Texas Society of Anesthesiologists

LEGISLATIVE AND SCIENTIFIC PROGRAM OBJECTIVES

Target Audience

This activity is designed for anesthesiologists and resident anesthesiologists from Texas and surrounding states.

Educational Methods

The educational methods consist of didactic lectures, workshops and hands-on sessions with opportunities for Q&A from the audience and panel discussions.

Accreditation Statement

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Texas Medical Association and Texas Society of Anesthesiologists. The Texas Medical Association is accredited by the ACCME to provide continuing medical education for physicians.

Designation Statement

The Texas Medical Association designates this live activity for a maximum of 22.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Texas Medical Association designates the presentations "The Response to The Opioid Crisis: How Physician Anesthesiologists and the Government Are Helping Shape The Future Of Pain Management And Anesthesiology For Our Patients", "The Forgotten: The Antithesis of the Opioid Epidemic", "Panel Discussion TPS and TSA Strategic Alliance Think Tank - Delivering Optimal Care to the Pain Patient Both at the Clinical and Societal Level Amidst the Opioid Crisis/Q & A", "I'm Getting-Sued-- Risk Management & Deposition/Q & A", "Physician Burnout in 2019 – Is It Real?", "Jehovah's Witness Patient: Management in 2019" for a total of 5.5 hours in ethics/professional responsibility education. Ethics and/or Professional Responsibility Education topics are identified with .

Maintenance of Certification in Anesthesiology Program®, MOCA® and MOCA 2.0® are registered certification marks of The American Board of Anesthesiology®. A portion of the TSA 2019 Annual Meeting helps fulfill The American Board of Anesthesiology® (MOCA®) and MOCA 2.0® requirements.

This activity contributes to the patient safety CME requirement for Part II: Lifelong Learning and Self-Assessment of the American Board of Anesthesiology's (ABA) redesigned Maintenance of Certification in Anesthesiology Program® (MOCA®), known as MOCA 2.0®. Please consult the ABA website, theABA.org, for a list of all MOCA 2.0 requirements.

Certification in Anesthesiology Program®, MOCA® & MOCA 2.0® topics are identified with .

(Note: all MOCA® and MOCA 2.0® topics qualify for both this year)

Program Objectives

The practitioner of anesthesiology must possess the scientific background for clinical practice and must maintain state-of-the-art knowledge of not only the specialty, but of all additional related disciplines which may impact it. The anesthesiologist must serve as an expert in matters involving health care delivery, and serve as an informed provider/manager of clinical and educational services. The anesthesiologist must maintain an up-to-the-minute armamentarium of knowledge skills for the selection and use of complex equipment, pharmacological agents and procedures necessary for the provision of quality patient care. As more surgical procedures are performed outside the operating room, anesthesiologists must be familiar with the various clinical settings and medical emergencies with which he/she may be confronted. Anesthesiologists must consistently update their knowledge level and skills. At the conclusion of this CME activity, attendees should be able to:

  • To discuss a more thoughtful approach to multimodal and multidisciplinary way to tackle the opioid crises as well as best practices adopted for the treatment of acute and chronic pain;

  • To receive information on any new laws that affect a physician or facility's ability to bill in Texas;

  • For physician anesthesiologists to converse over the ways in which government defines scope of practice and the ways in which that definition can be affected through the executive and legislative branches of government;

  • Explore the secondary effects of recent legislative efforts to combat the opioid epidemic on chronic pain patients;

  • Identify clinical indications and contraindications for ketamine use in acute pain management;

  • Discuss the pathophysiologic mechanisms of complications associated with the use of sugammadex;

  • Contrast risks and benefits of perioperative aspirin therapy in non-cardiac, cardiac, and vascular surgery;

  • Identify patient factors and surgical factors that place a patient at higher risk for POVL;

  • Compare and contrast recent pertinent literature from leading high impact scientific publications and integrate this information into daily practice;

  • Review the anesthetic implications of pediatric airway on induction, maintenance, and emergence from anesthesia;

  • Review the appropriate work-up for a heart murmur diagnosed during a pre-operative assessment;

  • Recognize the relevant perioperative concerns when providing anesthesia to children;

  • Define stress in the health care environment and how stress effects healthcare professionals;

  • Explore coping mechanisms and management of stress;

  • Convey key trends and challenges facing the specialty in the market, legislative, and regulatory arenas;

  • Analyze the current political climate as it relates to health care issues and review the current state of major health reforms;

  • Discuss the value of advocacy by physicians and anesthesiologists to advance health care delivery and improve patient outcomes;

  • Discuss gender diversity, inclusion, and leadership in advancing medicine and anesthesiology to improving patient outcomes;

  • Review the major pre-operative, intra-operative, and post-operative complications associated with aortic dissection;

  • Describe national and international professional guidelines in perioperative management of cardiac patients for non-cardiac surgery as well as risk prevention of cardiac ischemic events;

  • Identify risk factors for hemorrhage in parturient;

  • Recognize indication of point of care ultrasound and its impact on patient management;

  • Discuss the timing and safety of regional and neuraxial anesthesia in children;

  • Highlight major changes from the new 2019 patient safety of regional and neuraxial anesthesia in children;

  • Familiarize themselves with strategies for pre-operative optimization of Jehovah's witness patients;

  • Become acquainted with what THRIVE is;

  • Describe the key recommendations in the CDC guideline for prescribing opioids;

  • Explore the secondary effects of recent legislative efforts to combat the opioid epidemic on chronic pain patients;

  • Compare and contrast recent pertinent literature from leading high impact scientific publications and integrate this information into daily practice;

  • Review the anesthetic implications of the pediatric airway on induction, maintenance, and emergence from anesthesia;

  • Discuss renal and hepatic physiology difference between fetal/infant vs. Childhood/adolescence;

  • Select appropriate cases for QL, ESP, and PECS blocks and differentiate when each block would be best utilized;

  • Identify two components of the anatomy of a lawsuit;

  • Define the relationship between the incidence of aspiration and nil per os status in the pediatric population;

  • Construct an anesthetic plan that matches the patient condition;

  • Discuss the assessment and management of a child with an upper respiratory infection pre-operatively;

  • Recognize treatment gaps in complex pain patients who are admitted to the hospital for medical illness or surgery;

  • Apply understanding of dominant factors in opioid prescribing that lead to opioid dependence to design a transitional pain service that provides appropriate opioid stewardship and promotes functional recovery;

  • Define individual actions expected of each ASA member in order to advance the specialty and secure the future;

  • Review the importance of advocacy and professional citizenship;

  • Review the major pre-operative, intra-operative, and post-operative complications associated with aortic dissection;

  • Analyze the clinical dilemma of how to effectively manage antiplatelet therapy, their benefits and their risks. Discuss the controversy surrounding the perioperative use of antiplatelet agent in patients with coronary artery disease and stents;

  • Discuss the impact on your clinical practice by the following American Academy of Pediatrics' updated guideline on the management of bronchiolitis: "Clinicians should not administer albuterol or systemic corticosteroids to infants with a diagnosis of bronchiolitis in any setting";

  • Formulate a management plan for massive transfusion protocols.


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