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SHM Consults: Perioperative & Consultative Medicine

Advance your skills in consultative medicine

Strengthen your ability to co-manage surgical and medically complex patients through focused education designed for hospitalists. Explore practical approaches to perioperative and consultative care that support safer, more effective, and coordinated patient management.

Build confidence caring for diverse patient populations while expanding your clinical impact across hospital settings.

Program Directors: To provide access for trainees, please contact education@hospitalmedicine.org to request an academic access code.
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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.
Bundle
 42 CME available  42 ABIM-MOC available  42 Participation available
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.
Bundle
 30 CME available  30 ABIM-MOC available  30 Participation available
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.
Bundle
 12 CME available  12 ABIM-MOC available  12 Participation available
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.
On-Demand
 2 CME available  2 ABIM-MOC available  2 Participation available
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.
On-Demand
 2 CME available  2 ABIM-MOC available  2 Participation available
ICUs demand split-second glycemic judgment—hone yours in a case-driven course that turns current trials and guidelines into bedside practice. Evaluate targets and appraise intraoperative insulin protocols, then formulate pre-, intra-, and postoperative plans that favor continuous infusions over sliding-scale alone. Finally, summarize and transition from drips to physiologic subcutaneous regimens to improve safety and outcomes.
On-Demand
 2 CME available  2 ABIM-MOC available  2 Participation available
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.
On-Demand
 2 CME available  2 ABIM-MOC available  2 Participation available
From ED arrival to repair and secondary prevention, this evidence‑based, case‑driven module equips hospitalists for comanagement to summarize the stakes, identify candidates for early surgery, and perform focused preop assessments without low‑yield delays. You’ll recognize VTE and delirium risks, reduce pain and pressure injuries with nerve blocks and multimodal care alongside surgery and anesthesia, and initiate bone‑strengthening therapy for better outcomes.
On-Demand
 2 CME available  2 ABIM-MOC available  2 Participation available
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.
On-Demand
 2 CME available  2 ABIM-MOC available  2 Participation available
Sharper recoveries start at the bedside. In this case-rich activity, assess pain precisely across ages and cognition, identify mechanisms, and implement multimodal plans: acetaminophen/NSAIDs, regional techniques, and targeted adjuvants to limit opioids. Titrate and rotate using equianalgesic principles, avoid meperidine and long-acting agents, set PCA lockouts without basal in opioid-naive, and monitor outcomes to curb delirium and elevate satisfaction.
On-Demand
 2 CME available  2 ABIM-MOC available  2 Participation available
Precision starts at the consult. Elevate your perioperative approach to cirrhosis with a fast, case-based module that replaces crude scoring with VOCAL‑Penn, helps you evaluate compensated versus decompensated disease, and outline anesthesia and procedure risks. Identify what to check preop, optimize medications, and formulate complication plans—then solidify gains with interactive assessments and CME credit.
On-Demand
 2 CME available  2 ABIM-MOC available  2 Participation available
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.
On-Demand
 2 CME available  2 ABIM-MOC available  2 Participation available
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.
On-Demand
 2 CME available  2 ABIM-MOC available  2 Participation available
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.
On-Demand
 2 CME available  2 ABIM-MOC available  2 Participation available
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.
On-Demand
 2 CME available  2 ABIM-MOC available  2 Participation available
Before the first incision, hyponatremia can tilt outcomes. This case-based CME trains hospitalists to recognize and diagnose perioperative sodium disorders with a serum osmolality–volume status–urine studies algorithm rooted in AVP physiology, then stratify risk and treat decisively with targeted therapy for euvolemic, hypovolemic, and hypervolemic states. You’ll manage emergencies safely and evaluate look‑alikes like SIADH, CSW, and beer potomania to elevate surgical care.
On-Demand
 2 CME available  2 ABIM-MOC available  2 Participation available
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.
On-Demand
 2 CME available  2 ABIM-MOC available  2 Participation available
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.
On-Demand
 2 CME available  2 ABIM-MOC available  2 Participation available
Fewer SSIs start with smarter perioperative choices. In this evidence-based update for hospitalists, identify key patient and procedural risks, optimize antimicrobial prophylaxis with precise selection, dosing, and timing, and implement high-yield measures—skin prep, thermal management, glucose control, hair removal, and smoking cessation. You’ll decolonize targeted Staphylococcus aureus carriers and evaluate postoperative fever to drive source control and tailored therapy.
On-Demand
 2 CME available  2 ABIM-MOC available  2 Participation available
Silent OSA risk shadows many surgical patients—often surfacing after the first postoperative day. Through concise, case-based learning, recognize high-risk profiles, assess severity with STOP‑Bang, and design and apply guideline‑aligned plans that prioritize CPAP when appropriate, opioid‑sparing analgesia, safe oxygen use, and head‑up or lateral positioning. Implement continuous oximetry and extended monitoring, and manage care with ASA/SASM‑ready protocols to cut complications and transfers.
On-Demand
 2 CME available  2 ABIM-MOC available  2 Participation available
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