Perioperative Management

Johns Hopkins Clinical Update

Optimize your clinical acumen and patient outcomes with this comprehensive course in perioperative management.
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SKU: 241

Explore Key Topics

This CME program covers a broad range of topics in perioperative medicine and provides deep insight into current trends in preoperative evaluation, intraoperative management and postoperative care. The Johns Hopkins’ Perioperative Management clinical update includes case-based lectures on topics like perioperative management of diabetes and hyperglycemia, perioperative renal dysfunction, management of patient with aortic stenosis for noncardiac surgery, perioperative management of myocardial ischemia, etc. It will help you to:

  • Illustrate effective management of bleeding and thrombotic risks in surgical patients
  • Appraise the management of perioperative complications associated with diabetes, renal insufficiency, hepatic dysfunction, delirium, etc.
  • Demonstrate the potential of various multidisciplinary programs to improve health outcomes
  • Outline ways to prevent, diagnose and treat common healthcare infections that complicate surgical procedures
  • Discuss approaches to minimize perioperative complications and improve patient outcomes

Expand Your Skills

Available online or via audio MP3 CDs, Johns Hopkins’ Perioperative Management provides a maximum of 18 AMA PRA Category 1 Credits and access to unbiased, evidence-based content and case-based reviews so you can expand your knowledge and incorporate the latest 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
  • Preoperative Cardiac Risk Assessment and Testing - Ilan Wittstein, MD
  • Perioperative Myocardial Ischemia: Mechanisms and Management Strategies - Nauder Faraday, MD, MPH
  • Preoperative Evaluation: Optimized, Not Cleared - Leonard Feldman, MD
  • Perioperative Management of Patients on Chronic Anti-Platelet Therapy - Nauder Faraday, MD, MPH
  • Perioperative Management of Patients with Cardiomyopathy - Todd Dorman, MD, FCCM
  • Controversial Clinical Vignettes: Evidence-Based Preoperative Testing - Sean M. Berenholtz, MD, MHS, FCCM
  • Controversies in the Preoperative Management of Prescription Medications, Herbals, and Supplements - Heather Sateia, MD
  • The Preoperative Patient with a Pacemaker or ICD - Ilan Wittstein, MD
  • Perioperative Management of Patients on Chronic Anti-Coagulant Therapy - Nauder Faraday, MD, MPH
  • Health Care Provider Stress I: Recognition and Impact on Provider and Patient Outcomes - J. Bryan Sexton, PhD
  • Management of Perioperative Bleeding and Transfusion - Nauder Faraday, MD, MPH
  • Perioperative Risks and Management of Pulmonary Hypertension - Brett Simon, MD, PhD
  • Preoperative Pulmonary Risk Assessment and Testing - Peter Rock, MD, MBA, FCCM, FCCP
  • Health Care Provider Stress II: Fatigue Management - J. Bryan Sexton, PhD
  • Surgical Site Infections - Pamela Lipsett, MD, FACS, FCCM
  • Perioperative Respiratory Insufficiency: Mechanisms and Management - Peter Rock, MD, MBA, FCCM, FCCP
  • Controversial Clinical Vignettes: Managing Bleeding in Patients Anticoagulated with Novel Oral IIa/Xa inhibitors (NOACs) - Nauder Faraday, MD, MPH
  • Preoperative Evaluation and Management of the Patient with Heart Failure - Ilan Wittstein, MD
  • Management of the Patient with Aortic Stenosis for Noncardiac Surgery - MaryBeth Brady, MD
  • Intraoperative TEE for Noncardiac Surgery- Essential, Luxury, or No Value - MaryBeth Brady, MD
  • Managing Cardiopulmonary Complications in the Early Postoperative Period - Mark Romig, MD
  • Health Care Provider Stress III: Dealing with Difficult Colleagues - J. Bryan Sexton, PhD
  • Perioperative Management of Diabetes and Hyperglycemia - Leonard Feldman, MD
  • Perioperative Renal Dysfunction - Derek Fine, MD
  • Complex Cancer Surgery in the Outpatient Setting - Brett Simon, MD, PhD
  • Acute Pain Management: The Case for Multimodal Therapy - Jason Brookman, MD
  • Preventing, Identifying, and Managing Common Healthcare Associated Infections - Pamela Lipsett, MD, FACS, FCCM
  • Controversial Clinical Vignettes: Perioperative Fluid Management - Pamela Lipsett, MD, FACS, FCCM
  • Perioperative Glucose Management in the Brittle Diabetic - Heather Sateia, MD
  • Peripheral Nerve Blocks in Acute Pain Management - Jason Brookman, MD
  • Pain Management in the Opioid-Tolerant Patient: A Case-Based Discussion - Jason Brookman, MD
  • Perioperative Management of Frailty - Frederick E. Sieber, MD
  • Meaningful Use of the Electronic Health Record in the Perioperative Period - Mark Romig, MD
  • Perioperative Management of the Patient with Obstructive Sleep Apnea - Peter Rock, MD, MBA, FCCM, FCCP
  • Perioperative DVT and Pulmonary Embolism - Nauder Faraday, MD, MPH
  • Post-Operative Delirium: Prevention and Treatment - Frederick E. Sieber, MD
  • Managing End of Life Issues in Surgical Patients - Pamela Lipsett, MD, FACS, FCCM
  • Improving Perioperative Quality and Safety through System and Culture Change - Sean M. Berenholtz, MD, MHS, FCCM
  • Programs to Enhance Recovery after Surgery (ERAS) - Sean M. Berenholtz, MD, MHS, FCCM
  • Healthcare Reform, Alternative Payment Models, and Compliance - Jerry Stonemetz, MD
  • Controversial Clinical Vignettes: Perioperative Management of the Patient with Dementia - Frederick E. Seiber, MD
  • Long-term Functional Decline after Surgery and Critical Illness - Todd Dorman, MD, FCCM
  • A Practical Approach to Measuring and Improving Safety and Teamwork Culture - Sean M. Berenholtz, MD, MHS, FCCM
  • Improving the Quality of Sepsis Care - Sean M. Berenholtz, MD, MHS, FCCM
  • The Perioperative Surgical Home - Jerry Stonemetz, MD
  • Medico-Legal Liability in Perioperative Medicine: Common Pitfalls and How to Avoid Them - Jerry Stonemetz, MD

Activity Directors

Nauder Faraday, MD, MPH

  • Professor of Anesthesiology and Critical Care
  • Medicine, Medicine, and Surgery
  • Vice Chair, ACCM Faculty and Staff Development
  • Director, Perioperative Clinical Research

 

Sean M. Berenholtz, MD, MHS, FCCM

  • Armstrong Institute for Patient Safety and Quality
  • Professor, Departments of Anesthesiology and
  • Critical Care Medicine and Surgery, and
  • Health Policy and Management

Johns Hopkins Speakers

MaryBeth Brady, MD

  • Associate Professor of Anesthesiology and Critical Care Medicine
  • Vice‐Chair for Education
  • Director, Perioperative Transesophageal ECHO Program

Jason Brookman, MD

  • Assistant Professor of Anesthesiology and Critical Care Medicine
  • Director, Acute Pain Fellowship Program

Todd Dorman, MD, FCCM

  • Senior Associate Dean for Education Coordination
  • Associate Dean for CME
  • Professor and Vice Chair for Critical Care
  • Department of Anesthesiology and Critical Care Medicine
  • Joint Appointments in Internal Medicine, Surgery
  • and the School of Nursing

Leonard Feldman, MD

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

Derek Fine, MD

  • Associate Professor of Medicine
  • Division of Nephrology

 

Pamela Lipsett, MD, FACS, FCCM

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

Mark Romig, MD

  • Assistant Professor of Anesthesiology and Critical Care Medicine

Heather Sateia, MD

  • Instructor, Department of Medicine

Frederick E. Sieber, MD

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

Jerry Stonemetz, MD

  • Staff Anesthesiologist
  • Department of Anesthesiology and Critical Care Medicine
  • Vice-Chair, ACCM Clinical Affairs

Ilan Wittstein, MD

  • Assistant Professor of Medicine
  • Division of Cardiology

Guest Speakers

Peter Rock, MD, MBA, FCCM, FCCP

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

J. Bryan Sexton, PhD

  • Associate 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 18 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 1, 2017
Date Credits Expire: April 30, 2020
Estimated Time to Complete: 18 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.