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We are no longer offering CME for this course. Please feel free to take the course for free! Start here.

CME Credit Information

Course Title: Reducing the Risk of Perioperative Death (BBAC)
Course Number: #MED08002
Period of Certification: May 23, 2005 - June 30, 2008
Designation: 2 AMA PRA Category 1 Credits
CME Credit Cost: $35.00 U.S. (payable by credit card upon completion of the course, final quiz and course evaluation, from UCSF's secure CME website.)

Accreditation Statement
The University of California, San Francisco School of Medicine (UCSF) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for Physicians.

Credit Designation Statement
UCSF designates this educational activity for a maximum of 2 AMA PRA category 1 credits. Each physician should claim only those credits that he/she
actually spent in the activity.

Intended Audience
The intended audience consists of anesthesiologists, certified nurse anesthetists, surgeons, cardiologists, intensivists and internists.

Principal Faculty and Credentials
Arthur Wallace, M.D., Ph.D.
Professor of Anesthesiology and Perioperative Medicine, UCSF Medical Center
Attending Anesthesiologist, San Francisco VA Medical Center

Media used - Web-based educational materials

Method of physician participation in the learning process
Reading and/or listening to the web presentation. Online registration, quizzes and evaluation forms. Online discussion forum and email contact with principal faculty will also be available.

Estimated time to complete the course - 2 hours

Disclosure: Dr. Wallace has disclosed ownership interest in Cardiac Engineering. All conflicts of interest have been resolved in accordance with the ACCME's Standards for Commercial Support.

Date of original release - April 3, 2005, Most recent update - June 29, 2005
Termination date - June 30, 2008

Reducing the Risk of Perioperative Death with the Beta Blocker and Clonidine Protocol

Course Objectives:

Beta Blockers: Non-Cardiac Surgery for Patients with Cardiac Disease

1. Participants can describe the epidemiology of cardiac disease and patients coming for cardiac and non-cardiac surgery in the United States.
2. Participants can identify the risk factors for cardiac morbidity and mortality.
3. Participant can identify strategies for cardiac risk stratificationand describe the relative merits of each approach.
4. Participants can describe the relative merits of different strategies for cardiac risk reduction including preoperative risk stratification, pre-operative PCI, pre-operative CABG and discuss risks and benefits of each.
5. Participants can explain the risks and benefits of CABG surgery including death, MI, neurologic, and neurocognitive changes.
6. Participants can explain the risks of platelet inhibitors with and without intra-coronary stents and identify a plan of action for elective and emergency surgery for a patient with a drug eluting and non-drug eluting intracoronary stent.
7. Participants can describe different pharmacologic therapies for cardiac risk reduction including beta blockers, clonidine, and newer agents. Participant can describe the number needed to treat and cost to treat for each technique for cardiac risk reduction.
8. Participant can explain how to implement a program for cardiac risk reduction therapy.

Content by Art Wallace MD PhD
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