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This activity addresses the complexity of managing patients with obesity who require anticoagulation, with a particular focus on the use of direct oral anticoagulants (DOACs). As obesity has become increasingly common, how to best treat these patients with anticoagulation is a frequently encountered clinical question. In this program, speakers from several subspecialties (endocrinology, cardiology, hematology, and bariatric surgery) review the current medical literature on DOAC use in patients with obesity and provide their unique perspectives to address this question. The activity concludes with a case-based debate and Q&A session to facilitate interdisciplinary discussion and provide insights on best management strategies.
The content of this internet enduring material activity was originally presented as part of a live event.
Physicians, nurse practitioners, physician assistants, pharmacists, and other clinicians specializing in:
Supported by an educational grant from Janssen Pharmaceuticals, Inc., administered by Janssen Scientific Affairs, LLC.
Participation in this activity is free of charge.
Release Date: May 09, 2022 -- Expiration Date: May 08, 2023
Faculty: Multiple Faculty,
An Internist’s Perspective: Understanding Obesity and its Management
Judy Shiau, MD, Dipl.of ABOM – Associate Professor, Division of Endocrinology and Metabolism and Program Director for the Bariatric Medicine Fellowship at the University of Ottawa; General Internist and Medical Director of LEAF Weight Management Clinic
A Cardiologist’s Perspective: How I Treat my Patients with Obesity and CVD
(including AFib)
Aaron Aday, MD, MSc – Investigator, Vanderbilt Translational and Clinical Cardiovascular Research Center at Vanderbilt University Medical Center
A Hematologist’s Perspective: How I Treat my Patients with Obesity and VTE
Tzu-Fei Wang, MD, MPH – Associate Professor of Medicine at The University of Ottawa in the Division of Hematology
A Bariatric Surgeon’s Perspective: How I Treat my Anticoagulated Patients
Undergoing Bariatric Surgery
Malcolm K. Robinson, MD – Associate Professor at Harvard Medical School; Vice Chairman of the Department of Surgery for Clinical Operations, Surgical Director of Perioperative Services, and Director of the Nutrition Support Service at Brigham and Women’s Hospital
Case-Based Debates and Q&A:
Moderated by Dr. Allen Taylor, MD – Chairman of Cardiology at MedStar Heart and Vascular Institute
Case 1: DOAC Use in a Patient with Obesity and AFib
Aaron Aday, MD, MSc – Investigator, Vanderbilt Translational and Clinical Cardiovascular Research Center at Vanderbilt University Medical Center
Case 2: DOAC Use in a Patient with Obesity and VTE
Tzu-Fei Wang, MD, MPH – Associate Professor of Medicine at The University of Ottawa in the Division of Hematology
Case 3: DOAC Use in a Patient Who Has Undergone Bariatric Surgery
Malcolm K. Robinson, MD – Associate Professor at Harvard Medical School; Vice Chairman of the Department of Surgery for Clinical Operations, Surgical Director of Perioperative Services, and Director of the Nutrition Support Service at Brigham and Women’s Hospital
Panel Discussion
By the end of the session the participant will be able to:
ACCME Activity #202289556
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 ScientiaCME and NATF. ScientiaCME is accredited by the ACCME to provide continuing medical education for physicians.
Credit Designation: ScientiaCME designates this educational activity for a maximum of 2 AMA PRA Category 1 Credit(s)™ toward the AMA Physician's Recognition Award. Physicians should only claim credit commensurate with the extent of their participation in the activity.
Nurse Practitioners (NPs): The American Academy of Nurse Practitioners accepts AMA PRA Category 1 Credit(s)™ from organizations accredited by the ACCME. ScientiaCME will provide NPs who successfully complete each activity with a certificate of participation indicating that the activity was designated for AMA PRA Category 1 Credit(s)™.
Physician Assistants: The American Academy of Physician Assistants accepts AMA PRA Category 1 Credit(s)™ from organizations accredited by the ACCME.
Pharmacists
ScientiaCME is accredited by the Accreditation Council for Pharmacy Education (ACPE) as a provider of continuing pharmacy education. This activity is approved for 2 contact hours (0.2 CEUs) of continuing pharmacy education credit. Proof of participation will be posted to your NABP CPE profile within 4 to 6 weeks to participants who have successfully completed the post-test. Participants must participate in the entire group of presentations and complete the course evaluation to receive continuing pharmacy education credit. ACPE UAN: 0574-9999-22-003-H01-P.
This is an Application (A)-type activity.
Pharmacists: You must enter your NABP # and birth date correctly so that proof of participation can be posted to your NABP CPE profile. It is the learner's responsibility to provide this information completely and accurately at the completion of the activity. Without providing it, the learner will NOT receive CPE credit for this activity.
The CPE statements of credit contain information provided to NABP from the Accreditation Council for Pharmacy Education (ACPE) via CPE Monitor®. ACPE policy states paper and/or electronic statements of credit may no longer be distributed directly to learners as proof of ACPE credit. The official record of credit may be located in the learner’s e-profile in CPE Monitor®.
Individuals with no conflicts of interest to disclose:
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Please take a few minutes to participate in the optional pre-test. It will help us measure the knowledge gained by participating in this activity.