Hip fractures are a frequent cause of hospitalization in the elderly population. As the population continues to age, the incidence is expected to increase. Since many patients with hip fracture suffer from multiple medical comorbidities, hospitalists play a critical role in their care. Management of these patients requires knowledge of multiple consultative medicine topics including preoperative cardiac and pulmonary risk stratification and reduction strategies, venous thromboembolism prevention, and diagnosis and management of common postoperative complications. Open lines of communication between the hospitalist, surgeon, and anesthesiologist are essential to optimize patient care.

Goal

To provide hospitalists an evidence-based approach to safely and efficiently treat patients with acute hip fractures.

Target Audience

This activity is designed for hospitalists. No prerequisites required.

Learning Objectives

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

1. Summarize the epidemiology of hip fractures and the role of the hospitalist.
2. Identify the optimal timing for surgical repair of a hip fracture to improve patient outcomes.
3. Perform an appropriate, evidence-based preoperative medical evaluation for patients undergoing hip fracture repair.
4. Recognize the importance and reduce the risk of venous thromboembolism in hip fracture patients.
5. Appreciate common postoperative medical complications associated with hip fracture surgery and apply 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 Credit(s)^TM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Release Date: January 30, 2020

Expiration Date: January 30, 2023

Estimated time to complete: 2 hours

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.

Off-Label Product Discussion

All faculty have indicated that they have not referenced unlabeled or unapproved uses of drugs or devices.

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, & CME evaluation. All sections must be completed to receive CME credit.