: A comparative qualitative study. Jour of Clin Neuroscience. Accepted Aug 5, 2019

Posters and Presentations

Buckenheimer A, Dothard A, Russell G, Grey C, Petty WJ, Lycan TW. “End-of-life care in the immune checkpoint inhibitor era.” Accepted for online presentation at the Annual Meeting of the American Society of Clinical Oncology, Chicago, IL, abstract number e24003, scheduled for May 29th, 2020.

Roberts N, Buckenheimer A, Dothard A, Grey C, Petty WJ, Lycan TW.  Lazarus effect? A retrospective case series of NSCLC patients previously on hospice care who later received immunotherapy. Poster accepted for presentation at American College of Physicians, North Carolina chapter (NC-ACP) annual scientific session; Greensboro, NC, ‪Feb 28, 2020‬.‬‬‬‬‬‬‬‬

Mogul,A; Bryant,C; Gabbard,J; Cline, D. “Missed Opportunities: Integrating Palliative Care into the Emergency Department for Older Adults Presenting as Level 1 Triage Priority from Long-Term Care Facilities”.  American College of Emergency Physicians Conference 2018

Gabbard,J; Johnson, D; Spencer,S; Sink,K; Yang,M. Prognostic Awareness and Palliative Understanding Among Caregivers of Patients with Dementia. AGS National Meeting 2019

Brooten,J*; McQueen,T; Breznau,C; Omlor,R; Cleveland,M; Yang,M; Gabbard,J. “Improving Home-based Primary Care Communications with Patients and Caregivers”. Wake Forest Quality Improvement Symposium 2019

Brooten,J*; Sarwal,A; Grey,C; Gabbard,J: “Tertiary Care Transfer, Early Mortality and Goals of Care Discussions in Patients with Acute Neurological Conditions”. Neurocritical Care Society (NCS) Annual meeting October 2019

Brooten,J*; Buckenheimer,A, Breznau,C; McQueen,T; Welsh,D; Hallmark, J; Williamson,J; Grey,C; Cline,DM, Gabbard,J. “Risk factors associated with early mortality and hospital transfer along with rates of goals of care discussions”. Wake Forest Research Symposium 2019 and Academy of Emergency Medicine Conference 2020 

Guo, J., Pajewski,N; Callahan,K; Dharod,A; Foley,K; Ferris,K; Moses, A; Willard, J.; Williamson,J; Gabbard,J. (2020). "ACPSmart Tool: A tool for clinical decision support for advance care planning in an outpatient primary care setting”. AGS 2020

Gabbard,J;  McLouth, C; Brenes, G, Claudel,S*; Ongchuan, S*; Burkart, J; Pajewski, NM; Callahan, K; Williamson,J; Murea, M (2020). "Rapid Electronic Capturing of Patient-Reported Outcome Measures in Older Adults with End-Stage Renal Disease: A Feasibility Study." AGS 2020

Implementing Predictive Modeling to Increase Advance Care Planning Completion in Outpatient IM Resident Clinics. Life Care Forum; User Group Meeting, Epic National Convention. User Group Meeting. Presented by S. Allan Petty. Contributors Adam Moses, Carl Grey, Ajay Dharod. Verona, WI, August 2020.  

Implementing Predictive Modeling to Increase Advance Care Planning Completion in Outpatient IM Resident Clinics. American Medical Informatics Association 2020 Meeting. Presented by S. Allan Petty. Contributors Adam Moses, CF Morris, Richa Bundy, Carl Grey, Ajay Dharod. November 2020.

Implementing Predictive Modeling to Increase Advance Care Planning Completion in Outpatient IM Resident Clinics. North Carolina User Group Meeting. Presented by S. Allan Petty. Contributors Adam Moses, Carl Grey, Ajay Dharod. Greensboro, NC. March 2020.