2023 Moving Beyond Teamwork in the Operating Room to Facilitating Mutual Professional Respect

Psychological safety enables the interpersonal risk-taking necessary for providing safer patient care in the operating room (OR). Limited studies look at psychological safety in the OR from the perspectives of each highly specialized team member. Therefore, we investigated each member’s perspective on the factors that influence psychological safety in the OR. Interviews were conducted with operative team members of a level 1 trauma center in central Texas. The interviews were transcribed, de-identified, and coded by two investigators independently, and thematic analysis was performed. Responses were collected from 21 participants representing all surgical team roles (attending surgeons, attending anesthesiologists, circulating nurses, nurse anesthetists, scrub techs, and residents). Circulating nurse responses were redacted for confidentiality (n = 1). Six major themes influencing psychological safety in the OR were identified. Psychological safety is essential to better, safer patient care. Establishing a climate of mutual respect and suspended judgment in an OR safe for learning will lay the foundation for achieving psychological safety in the OR. Team exercises in building rapport and mutual understanding are important starting points.
Category
- BUMC Proceedings
Format
- Journal
Credits
- 1.00 American Board of Internal Medicine (ABIM) MOC Part 2
- 1.00 AMA PRA Category 1 Credit™
- 1.00 Attendance
2023 The potential impact of computed tomography coronary calcium score screening on patients with dyslipidemia

Coronary artery calcium (CAC) scoring helps determine whether patients with known coronary artery disease (CAD) should initiate medical management by predicting future cardiac event risk. CAC scoring is underutilized because many insurance companies consider it experimental. This study aims to determine whether CAC screening of patients at risk for CAD can decrease the risk of myocardial infarction and improve survival.
Category
- BUMC Proceedings
Format
- Journal
Credits
- 1.00 American Board of Internal Medicine (ABIM) MOC Part 2
- 1.00 AMA PRA Category 1 Credit™
- 1.00 Attendance
2023 Updates on Enhanced Recovery after Surgery protocols for plastic surgery of the breast and future directions

Perioperative pain control is an important component of any plastic surgery practice. Due to the incorporation of
Enhanced Recovery after Surgery (ERAS) protocols, reported pain level, opioid consumption, and hospital length of stay numbers
have decreased significantly. This article provides an up-to-date review of current ERAS protocols in use, reviews individual
aspects of ERAS protocols, and discusses future directions for the continual improvement of ERAS protocols and control of postoperative pain.
Category
- BUMC Proceedings
Format
- Journal
Credits
- 1.00 American Board of Internal Medicine (ABIM) MOC Part 2
- 1.00 AMA PRA Category 1 Credit™
- 1.00 Attendance
2023 Optimal Cardiovascular Medical Therapy: Current Guidelines and New Developments

Coronary artery disease is a leading cause of mortality worldwide, and patients with obstructive coronary artery disease require optimal cardiovascular medical therapy along with lifestyle modification for secondary prevention of future cardiac events. Optimal medical therapy includes antiplatelet agents, high-intensity statins, beta-blockers, angiotensin-converting enzyme inhibitors or angiotensin II receptor blockers, aldosterone antagonists, and calcium channel blockers. There are differences in the medical therapy guidelines of the American Heart Association/American College of Cardiology and the European Society of Cardiology. In addition, there are emerging medical therapies that may be added to future guidelines with additional cardiovascular outcome benefits.
Category
- BUMC Proceedings
Format
- Journal
Credits
- 1.00 American Board of Internal Medicine (ABIM) MOC Part 2
- 1.00 AMA PRA Category 1 Credit™
- 1.00 Attendance
2023 Management dilemmas in restarting anticoagulation after gastrointestinal bleeding

Systemic anticoagulants are widely prescribed to prevent and treat thromboembolism, among other indications. A common com-plication of using these agents is gastrointestinal bleeding. While early resumption of anticoagulants after the bleeding has resolved can increase the risk of rebleeding, delayed resumption puts the patient at increased risk of thromboembolic events and mortality. There is limited data on this topic to guide clinicians on resuming anticoagulation after hospitalization for gastrointestinal bleeding and to educate patients regarding the subsequent risks of recurrent gastrointestinal bleeding, thromboembolism, and mortality. The optimal time to resume anticoagulation is also unknown. This review summarizes the existing literature and available data on the commonly encountered dilemma of restarting anticoagulation therapy after hospitalization for gastrointestinal bleeding.
Category
- BUMC Proceedings
Format
- Journal
Credits
- 1.00 American Board of Internal Medicine (ABIM) MOC Part 2
- 1.00 AMA PRA Category 1 Credit™
- 1.00 Attendance