Patient care

The Section of Geriatrics’ primary mission is to enhance the lives of older adults with high-quality care across the care settings through clinical collaboration, community engagement, scholarship, and research endeavors.

Our clinical programming offers a broad array of patient care services designed to provide outstanding comprehensive clinical services to older adults in central Ohio and beyond.  We offer outpatient primary care and subspecialty service, subacute care as well as consultative care in cognitive assessment. The Geriatrics program has been recognized as a top-ranked national program for our outstanding clinical services.

Clinical services within OSU Geriatrics are closely aligned with other nationally recognized programs at OSU: Hospice and Palliative Care, Acute Rehabilitation, and Neurology Cognitive Disorders.  All clinical sites are staffed with full-time faculty who are extensively trained in geriatric assessment and/or geriatric-specialized care.

Teaching

Our geriatricians regularly work with medical students, residents and fellows. Our geriatricians strive to give trainees a rich learning experience that provides broad exposure to the specialized approach of caring for the older adult across the continuum of care. Trainees of all levels are regarded as integral team members and experience a variety of clinical services in both inpatient and outpatient settings.

Our faculty regularly work with fourth-year medical students during the four-week AMRCC Chronic Care Geriatrics rotation and some serve as portfolio coaches for specific medical students. In addition, third-year medical students can opt to do a two-week geriatrics rotation as part of the “Understanding Patients within Populations” program.

PGY3 categorical IM residents and PGY4 med-peds residents join geriatricians in their outpatient clinics, in the geriatric impatient consult service at OSU’s hospitals and at the skilled nursing homes our geriatricians help staff. Geriatricians who work at the skilled nursing homes also teach PGY2 and PGY3 residents who rotate there as part of the OSU Family Medicine Residency program.

Moreover, the geriatricians who work in sites affiliated with OSU’s Comprehensive Wound Center often do so with medical students and residents from multiple medical specialties.

Our Geriatricians have also worked with resident learners from non-OSU sites, to assist residency programs in meeting their curricular needs and to offer greater opportunity to resident learners who have an expressed interest in advancing their knowledge in Geriatrics.

Research and Presentations

Our fellows join the geriatricians to participate in multi-disciplinary, collaborative research. OSU geriatricians also stay connected to cutting-edge developments in the geriatrics field through regular participation in the America Geriatrics Society Annual Meeting, the Society of General Internal Medicine annual conference and the Ohio Academy of Family Physician and the American Medical Directors Association conferences.

Research Projects

Expanding, Enhancing, and Enriching the Primary Care Workforce through Clinical Transformation Education. Donald Mack, Co-PI. Health Resources and Services Administration (HRSA) 5-year Grant, 2016-2021.

Impact of Omega-3 Fatty Acid Oral Therapy on Healing of Chronic Venous Leg Ulcers in Older Adults. Jodi McDaniel-PI.  Narasimhan Parinandi-Co-PI, Guibin Li-Co-PI. Alai Tan-Co-PI.  NIH-funded clinical trial. 2018-2023

The Impact of Interdisciplinary Cognitive Assessment Clinic on Early Diagnosis and Management of Dementia in Primary Care. Guibin Li-PI. Tanya Gure-Co-PI, Wesley Godfrey-Co-PI.

Publications

DM Berlowitz, C Foy, M Conroy, GW Evans, CM Olney, R Pisoni, JR Powell, A Rastogi, R Rosman, TR Gure, and RI Shorr. Impact of intensive blood pressure therapy on concern about falling: Longitudinal Results from the Systolic Blood Pressure Intervention Trial (SPRINT). Journal of the American Geriatrics Society. March 2020. 68 (3): 614-618.

SP Juraschek, AA Taylor, JT Wright, GW Evans, ER Miller, TB Plante, WC Cushman, TR Gure,  WE Haley, I Moinuddin, J Nord, S Oparil, C Pedley, CL Roumie, J Whittle, A Wiggers, C Finucane,  RA Kenny, LJ Appel, and RR Townsend. Orthostatic Hypotension, Cardiovascular Outcomes, and Adverse Events: Results from SPRINT. Hypertension. 2020 March. 75:660-667.

Incorporation of a Patient Navigator into a Secondary Prevention Fracture Program Identifies Barriers to Patient Care. KQ Jia, L Southerland, L Phieffer, JA Stephens, SW. Ing, MD. Aging Clin Exp Res. 2020 Feb 7. Epub ahead of print.

An Emergency Department Observation Unit is a feasible setting for Multidisciplinary Geriatric Assessments in compliance with the Geriatric Emergency Department Guidelines. LT Southerland,  A Vargas, L Nagaraj, TR Gure, and  J Caterino, Academic Emergency Medicine 2018. Jan 2018 25 (1): 76-82.

Syncope, Hypotension, and Falls in the Treatment of Hypertension: Results from the SPRINT Randomized Clinical Trial. KM. Sink; GW. Evans; RI Shorr; JT Bates; D Berlowitz; MB Conroy; DM Felton; TR Gure; KC Johnson; D Kitzman; MF Lyles; K Servilla; MA Supiano; J Whittle; A Wiggers; LJ Fine. Journal of the American Geriatrics Society. 2018: 66 (4):679-686.

Impact of Intensive Blood Pressure Therapy on Patient-Reported Outcomes. DR Berlowitz, CG Foy, LE Kazis, LP Bolin, MB Conroy, P Fitzpatrick, TR Gure, MD, PL Kimmel, K Kirchner, DE Morisky, J Newman, C Olney, S Oparil, NM Pajewski, J Powell, T Ramsey, DL Simmons , J Snyder, MA Supiano, DE Weiner,  J Whittle for the SPRINT Research Group. N Engl J Med. 2017 Aug 24;377(8):733-744.

Geriatric Consultation for Older Trauma Patients Improves Adherence to Geriatric Trauma Management Guidelines. LT Southerland, TR Gure, D Reuter, M Li, DC Evans. Journal of Surgical Research. Aug 2017: 56-64.

Presentations–⁠National

Provider Socioeconomic Bias in Cognitive Impairment Screenings: A Raza, W Godfrey, Z Smith, C Brea, G Li.  Accepted to The 2020 American Geriatrics Society Annual Scientific Meeting. Received an AGS 2020 Best Abstract Award

AMDA Core Curriculum on Medical Direction in Post-Acute and Long Term Care Synthesis Course,” D Mack, faculty, St. Louis, Missouri, July 19-21, 2019.

Impact of a Step-wise Approach to Pruning Medications in an Interdisciplinary Polypharmacy Clinic.” G Li, K Barnes, S Betty, S Labella.  2019 SGIM Annual Meeting. Washington DC, May, 2019.  Poster presentation.

Improving medication reconciliation and polypharmacy intervention in cognitive assessment clinic. S Arif, S JohnsonG Li. The 2019 American Geriatrics Society Annual Scientific Meeting. California.  May 2019.  Poster presentation.

AMDA Core Curriculum Online Webinar 2. C Kuttner and D Mack, AMDA Online, April 4, 2019.

AMDA Core Curriculum Online Webinar 1. B Dentler and D Mack, AMDA Online, June 6, 2018.

Medical Student Perceptions of Health Coaching Effectiveness.  C Curren, D Mack, A Clevenger, C Walker, C Ledford, Poster Presentation, 2017 Fall Celebration of Educational Scholarship, OSU College of Medicine, Columbus, October 13, 2017.

Incorporation of Multidisciplinary Geriatric Care into an Emergency Department Observation Unit.  L Southerland, L Kunduru, T Gure, J Caterino, M Moseley. Oral presentation in a symposium, IAGG World Congress of Gerontology & Geriatrics July 2017.

Battling Pill Burden: Impact of an Interdisciplinary. Step-Wise Approach to Polypharmacy in A Geriatric Population. J Stroud, G Li. American Geriatrics Society Annual Scientific Meeting.  San Antonio, Texas. May, 2017.   Poster presentation.

Presentations–⁠State & Local

Subacute Care in the Era of Value Based Purchasing and Accountable Care Organizations. T Gure and D Mack, OSU Department of Internal Medicine Grand Rounds, Columbus, Ohio, January 30, 2020. 

Wound care.  G Li.  2nd Annual Ohio Long-Term Care Symposium. Columbus, Ohio. October 20, 2020

Polypharmacy. G Li. Mini-grand rounds, Division of general Internal Medicine and geriatrics, OSUWMC. June 11, 2019.

Hospitalist-Geriatric Medicine Collaborative: Strides toward an Age-Friendly Health System. Co-speaker T Gure. Sponsored by Division of Hospital Medicine. May 14, 2019.

My Coming Out Story and Advice on Your Future Medical Practice.  D Mack, OSU College of Medicine, LGBTQI+ and Allies Medical Student Interest Group, Columbus, Ohio.  October 23, 2018.

Evaluation of Elder Abuse and Exploitation: The Physician’s Role. T Gure.  2018 Elder Abuse Awareness Day. Plenary Speaker. Sponsor: Ohio Attorney General Office and Elder Abuse Commission. Columbus, Ohio. June 25, 2018.

Perspectives on Normal Aging and Healthy Living by Two Geriatricians. T Gure, G Li. Sponsored by Ohio State University Retirees Association.  Columbus, Ohio. June 23, 2018.

Hospice.  D Mack, OSU FM Residency Grand Rounds, Columbus, Ohio, June 6, 2018.

Geriatric Case Presentation on Frailty.  D Mack, OSU FM Residency Grand Rounds, Columbus, Ohio, April 11, 2018.

Organization Medicine. S Sheikh, D Mack, OSU FM Residency Grand Rounds, Columbus, Ohio, March 14, 2018.

Geriatric Case Presentation on McGeer Criteria, Asymptomatic Bacteriuria, and Beers Criteria. D Mack, OSU FM Residency Grand Rounds, Columbus, Ohio, January 31, 2018.

Transitions of Care for OrthoGeriatric Patients." T  Gure. Invited speaker. Division of Endocrinology: Bone Day 2017. Ohio State University CME event. Columbus, Ohio.  December 1, 2017.

Geriatrics at OSU and MSTAR.  T Gullo, D Mack, OSU College of Medicine, Geriatric Interest Group. Columbus, Ohio. October 24, 2017.

Geriatric Issues in Hospital Medicine: 2017 Update. T Gure. Guest speaker. Division of Hospital Medicine: The OSU Hospital Medicine Symposium 2017. CME event. Columbus, Ohio. October 6, 2017.

Avoidance of Antimicrobials in Asymptomatic Bacteriuria. D Mack, Ohio Medical Directors Association, Webinar.  September 14, 2017.

Living with Chronic Disease.  T Gure, Co-presenter, Clintonville Senior Center, Ohio. 8/20/2017.