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.

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Availability

On-Demand

Expires on Oct 17, 2026

Cost

Member: $0.00

Non-Member: $95.00

Credit Offered

2 CME Credits

2 ABIM-MOC Points

2 Participation Credits

Overview
Accreditation
Recommended

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

Determine whether perioperative interruption of anticoagulation is necessary.
Chart the appropriate timing for preoperative cessation and postoperative resumption of anticoagulants.
Understand the indications for bridging anticoagulation in three clinical situations: a) patients with atrial fibrillation, b) patients with mechanical heart valves, and c) patients with a history of venous thromboembolism.

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.

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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Managing Diabetes and Hyperglycemia in the Hospital: Focus on the Noncritically Ill Patient

Hospitalized patients with diabetes require specific medical management in order to minimize the risk of hyperglycemia. This requires hospitalists to have an understanding of methods for glycemic control in both the critically ill and noncritically ill patient. This activity, which focuses on the noncritically ill patient, is part of a 2-part series that will evaluate the current scientific evidence regarding glycemic control and discuss which medications are best for controlling blood glucose levels in the hospital. A thorough discussion of how to determine the appropriate insulin dose and develop an insulin regimen for hospitalized patients is provided, as well as strategies for developing a discharge plan for patients on insulin.

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Perioperative Medication Management

From pre-op huddle to PACU handoff, make calls you can stand behind. In this case-driven module, analyze bleeding–thrombosis tradeoffs, recognize which cardiovascular and pulmonary therapies to continue, assess endocrine needs, identify neuropsychiatric and herbal pitfalls, and manage antirheumatics with sound timing. Algorithms, pre/post checks, and quick tables help you synthesize dependable plans that sharpen outcomes.

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Preoperative Diagnostic Testing and Utilization of Basic Statistics

Rethink routine testing: this fast, case-driven course helps perioperative clinicians design smarter preop strategies grounded in evidence and aligned with Choosing Wisely. Discuss when not to order ECGs or chest imaging, examine indications for core labs, replace routine coagulation panels with history-based bleeding risk, and use pretest probability, likelihood ratios, and the Fagan nomogram to act on results. Describe and identify high-value pathways that cut waste while elevating safety.

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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

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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.

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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.

Multiple Credits

$0.00 - $95.00