Neurosurgery for the Hospitalist

Jason F Shiffermiller, MD, MPH, Nicolle Peterson, DO, Chad W Vokoun, MD, Michael P Smith, MD, Daniel L Surdell, MD, Andrew P Gard, MD, and Rachel E Thompson, MD, MPH

Based on the original module Neurosurgery for the Hospitalist by Christina G Ryan, MD, James Maliszewski, MD, Andrew Moellering, MD, Urmila Mukherjee, MD, Andjela Drincic, MD, Andrew Gard, MD, and Rachel E Thompson, MD, MPH, SFHM

If you are a Program Director and would like to grant access to your trainees, please reach out to education@hospitalmedicine.org for an academic access code.

Summary

Successful neurosurgery co-management requires hospitalists to be familiar with the presentations, disease processes, management, and complications of neurosurgical inpatients. The first and longest section of this module summarizes common inpatient neurosurgical conditions. The second section prepares the reader to recognize and act on neurosurgical emergencies. The remaining four sections of the module provide more detail on the medical management of neurosurgical conditions. These sections cover blood pressure management in patients with subarachnoid hemorrhage, sodium abnormalities in patients with brain tumors, the use of mannitol vs. dexamethasone, and the perioperative management of anticoagulants, in addition to other topics.

Goal

To provide hospitalists with a foundation of clinical knowledge that informs the neurosurgery co-management aspect of their work.

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, clinical course, and prognosis of patients with subarachnoid hemorrhage.
  2. Manage blood pressure and antithrombotic agents in patients with subarachnoid hemorrhage.
  3. Describe basic shunt structure and diagnose common shunt complications.
  4. Differentiate cerebral salt wasting syndrome from the syndrome of inappropriate antidiuretic hormone.
  5. Detail the indications for and side effects of dexamethasone in neurosurgical patients.
  6. Recommend venous thromboembolism prophylaxis for patients undergoing neurosurgery.
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 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 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.

Release Date: October 19, 2021                    Expiration Date: October 19, 2024

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 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, a post-test, and a CME evaluation. All sections must be completed to receive CME credit.

Additional Information

Course summary
Available 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 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 AMA PRA Category 1 Credit™
Course opens: 
10/19/2021
Course expires: 
10/19/2024
Member cost:
$0.00
Your cost:
$95.00
Rating: 
0
Faculty & Disclosures
Authors

Jason F Shiffermiller, MD, MPH
Assistant Professor of Medicine
Division of Hospital Medicine
University of Nebraska Medical Center
Omaha, Nebraska

Nicolle Peterson, DO
Assistant Professor of Medicine
Division of Hospital Medicine
Associate Director of CoManagement Education
University of Nebraska Medical Center
Omaha, Nebraska

Chad W Vokoun, MD
Chief of Hospital Medicine
Associate Professor of Medicine
Division of Hospital Medicine
University of Nebraska Medical Center
Omaha, Nebraska

Michael P Smith, MD
Assistant Professor of Medicine
Division of Hospital Medicine
University of Nebraska Medical Center
Omaha, Nebraska

Daniel L Surdell, MD
Professor of Surgery
Department of Neurosurgery
University of Nebraska Medical Center
Omaha, Nebraska

Andrew P Gard, MD
Assistant Professor of Surgery
Department of Neurosurgery
University of Nebraska Medical Center
Omaha, Nebraska

Rachel E Thompson, MD, MPH
Chief Medical Officer
Snoqualmie Valley Hospital and Public Health District
Adjunct Professor, University of Nebraska Medical Center
Seattle, Washington

The authors report having no relevant financial or advisory relationships with corporate organizations related to this activity.

Editors

Leonard Feldman, MD, FACP, SFHM
Associate Professor of Medicine and Pediatrics
Johns Hopkins University School of Medicine
Urban Health Residency and Track Director
Associate Program Director, Osler Medical Residency
Founding Editor-in-Chief, Consultative & Perioperative Medicine Essentials for Hospitalists
Deputy Editor, Journal of Hospital Medicine
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
Chief, Section of Perioperative and Consultative Medicine
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.

Additional planners and faculty for this activity have no financial or advisory relationships with corporate organizations related to this activity.

SHM 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.

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 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 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 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 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 AMA PRA Category 1 Credit™

Price

Member cost:
$0.00
Your cost:
$95.00
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, and a CME evaluation. All sections must be completed to receive CME and MOC credit.

Click START to begin.

If you are a Program Director and would like to grant access to your trainees, please reach out to education@hospitalmedicine.org for an academic access code.