This activity is part of the Frankly Speaking with Dr. Frank Domino podcast series.
Frankly Speaking CME 230


Perioperative Management for Patients Taking DOACs - Frankly Speaking EP 230Guest: Robert A. Baldor, MD, FAAFP
Music Credit: Richard Onorato

Join us to discuss the results of the Perioperative Anticoagulation Use for Surgery Evaluation (PAUSE) cohort study, aimed at understanding the safety of using a simplified perioperative management approach for patients with atrial fibrillation taking DOACs. After this episode, you’ll be able to make sense of the controversy over current guidelines around surgical care in this patient population. More importantly, you’ll walk away with practical knowledge to help these patients minimize their risk of adverse events. 

Episode References and Resources:

  • Perioperative Management of Patients With Atrial Fibrillation Receiving a Direct Oral Anticoagulant. JAMA Intern Med.2019; 179(11 ): 1469-14 78. doi: 10.1001 /jamainternmed.2019.2431


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CME/CE Information

0 Credits - Not for CME/CE Credit

Release Date: 6/28/2021

Expiration Date: 6/28/2022

Learning Objectives

  • Describe the controversary over current guidelines for the surgical care of patients taking direct oral anticoagulants (DOACs) for atrial fibrillation
  • Interpret the data on the efficacy and safety of a simplified approach to the perioperative management of patients taking DOACs for atrial fibrillation
  • Clarify the pre-operative assessment and advice for patients with atrial fibrillation who are taking DOACs to minimize their risks of adverse events



Frank J. Domino, MD

Professor, Family Medicine and Community Health,
University of Massachusetts Medical School, Worcester, MA

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Robert A. Baldor, MD, FAAFP

Professor and Chairman, Dept of Family Medicine
UMass Medical School/Baystate 

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Perioperative Management for Patients Taking DOACs - Frankly Speaking EP 230