This FICM Learning podcast episode discusses perioperative medicine, its history, current state, and future direction. The panel includes Prof Ramani Moonesinghe, Professor of Perioperative medicine at UCL, Dr David Murray, Chair of the National Laparotomy Audit project, and Dr Luke Flowers, Chair of the trainee research network. The panel members, who have extensive experience in establishing perioperative medicine as a specialty, provide insights into risk assessment, risk prediction models, and the importance of shared decision-making. They emphasize the need to consider not only mortality but also other patient-centered outcomes, such as discharge destination and length of hospital stay. The future of perioperative medicine lies in optimizing patient pathways, integrating multidisciplinary teams, and investing in pre- and post-operative interventions. The panel also highlights the importance of conveying the value of perioperative care to the healthcare system.

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