When Less is More: How to Provide Less Anticoagulant and Anti-platelet Treatment to Improve Outcomes - On Demand 2026
Rethink bleeding risk: in this case-based course, hospitalists evaluate who truly benefits from long-term anticoagulation, apply targeted thrombophilia testing, and design plans to de-escalate from treatment- to prophylaxis-dose therapy. You’ll critique anti-platelet use when anticoagulation is indicated, discontinue unnecessary agents to prevent harm, and synthesize shared decisions that treat disease yet avoid major bleeding—improving outcomes now and after discharge.
Availability
On-Demand
Expires on Apr 05, 2029
Credit Offered
0.75 CME Credit
0.75 ABIM-MOC Point
0.75 Participation Credit
  • Overview
  • Faculty
  • Accreditation
  • Recommended
Learning Objectives
After completing this activity, learners should be able to:
  1. Determine when to discontinue anti-platelet agents for patients who have an indication for an anticoagulant.
  2. Identify the optimal timing for de-escalation from treatment-dose to prophylaxis-dose anticoagulation to ensure high efficacy while decreasing the risk of bleeding.
  3. Recognize how to minimize use of "triple therapy" after drug eluting stent placement.
  4. Use thrombophilia testing judiciously to identify patients who do not require long-term anticoagulation.
Faculty
  • Andrew Dunn, MD, MPH

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 0.75 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 0.75  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.

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