Surgery can be daunting, and even when done by the best surgeons, can be traumatic on physical and mental/emotional levels. It is reassuring for patients to receive guidance in how they can proactively prepare for surgery and ways that they can optimize their healing from surgery.

Educational Purpose

Participants will gain an understanding of integrative interventions that can provide surgical support across all stages of the perioperative period.


I. PeriOperative Foundations
II. Pre-Operative Integrative Medicine
III. IntraOperative Integrative Medicine
IV. Post-operative Period and Management
V. Integrative PeriOperative Care Summary
VI. Evaluation

Course objectives:

  • Assess patient frailty and its contributions to perioperative risk
  • Define Perioperative Care and Integrative Perioperative Care
  • Incorporate ERAS (Enhanced Recovery After Surgery) principles, objectives and pathways
  • Identify key integrative strategies prior to surgery to optimize surgical outcomes
  • Identify patient risk factors for surgery as well as integrative strategies to maximize patient resilience and reduce this risk
  • Identify the contributory role of chronic inflammation in increased risk of post-surgical complications
  • Identify evidence-based strategies for optimizing surgical outcomes throughout the peri-operative period
  • Discuss controversial issues regarding integrative co-management during perioperative care

Completion Requirements

Complete all the course work, course evaluation, and the final test with a score of 70% or better. Upon successful completion you will be able to print your certificate of completion.

Target Audience

This online enduring material educational program is designed for physicians, advanced nurse practitioners, and physician assistants and other health care providers who have an interest in surgical outcomes.


You can register and start immediately. If you register for the course and pay with a credit card you will have immediate access to the course. Once your registration is complete, logout and log back in and your course will be listed on the campus page. If you cannot remember your account information, click the Forgot Password link on the login page and it will be emailed to you.

Integrative PeriOperative Care Disclosure Information


ACCME/AMA PRA Accreditation and CME Designation Statement

The University of Arizona College of Medicine — Tucson is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The University of Arizona College of Medicine — Tucson designates this enduring material for a maximum of 5.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This course includes an assessment of 10 questions that you must answer 70% correctly or above in order to receive credit for participation. You are allowed unlimited re-attempts.

Current CME Approval Period: 3/29/2023 - 3/28/2025

Date of Last Review: 3/29/2023

Conflict of Interest Disclosure Information

All Faculty, CME Planning Committee Members, and the CME Office Reviewers have disclosed that they do not have any relevant financial relationships with commercial interests that would constitute a conflict of interest concerning this CME activity.

Commercial Support

There is no commercial support for this activity.

Faculty / Authors

Rosanne Sheinberg, MD. Associate Program Director, Adult Cardiothoracic Anesthesiology Fellowship Program, Assistant Professor of Anesthesiology and Critical Care, Johns Hopkins University School of Medicine.

Lise Alschuler, ND; Assistant Director, Fellowship Andrew Weil Center for Integrative Medicine; Professor, Department of Medicine University of Arizona College of Medicine-Tucson.

Robert Bonakdar, MD, Director of Pain Management at the Scripps Center for Integrative Medicine. Assistant Clinical Professor at the University of California, San Diego, School of Medicine and is the immediate past president of the American Academy of Pain Management.

Noreen Shahbaz, MD, Anesthesiologist, Saint John`s Riverside Hospital Specializing in General, Obstetric, Pediatrics, Orthopedic, Endoscopy, Vascular and ENT Procedures.

Planning Committee

Lise Alschuler, ND; Assistant Director, Fellowship; Andrew Weil Center for Integrative Medicine; Professor, Department of Medicine University of Arizona College of Medicine-Tucson

Molly K. Burke, CMT, MFA; Director of Online Education, Andrew Weil Center for Integrative Medicine

Assessment Information

Course completion is contingent upon successful course exam outcome. The course exam is 10 multiple choice questions. There are a total of 3 attempts to pass the exam with a 70 percent or better score.