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Family Medicine residents at CMMC in Lewiston, Maine manage patients in an outpatient clinic as well as on an inpatient family medicine teaching service. Many patients in the community are anticoagulated for native valve atrial fibrillation and undergo surgical procedures both in the inpatient and outpatient setting. Residents are often asked on to determine the necessity and timing of anticoagulation discontinuation for patients that they see. With patients on newer oral anticoagulants and various degrees of risk, it can be a challenge to make an informed choice. Residents have found that they would feel more confident in perioperative management of anticoagulated patients if they have a solid foundation in the principles guiding these decisions.

Clinical Site

Lewiston, Maine


family medicine, residency, resident, education, anticoagulation, perioperative, surgery, procedure, warfarin, atrial fibrillation

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This work is licensed under a Creative Commons Attribution 4.0 License.


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Family Medicine Resident Education on Perioperative Management of Patients on Anticoagulation