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 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 "Opioid Crisis from the Beltway to Waterloo", "Perioperative Surgical Home: Past, Present, and Future", "Non-Operating Room Anesthesia (NORA) and the Future Ahead: More Complex Procedures on Sicker Patients", "Physician Wellness and Health: Liability Hazards and Disclosure Requirements", and "Leading a Multi-Generational Team: Lessons in Professionalism" for a total of 4.25 hours in ethics/professional responsibility education. Ethics and/or Professional Responsibility Education topics 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 2018 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, www.theABA.org, for a list of all MOCA 2.0 requirements.

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

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

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:

  • Discuss the Texas Society of Anesthesiologists' legislative agenda and the process it made in the 86th Legislature and any regulatory implementation;

  • Discuss the current administrative regulation and proposed rules from administrative agencies with regulatory authority over the licensure;

  • Demonstrate the comprehensive perioperative management afforded by various Perioperative Surgical Home models can play a pivotal role in delivering this higher quality and lower cost patient care – thereby achieving greater health care value;

  • Define the Perioperative Surgical Home Model (PSH) and its implementation at Memorial Hermann Texas Medical Center for Orthopedic Trauma Service;

  • Recognize the process which measures are proposed, assessed, endorsed and advanced into inclusion in Federal Programs;

  • List and define specific measures of efficiency in the OR;

  • Utilize basic concepts of medical ethics and how they can be applied to guide appropriate discussion and disclosure of potential harm by anesthetics and sedatives;

  • Recognize potentially impaired behavior in colleagues and understand how it affects your legal liability;

  • Explore the benefits of perioperative blood management programs; what is it and does it matter?;

  • Analyze current literature on epidural analgesia regarding significant clinical outcomes such as efficacy effect on length of stay, morbidity and mortality;

  • Apply invasive and non-invasive methods to optimize fluid management;

  • Identify research careers of perioperative physician scientists;

  • Identify commonly-used measures for eligible clinicians in anesthesia;

  • Stimulate introspection into how you can provide leadership within your own clinical practice;

  • Illustrate how ASA is working with anesthesiologists at both the state and national level in aggressively addressing the challenges we face;

  • Identify the background for development and incorporation for point of care ultrasound into perioperative practice;

  • Recognize basic sonographic terminology and technical considerations needed for successful acquisition of ultrasound images when performing regional anesthesia;

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

  • Describe the effects of elective overnight surgery on physician wellness;

  • Describe the changing trends in NORA – past, present, and future;

  • Identify patient populations and procedure types that might posed increased safety concerns in the NORA environment;

  • Execute the steps needed to anesthetize the upper extremity and lower extremity by acquiring images on standardized patient models under the guidance of experts in the field;

  • Discuss some of the controversies surrounding "medical" cannabis use in Texas patients;

  • Summarize current and expected public policy developments affecting pain care in Texas;

  • Discuss the latest clinical evidence that anesthetics and sedatives may cause neurocognitive delays in young children;

  • Utilize basic concepts of medical ethics and how they can be applied to guide appropriate discussion and disclosure of potential harm by anesthetics and sedatives;

  • Review the mechanism and pharmokinetics and sugammadex;

  • Discuss the trials and case reports on the use of sugammadex in the pediatric population;

  • Identify the role of the pediatric anesthesiologists in the perioperative surgical home;

  • Distinguish differences between the adult and pediatric surgical home;

  • Discuss the use of ultrasound in regional and neuroaxial anesthesia;

  • Evaluate the benefits of the use of ultrasound to visualize the pediatric airway;

  • Construct a plan as to how the participant may acquire the skills and knowledge to pursue perioperative point of care ultrasound;

  • Identify the background for development and incorporation for point of care ultrasound into perioperative practice;

  • Identify risk factors for impairment of physician health and wellness;

  • Recognize potentially impaired behavior in colleagues and understand how it affects your legal liability;

  • Identify characteristics of patients and parents who will benefit most from parental presence during induction;

  • List the reasons why relieving preoperative anxiety in the pediatric patient is important;

  • Identify various anesthetic practices that decreases allogenic transfusions and improve outcomes: what can we do?;

  • Discuss two goals of the Medicare Access and CHIP Reauthorization Act (MACRA); and

  • List and discuss the four performance categories of the Merit-based Incentive System (MIPS).

 


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