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ACP’s seven-hour collection of course lectures and discussions is tailored specifically to meet the evolving needs of practicing internists who care for patients with medical comorbidities undergoing surgical procedures.

Expert clinician-educators cover:

• guidelines and best practices for preoperative laboratory testing, perioperative medication use, and common anesthesia-related issues.
• preoperative validated risk assessment tools, strategies to mitigate risk, and management of patients with a variety of pre- and postsurgery cardiac and pulmonary problems. 
• postoperative nausea and vomiting, preoperative blood pressure control, and fasting before surgery
• postoperative nausea and vomiting, preoperative blood pressure control, and fasting before surgery.
• managing perioperative medications; preoperative cardiac findings (abnormal ECGs, aortic murmurs, pacemakers, AICD devices)
• management of cardiac-indicated antiplatelet agents and the appropriate use of direct oral anticoagulants in the perioperative period, which will include rescue and reversal agents for emergent surgery.
• key management strategies for frail, elderly patients; patients with chronic kidney disease; and patients with substance use disorders.
• using the target-specific anticoagulants
• managing cannabis, suboxone, and methadone

Course Director:

Geno J. Merli, MD, MACP, FHM, FSVM
Professor, Medicine & Surgery, Associate Chief Medical Officer and Senior Vice President, Vascular Medicine/Jefferson Vascular Department, Thomas Jefferson University Hospitals, Philadelphia, PA