ANESTHESIOLOGY® 2026 in San Diego, TopMedTalk hosts Kate Leslie and Sol Aronson speak with David L. Hepner, MD, MPH. Associate Professor of Anaesthesia at Harvard Medical School and Bradley R. Cohn, MD, Regional Medical Director and the Chair of Perioperative Medicine for Kaiser Permanente Northern California (KPNC) / The Permanente Medical Group about the American Society of anesthesiologists (ASA) Center for Perioperative Medicine (CPMed) and its push to move perioperative care from fragmented episodes to a coordinated continuum.
They describe CPMed's origins in October 2022, its multidisciplinary and international "big tent" approach, and efforts in education and training, including adding perioperative medicine to ABA topic areas and expanding ACGME training. The discussion highlights patient-first risk framing, care coordination and communication, scarce resource stewardship, learning from UK and other international models (e.g., prehab, anemia/frailty treatment), and the TEAM payment model's implications for pre-op optimization. They emphasize measuring outcomes, reducing cancellations, and closing gaps at care transitions.
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