Hospitalist Procedures Course Description

Course Credits: Earn up to 16 AMA PRA Category 1 Credit(s)™ and AAFP Prescribed Credits.

Course Price: $1,995

Hospitalist Procedures is a two-day course.

Physicians providing inpatient care must be prepared to evaluate and manage acutely ill patients and perform a variety of diagnostic and therapeutic procedures. Maintaining familiarity with procedural indications, contraindications, techniques, potential complications, and appropriate use of point-of-care ultrasound is an important component of safe and effective hospital-based care.

This intensive two-day course is designed for primary care physicians, residents, and other healthcare clinicians who want to develop or strengthen their hospital-based procedural skills. Through a combination of didactic instruction, video and faculty demonstrations, case-based discussion, and supervised hands-on practice using simulation models, learners will review and practice procedures commonly encountered in the inpatient setting. Point-of-care ultrasound will be incorporated into applicable procedures to assist with procedural planning, guidance, and patient safety.

The course will also address pre-procedure evaluation, informed consent and Universal Protocol requirements, procedural sedation, complication prevention and management, airway and ventilator management, and hemodynamic support of critically ill patients. Learners will receive practical tools, resources, and selected references to support continued learning and application in their clinical practice.

Procedures and techniques will be taught through a combination of lecture, demonstration, and hands-on practice. Simulation models and ultrasound equipment will be available throughout the course to provide learners with repeated opportunities to practice selected techniques. Procedures incorporating ultrasound instruction are designated below with an asterisk (*).

Hands-On and Demonstrated Procedures and Topics

  • Procedural sedation
  • Procedural consent and Universal Protocol
  • Lumbar puncture*
  • Central venous catheter placement using subclavian, internal jugular,* and femoral* approaches
  • Use and selection of introducer, dialysis, and triple-lumen catheters
  • Intraosseous access
  • Paracentesis*
  • Thoracentesis*
  • Thoracostomy tube placement
  • Ultrasound assessment for pneumothorax*
  • Thoracic vent placement
  • Basic airway management
  • Endotracheal intubation and adjunct airways
  • Introduction to surgical and advanced airway techniques, including cricothyrotomy and fiberoptic intubation
  • Arterial line placement using radial and femoral approaches*
  • Basic ventilator management and lung-protective ventilation strategies
  • Noninvasive respiratory support, including high-flow nasal oxygen therapy
  • Noninvasive ventilation using CPAP and BiPAP
  • Hemodynamic assessment and support in shock states
  • Coding considerations for hospital-based procedures

By the end of this educational activity, learners should be better able to:

  • Identify the indications, contraindications, appropriate techniques, and potential complications of procedures commonly performed in the hospital setting.
  • Utilize point-of-care ultrasound to assist with the assessment and performance of selected hospital-based procedures.
  • Apply appropriate pre-procedure evaluation, informed consent, patient safety, and post-procedure management practices, including requirements of the Universal Protocol.
  • Implement strategies to prevent, recognize, and manage complications associated with commonly performed hospital-based procedures.
2027 Course Accreditation

The Texas Academy of Family Physicians designates this live activity for a maximum of 16.00 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Application for CME credit has been filed with the American Academy of Family Physicians. Determination of credit is pending.

Learn more about our accreditation.

7:30 – 8 a.m.

  • Registration and breakfast

Day One

8 – 10 a.m. — 2 CME Credits
Universal Protocol and Procedural Sedation

  • Apply Universal Protocol principles and appropriately document informed consent, including risks, benefits, and alternatives.
  • Utilize effective communication among patients and members of the healthcare team to reduce the risk of procedural errors.
  • Identify circumstances in which emergency treatment may proceed when informed consent cannot be obtained.
  • Select appropriate procedural sedation and anesthesia approaches based on the patient's condition and procedure.
  • Identify patient factors that may increase sedation risk, including obstructive sleep apnea, pulmonary disease, substance or alcohol use, and a difficult airway.

Introduction to Ultrasound, FAST and eFAST Examinations

  • Utilize point-of-care ultrasound to assist with initial trauma assessment and selected hospital-based procedures.
  • Identify appropriate applications of FAST and eFAST examinations in the evaluation of acutely ill or injured patients.

Vascular Access – Central Venous Catheter Placement With and Without Ultrasound

  • Identify indications and appropriate techniques for central venous access.
  • Utilize ultrasound guidance to assist with central venous catheter placement.
  • Apply strategies to reduce complications associated with central venous catheter placement and management.

Intraosseous Access

  • Identify indications for intraosseous access when rapid vascular access is necessary.
  • Demonstrate appropriate techniques for intraosseous access at commonly used insertion sites.

Arterial Line Placement

  • Identify indications for arterial catheter placement, including hemodynamic monitoring and frequent arterial blood sampling.
  • Assess patient-specific precautions and potential contraindications before arterial catheter placement.
  • Recognize and manage potential complications, including bleeding, hematoma, infection, arterial thrombosis, pseudoaneurysm, and arteriovenous fistula.

10 – 10:15 a.m. — Break

10:15 a.m. – 11:15 a.m. — 1 CME Credit
Lumbar Puncture With and Without Ultrasound

  • Identify appropriate indications and contraindications for lumbar puncture.
  • Determine when imaging or ultrasound guidance may assist with patient evaluation or lumbar puncture performance.
  • Recognize potential adverse effects and complications associated with lumbar puncture.

Paracentesis With and Without Ultrasound

  • Identify indications for diagnostic and therapeutic paracentesis, including evaluation of new-onset ascites and suspected spontaneous bacterial peritonitis.
  • Demonstrate appropriate techniques for performing paracentesis with and without ultrasound guidance.
  • Recognize and manage potential complications associated with paracentesis.

11:15 a.m. – 12 p.m. — 0.75 CME Credits
Skills Lab Demonstrations

  • Practice and demonstrate appropriate techniques and key procedural steps for central venous catheter placement, arterial line placement, lumbar puncture, paracentesis, and intraosseous access through supervised hands-on practice.

12 – 1 p.m. — Lunch

1 – 3 p.m. — 2 CME Credits
Hands-On Skills Lab

  • Practice the procedural techniques and key steps for central venous catheter placement, arterial line placement, lumbar puncture, paracentesis, and intraosseous access using simulation models.

3 – 3:15 p.m. — Break

3:15 – 5:30 p.m. — 2.25 CME Credits
Hemodynamics, Shock States, and Sepsis

  • Differentiate common types and causes of shock using clinical and hemodynamic findings.
  • Evaluate physiologic changes associated with shock, including impaired oxygen delivery, anaerobic metabolism, lactate elevation, and organ dysfunction.
  • Recognize clinical findings associated with sepsis and shock.
  • Apply current principles of early evaluation and management of patients with sepsis and shock, including appropriate fluid management, cultures, antimicrobial therapy, and hemodynamic support.

Ultrasound Demonstration and Practice

  • Practice selected point-of-care ultrasound techniques using models and, when appropriate, other participants.

Skills Lab – Continued

  • Continue supervised hands-on practice of hospital-based procedural skills.

Day Two

8 – 10 a.m. — 2 CME Credits
Basic and Advanced Airway Management: Intubations, airway adjuncts, and surgical airways

  • Evaluate indications, contraindications, and clinical considerations for basic and advanced airway management in the hospital setting.
  • Select appropriate airway management techniques and equipment based on patient assessment, clinical presentation, and anticipated airway difficulty.
  • Demonstrate proper techniques for endotracheal intubation, use of airway adjuncts, and emergency surgical airway management.
  • Identify and manage potential complications associated with airway procedures.

10 – 10:15 a.m. — Break

10:15 a.m. – 12 p.m. — 1.75 CME Credits
Skills Lab: Hands-on Airway management, laryngeal mask airway (LMA), laryngoscopy, bougie, bag-valve-mask (BVM), and lighted stylet

  • Practice the procedural techniques and key steps for bag-valve-mask ventilation, supraglottic airway placement, direct laryngoscopy, endotracheal intubation, and the use of airway adjuncts, including bougies and lighted stylets, using simulation models.

12 – 1 p.m. — Lunch

1 – 3 p.m. — 2 CME Credits
Thoracentesis, thoracostomy tube/thoracic vent, ultrasound diagnosis of pneumothorax, and chest tube removal

  • Evaluate indications, contraindications, and appropriate patient selection for thoracentesis, thoracostomy tube placement, and chest tube removal.
  • Apply ultrasound techniques to identify pleural effusions, evaluate pneumothorax, and guide thoracic procedural planning.
  • Demonstrate appropriate techniques for thoracentesis, thoracostomy tube placement, and chest tube removal using simulation models.
  • Recognize, prevent, and manage potential complications associated with thoracic procedures.

3 – 3:15 p.m. — Break

3:15 – 5:30 p.m. — 2.25 CME Credits
Noninvasive and basic mechanical ventilation, lung-protective ventilation strategies, ventilator liberation

  • Differentiate indications and clinical considerations for noninvasive and invasive mechanical ventilation in the hospital setting.
  • Apply basic mechanical ventilation principles, including ventilator modes, initial settings, and lung-protective ventilation strategies.
  • Evaluate patient readiness for ventilator liberation and identify appropriate weaning strategies.

Hands-on skills training and ultrasound practice – continued

  • Practice the procedural techniques and key steps for thoracentesis, thoracostomy tube and thoracic vent placement, ultrasound diagnosis of pneumothorax, and chest tube removal using simulation models, while applying noninvasive and basic mechanical ventilation principles, lung-protective ventilation strategies, and assessment of readiness for ventilator liberation through simulated clinical scenarios.

TOTAL CME CREDITS: 16

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