Vulnerable Elderly: Optimizing Care for the Frail Patient (GER)

This session has been identified and designated as Credit to Address Regulatory Mandate for Geriatric. Learn more about state regulatory mandates.

Session Description

In recent years, more has been learned about the definition of frailty and novel interventions to minimize frailty and its effects have been focused on improving outcomes for these vulnerable patients. This session will discuss: the surgical models of accelerated frailty; what we have learned from transplant patients about frailty; preventive measures for postoperative complications due to frailty; and implementing a focused program for our patients: The Coalition of Quality for Geriatric Surgery (COGS).

Moderator: Michael E. Zenilman, MD, FACS, Brooklyn, NY

Co-Moderator: Rachel G. Khadaroo, MD, PhD, FRCSC, FACS, Edmonton, Alberta


Introduction to Session
Michael E. Zenilman, MD, FACS, Brooklyn, NY

Introduction to Speakers
Rachel G. Khadaroo, MD, PhD, FACS, FRCSC, Edmonton, Alberta

Definition: Surgical Models of Accelerated Frailty: What We Learned from Transplant Patients
Dorry L. Segev, MD, Baltimore, MD

Assessment: Quick Assessment and Prehabilitation
Rakesh C. Arora, MD, PhD, FACS, FRCSC, Winnipeg, Manitoba

Prevention: Frailty Programs in Surgical Care
Zara Cooper, MD, FACS, Boston, MA

The Future: The Coalition of Quality for Geriatric Surgery (COGS)
Ronnie A. Rosenthal, MD, FACS, West Haven, CT

Sponsored by the Scientific Forum Committee and the Task Force on Geriatric Surgery

Target Audience

  • Practicing surgeons
  • Residents

Learning Objectives

  • Apply new knowledge and ideas to improve their surgical practice
  • Adapt concepts and quality measures in support of research advancements
  • Enhance the quality of patient care


For questions about the course, please contact

Course summary
Available credit: 
  • 1.50 AMA PRA Category 1 Credit™
  • 1.50 Certificate of Completion
  • 1.50 Self Assessment Credit
Course opens: 
Course expires: 

Disclosure Information

In accordance with the ACCME Accreditation Criteria, the American College of Surgeons must ensure that anyone in a position to control the content of the educational activity (planners and speakers/authors/discussants/moderators) has disclosed all relevant financial relationships with any commercial interest. For additional information, please visit the ACCME website.

The ACCME also requires that ACS manage any reported conflict and eliminate the potential for bias during the educational activity. Any conflicts noted below have been managed to our satisfaction. The disclosure information is intended to identify any commercial relationships and allow learners to form their own judgments. However, if you perceive a bias during a activity, please report it on the evaluation.

(Download the full list of disclosures).

Faculty and Disclosures

Dorry L. Segev, MD, PhD, FACS - CSL behring: Honoraria: Speaking and advisory; Roche: Honoraria: Speaking and advisory; Novartis: Honoraria: Speaking and advisory; Sanofi: Honoraria: Speaking and advisory
Michael E. Zenilman MD, FACS - Nothing to Disclose
Rachel G. Khadaroo MD, PhD, FRCSC, FACS - Nothing to Disclose
Rakesh C. Arora, MD, PhD, FRCSC, FACS - Abbott Nutrition: Honoraria: Invited Advisory Board Member; Mallinckrodt Pharmaceuticals: Honoraria: Invited Advisory Board Member; Pfizer Canada Inc.: Grant: Principal Investigator
Ronnie A. Rosenthal MD, FACS - Nothing to Disclose
Zara Cooper MD, MSc, FACS - Nothing to Disclose

Program Committee and Disclosures

CHAIR: Henri R. Ford, MD, MHA, FACS, FAAP, FRCSEng(Hon), Miami, FL - Nothing to Disclosure
VICE-CHAIR: David T. Cooke, MD, FACS, Sacramento, CA - Nothing to Disclosure


David C. Borgstrom, MD, FACS, Morgantown, WV - Nothing to Disclosure
Daniel L. Dent, MD, FACS, San Antonio, TX - Nothing to Disclosure
Roger R. Dmochowski, MD, FACS, Nashville, TN - Allergen: Honoraria: Consultant
Cynthia D. Downard, MD, FACS, Louisville, KY - Nothing to Disclosure
Audra A. Duncan, MD, FACS, London, ON - Nothing to Disclosure
Mariam F. Eskander, MD, Boston, MA - Nothing to Disclosure
Paula Ferrada, MD, FACS, Richmond, VA - Nothing to Disclosure
Neil H. Hyman, MD, FACS, Chicago, IL - Nothing to Disclosure
Martin S. Karpeh, Jr., MD, FACS, New York, NY - Nothing to Disclosure
Dennis H. Kraus, MD, FACS, New York, NY - Nothing to Disclosure
Kenneth W. Sharp, MD, FACS, Nashville, TN - Nothing to Disclosure


Daniel M. Herron, MD, FACS, FASBMS, New York, NY - Nothing to Disclosure
Edith Tzeng, MD, FACS, Pittsburgh, PA - Nothing to Disclosure


Barbara Lee Bass, MD, FACS, FRCSEng(Hon), FRCSI(Hon), FCOSECSA(Hon), Houston, TX - Nothing to Disclosure
Quan-Yang Duh, MD, FACS, San Francisco, CA - Nothing to Disclosure
B. J. Hancock, MD, FACS, FRCSC, Winnipeg, MB - Nothing to Disclosure
Ronald V. Maier, MD, FACS, FRCSEd(Hon), Seattle, WA - Nothing to Disclosure

Continuing Medical Education Credit Information


The American College of Surgeons is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

AMA PRA Category 1 Credits™

The American College of Surgeons designates this enduring activity for a maximum of 1.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Of the AMA PRA Category 1 Credits™ listed above, a maximum of 1.5 credits meets the requirements for Self-Assessment.

American College of Surgeons and ACGME Logos

Note: Residents will receive a Certificate of Completion.

Available Credit

  • 1.50 AMA PRA Category 1 Credit™
  • 1.50 Certificate of Completion
  • 1.50 Self Assessment Credit
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This course is available as part of the Clinical Congress 2019 Webcast Packages