Perioperative Management

Overview

Perioperative Management CME from the Experts

The Perioperative Management continuing medical education course focuses on current and concise knowledge to improve patient outcomes through preoperative evaluation, intraoperative management, and postoperative care.

Directed by Nauder Faraday, MD, MPH, and Sean Berenholtz, MD, MHS, FCCM, from Johns Hopkins, a leader in perioperative medicine, this online CME includes case-based lectures on topics like cardiac and pulmonary risk assessment, perioperative renal dysfunction, pain management, management of diabetes and hyperglycemia, and more. It will help you to better:

• Illustrate effective management of bleeding and thrombotic risks in surgical patients
• Identify strategies for controlling postoperative pain and reducing opioid dependency
• Outline ways to prevent, diagnose and treat common infections that complicate surgical procedures
• Discuss multi-disciplinary approaches to minimize complications and improve patient outcomes

Topics / Speakers

Perioperative Cardiac Risk Assessment and Testing
Ilan Wittstein, MD

Perioperative Myocardial Ischemia and Stroke: Mechanisms and Management Strategies
Nauder Faraday, MD, MPH

Perioperative Management of Patients with Cardiomyopathy
Todd Dorman, MD, FCCM

Preoperative Evaluation: Optimized, Not Cleared
Leonard Feldman, MD

Perioperative Management of Patients on Anti-Platelet Therapy
Nauder Faraday, MD, MPH

Perioperative Management of Patients with Warfarin and Direct Oral Anticoagulants (DOACs)
Nauder Faraday, MD, MPH

Preoperative Evaluation and Management of the Patient with Heart Failure
Ilan Wittstein, MD

Controversies in the Management of Perioperative Hypotension
Todd Dorman, MD, FCCM

Evidence-Based Preoperative Testing
Sean Berenholtz, MD, MHS, FCCM

Controversies in the Preoperative Management of Prescription Medications, Herbals, and Supplements
Heather Sateia, MD

Perioperative Risks and Management of Pulmonary Hypertension
Megan P. Kostibas, MD

Management of Perioperative Anemia, Transfusion, and Bleeding
Nauder Faraday, MD, MPH

Preoperative Pulmonary Risk Assessment and Testing
Peter Rock, MD, MBA, FCCM, FCCP

Solutions to Burnout I: The Surprising Science of Gratitude
J. Bryan Sexton, PhD

Solutions to Burnout II: Relationship Resilience
J. Bryan Sexton, PhD

Solutions to Burnout III: Coping with Change and Hope as a Muscle
J. Bryan Sexton, PhD

Prevention and Treatment Surgical Wound Infections
Pamela Lipsett, MD, FACS, FCCM

Perioperative Management of the Patient with a Pacemaker or ICD
Ilan Wittstein, MD

Management of the Patient with Aortic Stenosis for Noncardiac Surgery
MaryBeth Brady, MD

"It's Only a Sedation..." Strategies to Prevent and Manage Adverse Outcomes
Laeben Lester, MD

Managing Common Perioperative Problems Using Point of Care Ultrasound (POCUS)
Stephanie Cha, MD

Managing the Hazards of Perioperative Care Transfer: The Handoff
Lee Goeddel, MD, MPH

Perioperative Respiratory Insufficiency: Mechanisms and Management
Peter Rock, MD, MBA, FCCM, FCCP

Perioperative Management of Diabetes and Hyperglycemia
Leonard Feldman, MD

Perioperative Renal Dysfunction
Derek Fine, MD

Acute Pain Management: The Case for Multimodal Therapy
Marie Hanna, MD

Preventing, Identifying, and Managing Common Healthcare Associated Infections
Pamela Lipsett, MD, FACS, FCCM

Opioid Addiction - The Role of Perioperative Clinicians in Prevention and Treatment
Marie Hanna, MD

Perioperative Fluid Management
Pamela Lipsett, MD

Perioperative Glucose Management in the Brittle Diabetic
Leonard Feldman, MD

Perioperative Management of Chronic Steroids and Other Immunosuppressant Drugs
Heather Sateia, MD

Pain Management in the Opioid-Tolerant Patient: A Case-Based Discussion
Marie Hanna, MD

Prehabilitation of the Frail Patient for Elective Surgery
Frederick Sieber, MD

Perioperative Management of the Patient with Obstructive Sleep Apnea
Peter Rock, MD, MBA, FCCM, FCCP

Perioperative Management of Hepatic Dysfunction
Aliaksei Pustavoitau, MD

Perioperative DVT and Pulmonary Embolism
Nauder Faraday, MD, MPH

Post-Operative Delirium: Prevention and Treatment
Frederick Sieber, MD

Identifying and Managing Risks in Ambulatory Surgery Patients
Tina Tran, MD

Improving Perioperative Quality and Safety Through System and Culture Change
Sean Berenholtz, MD, MHS, FCCM

Programs to Enhance Recovery After Surgery (ERAS)
Sean Berenholtz, MD, MHS, FCCM

Creating and Managing a Preoperative Evaluation Center
Jerry Stonemetz, MD

Managing End of Life Issues in Surgical Patients
Pamela Lipsett, MD, FACS, FCCM

Perioperative Management of the Patient with Dementia
Frederick Sieber, MD

Diagnosis and Management of Postoperative Alcohol Withdrawal
Frederick Sieber, MD

A Practical Approach to Measuring and Improving Safety and Teamwork Culture
Sean Berenholtz, MD, MHS, FCCM

Improving the Quality of Sepsis Care
Sean Berenholtz, MD, MHS, FCCM

Medico-Legal Liability in Perioperative Medicine: Common Pitfalls and How to Avoid Them
Jerry Stonemetz, MD

Faculty

Accreditation

Accreditation Statement

The Johns Hopkins University School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Credit Designation Statement

The Johns Hopkins University School of Medicine designates this enduring material activity for a maximum of 18.50 AMA PRA Category 1 Credits.™ Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Date of Original Release: April 1, 2019
Date Credits Expire: April 1, 2022
Estimated Time to Complete: 18.50 hours

Maintenance of Certification (MOC)

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 18.50 MOC points in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

American Board of Surgery (ABS)

This activity meets the requirements for CME and self-assessment credit toward Part 2 of the ABS MOC Program.

Maintenance of Certification in Anesthesiology Program (MOCA)

Maintenance of Certification in Anesthesiology Program® and MOCA® are registered certification marks of the American Board of Anesthesiology®. MOCA 2.0® is a trademark of the American Board of Anesthesiology®.

This activity contributes to the patient safety CME requirement for Part II: Lifelong Learning and Self-Assessment of the American Board of Anesthesiology’s (ABA) redesigned Maintenance of Certification in Anesthesiology Program® (MOCA®), known as MOCA 2.0®. Please consult the ABA website, www.theABA.org, for a list of all MOCA 2.0 requirements.

Method of Participation

A certificate of credit will be provided after successful completion of the activity evaluation and post-test. A minimum passing rate of at least 70%, within three attempts is needed. A $45 processing fee is required before taking the online post-test. Instructions will be provided in the electronic syllabus. Registrations for credit will not be accepted after the expiration date of the activity.

Policy on Speaker and Provider Disclosure

It is the policy of the Johns Hopkins University School of Medicine that the speaker and provider globally disclose conflicts of interest. The Johns Hopkins University School of Medicine OCME has established policies that will identify and resolve conflicts of interest prior to this educational activity. Detailed disclosure will be made prior to presentation of the education.

Learning Objectives

Aftre completing this activity, the participant will demonstrate the ability to:

• Describe current guidelines for preoperative cardiac and pulmonary risk assessment and list several ways to predict and prevent cardiac and pulmonary complications using preoperative testing and intraoperative and postoperative interventions.
• Describe bleeding and thrombotic risks in surgical patients and list several strategies to reduce complications through evidence-based use of blood conservation methods, transfusion, coagulation testing, anticoagulant reversal agents, and/or management of anti-thrombotic drug therapies.
• Describe strategies to control acute postoperative pain using multimodal analgesia and reduce risk for chronic opioid dependency.
• Recognize how to prevent, diagnose, and treat common healthcare associated infections that complicate surgical procedures.
• Describe the perioperative complications associated with diabetes, renal insufficiency, delirium, and frailty, and list management strategies to optimize outcomes in patients with these medical conditions.
• Recognize the impact of structural and cultural factors related to the healthcare system (e.g., provider stress, safety culture, communication strategies) on the safety and quality of healthcare delivery, and describe the potential of various multi-disciplinary programs (e.g., enhanced recovery after surgery, perioperative surgical home, CUSP) to improve health outcomes.

Intended Audience

This activity is intended for anesthesiologists, internal medicine specialists, hospitalists, surgeons, family practitioners, nurse anesthetists, nurse practitioners, and physician assistants.

CONFIDENTIALITY DISCLAIMER FOR CME ACTIVITY PARTICIPANTS

I certify that I am attending a Johns Hopkins University School of Medicine CME activity for accredited training and/or educational purposes. I understand that while I am attending in this capacity, I may be exposed to "protected health information," as that term is defined and used in Hopkins policies and in the federal HIPAA privacy regulations (the "Privacy Regulations"). Protected health information is information about a person's health or treatment that identifies the person.

I pledge and agree to use and disclose any of this protected health information only for the training and/or educational purposes of my visit and to keep the information confidential. I agree not to post or discuss this protected health information, including pictures and/or videos, on any social media site (e.g. Facebook, Twitter, etc.), in any electronic messaging program or through any portable electronic device.

I understand that I may direct to the Johns Hopkins Privacy Officer any questions I have about my obligations under this Confidentiality Pledge or under any of the Hopkins policies and procedures and applicable laws and regulations related to confidentiality. The contact information is: Johns Hopkins Privacy Officer, telephone: 410-735-6509, e-mail: HIPAA@jhmi.edu

"The Office of Continuing Medical Education at the Johns Hopkins University School of Medicine, as provider of this activity, has relayed information with the CME attendees/participants and certifies that the visitor is attending for training, education and/or observation purposes only."

For CME questions, please contact the CME Office
(410) 955-2959 or e-mail cmenet@jhmi.edu
For CME Certificates, please call (410) 502-9634.

Johns Hopkins University School of Medicine Office of Continuing Medical Education
Turner 20/720 Rutland Avenue
Baltimore, Maryland 21205-2195

Reviewed & Approved by:
General Counsel, Johns Hopkins Medicine (4/1/03)
(Updated 4/09 and 3/14)

Quick Facts

Provider: Johns Hopkins

Activity Directors:

Nauder Faraday, MD, MPH
Professor of Anesthesiology/Critical Care Medicine, Medicine, and Surgery 
Vice Chair, ACCM Faculty and Staff Development 
Director, Perioperative Clinical Research 
Sr. Associate Dean for Faculty Development

Sean Berenholtz, MD, MHS, FCCM
Professor of Anesthesiology/Critical Care Medicine and Surgery, and Health Policy and Management Physician
Director of Inpatient Quality and Safety 
Armstrong Institute for Patient Safety and Quality

Credits: Earn a maximum of 18.50 AMA PRA Category 1 Credits™ and 18.50 ABIM MOC points