Neurosurgery for the Hospitalist

Rachel E Thompson MD MPH SFHM, James Maliszewski MD, Andrew Moellering MD, Urmila Mukherjee MD, Andjela Drincic MD, Christina Ryan MD, and Andrew Gard MD

SUMMARY

Comanagement of neurosurgery patients between surgeons and hospitalists is becoming more common, making it necessary for hospitalists to have a better understanding of potential neurosurgical presentations and complications. Common reasons for neurosurgery include subarachnoid hemorrhages (SAHs), acute subdural hematomas (SDHs), and brain tumors. The following module discusses the epidemiology, prognosis, and clinical course for patients presenting with SAH, as well as complications that occur and management strategies. Methods for predicting and managing SDH are examined, and a detailed discussion of the epidemiology and prognosis of common brain tumors is included.

GOAL

To provide hospitalists with up-to-date information about the potential presentation and management of complications in patients who require neurosurgery.

TARGET AUDIENCE

This activity is designed for hospitalists. 

LEARNING OBJECTIVES

After completing the module, the participant should be able to:

  1. Summarize the epidemiology, clinical course, and prognosis of patients presenting with subarachnoid hemorrhage.
  2. Recognize acute and chronic hydrocephalus and explain potential management strategies in the adult population.
  3. Describe basic shunt structure and diagnose common shunt complications.
  4. Identify predictors of outcome and describe the management of acute subdural hematoma.
  5. Detail the epidemiology and prognosis for common brain tumors.
  6. Summarize the epidemiology and classification of pituitary tumors and discuss the preoperative evaluation and postsurgical complications of water homeostasis disorders.
  7. Develop a basic understanding of the more common endovascular neurosurgical procedures. 
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 DESIGNATION STATEMENT

The Society of Hospital Medicine designated this activity for a maximum of 2.0 AMA PRA Category 1 CreditsTM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Release date: October 31, 2017

Expiration date: October 31, 2020

Estimated time to complete activity: 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 resolves 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.

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

Course summary
Available credit: 
  • 2.00 AMA PRA Category 1 Credit™
  • 2.00 ABIM MOC Self Evaluation Points
    Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 2.00 MOC points [and patient safety MOC credit] 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
  • 2.00 Equivalent Credit
Course opens: 
10/31/2017
Course expires: 
10/31/2020
Cost:
$0.00
Parent activity set: 
Rating: 
0
FACULTY & FACULTY DISCLOSURES

Leonard Feldman, MD, FACP, SFHM
Associate Professor of Medicine 
Johns Hopkins University School of Medicine 
Urban Health Residency and Track Director
Associate Program Director, Osler Medical Residency
Director, Comprehensive General Medicine Consult Service
Founding Editor-in-Chief, Consultative & Perioperative Medicine Essentials for Hospitalists
Baltimore, Maryland
Dr Feldman reports having no relevant financial or advisory relationships with corporate organizations related to this activity.

Kurt Pfeifer, MD, FACP, SFHM
Professor of Medicine
General Internal Medicine
Medical Director, Froedtert and Medical College of Wisconsin Eye Institute Perioperative Services
Medical College of Wisconsin
Associate Editor-in-Chief, Consultative & Perioperative Medicine Essentials for Hospitalists
Milwaukee, Wisconsin
Dr. Pfeifer reports having no relevant financial or advisory relationships with corporate organizations related to this activity.

Rachel Thompson, MD, MPH, SFHM
Course Activity Director
Associate Professor of Medicine
Chief, Section of Hospital Medicine
University of Nebraska Medical Center
Omaha, Nebraska
Dr Thompson reports having no relevant financial or advisory relationships with corporate organizations related to this activity.

James Maliszewski, MD
Assistant Professor of Medicine
University of Nebraska Medical Center
Omaha, Nebraska
Dr Maliszewski reports having no relevant financial or advisory relationships with corporate organizations related to this activity.

Andrew Moellering, MD
Assistant Professor of Medicine
University of Nebraska Medical Center
Omaha, Nebraska
Dr Moellering reports having no relevant financial or advisory relationships with corporate organizations related to this activity.

Urmila Mukherjee, MD
Assistant Professor of Medicine
University of Nebraska Medical Center
Omaha, Nebraska
Dr Mukherjee reports having no relevant financial or advisory relationships with corporate organizations related to this activity.

Andrew P Gard, MD
Endovascular Neurosurgery
Assistant Professor of Surgery
University of Nebraska Medical Center
Omaha, Nebraska
Dr Gard reports having no relevant financial or advisory relationships with corporate organizations related to this activity.

Andjela Drincic, MD, FACP
Associate Professor of Medicine
University of Nebraska Medical Center
Omaha, Nebraska
Dr Drincic reports having no relevant financial or advisory relationships with corporate organizations related to this activity.

Christina Gilmore Ryan, MD
Assistant Professor of Medicine
University of Washington
Seattle, Washington
Dr Ryan reports having no relevant financial or advisory relationships with corporate organizations related to this activity.

Click here to download the references for this educational activity.

Accrediation 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

The Society of Hospital Medicine designated this activity for a maximum of 2.0 AMA PRA Category 1 CreditsTM. 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 2.0 MOC points [and patient safety MOC credit] 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.

Available Credit

  • 2.00 AMA PRA Category 1 Credit™
  • 2.00 ABIM MOC Self Evaluation Points
    Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 2.00 MOC points [and patient safety MOC credit] 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
  • 2.00 Equivalent Credit

Accreditation Period

Course opens: 
10/31/2017
Course expires: 
10/31/2020

Price

Cost:
$0.00
Please login or register to take this course.

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.

Click START to begin.