Pulmonary Risk Management in the Perioperative Setting

Sucharita Kher, MD and Gerald W. Smetana, MD

Summary

As a consultant, hospitalists commonly risk stratify and offer risk reduction strategies for patients undergoing surgery. Effective perioperative pulmonary risk consultation requires hospitalists to identify patient- and procedure-related predictors for developing postoperative pulmonary complications and to propose strategies to reduce the risk. The following module will examine these topics and provide evidence-based risk reduction strategies. In addition, the role of routine preoperative spirometry and chest radiograph will be discussed.

Goal

To provide hospitalists with a guide to perioperative pulmonary risk stratification and discuss modalities to reduce the risk of perioperative pulmonary complications.

Target Audience

This activity is designed for hospitalists. 

Learning Objectives

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

  1. Recognize the impact of postoperative pulmonary complications.
  2. Identify risk factors associated with higher incidence of postoperative pulmonary complications.
  3. Examine the role of routine preoperative spirometry and chest radiograph.
  4. Evaluate the evidence-based 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

The Society of Hospital Medicine designates this activity for a maximum of 2 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 2.00 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.

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.

Release date: May 17, 2018

Expiration date: May 17, 2021

Estimated time to complete activity: 2 hours

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 3 sections: a pre-test, a study program, and a CME post-test. All 3 sections must be completed to receive CME credit.

Additional Information

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 Non-physician
Course opens: 
05/17/2018
Course expires: 
05/17/2021
Non-member cost:
$0.00
Parent activity set: 
Rating: 
0

Leonard Feldman, MD
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.

Sucharita Kher, MD
Assistant Professor of Medicine
Tufts University School of Medicine
Medical Director, Pulmonary Clinic
Division of Pulmonary, Critical Care and Sleep Medicine
Tufts Medical Center
Boston, Massachusetts
Dr Kher reports having no relevant financial or advisory relationships with corporate organizations related to this activity.

Gerald W. Smetana, MD
Division of General Medicine and Primary Care
Beth Israel Deaconess Medical Center
Professor of Medicine
Harvard Medical School
Boston, Massachusetts
Dr Smetana reports having no relevant financial or advisory relationships with corporate organizations related to this activity.

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.

CME Statement Designation

The Society of Hospital Medicine designates this activity for a maximum of 2 AMA PRA Category 1 CreditsTM. Physicians should only claim credit commensurate with the extent of their participation in the activity

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 Non-physician

Accreditation Period

Course opens: 
05/17/2018
Course expires: 
05/17/2021

Price

Non-member 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.