Perioperative Geriatric Management

Picture perioperative care that treats aging as a design principle. In this fast, case-based course, apply the Age‑Friendly 4Ms to assess cognition with Mini‑Cog, perform frailty screening (Clinical Frailty Scale), and manage delirium risk with targeted bundles. Build safer regimens with Beers-guided prescribing, deprescribing, and multimodal analgesia; prevent AKI, retention, pressure injury, and decline; elicit goals with ACS NSQIP and summarize team models that reduce complications and improve outcomes.

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Availability

On-Demand

Expires on Jul 31, 2028

Cost

Member: $0.00

Non-Member: $95.00

Credit Offered

2 CME Credits

2 ABIM-MOC Points

2 Participation Credits

Overview
Faculty
Accreditation
Recommended

Learning Objectives
After completing this activity, learners should be able to:

Describe the impact of age and frailty on surgical outcomes
Assess cognitive status and delirium risk
Perform a frailty screen and discuss evidence-based risk reduction strategies for frail patients
Manage medications for older adults in the perioperative period
Delineate common postoperative complications in older adults and how to approach management
Elicit patient values and healthcare goals to inform shared decision-making around surgery
Summarize how interdisciplinary teams and care models improve outcomes for older adults undergoing surgery

Faculty

Edie P. Shen, MD, FHM
Jenny Shen, MD
Susan Wlodarczyk, MD
Heather E. Nye, MD, PhD, SFHM, FACP
Kurt Pfeifer, MD, FACP, SFHM, DFPM
Leonard Feldman, MD, FACP, FAAP, MHM

Faculty Disclosures
The individuals in control of content for this activity have no relevant relationships with ACCME-defined ineligible companies to disclose unless listed here. Any relevant relationships were mitigated prior to the start of 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 Credit Statement
The Society of Hospital Medicine designates this enduring material for a maximum of 2.00 AMA PRA Category 1 Credit(s)^TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

MOC Credit Statement
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.

SHM Consults: Perioperative and Consultative Medicine

As hospitalist roles surge, mastering consultative and perioperative care has become a career essential. Gain the proven frameworks and clinical confidence to navigate complex surgical co-management and specialist consultations, leading to safer patients and smoother workflows.

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SHM Consults Core Curriculum

Hospitalists are the fastest growing portion of the physician work force. Some estimate there will be 50,000 hospitalists needed in the next 10 years. As the number of hospitalists grows, so too will the clinical settings in which we practice. Consultative medicine is a service provided by many hospitalists, and a future in which almost all surgical patients are co-managed by hospitalists is already a reality for some. For many of us, our training in consultative medicine during residency was limited. We hope this curriculum will help you to feel more confident about your knowledge and skills and will lead to better patient outcomes. We welcome your comments and suggestions for future topics.

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Anesthesia for Internists

From the pre‑op huddle to PACU handoff, sharpen the decisions internists make that shape anesthesia and outcomes. In concise, case‑based teaching, select general, regional, or MAC wisely; describe airway, hemodynamic, and discharge implications; identify contraindications and day‑of‑surgery pitfalls; apply essential anesthetic pharmacology, ASA Physical Status, and NPO rules; and define clear team communication—so you cut cancellations and elevate perioperative care.

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Reversal and Reinitiation of Anticoagulation

Bleeding emergencies demand decisive action. This 2024 module helps you synthesize the latest trials and society guidance into clear bedside algorithms for ICH, GI bleeding, and urgent surgery. Recognize the right antidotes—vitamin K with 4F‑PCC, andexanet alfa, idarucizumab—summarize practical dosing, understand lab interpretation, assess rebleeding and thrombotic risk, and determine safe restart timing to improve outcomes.

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Perioperative Cardiac Risk Assessment

Scrubbed in and facing a ticking clock—can your team triage cardiac risk with confidence? Translate the 2024 ACC/AHA stepwise algorithm into swift, guideline‑true moves as you identify red flags, assess functional capacity, quantify risk with RCRI/NSQIP, integrate modifiers and biomarkers, and reserve tests that change care. Walk away with a clear playbook that keeps cases safe, conversations honest, and schedules intact.

Multiple Credits

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Venous Thromboembolism Prophylaxis in Surgical Patients

Across the perioperative pathway, one preventable threat still claims lives—VTE. In this concise, practice-ready course, recognize its impact, describe key risks, and synthesize ASH and ACCP guidance into clear bedside choices for pharmacologic, mechanical, combined, and extended prophylaxis for general, orthopedic, oncologic, and bariatric surgery. You’ll formulate goals, summarize protocols, and outline timing to improve outcomes and meet quality metrics.

Multiple Credits

$0.00 - $95.00

Perioperative Management of Anticoagulant Therapy

Before the first incision, the right anticoagulant decision can avert stroke and hemorrhage. In this case-based CME, determine when to interrupt or continue therapy by integrating patient, procedure, and thrombotic risks; chart precise stop‑restart timelines for warfarin and DOACs; and apply bridging only when truly indicated. Understand current evidence and standardized calendars to align teams, reduce errors, and deliver safer perioperative care.

Multiple Credits

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Perioperative Infections and Fever

Fever after surgery isn’t a mystery—it’s a clock. In this case-driven course, apply a time-based lens and the W’s mnemonic to recognize, diagnose, and treat postoperative etiologies while strengthening HAP/VAP, CAUTI, and central-line infection management. Culture before antibiotics, assess resistance risk, de‑escalate thoughtfully, prevent catheter harm, manage Candida with confidence, activate sepsis bundles, and return patients to recovery faster.

Multiple Credits

$0.00 - $95.00