Perioperative Management

Johns Hopkins Clinical Update

Discover how to limit risk and improve patient outcomes through proper preoperative evaluation, intraoperative management and postoperative care.

If your primary viewing mode will be on a computer or tablet, we recommend the Online Video package. In addition to online access, you will receive a USB with MP4 files. Use the USB to watch offline or import into iTunes and other media players and then synch to your mobile device, laptop or desktop. Plus you save $130 including standard shipping charges vs the DVD package.

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The Leading Program in Perioperative Medicine

This acclaimed program from Johns Hopkins Medicine is designed to limit risk and improve patient outcomes before, during and after surgery. It provides critical cross-specialty knowledge and is the ideal program for anesthesiologists, internal medicine specialists, hospitalists, surgeons, family practitioners, nurse anesthetists, nurse practitioners and physician assistants.

Discover New Guidelines

A clinically based review, this learn-at-your-own-pace course provides up to 19.25 AMA PRA Category 1 Credits. Available via online video or audio CD, it provides access to unbiased, evidence-based content and case-based reviews so that you may confidently incorporate the latest thinking and guidelines into your daily practice.

View our full list of Topics/Speakers, Faculty, Accreditation and Media Format information.

  • The Perioperative Stress Response - Todd Dorman, MD, FCCM
  • Perioperative Management of the Hypertensive Patient - Todd Dorman, MD, FCCM
  • Perioperative Management of Patients with Cardiomyopathy - Todd Dorman, MD, FCCM
  • Long-term Functional Decline after Surgery and Critical Illness - Todd Dorman, MD, FCCM
  • Preoperative Evaluation: Optimized, Not Cleared - Leonard Feldman, MD
  • Perioperative Management of Diabetes and Hyperglycemia - Leonard Feldman, MD
  • Perioperative Glucose Management in the Brittle Diabetic - Leonard Feldman, MD
  • Preoperative Cardiac Risk Assessment and Testing - Ilan Wittstein, MD
  • The Preoperative Patient with a Pacemaker or ICD - Ilan Wittstein, MD
  • Preoperative Evaluation and Management of the Patient with Heart Failure - Ilan Wittstein, MD
  • Perioperative Myocardial Ischemia: Mechanisms and Management Strategies - Nauder Faraday, MD, MPH
  • Perioperative Management of Patients on Chronic Anti-Platelet Therapy - Nauder Faraday, MD, MPH
  • Perioperative Management of Patients on Chronic Anti-Coagulant Therapy - Nauder Faraday, MD, MPH
  • Management of Perioperative Bleeding and Transfusion - Nauder Faraday, MD, MPH
  • Managing Bleeding in Patients Anticoagulated with Novel IIa/Xa inhibitors (NOACs) - Nauder Faraday, MD, MPH
  • Perioperative DVT and Pulmonary Embolism - Nauder Faraday, MD, MPH
  • Surgical Site Infections - Pamela Lipsett, MD, FACS, FCCM
  • Preventing, Identifying, and Managing Common Healthcare Associated Infections - Pamela Lipsett, MD, FACS, FCCM
  • Perioperative Fluid Management - Pamela Lipsett, MD, FACS, FCCM
  • Managing End of Life Issues in Surgical Patients - Pamela Lipsett, MD, FACS, FCCM
  • Controversial Clinical Vignettes: Evidence-Based Preoperative Testing - Sean Berenholtz, MD, MHS, FCCM
  • 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
  • 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
  • Health Care Provider Stress I: Recognition and Impact on Provider and Patient Outcomes - J. Bryan Sexton, PhD
  • Health Care Provider Stress II: Fatigue Management - J. Bryan Sexton, PhD
  • Health Care Provider Stress III: Dealing with Difficult Colleagues - J. Bryan Sexton, PhD
  • Preoperative Pulmonary Risk Assessment and Testing - Peter Rock, MD
  • Perioperative Respiratory Insufficiency: Mechanisms and Management - Peter Rock, MD
  • Perioperative Management of the Patient with Obstructive Sleep Apnea - Peter Rock, MD
  • Perioperative Risks and Management of Pulmonary Hypertension - Brett Simon, MD, PhD
  • Managing Traditional Inpatient Procedures in the Outpatient Setting - Brett Simon, MD, PhD
  • Perioperative Management of the Patient with Hepatic Disease - Brett Simon, MD, PhD
  • Anesthesia in the MRI and Endoscopy Suites - Lauren Berkow, MD
  • Goal Directed Therapy: Fluids, Inotropes and Cardiac Monitoring in Surgical Patients - Lauren Berkow, MD
  • Perioperative Management of the Patient on Chronic Immuosuppressive Therapy - Mark Romig, MD
  • Perioperative Renal Dysfunction - Mark Romig, MD
  • Meaningful Use of the Electronic Health Record in the Perioperative Period - Mark Romig, MD
  • Acute Pain Management: Opioids, Non-Narcotics and Nerve Blocks - Marie Hanna, MD
  • Pain Management in the Opioid-Tolerant Patient: A Case-Based Discussion - Marie Hanna, MD
  • Perioperative Management of Frailty - Frederick E. Sieber, MD
  • Post-Operative Delirium: Prevention and Treatment - Frederick E. Sieber, MD
  • Perioperative Management of the Patient with Dementia - Frederick E. Sieber, MD
  • Healthcare Reform: Implications of New Payment Models and Compliance for Your Practice - Jerry Stonemetz, MD
  • The Perioperative Surgical Home - Jerry Stonemetz, MD
  • Medico-Legal Liability in Perioperative Medicine: Common Pitfalls and How to Avoid Them - Jerry Stonemetz, MD

Course Directors

Nauder Faraday, MD, MPH

  • Professor of Anesthesiology/Critical Care Medicine and Surgery
  • Director, Perioperative Clinical and Thrombosis Research Laboratory
  • Director, Perioperative Genomic and Translational Research
  • Johns Hopkins University School of Medicine

 

Sean Berenholtz, MD, MHS, FCCM

  • Armstrong Institute for Patient Safety and Quality
  • Professor, Departments of Anesthesia/Critical Care Medicine
  • and Surgery, and Health Policy and Management
  • Johns Hopkins University School of Medicine and
  • Bloomberg School of Public Health

Johns Hopkins Faculty

Lauren Berkow, MD

  • Associate Professor of Anesthesiology/Critical Care Medicine and
  • Otolaryngology – Head and Neck Surgery
  • Director, Airway Services

Todd Dorman, MD, FCCM

  • Professor of Anesthesiology/Critical Care Medicine, Surgery, and Nursing
  • Associate Dean and Director of Continuing Medical Education
  • Vice Chair, Department of Anesthesiology/Critical Care Medicine

Leonard Feldman, MD

  • Associate Professor of Medicine
  • Division of General Internal Medicine
  • Director of Education, Johns Hopkins Hospitalist Service

Marie Hanna, MD

  • Associate Professor of Anesthesiology/Critical Care Medicine
  • Director, Acute Pain Service

 

Pamela Lipsett, MD, FACS, FCCM

  • Professor of Surgery and Anesthesiology/Critical Care Medicine
  • Director, General Surgery and Surgical Critical Care Training Programs
  • Co-Director, Surgical Intensive Care

Mark Romig, MD

  • Assistant Professor of Anesthesiology/Critical Care Medicine

Frederick Sieber, MD

  • Professor of Anesthesiology/Critical Care Medicine
  • Clinical Director, Johns Hopkins Bayview Campus

Jerry Stonemetz, MD

  • Staff Anesthesiologist, Department of Anesthesiology

Ilan Wittstein, MD

  • Professor of Medicine
  • Division of Cardiology

Guest Speakers

Peter Rock, MD, MBA, FCCM, FCCP

  • Professor of Medicine, Surgery, and Anesthesiology
  • Chairman, Department of Anesthesiology
  • University of Maryland School of Medicine
  • Baltimore, MD

J. Bryan Sexton, PhD

  • Professor of Psychiatry
  • Duke University School of Medicine
  • Director of Patient Safety, Training and Research
  • Durham, NC

 

Brett Simon, MD, PhD

  • Director, Josie Robertson Surgery Center
  • Memorial Sloan Kettering Cancer Center
  • New York, NY

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.

Designation Statement

The Johns Hopkins University School of Medicine designates this enduring material activity for a maximum of 19.25 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: May 4, 2015
Date Credits Expire: May 4, 2018
Estimated Time to Complete: 19.25 hours

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 in place that will identify and resolve all conflicts of interest prior to this educational activity. Detailed disclosure will be made in the instructional materials.

Learning Objectives

At the conclusion of this CME activity, you will be better able 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, anti-fibrinolytic agents and management of antithrombotic drug therapies
  • Describe the perioperative complications associated with diabetes, renal insufficiency, hepatic dysfunction, delirium, and frailty, and list management strategies to optimize outcomes in patients with these medical conditions
  • Recognize how to prevent, diagnose, and treat common healthcare associated infections that complicate surgical procedures
  • 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 multidisciplinary 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)

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To participate in additional CME activities presented by the Johns Hopkins University School of Medicine Continuing Medical Education Office, please visit www.hopkinscme.edu.

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