Mayo School of Continuous Professional Development

An Overview of Perioperative Medicine 2016: From Outpatient Preoperative Assessment to Inpatient Postoperative Care in collaboration with Sidney Kimmel Medical College at Thomas Jefferson University

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November 9-12, 2016 The Meritage Resort and Spa Napa, California

Learn strategies to provide evidence-based, cost-effective perioperative care. Register Online Now! celinks.mayo.edu/periop2016 Perioperative MOC Module Will Be Available - More Details Coming Soon!

Course Description

Other Health Care Professionals

An Overview of Perioperative Medicine is intended to update general internists, internist-sub specialists, family medicine specialists, and other health care providers on perioperative assessment and management. This course will focus on the practical, clinical side of preoperative assessment and postoperative management. The course will feature a collaborative faculty of multi-specialty experts in perioperative medicine from both Mayo Clinic and Sidney Kimmel Medical College at Thomas Jefferson University.

A certificate of attendance will be provided to other health care professionals for requesting credits in accordance with state nursing boards, specialty societies, or other professional associations.

Course Learning Objectives Upon conclusion of this program, participants should be able to: • Apply a systematic approach to guide preoperative assessment. • Recommend the appropriate continuation and discontinuation of medications and nutraceuticals in the perioperative setting. • Assess, optimize, and manage a variety of medical co-morbidities in the perioperative setting. Attendance at this Mayo course does not indicate nor guarantee competence or proficiency in the performance of any procedures which may be discussed or taught in this course.

Intended Audience The course is designed for clinicians who see perioperative patients. This includes internists, hospitalists, family physicians, surgeons, anesthesiologists, nurse practitioners, physician assistants, and nurse anesthetists.

Credit Mayo Clinic College of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Mayo Clinic College of Medicine designates this live activity for a maximum of 23.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Maintenance of Certification (MOC) We are seeking ABIM MOC approval for an interactive capstone session led by course faculty which will review key perioperative concepts in a Q&A format. There will be an additional registration fee for those who would like to earn MOC credit for the course and wish to participate. More information will be available soon.

Date and Location An Overview of Perioperative Medicine will be held November 9-12, 2016. Course headquarters will be located in the Meritage Grand Salon at The Meritage Resort and Spa, 875 Bordeaux Way, Napa, California, 94558.

Registration To register online, visit celink.mayo.edu/periop2016 The registration fee includes tuition, comprehensive electronic course syllabus, continental breakfasts, break refreshments, and lunches. A complimentary mobile app for Apple and Android tablets, mobile devices and laptops is available; complete with note-taking, highlighting, and annotation capabilities. Although it is not Mayo School of Continuous Professional Development (CPD) policy to limit the number of registrants for a course, conference room facilities may necessitate closing of enrollment; therefore, early registration is advised. A letter of confirmation will be sent upon receipt of payment and completed registration. For additional information, contact: Mayo School of Continuous Professional Development Plummer 2-60 200 First Street SW Rochester, MN 55905 Website: ce.mayo.edu E-mail: [email protected] Phone: 800-323-2688 or 507-284-2509 Fax: 507-284-0532

Registration Fees: General Session November 9-12, 2016 Physicians/Scientists

$950

Residents, Fellows, Nurses, Physician Assistants, Nurse Practitioners, and Retirees

$825

Friday, November 11, 2016 1:00 – 3:00 p.m. Maintenance of Certification (MOC) Module - More Details Available Soon!

Cancellation Policy If you cancel your participation in this course, your registration fee, less a $75 administrative fee, will be refunded when written notification is received by Mayo School of CPD before October 26, 2016 ([email protected] or fax#: 507-284-0532). No refunds will be made on or after October 26, 2016. Canceled registrations are non-transferable. Mayo School of CPD reserves the right to cancel or postpone any course due to unforeseen circumstances. In the unlikely event Mayo School of CPD must cancel or postpone this course, Mayo School of CPD will refund the registration fee, but is not responsible for any related costs, charges, or expenses to participants, including fees assessed by airline/travel/lodging agencies.

Lodging Accommodations Guest rooms have been reserved for attendees and their guests with special room rates starting at $249 plus tax. In order to receive the special rate, reservations must be made before the room block is filled or before the expiration date of October 18, 2016, whichever comes first. Reservations will be taken following this date based on space and rate availability. Hotel room rates are subject to applicable state and local taxes in effect at the time of check-in. Please identify yourself as a participant of Mayo Clinic’s An Overview of Perioperative Medicine course when making your reservation.

The Meritage Resort and Spa 875 Bordeaux Way Napa, California, 94558 707-251-1900 or 866-370-NAPA (6272) https://aws.passkey.com/event/14148787/ owner/9669411/home For other information on travelling to Napa Valley, please see https://www.visitnapavalley.com/. Travel, lodging, and parking arrangements are the sole responsibility of the individual registrant. Mayo School of CPD is not responsible for expenses incurred by an individual who is not confirmed and for whom space is not available at the meeting. Costs incurred by the registrant such as airline or hotel fees or penalties are the responsibility of the registrant.

Course Directors Karen F. Mauck, M.D., M.Sc. Associate Professor of Medicine Chair, Faculty Development Division of General Internal Medicine, Section of Medical Education Mayo Clinic College of Medicine Karna K. Sundsted, M.D. Assistant Professor of Medicine Division of General Internal Medicine, Section of Medical Education Mayo Clinic College of Medicine Geno J. Merli, M.D. Professor of Medicine & Neurologic Surgery Co-Director, Jefferson Vascular Center Senior VP & Associate CMO Sidney Kimmel Medical College at Thomas Jefferson University Howard H. Weitz, M.D. Professor of Medicine Vice-Chairman, Department of Medicine Director, Jefferson Heart Institute Sidney Kimmel Medical College at Thomas Jefferson University

Faculty Disclosure As a provider accredited by ACCME, Mayo Clinic College of Medicine (Mayo School of Continuous Professional Development) must ensure balance, independence, objectivity and scientific rigor in its educational activities. Course director(s), planning committee, faculty, and all others who are in a position to control the content of this educational activity are required to disclose all relevant financial relationships with any commercial interest related to the subject matter of the educational activity. Safeguards against commercial bias have been put in place. Faculty also will disclose any off-label and/ or investigational use of pharmaceuticals or instruments discussed in their presentation. Disclosure of this information will be published in course materials so those participants in the activity may formulate their own judgments regarding the presentation.

National Physician Payment Transparency Program Mayo Clinic College of Medicine complies with the requirements of the National Physician Payment Transparency Program OPEN PAYMENTS (Physician Payments Sunshine Act).

Program Schedule WEDNESDAY, NOVEMBER 9, 2016 6:00 a.m. Continental Breakfast and Registration 7:30 a.m. Welcome and Introductions 7:45 a.m. Responsibilities and Controversies: Role of the Medical Consultant Margaret Beliveau, M.D., Tad M. Mabry, M.D., and David R. Danielson, M.D. 8:15 a.m. Anesthesia 101 for the Non-Anesthesiologist David R. Danielson, M.D. 8:45 a.m. Cardiac Risk Assessment: Using Guidelines to Direct Practice Karen F. Mauck, M.D. 9:15 a.m. Question and Answer Session 9:30 a.m.

Refreshment Break

9:45 a.m. Cardiac Risk Reduction Strategies – Medical and Interventional Howard H. Weitz, M.D.

10:30 a.m. Perioperative Medication Management: Prescription & Non-Prescription Medication  Moderator: Karna K. Sundsted, M.D.  Panel: Margaret Beliveau, M.D., David R. Danielson, M.D., Geno J. Merli, M.D., and Howard H. Weitz, M.D. 11:15 a.m. Appropriate Use of Laboratory Testing in the Surgical Patient: A Minimalist Approach Robert H. Lohr, M.D. 11:45 a.m. Question and Answer Session 12:00 p.m.

Lunch on your own

2:00 p.m.  Management of Non-CAD Heart Disease in NonCardiac Surgery Howard H. Weitz, M.D. 3:00 p.m. Preoperative Pulmonary Risk Stratification and Risk Reduction Strategies Robert H. Lohr, M.D. 3:30 p.m. Management of Postoperative Pulmonary Complications Deanne T. Kashiwagi, M.D. 4:00 p.m. Perioperative Considerations in the Patient with Rheumatologic Disease Kevin G. Moder, M.D. 4:30 p.m. Question and Answer Session 4:45 p.m.

Adjourn

THURSDAY, NOVEMBER 10, 2016 6:30 a.m.

Continental Breakfast

7:00 a.m. Breakfast with the Professor Case Discussions 7:55 a.m.

Announcements

8:00 a.m. Managing Postoperative Cardiac Complications Howard H. Weitz, M.D. 8:45 a.m. Management of Documented or Suspected Obstructive Sleep Apnea in Patients Undergoing Non-Cardiac Surgery Eric J. Olson, M.D. 9:30 a.m. Question and Answer Session 9:45 a.m.

Refreshment Break

10:00 a.m. DVT/PE Prophylaxis in the Surgical Patient I: The ACCP Guidelines and the Internist’s Perspective Geno J. Merli, M.D.

THURSDAY, NOVEMBER 10, 2016 (Continued) 10:45 a.m. DVT/PE Prophylaxis in the Surgical Patient II The AAOS Guidelines and the Orthopedist’s Perspective Tad M. Mabry, M.D. 11:15 a.m. Clinical Short: Perioperative Management of Antiplatelet Agents Howard H. Weitz, M.D. 11:30 a.m. Clinical Short: Preoperative Bleeding Risk Assessment Ariela L. Marshall, M.D. 11:45 a.m. Question and Answer Session 12:00 p.m.

Lunch on your own

2:00 p.m. Perioperative Management of Anticoagulants (Warfarin): To Bridge or Not to Bridge Paul R. Daniels, M.D.

11:00 a.m. Perioperative Management of Endocrine Issues: Stress Dose Steroids, Adrenal Insufficiency, Thyroid Disease Vinaya Simha, MBBS, M.D. 11:30 a.m. Managing Patients with Neurologic Disease in the Perioperative Period Andrea N. Leep Hunderfund, M.D. 12:00 p.m. Perioperative Substance Abuse Charles P. Reznikoff, M.D. 12:30 p.m. Question and Answer Session 12:45 p.m. Adjourn 1:00 p.m.  MOC Perioperative Question Module (Additional registration fee applies) Brian M. Dougan, M.D., Michael A. Mikhail, M.D., and Dennis W. Regan, M.D.

2:30 p.m. Perioperative Management of Target Specific Oral Anticoagulants Geno J. Merli, M.D.

*Lunch provided*

3:15 p.m. Question and Answer Session

SATURDAY, NOVEMBER 12, 2016

3:30 p.m. Common Hematology Issues in the Perioperative Period Ariela L. Marshall, M.D.

7:00 a.m. Breakfast with the Professor Case Discussions

4:15 p.m. Clinical Short: Does Perioperative Nutrition Matter? Dennis W. Regan, M.D. 4:30 p.m. Question and Answer Session 4:45 p.m.

Adjourn

FRIDAY, NOVEMBER 11, 2016 6:30 a.m.

Continental Breakfast

7:00 a.m. Breakfast with the Professor Case Discussions 7:55 a.m.

Announcements

8:00 a.m. Understanding Perioperative Fluid Management John B. Bundrick, M.D. 8:30 a.m. Managing the Diabetic Patient in the Perioperative Period Vinaya Simha, MBBS, M.D. 9:15 a.m. Perioperative Management of the Patient with Kidney Disease Amy W. Williams, M.D. 10:00 a.m. Perioperative Care of the Elderly Patient Margaret Beliveau, M.D. 10:30 a.m. Question and Answer Session 10:45 a.m.

Refreshment Break

3:00 p.m.

6:30 a.m.

7:55 a.m.

Adjourn

Continental Breakfast

Announcements

8:00 a.m. Management of Postoperative Gastrointestinal Complications and Liver Disease Arya B. Mohabbat, M.D. 8:45 a.m. Pain Management in the Perioperative Period Jason S. Eldrige, M.D. 9:30 a.m. Question and Answer Session 9:45 a.m.

Break and Hotel Check Out

10:15 a.m. Perioperative Infectious Disease Issues Mary J. Kasten, M.D. 10:45 a.m. Clinical Short: Enhanced Recovery After Surgery (ERAS) Margaret Beliveau, M.D. 11:00 a.m. Question and Answer Session 11:15 a.m. Adjourn

Save the Date An Overview of Perioperative Medicine October 25-28, 2017 Grand Hyatt Washington Washington, D.C.

celinks.mayo.edu/periop2016

MC8012-40rev0716

If you already received a copy of this brochure, please forward to an interested colleague.

We are seeking ABIM MOC approval for an interactive capstone session led by course faculty which will review key perioperative concepts in a Q&A format. There will be an additional registration fee for those who would like to earn MOC credit for the course and wish to participate. More information will be available soon.

Register Online Now!

The course will focus on the practical, clinical aspects of preoperative assessment and postoperative management and will feature faculty from multiple specialties who are experts in perioperative medicine.

An Overview of Perioperative Medicine is intended to update general internists, internist-sub specialists, family medicine physicians, anesthesiologists, surgeons and other health care providers on perioperative assessment and management.

From Outpatient Preoperative Assessment to Inpatient Postoperative Care

An Overview of Perioperative Medicine 2016: November 9-12, 2016

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