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INTRODUCTION

Professional Profile Details

2/17/2026 - Medical Grand Rounds: Aging, Mobility, and Hospitalization

QUIZ

EVALUATION

CERTIFICATE

INTRODUCTION

Credit Hours: 0.75

Target Audience:

Faculty, residents, fellows, and community physicians in General Internal Medicine and subspecialties.

Educational Objectives:

Upon completion of this activity, participants should be able to:

  • Increase physician awareness of the significance of declining mobility as a predictor of poor outcome.
  • Identify reversible physiologic, inactivity, and environmental factors contributing to decreased mobility.
  • Engage the hospital-based interprofessional team to optimize inpatient mobility and maintenance of function.
  • Describe strategies to improve outcomes for hospitalized older adults, including reducing length of stay, optimizing discharge location, and lowering 30?day readmission rates.

Suggested Additional Reading :

  1. Hainline G, Hainline R, Handlery R, Fritz S. A Scoping Review of the Predictive Qualities of Walking Speed in Older Adults. J Geriatr Phys 2024 Oct-Dec;47(4):183-191. doi: 10.1519/JPT.0000000000000398. Epub 2024 Sep 18.
  2. Yasmeen I, Krewulak K, Grant C, Stelfox H, Fiest K. The Effect of Caregiver-Mediated Mobility Interventions in Hospitalized Patients on Patient, Caregiver, and Health System Outcomes: A Systematic Review. Arch Rehab Res 2020: 2 (4) . https://doi.org/10.1016/j.arrct.2020.100074
  3. Hao X, Yang Y, Gu Y, Zhang H, Zhao X, Li K. Multicomponent Interventions for Functional Outcomes in Hospitalized Older Patients: A Systematic Review and Meta-Analysis. J Amer Med Dir Assoc. 2026; 27 (1). https://doi.org/10.1016/j.jamda.2025.105975
  4. Simal I, Somers A, Ryg J et al. Older adult risk classification for anticholinergics (ORCA): a Delphi panel-validated scale. Age and Ageing, Volume 54, Issue 10, October 2025, afaf313, https://doi.org/10.1093/ageing/afaf313
  5. Theodorakis N, Hitas C, Vamvakou G, Kalantzi S, Spyridaki A, Kollia Z, Feretzakis G, Nikolaou M. Complexities in Geriatric Cardiology: Clinical Dilemmas and Gaps in Evidence. J Geriatr Cardiol 2025; 22(1): 190−209. DOI: 10.26599/1671-5411.2025.01.004.
  6. Wang N, Zheng A, Yan Y et al. Aging induces sarcopenia by disrupting the crosstalk between the skeletal muscle microenvironment and myofibers. Journal of Advanced research 2025. July 3. https://doi.org/10.1016/j.jare.2025.07.004

Authors:
Karen Scandrett, MD, MPH — Associate Professor of Medicine, Division of Geriatric Medicine, University of Pittsburgh School of Medicine.
No relationships with industry relevant to the content of this educational activity have been disclosed.
Leslie Scheunemann, MD, MPH — Assistant Professor of Medicine, Division of Geriatric Medicine, University of Pittsburgh School of Medicine.
No relationships with industry relevant to the content of this educational activity have been disclosed.
Samender Singh Randhawa, MD — Clinical Assistant Professor of Medicine, Division of Geriatric Medicine, University of Pittsburgh School of Medicine.
No relationships with industry relevant to the content of this educational activity have been disclosed.
No other members of the planning committee, speakers, presenters, authors, content reviewers and/or anyone else in a position to control the content of this education activity have relevant financial relationships with any companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

In support of improving patient care, the University of Pittsburgh is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

The University of Pittsburgh School of Medicine is accredited by the ACCME to provide continuing medical education for physicians. The University of Pittsburgh School of Medicine designates this enduring material activity for a maximum of 0.75 AMA PRA Category 1 Credits™. Each physician should only claim credit commensurate with the extent of their participation in the activity.

Other health care professionals will receive a certificate of attendance confirming the number of contact hours commensurate with the extent of participation in this activity.

The University of Pittsburgh is an affirmative action, equal opportunity institution.