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ForwardAn Overview of Perioperative Medicine 2025: From Outpatient Preoperative Assessment to Inpatient Postoperative Care
This course offers Live (in-person) and Livestream (virtual) attendance options
Course Directors: Karen F. Mauck, M.D., Karna K. Sundsted, M.D., Geno J. Merli, M.D., and Howard H. Weitz, M.D.
October 27 - 31, 2025 The Meritage Resort and Spa - Napa, California
Mayo Clinic's An Overview of Perioperative Medicine is intended to update general internists, internist subspecialists, family medicine specialists, anesthesiologists, surgeons and other healthcare professionals on perioperative assessment and management. This course focuses on the practical, clinical side of preoperative assessment and postoperative management. The course features a collaborative faculty of multispecialty experts in perioperative medicine from both Mayo Clinic and Sidney Kimmel Medical College at Thomas Jefferson University.
Target Audience
This course is designed for clinicians who see perioperative patients, including internists, hospitalists, family physicians, surgeons, anesthesiologists, NPs, PAs, and nurse anesthetists.
Learning Objectives
Upon completion of this activity, participants should be able to:
- Describe a systematic approach to preoperative risk assessment in patients with various medical comorbidities.
- Review the new AHA/ACC guideline for the perioperative cardiovascular management of patients undergoing noncardiac surgery.
- Identify risk reduction strategies that impact important postoperative outcomes.
- Recommend the appropriate continuation and discontinuation of medications and nutraceuticals in the perioperative setting.
- Determine how GLP-1 agonists and SGLT2 inhibitors should be managed in the perioperative setting.
- Describe patients with substance use and recommend appropriate perioperative management.
- Discuss updated guideline recommendations for your perioperative practice .
- Describe postoperative medical complications.
- Discuss management of anticoagulants perioperatively.
- Examine the perioperative uses of point of care ultrasound .
Attendance at any Mayo Clinic course does not indicate or guarantee competence or proficiency in the skills, knowledge or performance of any care or procedure(s) which may be discussed or taught in this course.
PROGRAM SCHEDULE with LEARNING OBJECTIVES(PDF)
An Overview of Perioperative Medicine 2025:
From Outpatient Preoperative Assessment to Inpatient Postoperative Care
Meritage Resort & Spa, Napa, CA and LIVESTREAM
**All times noted are Pacific Time (PT)**
October 27– 31, 2025
MONDAY, OCTOBER 27, 2025
6:30 a.m. Registration and Continental Breakfast
Perioperative Medicine Panel #1 and Anesthesia Topics
7:00 a.m. Welcome and Course Overview
7:15 a.m. Perspectives on the Multi-Disciplinary Approach to Perioperative Medicine
Moderator: Margaret Beliveau, M.D.
Panel: John Bundrick, M.D., Adam Jacob, M.D., and Krystin A. Hidden, M.D
7:45 a.m. Anesthesia Alerts for the Non-Anesthesiologist
Douglas Pfeil, M.D., Ph.D.
Cardiovascular Medicine Topics, Part 1
8:30 a.m. Cardiac Risk Assessment: Using Guidelines to Direct Practice
Karen F. Mauck, M.D.
9:15 a.m. Cardiac Risk Reduction Strategies – Medical and Interventional
Howard H. Weitz, M.D.
10:00 a.m. Question and Answer Session
Karen F. Mauck, M.D. and Howard H. Weitz, M.D.
10:15 a.m. Refreshment Break
Cardiovascular Medicine Topics, Part 2 and Clinical Shorts
10:30 a.m. Management of Non-CAD Heart Disease in Non-Cardiac Surgery
Howard H. Weitz, M.D.
11:30 a.m. Myocardial Injury after Non-Cardiac Surgery (MINS)
Dennis W. Regan, M.D.
Clinical Shorts
12:00 p.m. Cardiac Stress Tests
Christopher A. Dinh, M.D.
Preoperative ECG and Echocardiogram
Brian M. Dougan, M.D.
Pulmonary Hypertension
Kathryn T. del Valle, M.D.
12:45 p.m. Question and Answer Session
Howard H. Weitz, M.D., Christopher A. Dinh, M.D., Brian M. Dougan, M.D., Dennis W. Regan, M.D., and Kathryn T. del Valle, M.D.
1:00 p.m. Challenge the Experts Case #1, Cardiac Conundrums
Moderator: Margaret Beliveau, M.D.
Howard H. Weitz, M.D., Karen F. Mauck, M.D., Douglas Pfeil, M.D., Ph.D.
1:15 p.m. Adjourn
TUESDAY, OCTOBER 28, 2025
6:30 a.m. Breakfast with the Professor featuring Tuesday’s Course Faculty
-Come with questions, discussion and your tough cases for the course faculty!
Pain Management and Substance Use Topics
7:00 a.m. Pain Management in the Perioperative Period
Korey Marshall, M.D.
7:45 a.m. Managing the Patient with Perioperative Substance Use Disorders
Charles P. Reznikoff, M.D.
8:30 a.m. Question and Answer Session
Korey Marshall, M.D. and Charles P. Reznikoff, M.D.
Clinical Shorts
8:45 a.m. Non-Cardiac Device Management
Adam K. Jacob, M.D.
Cannabis in the Perioperative Period
Charles P. Reznikoff, M.D.
Laparoscopic Surgery and Patient Positioning – Why it Matters
Adam K. Jacob, M.D.
Alcohol Use Disorder in the Perioperative Setting
Charles P. Reznikoff, M.D.
Physiologic Effects of Anesthetic Drugs
Douglas Pfeil, M.D., Ph.D.
10:00 a.m. Question and Answer Session
Adam K. Jacob, M.D, Charles P. Reznikoff, M.D., Douglas Pfeil, M.D., Ph.D.
10:15 a.m. Refreshment Break
Perioperative Medicine Panels #2
10:30 a.m. Stop or Go? Perioperative Show Stoppers
Moderator: Rick Silbert, M.D.
Panel: Karen Mauck, M.D., Adam Jacob, M.D., Joan M. Irizarry Alvarado, M.D., Dennis Regan, M.D.
11:00 a.m. Preoperative Surprises: What to do?
Moderator: Geno J. Merli, M.D.
Panel: Aditya P. Devalapalli, M.D., David Raslau, M.D., M.P.H., Luke T. Matzek, M.D.
Infectious Disease
11:30 a.m. Cases from the Vascular Clinic
Geno J. Merli, M.D.
12:00 p.m. Challenge the Experts Case #2
Moderator: Karna K. Sundsted, M.D.
Charles P. Reznikoff, M.D. and Korey Marshall, M.D.
12:15 p.m. Adjourn
Optional Workshop with Lunch (pre-registration required)
12:40 p.m. - Optional Workshop: The Multidisciplinary Approach to Perioperative Medicine
3:20 p.m. Lisa M. Belch, APRN, C.N.P., Margaret Beliveau, M.D., Liz A. Cumberland, APRN, C.N.P., Jessica A. Gonzalez, APRN, C.N.P., Joan M. Irizarry Alvarado, M.D., Adam K. Jacob, M.D., Karen F. Mauck, M.D., Geno J. Merli, M.D., and Karna K. Sundsted, M.D.
WEDNESDAY, OCTOBER 29, 2025
6:30 a.m. Breakfast with the Professor featuring Wednesday’s Course Faculty
-Come with questions, discussion, and your tough cases for the course faculty!
Cardiovascular Part 3, Medication and Fluid Management Topics
7:00 a.m. Managing Postoperative Cardiac Complications
Howard H. Weitz, M.D.
7:45 a.m. Understanding Perioperative Fluid Management
John B. Bundrick, M.D.
8:15 a.m. Perioperative Medication Jeopardy
Host: Christopher R. Stephenson, M.D
9:15 a.m. Question and Answer Session
Howard H. Weitz, M.D., John B. Bundrick, M.D., and Christopher R. Stephenson, M.D.
9:30 a.m. Refreshment Break
Rheumatology and Hip Fracture
9:45 a.m. Perioperative Rheumatology Considerations
Ashima Makol, M.B.B.S.
10:15 a.m. Perioperative Management of Hip Fractures: Internal Medicine and Orthopedic Surgery Perspectives
Karna K. Sundsted, M.D. and Krystin A. Hidden, M.D.
11:00 a.m. Perioperative POCUS, Applications for Practice
Panel: John B. Bundrick, M.D. and Meltiady Issa, M.D., M.B.A.
11:30 a.m. Question and Answer Session
Ashima Makol, M.B.B.S., Karna K. Sundsted, M.D., Krystin A. Hidden, M.D. John B. Bundrick, M.D., and Meltiady Issa, M.D., M.B.A.
11:45 a.m. Lunch On Your Own
Pulmonary and Geriatric Topics
1:15 p.m. Preoperative Pulmonary Risk Stratification, Risk Reduction and Postoperative Management Strategies
Sandeep R. Pagali, M.D.
1:45 p.m. Perioperative Care of the Elderly Patient
Margaret Beliveau, M.D
2:15 p.m. Recognizing and Addressing Frailty
Donna Miller, M.D.
2:45 p.m. Question and Answer Session
Sandeep R. Pagali, M.D., Margaret Beliveau, M.D., and Donna Miller, M.D.
Clinical Shorts
3:00 p.m. Prehabilitation
Margaret Beliveau, M.D.
Postoperative Hypertension
Deanne T. Kashiwagi, M.D
Postoperative Urinary Retention (POUR)
Maleka Khambaty, M.D.
Preoperative Anemia and Iron Therapy
Margaret Beliveau, M.D.
4:00 p.m. Attendee Reception
4:30 p.m. “Consult Guys” Presentation:
(CME credit will not be provided for this session)
Geno J. Merli, M.D. and Howard H. Weitz, M.D.
5:00 p.m. Adjourn
THURSDAY, OCTOBER 30, 2025
6:30 a.m. Breakfast with the Professor featuring Thursday’s Course Faculty
Sleep Medicine and Neurology Topics
7:00 a.m. Management of Documented or Suspected Obstructive Sleep Apnea in Patients Undergoing Noncardiac Surgery
Eric Olson, M.D. (*virtual)
7:45 a.m. Managing Patients with Neurologic Disease in the Perioperative Period
Andrea N. Leep Hunderfund, M.D., MHPE (*virtual)
8:15 a.m. Question and Answer Session
Eric Olson, M.D. and Andrea N. Leep Hunderfund, M.D., MHPE
VTE Prophylaxis, Nephrology and Anticoagulation
8:30 a.m. DVT/PE Prophylaxis in the Surgical Patient I: The Internist’s Perspective
Geno J. Merli, M.D.
9:00 a.m. DVT/PE Prophylaxis in the Surgical Patient II: The AAOS Guidelines and the Orthopedist’s Perspective
Krystin A. Hidden, M.D.
9:30 a.m. Perioperative Management of Direct Oral Anticoagulants
Geno J. Merli, M.D.
10:00 a.m. Question and Answer Session
Geno J. Merli, M.D. and Krystin A. Hidden, M.D.
10:15 a.m. Refreshment Break
10:30 a.m. Perioperative Infectious Disease Issues
Mary J. Kasten, M.D.
11:15 a.m. Perioperative Management of the Patient with Kidney Disease
Virginia A. Dines, M.D.
11:45 a.m. Question and Answer Session
Matthew Bartlett, M.D. and Virginia A. Dines, M.D.
12:00 p.m. Challenge the Experts Case #3
Moderator: Howard H. Weitz, M.D.
Geno J. Merli, M.D. and Virginia A. Dines, M.D.
12:15 p.m. Adjourn
FRIDAY, OCTOBER 31, 2025
6:30 a.m. Breakfast with the Professor featuring Friday’s Course Faculty
Perioperative Endocrine and Hematology Topics
7:00 a.m. Managing the Diabetic Patient in the Perioperative Period
Vinaya Simha, M.B.B.S., M.D.
7:45 a.m. Common Hematology Issues in the Perioperative Period
Rajiv K. Pruthi, M.B.B.S
8:30 a.m. Perioperative Management of Endocrine Issues: Stress Dose Steroids, Adrenal Insufficiency, Thyroid Disease
Vinaya Simha, M.B.B.S., M.D.
9:00 a.m. Question and Answer Session
Vinaya Simha, M.B.B.S., M.D. and Rajiv K. Pruthi, M.B.B.S.
9:15 a.m. Refreshment Break
Gastrointestinal and Nutrition Topics
9:30 a.m. Perioperative Management of the Patient with Liver Disease
William Sanchez, M.D.10:15 a.m.
Management of Postoperative Gastrointestinal Complications
Arya B. Mohabbat, M.D.
10:45 a.m. Perioperative ECG Surprises That You Cannot Miss: Old Technology in the Modern Era
Howard H. Weitz, M.D
11:15 a.m. Question and Answer Session
William Sanchez, M.D., Arya B. Mohabbat, M.D. and Howard H. Weitz, M.D.
11:30 a.m. Adjourn
Discounted rooms are available at the Meritage Resort and Spa, Napa, CA with a special rate starting at $379/night.
Reserve your room online any time or call (866) 370-6272, ask to speak to in-house group reservations and identify yourself as a participant of the Mayo Clinic Overview of Perioperative Medicine 2025 conference when making your reservation.
Reservations must be made by Saturday, October 18, 2025, or before the group rooms are sold out, whichever comes first. Prevailing rates may apply after this date or when the group rooms are sold out, whichever occurs first. Rooms are subject to availability. Group rates apply three days prior to and three days after the course dates, based on availability. After October 18, 2025, reservations will be taken on space and rate availability.
The mandatory daily resort fee of $25 per room per night includes the following:
- Daily bottled water
- One bottle signature wine per stay (*Must be 21 or older)
- High speed wi-fi
- Daily shuttle to/from downtown Napa
- 24 hour fitness studio access
- In room coffee and tea
- Overnight parking
- Fax and local calls
- Daily electronic newspaper access via Press Reader
All travel and lodging expenses are the sole responsibility of the individual registrant.
Accreditation Statement
In support of improving patient care, Mayo Clinic College of Medicine and Science is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.
Credit Statement(s):
AMA
Mayo Clinic College of Medicine and Science designates this live activity for a maximum of 32.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
ANCC
Mayo Clinic College of Medicine and Science designates this activity for a maximum of 32.75 ANCC contact hours. Nurses should claim only the credit commensurate with the extent of their participation in the activity.
AAPA
Mayo Clinic College of Medicine and Science has been authorized by the American Academy of Physician Associates (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 32.75 AAPA Category 1 CME credits. PAs should only claim credit commensurate with the extent of their participation.
American Association of Nurse Anesthesiology (AANA)
This program has been prior approved by the American Association of Nurse Anesthesiology for 29.75 Class A CE credits; Code Number 1046087; Expiration Date 10/31/2025.
IPCE
This activity was planned by and for the healthcare team, and learners will receive 32.75 Interprofessional Continuing Education (IPCE) credit for learning and change.
American Board of Internal Medicine (ABIM)
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 30.25 MOC points in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.
American Board of Surgery (ABS)
Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn credit toward the CME and Self-Assessment requirements of the American Board of Surgery’s Continuous Certification program. It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting ABS credit.
Royal College of Physicians and Surgeons of Canada
Through an agreement between the Accreditation Council for Continuing Medical Education and the Royal College of Physicians and Surgeons of Canada, medical practitioners participating in the Royal College MOC Program may record completion of accredited activities registered under the ACCME’s “CME in Support of MOC” program in Section 3 of the Royal College’s MOC Program.
Other Healthcare Professionals:
A record of attendance will be provided to all registrants for requesting credits in accordance with state nursing boards, specialty societies or other professional associations.
| Day | Credit(s) |
|---|---|
| General Session | |
| Monday | 6.50 |
| Tuesday | 5.75 |
| Wednesday | 8.00 |
| Thursday | 5.25 |
| Friday | 4.75 |
| Total | 30.25 |
| Optional Workshop - Live Only - Tuesday | 2.50 |
For disclosure information regarding Mayo Clinic School of Continuous Professional Development accreditation review committee member(s) and staff, please go here to review disclosures.
Available Credit
- 29.75 AANA
- 32.75 AAPA Category 1
- 30.25 ABIM
- 30.25 ABS
- 32.75 AMA PRA Category 1 Credit™
- 32.75 ANCC
- 32.75 Attendance
- 32.75 IPCE
Exhibit and Sponsorship Opportunities Available!
The Overview of Perioperative Medicine 2025 course is pleased to offer the opportunity for commercial companies to interact with health care providers and highlight their products and services. If you are interested in exhibiting or sponsoring the course, please complete the following:
- Review the Exhibit & Sponsorship Prospectus
- Create an account/profile (or log-in)
- Exhibit - Complete the Exhibitor Agreement Form
- Sponsorship - Complete the Sponsorship Agreement Form
Please update your profile to let us know if you have dietary restrictions or access requirements.
To claim credit for livestream participation in this course, learners must view the content during the hours posted for the live activity. This course is not approved for on-demand delivery.
Commitment to Belonging and Inclusion
Mayo Clinic School of Continuous Professional Development (MCSCPD) strives to foster a learning environment in which all individuals are valued, allowing all to achieve their fullest potential.
Cancellation and Refund Policy
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