The Johns Hopkins University School of Medicine Office of Continuing Medical Education

Date & Location

Wednesday, April 13, 2022, 12:00 AM - Thursday, April 13, 2023, 12:00 AM EST

Target Audience

Specialties - Anesthesiology, Critical Care Medicine, Family Practice, General Surgery, Hospitalist, Internal Medicine, Nurse Anesthetist, Nurse Practitioner, Orthopedic Surgery, Otolaryngology, Pain Medicine, Physician Assistant

Overview

The curriculum for this course was specifically created to address the needs of clinicians who provide care for patients before, during and after surgery. As the established leader in perioperative medicine, this course aims to provide practitioners with the most up-to-date knowledge necessary to deliver effective, evidence-based care by affecting healthcare practices at the level of the individual and the larger health system.

Click Here for Agenda

FEES
REGISTRATION CUT-OFF DATE: April 7, 2023

Methods of Payment: We require full payment prior to the start of the activity. The registration fee includes instructional materials and unlimited access to content until the expiration date.

General Registration: $750

You will receive a confirmation by e-mail. If you have not received it call (410) 502-9634 to confirm that you are registered. A transcript of attendance will be available upon attestation of your credit hours and submission of the post activity online evaluation.

REFUND POLICY
All purchases are final. Transfer of registration to another Johns Hopkins activity in lieu of cancellation is not possible.

RELEASE DATE               April 13, 2022

EXPIRATION DATE          April 13, 2023

PREREQUISITES FOR PARTICIPANTS
There are no prerequisites to participate in this activity.

HARDWARE/SOFTWARE REQUIREMENTS
Internet connection.

COURSE FORMAT – METHOD OF PARTICIPATION
This enduring material is expected to take approximately 21.25 hours to complete. Once the activity is completed, you must pass the post-test and complete the evaluation with attestation to receive CME credit.

POST-TEST
A post-test will be conducted at the conclusion of the activity. A grade of at least 70% within three attempts is needed to receive CME credit.

Syllabus- Following registration, access to the slides is available by clicking on the yellow MYCME tab (above) and selecting syllabus.

AMERICANS WITH DISABILITIES ACT
The Johns Hopkins School of Medicine fully complies with the legal requirements of the ADA and the rules and regulations thereof. Please notify us if you have any special needs.

FOR FURTHER INFORMATION
General Information                                   (410) 955-2959
E-mail the Office of CME                           [email protected]

ACCME Objectives

1. List several long term complications of COVID that can impact perioperative care, and describe strategies to mitigate perioperative risk in patients with a history of SARS-CoV-2 exposure.
2. 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.
3. Recognize the risks of perioperative anemia and transfusion as well as the risks and benefits of perioperative anti-thrombotic therapies, and list several strategies to reduce bleeding and thrombotic complications through evidence-based approaches to anemia management, transfusion, coagulation testing, and pharmacologic interventions with anti-thrombotic and anti-fibrinolytic agents.
4. Describe the perioperative complications associated with diabetes, renal insufficiency, delirium, and frailty, and list current management strategies to optimize outcomes in patients with these medical conditions.
5. Describe strategies to control acute postoperative pain using multimodal analgesia and reduce risk for chronic opioid dependency.
6. Recognize how to prevent, diagnose, and treat common healthcare associated infections that complicate surgical procedures.
7. Recognize the potential for precision medicine, artificial intelligence, and/or tele-health to alter the practice of perioperative medicine.
8. Recognize the impact of burnout, and its relation to gender, race, and micro-aggressions, on clinician well-being and patient safety, and describe strategies to improve work-force resiliency, communication, and patient safety at both the individual and health system level.
9. Recognize basic views for real-time ultrasound guided vascular access and perform vascular access on simulation equipment using ultrasound (POCUS Workshop).
10. Recognize and interpret basic transthoracic ultrasound views of cardiac and lung structures (POCUS Workshop).
11. Apply basic ultrasound algorithms to diagnose and manage an unstable perioperative patient (POCUS Workshop).

ANCC Learning Outcomes

1. Using one or two specific examples, please list which patients with prior exposure to SARS-CoV-2 should have elective surgery postponed and for how long and what type of preoperative testing is indicated in these patients.
2. Using one or two specific examples, please list ways to predict and prevent perioperative cardiac and/or pulmonary complications using preoperative, intraoperative, or postoperative management strategies in accordance with current evidence and published guidelines.
3. Using one or two specific examples, please list complications of anemia, blood transfusion, and/or use of anti-thrombotic agents in surgical patients and a specific management strategy to prevent complications in accordance with current evidence and practice guidelines.
4. Please list one or two specific perioperative complications associated with diabetes, renal insufficiency, delirium, or frailty and a specific management strategy to prevent or treat that complication.
5. Please describe two or three medicines/techniques that can be combined to reduce postoperative pain and ways to recognize and reduce risk for chronic opioid dependency after surgery.
6. Please list one or two specific healthcare associated infections in surgical patients and specific management strategies to prevent those complications in accordance with current evidence and practice guidelines.
7. Using one or two specific examples, please describe how you could envision using precision medicine, artificial intelligence, or tele-health to improve preoperative, intraoperative, or postoperative management of your patients.
8. Please list one or two specific strategies to reduce clinician burnout, improve communication among the healthcare team, and/or improve patient safety.
9. Using a specific example, describe any barriers you encountered implementing strategies to reduce any of the following adverse outcomes in surgical patients: myocardial injury, venous thromboembolism, bleeding/transfusion, respiratory insufficiency, acute kidney injury, electrolyte abnormalities, infection, pain control, or delirium.
10. When trying to implement the latest strategies to decrease complications in surgical patients, did you encounter any barriers you could not overcome? If so, explain what those were and use a specific example to describe what prevented you from overcoming them.
11. Please list two or three vascular structures for which the use of point of care ultrasound can increase the speed and/or safety of cannulation (POCUS Workshop).
12. Please list one or two postoperative complications for which point of care ultrasound can be used for diagnosis and management (POCUS Workshop).
13. Using a specific example, describe any barriers you encountered implementing POCUS to obtain vascular access or manage postoperative complications (POCUS Workshop).
14. When trying to implement POCUS in surgical patients, did you encounter any barriers you could not overcome? If so, explain what those were and use a specific example to describe what prevented you from overcoming them.

Accreditation

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.

CREDIT DESIGNATION STATEMENT
The Johns Hopkins University School of Medicine designates this enduring material activity for a maximum of 21.25 AMA PRA Category 1 Credits™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Additional Information

PRESENTER AND PROVIDER DISCLOSURE POLICY
It is the policy of the Johns Hopkins School of Medicine that the presenter and provider globally disclose conflicts of interest. The Johns Hopkins School of Medicine OCME has established policies that will identify and resolve conflicts of interest prior to this educational activity. Detailed disclosure will be made prior to presentation of the education.

NOTICE ABOUT OFF-LABEL USE PRESENTATIONS
The Johns Hopkins School of Medicine/37th Computed Body Tomography: The Cutting Edge may include presentations on drugs or devices, or use of drugs or devices, that have not been approved by the Food and Drug Administration (FDA) or have been approved by the FDA for specific uses only. The FDA has stated that it is the responsibility of the physician to determine the FDA clearance status of each drug or device he or she wishes to use in clinical practice.

PERSONALLY PROVIDED INFORMATION (PPI) POLICY
The Johns Hopkins School of Medicine Office of Continuing Medical Education (OCME) is committed to protecting the privacy of its members and customers. If you choose to provide us with personal information by sending an email, or by filling out a form with your personal information and submitting it through our Web site, we use that information to respond to your message and to help us provide you with information, products, or services that you request. We do not give, share, sell, or transfer any personal information to a third party unless required by law. The complete University privacy policy may be accessed via the OCME Web site.

Upon request, OCME will email you information for upcoming activities relevant to your interests. You may unsubscribe at any time.

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

COPYRIGHT INFORMATION
All rights reserved – The Johns Hopkins School of Medicine. No part of this activity may be used or reproduced in any manner whatsoever without written permission except in the case of brief quotations embodied in articles or reviews.

DISCLAIMER STATEMENT
The opinions and recommendations expressed by faculty and other experts whose input is included in this activity are their own. This enduring material is produced for educational purposes only. Use of Johns Hopkins School of Medicine name implies review of educational format design and approach. Please review the complete prescribing information and safety profile of specific drugs or combination of drugs, including indications, contraindications, warnings, and adverse effects before administering pharmacologic therapy to patients.

CONFIDENTIALITY DISCLAIMER for CME ACTIVITIES
I certify that I am participating in a Johns Hopkins University School of Medicine CME activity for accredited training and/or educational purposes.

I understand that while I am participating 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 this activity and to keep any personally identifying 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: [email protected]

Mitigation of Relevant Financial Relationships

Johns Hopkins University adheres to the ACCME's Standards for Integrity and Independence in Accredited Continuing Education. Any individuals in a position to control the content of a CE activity, including faculty, planners, reviewers or others are required to disclose all relevant financial relationships with ineligible entities (commercial interests). All relevant conflicts of interest have been mitigated prior to the commencement of the activity.

Sean Berenholtz, MD, MHS, FCCM
Professor, Departments of Anesthesiology/CCM and Surgery, and Health Policy and Management, Physician Director of Inpatient Quality and Safety, Armstrong Institute for Patient Safety and Quality
Johns Hopkins University School of Medicine

Mary Beth Brady, MD
Associate Professor of Anesthesiology/Critical Care Medicine; Vice-Chair for Education; Director, Perioperative Transesophgeal ECHO Program
Johns Hopkins University School of Medicine

Stephanie Cha, MD
Assistant Professor of Anesthesiology and Critical Care Medicine; Divisions of Critical Care Medicine and Cardiothoracic Anesthesia
Johns Hopkins University School of Medicine

Todd Dorman, MD, MCCM, FSACME
Professor of Anesthesiology/Critical Care Medicine, Surgery and Nursing Vice Chair, Critical Care Services Associate Dean and Director of Continuing Medical Education
Johns Hopkins University School of Medicine

Nauder Faraday, MD, MPH
Professor of Anesthesiology/Critical Care Medicine, Medicine and Surgery Vice Chair of Faculty, Dept of Anesthesiology/CCM, Director, Perioperative Clinical Research, Sr. Associate Dean for Faculty Appointments and Promotions
Johns Hopkins University School of Medicine

Leonard Feldman, MD, SFHM, FAAP, FACP
Associate Professor of Medicine, Division of General Internal Medicine, Director of Education, Johns Hopkins Hospitalist Service
Johns Hopkins University School of Medicine

Derek Fine, MD
Associate Professor of Medicine, Division of Nephrology
Johns Hopkins University School of Medicine

Lee Goeddel, MD, MPH
Assistant Professor of Anesthesiology and Critical Care Medicine; Director, Critical Care Medicine Fellowship Program
Johns Hopkins University School of Medicine

Megan Kostibas, MD
Assistant Professor of Anesthesiology and Critical Care Medicine; Divisions of Critical Care Medicine and Cardiothoracic Anesthesia; Adult Cardiothoracic Anesthesiology Fellowship Program Director
Johns Hopkins University School of Medicine

Laeben Lester, MD
Assistant Professor of Anesthesiology and Critical Care Medicine and Emergency Medicine; Division of Adult Cardiothoracic Anesthesia
Johns Hopkins University School of Medicine

Pamela Lipsett, MD, MHPE, FACS, FCCM
Professor of Surgery Department of Anesthesiology and Critical Care Medicine, Director, General Surgery and Surgical Critical Care Training Programs, Co-Director, Surgical Intensive Care
Johns Hopkins University School of Medicine

Aliaksei Pustavoitau, MD, MPH
Assistant Professor of Anesthesiology and Critical Care Medicine; Director, Liver Transplant Anesthesiology
Johns Hopkins University School of Medicine

Hassan Rayaz, MD
Assistant Professor, Anesthesiology
Johns Hopkins University School of Medicine

Peter Rock, MD, MBA, FCCM, FCCP
Professor of Medicine, Surgery and Anesthesiology Chair, Department of Anesthesiology University of Maryland School of Medicine
The University of Maryland School of Medicine

Heather Sateia, MD
Assistant Professor, Department of Medicine
Johns Hopkins University School of Medicine

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

Frederick Sieber, MD
Professor of Anesthesiology/Critical Care Medicine Clinical Director, Johns Hopkins Bayview Campus
Johns Hopkins University School of Medicine

Tina Tran, MD
Assistant Professor of Anesthesiology/Critical Care Medicine; Director, Ophthalmic Anesthesia; Assistant Director Anesthesiology Residency Program
Johns Hopkins University School of Medicine, Wilmer

Ilan Wittstein, MD
Assistant Professor of Medicine; Division of Cardiology
Johns Hopkins University School of Medicine

Wednesday, April 13, 2022

Preoperative Cardiac Risk Assessment and Testing
7:30AM - 8:00AM
Ilan Wittstein, MD

Prevention and Treatment of Perioperative Myocardial Injury
8:00AM - 8:30AM
Nauder Faraday, MD, MPH

Perioperative Management of Patients with Cardiomyopathy
8:30AM - 9:00AM
Todd Dorman, MD, MCCM, FSACME

Preoperative Evaluation: Optimized, Not Cleared
9:00AM - 9:30AM
Leonard Feldman, MD, SFHM, FAAP, FACP

Perioperative Management of Patients on Anti-Platelet Therapy
9:30AM - 10:00AM
Nauder Faraday, MD, MPH

Perioperative Management of Patients on Warfarin and Direct Oral Anticoagulants (DOACs)
10:00AM - 10:30AM
Nauder Faraday, MD, MPH

Preoperative Evaluation and Management of the Patient with Heart Failure
11:15AM - 11:30AM
Ilan Wittstein, MD

Preoperative Management of the Patient with "New ECG Abnormalities"
11:30AM - 11:45AM
Ilan Wittstein, MD

Perioperative Management of the Patient with a Pacemaker or ICD
11:45AM - 12:00PM
Ilan Wittstein, MD

Practical Interpretation and Perioperative Implications of an ECHO Report
12:00PM - 12:15PM
Mary Beth Brady, MD

Perioperative Management of the Patient with Pulmonary Hypertension
12:15PM - 12:30PM
Megan Kostibas, MD

Managing Common Perioperative Cardiopulmonary Complications: Utility of Point of Care Ultrasound (POCUS)
12:30PM - 12:45PM
Stephanie Cha, MD

"It's only a sedation case…": Strategies to Prevent a Cardiopulmonary Catastrophe
12:45PM - 1:00PM
Laeben Lester, MD

Evidence-Based Preoperative Testing
1:00PM - 1:15PM
Sean Berenholtz, MD, MHS, FCCM

Burnout and Perioperative Outcomes: The Role of Gender, Race, and Microaggressions
2:00PM - 2:30PM
J. Bryan Sexton, PhD

Solutions to Burnout I: The Science of Gratitude and Relationship Resilience
2:30PM - 3:00PM
J. Bryan Sexton, PhD

Solutions to Burnout II: Coping with Change and Hope as a Muscle
3:00PM - 3:30PM
J. Bryan Sexton, PhD

Management of Perioperative Anemia, Transfusion, and Bleeding
3:30PM - 4:00PM
Nauder Faraday, MD, MPH

Perioperative BP Management- The Case for Precision Medicine?
4:00PM - 4:15PM
Todd Dorman, MD, MCCM, FSACME

Artificial Intelligence and Perioperative Medicine
4:15PM - 4:30PM
Nauder Faraday, MD, MPH

Thursday, April 14, 2022

Preoperative Pulmonary Risk Assessment and Testing
7:30AM - 8:00AM
Peter Rock, MD, MBA, FCCM, FCCP

Perioperative Respiratory Insufficiency: Mechanisms and Management
8:00AM - 8:30AM
Peter Rock, MD, MBA, FCCM, FCCP

Perioperative Management of Diabetes and Hyperglycemia
8:30AM - 9:00AM
Leonard Feldman, MD, SFHM, FAAP, FACP

Perioperative Renal Dysfunction
9:00AM - 9:30AM
Derek Fine, MD

Perioperative Management of the Patient with Obstructive Sleep Apnea
9:30AM - 10:00AM
Peter Rock, MD, MBA, FCCM, FCCP

Perioperative Considerations in the Patient with a History of COVID
10:00AM - 10:30AM
Megan Kostibas, MD

Acute Pain Management: The Case for Multimodal Therapy
11:15AM - 11:45AM
Hassan Rayaz, MD

Opioid Addiction- The Role of Perioperative Clinicians in Prevention and Treatment
11:45AM - 12:15PM
Hassan Rayaz, MD

Perioperative Glucose Management in the Brittle Diabetic
12:15PM - 12:30PM
Leonard Feldman, MD, SFHM, FAAP, FACP

Perioperative Management of Hyponatremia and Other Electrolyte Abnormalities
12:30PM - 12:45PM
Derek Fine, MD

Perioperative Fluid Management
12:45PM - 1:00PM
Pamela Lipsett, MD, MHPE, FACS, FCCM

Pain Management in the Opioid-Tolerant Patient: A Case-Based Discussion
1:00PM - 1:15PM
Hassan Rayaz, MD

Perioperative DVT and Pulmonary Embolism
2:00PM - 2:30PM
Nauder Faraday, MD, MPH

Preventing, Identifying, and Managing Common Healthcare Associated Infections
2:30PM - 3:00PM
Pamela Lipsett, MD, MHPE, FACS, FCCM

Prevention and Treatment of Surgical Wound Infections
3:00PM - 3:30PM
Pamela Lipsett, MD, MHPE, FACS, FCCM

Airway Management in the COVID Era
3:30PM - 3:45PM
Laeben Lester, MD

Perioperative Management of Marijuana, Herbals, and Supplements
3:45PM - 4:00PM
Heather Sateia, MD

Perioperative Management of Chronic Steroids, Immune Modulators, and Other Immunosuppressive Medications
4:00PM - 4:15PM
Heather Sateia, MD

Friday, April 15, 2022

Post-Operative Delirium: Prevention and Treatment
7:30AM - 8:00AM
Frederick Sieber, MD

Identifying and Managing Risks in Ambulatory Surgery Patients
8:00AM - 8:30AM
Tina Tran, MD

Improving Perioperative Quality and Safety through System and Culture Change
8:30AM - 9:00AM
Sean Berenholtz, MD, MHS, FCCM

Programs to Enhance Recovery after Surgery (ERAS)
9:00AM - 9:30AM
Sean Berenholtz, MD, MHS, FCCM

Perioperative Management of Hepatic Dysfunction
9:30AM - 10:00AM
Aliaksei Pustavoitau, MD, MPH

Perioperative Management of the Patient with Dementia
10:15AM - 10:30AM
Frederick Sieber, MD

Pre-habilitation of the Frail Patient for Elective Surgery
10:30AM - 10:45AM
Frederick Sieber, MD

Managing End of Life Care in Surgical Patients
10:45AM - 11:00AM
Pamela Lipsett, MD, MHPE, FACS, FCCM

Improving the Quality of Sepsis Care
11:00AM - 11:15AM
Sean Berenholtz, MD, MHS, FCCM

Maintaining Patient Safety during Transitions of Care: The Handoff
11:15AM - 11:30AM
Lee Goeddel, MD, MPH

Perioperative Telemedicine
11:30AM - 11:45AM
Lee Goeddel, MD, MPH

Wednesday, April 20, 2022

Wednesday, April 27, 2022

Wednesday, August 3, 2022

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Saturday, August 13, 2022

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Source: https://hopkinscme.cloud-cme.com/course/courseoverview?P=0&EID=36735

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