TopMedTalk

This piece focuses on the rise of cardiopulmonary exercise testing (CPET) in the wake of the Measurement of Exercise Tolerance before Surgery (METS) Trial, which seems to have shifted opinions, does a genuine 'perioptimist' have a deeper insight into the issues there? Presented by Desiree Chappell and Monty Mythen with their guest Dr Elena Koepke, Assistant Professor at Moffitt Cancer Center/USF, Physician Anesthesiologist, Perioperative Medicine Specialist.

This piece focuses on the rise of cardiopulmonary exercise testing (CPET) in the wake of the Measurement of Exercise Tolerance before Surgery (METS) Trial, which seems to have shifted opinions, does a genuine 'perioptimist' have a deeper insight into the issues there?   Presented by Desiree Chappell and Monty Mythen with their guest Dr Elena Koepke, Assistant Professor at Moffitt Cancer Center/USF, Physician Anesthesiologist, Perioperative Medicine Specialist.

What's the need for a perioperative surgical home? How do issues with aging populations and higher risk patients increase the need to intervene early in their care and treatment? How do you build institutional credibility in this area? How do you approach this area from the point of view of patient need? Crucially, how do you build and inspire a multidisciplinary team around these essential strategic needs? What pitfalls arise in the process, how do you inspire a "volunteer army" to help you distribute the workload and how do you set realistic goals and timelines for the overall workflow? Finally, should all of this become part of the "standard of care"? Presented by Robin Schiller and Bridger Bach with their guest Dennis Bierle, M.D. Internist at the Division of General Internal Medicine, Department of Medicine, Mayo Clinic Rochester.

What's the need for a perioperative surgical home? How do issues with aging populations and higher risk patients increase the need to intervene early in their care and treatment? How do you build institutional credibility in this area? How do you approach this area from the point of view of patient need? Crucially, how do you build and inspire a multidisciplinary team around these essential strategic needs?   What pitfalls arise in the process, how do you inspire a "volunteer army" to help you distribute the workload and how do you set realistic goals and timelines for the overall workflow? Finally, should all of this become part of the "standard of care"?   Presented by Robin Schiller and Bridger Bach with their guest Dennis Bierle, M.D. Internist at the Division of General Internal Medicine, Department of Medicine, Mayo Clinic Rochester.

This talk is a powerful look at a new world where we commit your institution and practice to achieving an end goal of "zero preventable deaths". The Patient Safety Movement Foundation (PSMF) has generated an enormous amount of global news media coverage as it promotes that aim; celebrities, statesmen, politicians and industry leaders are all getting behind an ambition which, after hearing this talk, you are likely to want to see come to pass as much as they do.

The clips used in this presentation are sourced from the PSMF's YouTube channel, find it here: https://www.youtube.com/channel/UCLLtyscblA8aquiXSSrZ1bA

Their official website is here: https://patientsafetymovement.org/

You can find out more about Mike Ramsay and his work there by listening the "TopMedTalks to..." series, where we discuss healthcare with global thought leaders from around the world: https://www.topmedtalk.com/topmedtalks-to-michael-ramsey/

Presented by Michael Ramsay, Chairman, Department of Anesthesiology and Pain Management, Baylor University Medical Center; President, Baylor Scott & White Research Institute with an introduction from Sol Aronson, Professor Sol Aronson, tenured professor at Duke University and Executive Vice Chairman in the Department of Anesthesiology.

This talk is a powerful look at a new world where we commit your institution and practice to achieving an end goal of "zero preventable deaths". The Patient Safety Movement Foundation (PSMF) has generated an enormous amount of global news media coverage as it promotes that aim; celebrities, statesmen, politicians and industry leaders are all getting behind an ambition which, after hearing this talk, you are likely to want to see come to pass as much as they do.

The clips used in this presentation are sourced from the PSMF's YouTube channel, find it here: https://www.youtube.com/channel/UCLLtyscblA8aquiXSSrZ1bA

Their official website is here: https://patientsafetymovement.org/

You can find out more about Mike Ramsay and his work there by listening the "TopMedTalks to..." series, where we discuss healthcare with global thought leaders from around the world: https://www.topmedtalk.com/topmedtalks-to-michael-ramsey/

Presented by Michael Ramsay, Chairman, Department of Anesthesiology and Pain Management, Baylor University Medical Center; President, Baylor Scott & White Research Institute with an introduction from Sol Aronson, Professor Sol Aronson, tenured professor at Duke University and Executive Vice Chairman in the Department of Anesthesiology.

Originally streamed live from the EBPOM USA 2019 conference in Dallas this piece looks into the realities of enhanced recovery. Patient satisfaction and outcomes rise to the top of the priority list as an institution invests in the idea, how long does it take for a clear financial return on the investments required to get it off the ground? How do we get a team motivated to work towards these ideas? Are there any disadvantages to enhanced recovery? How do patients react to it? Also, how does blockchain technology (the innovation behind cryptocurrencies such as Bitcoin) interlock into more practical transfers of patient data? What other innovations are on the horizon? Presented by Desiree Chappell with Monty Mythen and their guest Sabry Ayad, Professor of Anesthesiology, Cleveland Clinic Lerner College of Medicine at Case Western Reserve University

Originally streamed live from the EBPOM USA 2019 conference in Dallas this piece looks into the realities of enhanced recovery. Patient satisfaction and outcomes rise to the top of the priority list as an institution invests in the idea, how long does it take for a clear financial return on the investments required to get it off the ground? How do we get a team motivated to work towards these ideas? Are there any disadvantages to enhanced recovery? How do patients react to it?   Also, how does blockchain technology (the innovation behind cryptocurrencies such as Bitcoin) interlock into more practical transfers of patient data? What other innovations are on the horizon?   Presented by Desiree Chappell with Monty Mythen and their guest Sabry Ayad, Professor of Anesthesiology, Cleveland Clinic Lerner College of Medicine at Case Western Reserve University

"Without data you cannot sustain your programme" - this piece is about understanding the importance of data collection as part of the perioperative process. Quality improvement stems from this, consistent definitions and measures allow you to do the job properly. They also allow you to build the case and put a story to the process which higher management and resource allocation can work with. "If we don't know it's broke we can't fix it" - just as we need to know and recognise success in order to see it grow and develop. Presented by Vicki Morton, Doctor of Nursing Practice and Director of Clinical and Quality Outcomes at Providence Anesthesiology Associates, University of South Carolina.

"Without data you cannot sustain your programme" - this piece is about understanding the importance of data collection as part of the perioperative process.   Quality improvement stems from this, consistent definitions and measures allow you to do the job properly. They also allow you to build the case and put a story to the process which higher management and resource allocation can work with.   "If we don't know it's broke we can't fix it" - just as we need to know and recognise success in order to see it grow and develop.   Presented by Vicki Morton, Doctor of Nursing Practice and Director of Clinical and Quality Outcomes at Providence Anesthesiology Associates, University of South Carolina.