Navneet Attri, MBBS, MD, FACP, FHM and Brian Quinn, MD

Based on the original module, Pulmonary Risk Management in the Perioperative Setting, by Sucharita Kher, MD and Gerald W. Smetana, MD. 

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

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.

Goal

To provide hospitalists with a guide to perioperative pulmonary risk stratification and discuss modalities to reduce the risk of perioperative pulmonary complications.

Target Audience

This activity is designed for hospitalists. No prerequisites are required.

Learning Objectives

After completing the module, the participant will demonstrate the ability to:

1. Recognize the impact of postoperative pulmonary complications.
2. Identify risk factors associated with higher incidence of postoperative pulmonary complications.
3. Examine the role of routine preoperative spirometry and chest radiograph.
4. Evaluate the evidence-based risk reduction strategies.

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 Credits^TM. Physicians should only claim 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 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.

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.

Release Date: March 23, 2022                     Expiration Date: March 23, 2025

Estimated time to complete: 2 hours

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, a post-test, and a CME evaluation. All sections must be completed to receive CME credit.