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Perioperative Management

Johns Hopkins University School of Medicine

A video and audio program designed for practitioners to limit patient risk by proper preoperative evaluation, intraoperative management, and postoperative care.

  • More than 16 hours of video stressing patient management through the entire hospitalization
  • The leading perioperative care program in the country –– now in its 27th year
  • Practical orientation, filled with concepts that clinicians can employ in their
    practice to improve patient outcomes

Activity Directors: Nauder Faraday, MD and Sean M. Berenholtz, MD, MHS, FCCM


 
CREDITS See below for designation of AMA PRA CATEGORY 1 CREDITS
CE RELEASE August 1, 2011
CE EXPIRE July 31, 2014
 
Item No Media (Can't decide on a format?) Price Purchase
PMV775DD
Video - DVD & MP4: Includes 11 DVDs and 1 MP4 digital disc with carrying case, 1 CD-ROM syllabus, and CME information.
$895.00
PMV775CD
Audio - CD & MP3: Includes 17 audio CDs and 1 MP3 digital disc with carrying case, 1 CD-ROM syllabus, and CME information.
$695.00
PMV775AV
Combo VIDEO/AUDIO Package: Includes 11 DVDs and 1 MP4 digital disc plus 17 audio CDs and 1 MP3 digital disc with carrying case, 1 CD-ROM syllabus, and CME information.
$1,095.00
PMV775ZW
Additional User Package: Includes 1 CD-ROM syllabus and CME information (initial video and/or audio purchase required).
$250.00
 
Special pricing for clinic-wide orders or for group subscriptions/purchases. Minimum order quantities apply for eligible discounts. For further information and pricing estimates, contact Rebecca Sims at 800-633-4743 x3039. For all other sales inquiries, call 1-800-633-4743.
 

Program Summary


Thirty million patients undergo surgical procedures in the U.S. each year, and the age and medical complexity of this patient population are increasing. Every year the body of peer-reviewed literature on perioperative care increases and new guidelines on clinical management are formulated. In addition, economic, regulatory, and legislative changes continually create new challenges for healthcare professionals. The curriculum for this activity was specifically created to address the needs of clinicians who provide patient care before, during, and after surgery.

The Johns Hopkins program, Perioperative Management, continues to be the established leader in perioperative medicine. This activity aims to provide practitioners with the most up-to-date knowledge necessary to deliver effective, evidence-based care by affecting health care practices at the level of the individual and the larger health system.


 
 

Intended Audience


This activity is intended for anesthesiologists, internal medicine specialists, hospitalists, surgeons, family practitioners, nurse anesthetists, nurse practitioners and physician assistants.
 
 

Topics & Speakers


  • The Perioperative Stress Response
  • Perioperative Management of Patients with Cardiomyopathy
    Todd Dorman, MD, FCCM
  • Preoperative Cardiac Risk Assessment and Testing
    Ilan S. Wittstein, MD
  • Perioperative Myocardial Ischemia: Mechanisms and Preventive Strategies
  • Perioperative Management of Patients on Chronic Antithrombotic Therapy
  • Management of Perioperative Bleeding and Transfusion
  • Perioperative DVT and Pulmonary Embolism
    Nauder Faraday, MD
  • Preoperative Evaluation: Optimized, Not Cleared
  • Perioperative Management of Diabetes and Hyperglycemia
    Leonard Feldman, MD
  • Evidence-Based Preoperative Testing
  • Improving Perioperative Quality and Safety through System and Culture Change
    Sean M. Berenholtz, MD, MHS, FCCM
  • Surgical Site Infections
  • Preventing and Managing Common Healthcare Associated Infections in Surgical Patients
    Trish Perl, MD, MSc
  • Perioperative Risks and Management of Pulmonary Hypertension
  • Perioperative Management of the Patient with Hepatic Disease
    Brett Simon, MD, PhD
  • Perioperative Echocardiography: Interpreting and Applying the 2010 ASA Guidelines
    MaryBeth Brady, MD
  • Preoperative Pulmonary Risk Assessment and Testing
  • Mechanisms and Management of Patients with Pulmonary Disease
  • The Preoperative Patient with Obstructive Sleep Apnea
    Peter Rock, MD, MBA, FCCM, FCCP
  • Perioperative Renal Dysfunction
    Derek Fine, MD
  • Post-Operative Delirium, Cognitive Decline, and Depression
  • Perioperative Risks and Management of the Elderly Patient
    Frederick E. Sieber, MD
  • Acute Pain Management: Opioids, Non-Narcotics, and Nerve Blocks
    Marc Shnider, MD
  • Health Care Reform and Quality Reporting: Implications for Perioperative Medicine
    Elizabeth A. Martinez, MD, MHS
  • Health Care Payment Reform: Implications for Perioperative Medicine
    Jerry Stonemetz, MD
  • Health Care Provider Stress I: Recognition and Impact on Provider and Patient Outcomes
  • Health Care Provider Stress II: Strategies to Prevent and Manage Adverse Outcomes
    J. Bryan Sexton, PhD
  • Management of Patients for Procedures in Ambulatory and Non-OR Locations
    Tracey Stierer, MD
Controversial Clinical Vignettes
  • Management of the Patient with Both Coronary and Cerebrovascular Disease
    Nauder Faraday, MD
  • The Preoperative Patient with a Pacemaker or AICD
  • Preoperative Evaluation and Management of the Patient with Heart Failure
    Ilan S. Wittstein, MD
  • Perioperative Management of the Hypertensive Patient
  • Allergy and Anaphylaxis
    Todd Dorman, MD, FCCM
  • Intraoperative Challenges in the Management of Patients with Heart Failure
    Elizabeth A. Martinez, MD, MHS
  • Perioperative Management of the Obese Patient
  • Managing the Difficult Airway
    Lauren Berkow, MD
  • Perioperative Management of Steroids and Adrenal Insufficiency
    Derek Fine, MD
  • Pain Management in the Opioid-Tolerant Patient: A Case-Based Discussion
    Marc Shnider, MD
  • Postoperative Nausea and Vomiting
    Tracey Stierer, MD
  • Improving the Quality of Sepsis Care
    Sean M. Berenholtz, MD, MHS, FCCM
  • Monitoring Intraoperative Awareness and CNS Function
    Frederick E. Sieber, MD
  • Regulatory Compliance: Financial Implications for Your Practice and Institution
  • Medico-Legal Liability in Perioperative Medicine: Common Pitfalls and How to Avoid Them
    Jerry Stonemetz, MD

 
 

Faculty


Activity Directors

Nauder Faraday, MD
Associate Professor of Anesthesiology/Critical
Care Medicine and Surgery
Director, Perioperative Hemostasis and
Thrombosis Research Laboratory
Director, Perioperative Genomic Research

Sean M. Berenholtz, MD, MHS, FCCM
Associate Professor of Anesthesiology/Critical
Care Medicine and Surgery
Director, ICU Performance Improvement Committee
Co-Director, Johns Hopkins Quality and
Safety Research Group

Johns Hopkins Faculty

Lauren Berkow, MD
Assistant Professor of Anesthesiology/Critical Care
Medicine and Otolaryngology and Head and Neck Surgery; Director, Airway Services

MaryBeth Brady, MD
Assistant Professor of Anesthesiology/Critical
Care Medicine; Director, Perioperative Transesophageal Echocardiography Program; Director, Adult PACUs

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

Derek Fine, MD
Associate Professor of Medicine
Division of Nephrology

Trish Perl, MD, MSc
Professor of Medicine, Pathology, and Epidemiology
Director, Department of Hospital Epidemiology
and Infection Control

Frederick E. Sieber, MD
Associate Professor of Anesthesiology/Critical
Care Medicine; Clinical Director, Johns Hopkins Bayview Campus

Tracey Stierer, MD
Assistant Professor of Anesthesiology/Critical
Care Medicine; Director, Division of Ambulatory Surgery

Jerry Stonemetz, MD
Staff Anesthesiologist, Department of Anesthesiology
National Medical Director for Anesthesia Services, Hospital Corporation of America

Ilan S. Wittstein, MD
Assistant Professor of Medicine
Division of Cardiology

Guest Faculty

Elizabeth A. Martinez, MD, MHS
Staff Anesthesiologist
Massachusetts General Hospital, Boston, MA

Peter Rock, MD, MBA, FCCM, FCCP
Professor of Medicine, Surgery, and Anesthesiology
Martin Helrich Professor
Chair, Department of Anesthesiology
University of Maryland School of Medicine
Chief of Anesthesiology
University of Maryland Medical Center, Baltimore, MD

Marc Shnider, MD
Staff Anesthesiologist, Beth Israel Deaconess Hospital
Clinical Instructor in Anesthesia
Harvard Medical School, Boston, MA

Brett Simon, MD, PhD
Anesthesiologist-in-Chief, Beth Israel Deaconess Hospital; Visiting Professor of Anesthesiology, Harvard Medical School, Boston, MA

J. Bryan Sexton, PhD
Associate Professor of Psychiatry,
Duke University School of Medicine
Director of Patient Safety, Training, and Research,
Durham, NC


 
 

Learning Objectives


After viewing this activity, participants will demonstrate the ability to:
  • Describe current guidelines for preoperative cardiac and pulmonary risk assessment
  • Describe several ways to predict and prevent cardiac and pulmonary complications using preoperative testing, and intraoperative and postoperative interventions, including the use of transesophageal echocardiography
  • Describe the perioperative risks associated with diabetes, renal insufficiency, obesity, hepatic disease, and advanced age
  • Describe management strategies to minimize complications in patients with these medical conditions
  • Describe bleeding and thrombotic risks in surgical patients
  • Describe several strategies to reduce complications through evidence-based use of blood conservation methods, transfusion, and management of anti-thrombotic drug therapies
  • Recognize how to prevent, diagnose, and treat common health-care associated infections that complicate surgical procedures
  • Recognize the impact of health care provider stress and the larger health care system (cultural, regulatory, and legislative environment) on the safety and quality of health care delivery in the perioperative period

 
 

Accreditation Statement


The Johns Hopkins University School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
 
 

Credit Designation


The Johns Hopkins University School of Medicine designates this enduring material for a maximum of 16.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
 
 

CME Information


The Johns Hopkins University School of Medicine takes responsibility for the content, quality, and scientific integrity of this CME activity.

Date of original release: August 1, 2011
Date of credit termination: July 31, 2014

Credit Report Forms are due by August 15, 2014, after this date requests for certificates will not be accepted. A Certificate of Credit will be given upon passing the online post-test and completing the evaluation. A $45 processing fee is required before taking the online post-test. Registrations will not be accepted after August 15, 2014.


 
 

Policy on Speaker and Provider Disclosure


It is the policy of The Johns Hopkins University School of Medicine that the speaker and provider disclose real or apparent conflicts of interest relating to the topics of this educational activity, and also disclose discussions of unlabeled/unapproved uses of drugs or devices during their presentation(s). 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 activity electronic syllabus.