80068115 - Perioperative Management - In Its 40th Year EM

Thursday, May 15, 2025, 7:00 AM - Sunday, May 14, 2028, 1:30 PM


Over 300 million patients undergo surgical procedures worldwide, and the age and medical complexity of this patient population continues to increase. Higher risk patients are now having surgery in ambulatory and non-OR settings. All these patients require preoperative assessment, intraoperative management, and postoperative care. Every year the body of peer-reviewed literature on this topic increases and new guidelines on clinical management are formulated. The curriculum for this course was specifically created to address the needs of clinicians who provide care for patients before, during, and after surgery based on examination of the evidence-based peer-reviewed literature, recent research, feedback from course participants, and input from expert colleagues inside and outside Johns Hopkins. 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.

1. 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.
2. 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.
3. Describe the perioperative complications associated with diabetes, renal insufficiency, liver disease, delirium, and frailty, and list current management strategies to optimize outcomes in patients with these medical conditions.
4. Describe strategies to control acute postoperative pain, including in patients who chronically use opioids or cannabis.
5. Recognize how to prevent, diagnose, and treat common healthcare associated infections that complicate surgical procedures.
6. Recognize the perioperative implications of the growing use of newer pharmacologic therapies for diabetes, obesity, heart failure, and immunomodulators and, the pros and cons of emerging physiologic monitoring technologies for use in the OR, PACU, and wards.
7. Recognize the impact of burnout, and its relation to gender, race, and microaggressions, on clinician wellbeing and patient safety, and describe strategies to improve workforce wellbeing, communication, and the quality and safety of clinical care for of individual healthcare worker, patients, and the health system.
8. Recognize basic views for real-time ultrasound guided vascular access and perform vascular access on simulation equipment using ultrasound (optional POCUS Workshop).
9. Recognize and interpret basic transthoracic ultrasound views of cardiac and lung structures (optional POCUS Workshop).
10. Apply basic ultrasound algorithms to diagnose and manage an unstable perioperative patient (optional POCUS Workshop).
11. Recognize and interpret ultrasound views of peripheral nerve structures and how ultrasound can facilitate performance of peripheral nerve blocks for upper and lower extremity surgery (optional POCUS Workshop).
12. Recognize the causal role of gratitude in well-being (optional Wellness Workshop).
13. Perform a brief gratitude intervention in real time (optional Wellness Workshop).
14. List several wellbeing improvements associated with awe and wonder interventions (optional Wellness Workshop).
15. Perform a brief awe intervention in real time (optional Wellness Workshop).

MOC Approvals

American Board of Anesthesiology (ABA)
This activity contributes to the CME component of the American Board of Anesthesiology’s redesigned Maintenance of Certification in Anesthesiology (MOCA®) program, known as MOCA 2.0®. Please consult the ABA website, www.theABA.org, for a list of all MOCA 2.0 requirements.

American Board of Internal Medicine (ABIM)
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 29.25 MOC points in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

American Board of Surgery (ABS)
Successful completion of this CME activity enables the learner to earn credit toward the CME requirement(s) of the American Board of Surgery’s Continuous Certification program. It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting ABS credit.

POLICY ON PRESENTER AND PROVIDER DISCLOSURE
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 in place to identify and mitigate relevant conflicts of interest prior to this educational activity. Detailed disclosure will be made prior to presentation of the education. 

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.

No faculty are available for this activity at this time.