Neurosurgery for the Hospitalist
Jason F Shiffermiller, MD, MPH
Updated by Jason F Shiffermiller, MD, MPH. Based on Neurosurgery for the Hospitalist, by Chad W Vokoun, MD, Michael P Smith, MD, and Daniel L Surdell, MD. Andjela Drincic, MD, Andrew Gard, MD, James Maliszewski, MD, Andrew Moellering, MD, Urmila Mukherjee, MD, Nicolle Peterson, DO, Christina G Ryan, MD, and Rachel E Thompson, MD MPH SFHM are acknowledged and thanked for their contributions to previous versions of the module.
If you are a Program Director and would like to grant access to your trainees, please reach out to education@hospitalmedicine.org for an academic access code.
Summary
Successful neurosurgery co-management requires hospitalists to be familiar with the presentations, disease processes, management, and complications of neurosurgical inpatients. The first section of this module summarizes common inpatient neurosurgical conditions. The second section prepares the reader to recognize and act on neurosurgical emergencies. The remaining four sections of the module cover blood pressure management in patients with subarachnoid hemorrhage, sodium abnormalities in patients with brain tumors, the use of mannitol vs. dexamethasone, and the perioperative management of anticoagulants, in addition to other topics.
Learning Objectives
After completing the module, the participant will demonstrate the ability to:
- Summarize the epidemiology, clinical course, and prognosis of patients with subarachnoid hemorrhage.
- Manage blood pressure and antithrombotic agents in patients with subarachnoid hemorrhage.
- Describe basic shunt structure and diagnose common shunt complications.
- Differentiate cerebral salt wasting syndrome from the syndrome of inappropriate antidiuretic hormone.
- Detail the indications for and side effects of dexamethasone in neurosurgical patients.
- Recommend venous thromboembolism prophylaxis for patients undergoing neurosurgery.
Accreditation Statement
The Society of Hospital Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Instructions
The following is an interactive educational module designed to help you gauge your basic knowledge of the topic and then direct you to areas you may need to focus on. It consists of several sections: a pre-test, a study program, and a CME evaluation. All sections must be completed to receive CME credit.
Additional Information
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Neurosurgery for the Hospitalist - References | 171.31 KB |
Author
Jason F Shiffermiller, MD, MPH
Editors
Leonard Feldman, MD, FACP, SFH
Kurt Pfeifer, MD, FACP, SFHM
Disclosures
The faculty and planners of these activities have no relevant relationships to disclose unless denoted above. All relevant relationships were mitigated prior to the start of this activity.
Conflict of Interest Disclosure Policy
In accordance with the ACCME Standards for Commercial Support, SHM requires that individuals in a position to control the content of an educational activity disclose all relevant financial relationships with any commercial interest. SHM mitigates all conflicts of interest to ensure independence, objectivity, balance, and scientific rigor in all its educational programs. All relevant financial relationships shall be disclosed to participants prior to the start of the activity.
Furthermore, SHM seeks to verify that all scientific research referred to, reported, or used in a continuing medical education (CME) activity conforms to the generally accepted standards of experimental design, data collection, and analysis. SHM is committed to providing its learners with high-quality CME activities that promote improvements in healthcare and not those of a commercial interest.
Accreditation Statement
The Society of Hospital Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Credit Statement Designation
The Society of Hospital Medicine designates this activity for a maximum of 2.00 AMA PRA Category 1 CreditsTM. Physicians should claim only credit commensurate with the extent of their participation in the activity.
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 2.00 MOC 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.
Available Credit
- 2.00 ABIM MOC Self Evaluation PointsSuccessful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 2.00 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.
- 2.00 AMA PRA Category 1 Credit™
Price
The following is an interactive educational module designed to help you gauge your basic knowledge of the topic and then direct you to areas you may need to focus on. It consists of several sections: a pre-test, a study program, and CME evaluation. All sections must be completed to receive CME credit.
Click START to begin.
If you are a Program Director and would like to grant access to your trainees, please reach out to education@hospitalmedicine.org for an academic access code.