Title Category Credit Event date Your cost
Pulmonary Risk Management in the Perioperative Setting
  • ABIM MOC Self Evaluation Points
  • AMA PRA Category 1 Credit™
$95.00 As a consultant, hospitalists commonly risk stratify and offer risk reduction strategies for patients undergoing surgery. Effective perioperative pulmonary risk consultation requires hospitalists to identify patient- and procedure-related predictors for developing postoperative pulmonary complications and to propose strategies to reduce the risk. The following module will examine these topics and provide evidence-based risk reduction strategies. In addition, the role of routine preoperative spirometry and chest radiograph will be discussed.
Evaluation and Management of Perioperative Anemia
  • ABIM MOC Self Evaluation Points
  • AMA PRA Category 1 Credit™
$95.00 Anemia is frequently seen in patients undergoing surgery, and patients with preoperative anemia are more likely to receive perioperative allogeneic blood transfusions than patients with normal hemoglobin levels. Allogeneic blood transfusions are associated with an increase in the rate of postoperative complications. Evaluation of anemia should be performed in the preoperative period and begins with taking a detailed history and physical examination. All efforts must be used to correct anemia or reduce blood loss during surgery to avoid allogeneic blood transfusion. In this module, we will discuss many scenarios commonly faced in perioperative practice.
The Role of the Medical Consultant
  • ABIM MOC Self Evaluation Points
  • AMA PRA Category 1 Credit™
$95.00 Medical consultation is an important clinical component for most hospitalists. Traditionally, consultants evaluated patients at the request of the referring physician (RP) and provided an assessment and recommendations. Today, hospitalists are also asked to provide both “curbside” advice and more comprehensive comanagement of medical problems. Hospitalists who are effective consultants communicate skillfully and act professionally. The following module describes the different roles that hospitalists can perform as medical consultants and provides strategies for improving communication and RP satisfaction.
Venous Thromboembolism Prophylaxis in Surgical Patients
  • ABIM MOC Self Evaluation Points
  • AMA PRA Category 1 Credit™
$95.00 Venous thromboembolism (VTE) prophylaxis in the surgical patient remains an important medical issue. Research has shown that VTE, which includes deep vein thrombosis and pulmonary embolism, occurs frequently in hospitalized patients who have undergone general, major gynecologic, major urologic, major orthopedic, or neurosurgery if preventive measures are not taken. Although it is impossible to predict with certainty which surgical patients will develop VTE, it is important for medical consultants to have a working knowledge of the different risk factors for VTE as well as current prophylaxis recommendations in order to employ appropriate strategies to reduce the risk of VTE. The following module discusses the clinical impact of VTE in surgical patients, reviews the various risk factors for VTE in surgical patients, and discusses prophylaxis options.
Perioperative Evaluation and Treatment of Adrenal Insufficiency
  • ABIM MOC Self Evaluation Points
  • AMA PRA Category 1 Credit™
$95.00 As the use of steroids (usually prednisone) to treat various medical illnesses has expanded, so has the concern for hypothalamic-pituitary-adrenal (HPA) axis suppression and subsequent adrenal insufficiency (AI). Despite the fact that most clinicians clearly recognize the potential for AI, many find the sometimes-subtle presentation challenging. Furthermore, clinicians often struggle with assessing the likelihood of perioperative AI risk and with preventing it. The following module will address the perioperative management of both patients with known AI and those at risk for HPA axis suppression.
Perioperative Cardiac Risk Management
  • ABIM MOC Self Evaluation Points
  • AMA PRA Category 1 Credit™
$95.00 Perioperative cardiac complications are the most widely feared medical issues for the anesthesiologist, surgeon, and medical consultant as they approach a patient in the perioperative period. Only recently have management strategies been addressed in high-quality studies. The following module explains the roles of medical and interventional treatments in lowering perioperative cardiac event rates. This module also discusses the typical presentation of coronary syndromes postoperatively and the management of antiplatelet and cardiac medications.
Perioperative Cardiac Risk Assessment
  • ABIM MOC Self Evaluation Points
  • AMA PRA Category 1 Credit™
$95.00 Perioperative cardiac complications are the most widely feared medical issues for the anesthesiologist, surgeon, and medical consultant as they approach a patient with the option of surgery. To assess for the preoperative cardiac risk, hospitalists should follow a step-wise algorithm. The following module reviews the risk assessment process and enables the hospitalist to order appropriate preoperative testing.
Perioperative Bridging of Anticoagulant Therapy
  • ABIM MOC Self Evaluation Points
  • AMA PRA Category 1 Credit™
$95.00 Anticoagulant medications are commonly prescribed to patients in the United States for a number of medical problems. Interruptions in anticoagulation can result in severe adverse outcomes, including permanent disability and death, from arterial and venous thromboembolism. These medications, however, can also be associated with serious perioperative bleeding events. In fact, both bleeding and thromboembolic risks are amplified in the periprocedural period. This module addresses the risk of thromboembolism associated with periprocedural interruption of anticoagulation in patients with atrial fibrillation, a mechanical heart valve, or a history of venous thromboembolism.
Managing Pain in Postoperative Patients: What the Hospitalist Needs to Know
  • ABIM MOC Self Evaluation Points
  • AMA PRA Category 1 Credit™
$95.00 Pain is probably the most common presenting or associated symptom in patients in the hospital, and patients are often more concerned about being in pain than they are about the primary reason for admission. Pain is a completely subjective experience that is the consequence of the filtering, modulating, and distorting of the afferent nerve activity (i.e., nociceptive input) through the affective (i.e., limbic system) and cognitive processes unique to each individual. The following educational module discusses why postoperative pain requires treatment, outlines methods for performing a proper assessment of pain, provides strategies for utilizing patient-controlled analgesia safely and effectively, and summarizes the use of opioid and non-opioid analgesics in the postoperative setting to help hospitalists improve patients’ quality of recovery and life.
Evaluation and Management of Perioperative Cirrhosis
  • ABIM MOC Self Evaluation Points
  • AMA PRA Category 1 Credit™
$95.00 Patients with liver disease who undergo surgery, whether elective or emergent, are at increased risk for complications. In patients with cirrhosis, perioperative morbidity and mortality vary depending on the type of surgery. An accurate assessment of the presence and severity of acute or chronic liver disease is necessary to plan for perioperative management. Although most patients should continue liver-directed therapies, adjustments in medications may be necessary for certain liver diseases. This module outlines the risk associated with different types of surgery and identifies the elements of the preoperative evaluation for patients with cirrhosis. The influences on morbidity and mortality and formulation of pre- and postoperative care plans are reviewed as well.

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