Scholars@Duke

• Background
• 

  Education, Training, & Certifications

  • Geriatrics Fellowship, St. Mary's Hospital Medical Center 2009 - 2010
  • Internal Medicine Residency, St. Mary's Hospital Medical Center 2006 - 2009
  • D.O., Midwestern University, Chicago College of Osteopathic Medicine 2006
• 

  Previous Appointments & Affiliations

  • Associate Professor of Medicine, Medicine, Geriatrics, Medicine 2019 - 2020
  • Instructor in the Department of Medicine, Medicine, Geriatrics, Medicine 2019
• Expertise
• 

  Subject Headings

  • Education
• Research
• 

  Selected Grants

  • Cognitive Stimulation Therapy across a healthcare system to improve clinical outcomes awarded by Dementia Alliance of North Carolina 2020 - 2022
• 

  External Relationships

  • Med IQ
  • Signature Healthcare
• Publications & Artistic Works
• 

  Selected Publications

  • Academic Articles

    • Colón-Emeric, Cathleen S., Emily J. Hecker, Eleanor McConnell, Laurie Herndon, Milta Little, Tingzhong Xue, and Sarah Berry. “Improving shared decision-making for osteoporosis pharmacologic therapy in nursing homes: a qualitative analysis.” Arch Osteoporos 17, no. 1 (January 3, 2022): 11. https://doi.org/10.1007/s11657-021-01050-0.
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    • Xue, Tingzhong Michelle, Cathleen S. Colón-Emeric, Laurie Herndon, Emily J. Hecker, Sarah D. Berry, Milta O. Little, and Eleanor S. McConnell. “Strengthening Resident, Proxy, and Staff Engagement in Injury Prevention in Skilled Nursing Facilities.” Gerontologist, December 31, 2021. https://doi.org/10.1093/geront/gnab193.
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    • Lach, Helen W., Milta O. Little, Max Zubatsky, Orawan Kuljeerung, and Marla Berg-Weger. “Interprofessional competencies of students in a geriatric case competition.” Gerontol Geriatr Educ 42, no. 2 (April 2021): 243–51. https://doi.org/10.1080/02701960.2020.1854748.
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    • Little, Milta O., Angela M. Sanford, Theodore K. Malmstrom, Christina Traber, and John E. Morley. “Incorporation of Medicare Annual Wellness Visits into the Routine Clinical Care of Nursing Home Residents.” J Am Geriatr Soc 69, no. 4 (April 2021): 1100–1102. https://doi.org/10.1111/jgs.16984.
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    • Schlögl, Mathias, Florian Riese, Milta O. Little, David Blum, Ralf J. Jox, Lynn O’Neill, Sophie Pautex, Ruth Piers, Deborah Way, and Christopher A. Jones. “Top Ten Tips Palliative Care Clinicians Should Know About Cognitive Impairment and Institutional Care.” J Palliat Med 23, no. 11 (November 2020): 1525–31. https://doi.org/10.1089/jpm.2020.0552.
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    • Sanford, Angela M., John E. Morley, Marla Berg-Weger, Janice Lundy, Milta O. Little, Kathleen Leonard, and Theodore K. Malmstrom. “High prevalence of geriatric syndromes in older adults.” Plos One 15, no. 6 (2020): e0233857. https://doi.org/10.1371/journal.pone.0233857.
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    • Little, M. “Treating and preventing clostridium difficile infection in long-term care facilities.” Annals of Long Term Care 26, no. 7 (December 1, 2018): 25–29. https://doi.org/10.25270/altc.2018.10.00043.
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    • Little, Milta O. “Reversible Dementias.” Clin Geriatr Med 34, no. 4 (November 2018): 537–62. https://doi.org/10.1016/j.cger.2018.07.001.
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    • Fougère, B., J. E. Morley, M. O. Little, P. De Souto Barreto, M. Cesari, and B. Vellas. “Interventions Against Disability in Frail Older Adults: Lessons Learned from Clinical Trials.” J Nutr Health Aging 22, no. 6 (2018): 676–88. https://doi.org/10.1007/s12603-017-0987-z.
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    • Little, Milta O. “Updates in nutrition and polypharmacy.” Curr Opin Clin Nutr Metab Care 21, no. 1 (January 2018): 4–9. https://doi.org/10.1097/MCO.0000000000000425.
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    • Cruz-Oliver, Dulce M., Milta O. Little, Jean Woo, and John E. Morley. “End-of-life care in low- and middle-income countries.” Bull World Health Organ 95, no. 11 (November 1, 2017): 731. https://doi.org/10.2471/BLT.16.185199.
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    • Messinger-Rapport, Barbara J., Milta O. Little, John E. Morley, and Julie K. Gammack. “Clinical Update on Nursing Home Medicine: 2017.” J Am Med Dir Assoc 18, no. 11 (November 1, 2017): 928–40. https://doi.org/10.1016/j.jamda.2017.09.001.
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    • Little, Milta O. “The Rapid Geriatric Assessment: A Quick Screen for Geriatric Syndromes.” Mo Med 114, no. 2 (March 2017): 101–4.
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    • Morley, John E., Milta O. Little, and Marla Berg-Weger. “Rapid Geriatric Assessment: A Tool for Primary Care Physicians.” J Am Med Dir Assoc 18, no. 3 (March 1, 2017): 195–99. https://doi.org/10.1016/j.jamda.2016.11.017.
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    • Kaehr, Ellen, Patricia Abele, and Milta Little. “Utility of the Easy-Care Standard 2010 in the Comprehensive Geriatric Assessment of Adults Aging with Developmental Disabilities.” J Am Med Dir Assoc 17, no. 12 (December 1, 2016): 1159–60. https://doi.org/10.1016/j.jamda.2016.08.024.
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    • Messinger-Rapport, Barbara J., Milta O. Little, John E. Morley, and Julie K. Gammack. “Clinical Update on Nursing Home Medicine: 2016.” J Am Med Dir Assoc 17, no. 11 (November 1, 2016): 978–93. https://doi.org/10.1016/j.jamda.2016.09.004.
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    • Little, Milta O., Marilyn Rantz, and Gregory A. Lynn. “Health Information Technology in Long-Term Care: Potential for the Future.” J Am Med Dir Assoc 17, no. 5 (May 1, 2016): 379–80. https://doi.org/10.1016/j.jamda.2016.02.029.
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    • Little, Milta O. “The Burden of Overmedication: What Are the Real Issues?” J Am Med Dir Assoc 17, no. 2 (February 2016): 97–98. https://doi.org/10.1016/j.jamda.2015.12.001.
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    • Little, Milta O. “Response to the letter to the editor by Matthew Raider, "hospice in the nursing home: perspective of a medical director".” J Am Med Dir Assoc 16, no. 5 (May 1, 2015): 436. https://doi.org/10.1016/j.jamda.2015.02.009.
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    • Little, Milta O. “The use of critical reflection in clinical practice and health profession education.” J Am Med Dir Assoc 16, no. 3 (March 2015): 177–78. https://doi.org/10.1016/j.jamda.2014.10.011.
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    • Nazir, A., M. O. Little, and G. W. Arling. “More than just location: Helping patients and families select an appropriate skilled nursing facility.” Annals of Long Term Care 22, no. 11 (November 1, 2014): 30–34.
    • Rolland, Yves, Barbara Resnick, Paul R. Katz, Milta O. Little, Joseph G. Ouslander, Alice Bonner, Carol R. Geary, et al. “Nursing home research: the first International Association of Gerontology and Geriatrics (IAGG) research conference.” J Am Med Dir Assoc 15, no. 5 (May 2014): 313–25. https://doi.org/10.1016/j.jamda.2014.03.004.
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    • Morley, John E., Gideon Caplan, Matteo Cesari, Birong Dong, Joseph H. Flaherty, George T. Grossberg, Iva Holmerova, et al. “International survey of nursing home research priorities.” J Am Med Dir Assoc 15, no. 5 (May 2014): 309–12. https://doi.org/10.1016/j.jamda.2014.03.003.
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    • Messinger-Rapport, Barbara J., Julie K. Gammack, Milta O. Little, and John E. Morley. “Clinical update on nursing home medicine: 2014.” J Am Med Dir Assoc 15, no. 11 (2014): 786–801. https://doi.org/10.1016/j.jamda.2014.09.001.
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    • Little, M. O. “Erratum: Nutrition and skin ulcers (Current Opinion in Clinical Nutrition and Metabolic Care (2013) 16 (39-49)).” Current Opinion in Clinical Nutrition and Metabolic Care 16, no. 3 (May 1, 2013): 373. https://doi.org/10.1097/MCO.0b013e328360312b.
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    • Little, Milta O., and Alexis Morley. “Reducing polypharmacy: evidence from a simple quality improvement initiative.” J Am Med Dir Assoc 14, no. 3 (March 2013): 152–56. https://doi.org/10.1016/j.jamda.2012.11.007.
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    • Little, Milta O. “Nutrition and skin ulcers.” Curr Opin Clin Nutr Metab Care 16, no. 1 (January 2013): 39–49. https://doi.org/10.1097/MCO.0b013e32835bc0a1.
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    • Little, Milta O. “Climbing out of the black hole of subacute care.” J Am Med Dir Assoc 13, no. 6 (July 2012): 493–94. https://doi.org/10.1016/j.jamda.2012.04.013.
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    • Flaherty, Joseph H., and Milta O. Little. “Matching the environment to patients with delirium: lessons learned from the delirium room, a restraint-free environment for older hospitalized adults with delirium.” J Am Geriatr Soc 59 Suppl 2 (November 2011): S295–300. https://doi.org/10.1111/j.1532-5415.2011.03678.x.
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    • Little, Milta O. “Hypertension: how does management change with aging?” Med Clin North Am 95, no. 3 (May 2011): 525–x. https://doi.org/10.1016/j.mcna.2011.02.002.
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    • Little, M. O. “Diagnostic Challenge of Bloodstream Infections in Long-Term Care.” Journal of the American Medical Directors Association 12, no. 3 (January 1, 2011): 166–68. https://doi.org/10.1016/j.jamda.2010.04.013.
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    • Little, Milta O., and John E. Morley. “Aging male.” Clin Geriatr Med 26, no. 2 (May 2010): 171–84. https://doi.org/10.1016/j.cger.2010.02.009.
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  • Book Sections

    • Little, M. O. “Perioperative and Postoperative Medical Assessment.” In Pathy’s Principles and Practice of Geriatric Medicine: Fifth Edition, 2:1545–55, 2012. https://doi.org/10.1002/9781119952930.ch127.
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  • Conference Papers

    • Mitchell, C., E. Hidlebaugh, C. Leo, M. Little, G. Buhr, and M. Yanamadala. “Addressing Social Isolation in Long-Term Care Facilities Amidst the COVID-19 Pandemic.” In Journal of the American Geriatrics Society, 69:S66–S66, 2021.
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    • Wong, S., M. Little, D. Schlientz, N. Webb, and H. White. “Adapting a Transitional of Care Model from a Large Academic Hospital for a Community Hospital.” In Journal of the American Geriatrics Society, 69:S62–S62, 2021.
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    • Lee, A., A. S. Mrugala, K. Hlebowitsh, L. Genao, M. Little, and G. Buhr. “Resident and family perspectives on communal dining in the nursing home.” In Journal of the American Geriatrics Society, 68:S36–37. WILEY, 2020.
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    • Pavon, J. M., C. Xu, B. Goldstein, C. Roberson, B. Smith, S. Wong, L. Previll, et al. “Deprescribing targets among older adults at high risk for fall: falls-related medication use and subsequent falls.” In Journal of the American Geriatrics Society, 70:S155–S155, 2020.
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    • Pavon, J. M., K. Riska, S. Smith, C. Roberson, B. Smith, S. Wong, L. Previll, M. Little, H. White, and C. Colon-Emeric. “High prevalence of falls-related medication use in high-risk older adults with hearing impairment.” In Journal of the American Geriatrics Society, 70:S215–S215, 2020.
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Some information on this profile has been compiled automatically from Duke databases and external sources. (Our About page explains how this works.) If you see a problem with the information, please write to Scholars@Duke and let us know. We will reply promptly.