Morpheus Consortium Transforming Perioperative Care Morpheus Consortium Transforming Perioperative Care Morpheus Consortium Transforming Perioperative Care Morpheus Consortium Transforming Perioperative Care Morpheus Consortium Transforming Perioperative Care

A global collaboration to advance patient-centered, perioperative care through science, education and policy.

Our mission

Improve the health of the population by:

  • Inspiring a global community of innovators in perioperative care to create sustainable health care solutions
  • Advancing the science of perioperative medicine through world-class research
  • Fostering learning to develop perioperative leaders and educators
  • Leading transformative discussions to shape future perioperative care practices and health care policy

About Morpheus Consortium

Named after the ancient Greek god of dreams, the Morpheus Consortium embodies a shared aspiration to deliver innovative perioperative care to meet the evolving needs of patients undergoing major surgery. It’s also the branding of three universities, Duke University, University College London and University of Southampton, with one shared goal – to be the leaders in perioperative medicine and enhanced recovery after surgery, ultimately improving the patients’ journey from the moment their surgery is contemplated to full recovery.

Innovation

Innovation

Research

Research

International Training

International Training

Patient Care

Patient Care

0

Surgeries/Year
Across Morpheus Consortium

0

Surgeries/Year
In The UK

0

Surgeries/Year
In The US

0

Surgeries/Year
Worldwide

Morpheus Consortium Training Opportunities

The Morpheus Perioperative Medicine Online Fellowship (for physicians) and the Morpheus Perioperative Care Online Certificate (for non-physicians) each offer 40 weeks of online content delivered by international, world-renowned faculty. These training programs include online and on-site curricula delivered with weekly lectures and course moderators. Individualized curricula are tailored for the physician and CRNA/APN/PA candidates.

Exposure to the science and implementation of perioperative medicine through online and in-person learning opportunities, by self-discovery and interaction with experts.

Topics covered include:

  • Perioperative medicine is population health
  • Health economics, value and perioperative care
  • Re-engineering the perioperative pathway from contemplating intervention to discharge from care
  • Evidence-based enhanced recovery for major abdominal surgery
  • Evidence-based enhanced recovery for orthopedic surgery
  • The role of anesthesia in the opioid epidemic
  • Fluid and hemodynamic optimization during major surgery
  • How to set up a preoperative anemia clinic

Exposure to the science and practice of perioperative care through online and in-person learning opportunities, by self-discovery and interaction with experts.

Topics covered include:

  • The rationale for perioperative medicine
  • Outcome differences related to changes in perioperative care
  • Care modifications that align all steps, from considering surgery to full recovery
  • Major abdominal surgery enhanced recovery protocols
  • Orthopedic surgery enhanced recovery protocols
  • Opioid minimization and opioid-free anesthesia
  • Fluid and hemodynamic optimization during major surgery
  • Preoperative clinics as a model for the perioperative team
  • Sakai Learning Content Management System
  • Mobile and tablet friendly
  • Weekly lectures with discussion forums hosted by a faculty moderator
  • Interactive chat (blog) sessions with faculty and participants
  • Multimedia high-definition quality video
  • Timely topics presented by recognized faculty
  • Variety of course electives available
  • Variable speed playback
  • Participants may visit Duke for a three or four-day preceptorship (travel, food, and lodging is at the customer expense)
  • Participants may attend EBPOM meeting(s) virtual or in-session in the UK and/or US (Chicago, Las Vegas) for instruction & discussions
  • Graduation certificate/ceremony at EBPOM – London or virtual (travel, food, and lodging is at the customer expense)
  • 36 faculty lectures or equivalent presentations prepared and presented by Morpheus or guest faculty
  • Content during on-site visit (Duke) to include lectures, case reports, Q & A, open forum, panel discussions
  • Participant may request a Morpheus faculty mentor for personal feedback and mentoring
  • Morpheus faculty actively engaged in weekly discussion forums
  • Dedicated program director

Morpheus Perioperative Medicine Online Fellowship Application PDF

Morpheus Perioperative Care Online Certificate Application PDF

To apply, or if you have questions regarding the online fellowship and/or certificate, please contact Susan Morris, program coordinator, at susan.morris@duke.edu.

Sundar Krishnan, MBBS
Sundar Krishnan, MBBS
Associate Professor of Anesthesiology
Director, Morpheus Consortium Training Programs
Department of Anesthesiology
DUMC 3094
Duke University Medical Center
Email:  sundar.krishnan@duke.edu

Mark Edwards, BMedSci, BMBS, MRCP, FRCA, MD(Res)
Mark Edwards, BMedSci, BMBS, MRCP, FRCA, MD(Res)
Assistant Director, Morpheus Consortium Training Programs
Consultant in Anaesthesia & Perioperative Medicine
University Hospital Southampton
Honorary Senior Clinical Lecturer, University of Southampton
Email: Mark.Edwards2@uhs.nhs.uk

John Whittle, MBBS, MD(Res), AFHEA,FRCA, FFICM
John Whittle, MBBS, MD(Res), AFHEA,FRCA, FFICM
Assistant Director, Morpheus Consortium Training Programs
Consultant in Anaesthesia, Critical Care and Perioperative Medicine
Honorary Associate Professor, Critical Care and Perioperative Medicine
University College London Hospitals NHS
Email: johnwhittle@doctors.org.uk

Susan Morris
Susan Morris
Program Coordinator, Morpheus Consortium Training Programs
Department of Anesthesiology
Duke University Medical Center
DUMC 3094
2301 Erwin Rd, 5688C HAFS Building
Durham, NC 27710
Email:  susan.morris@duke.edu

In compliance with federal and state anti-discrimination laws, we do not discriminate against applicants because of an individual’s race, color, religion, age, gender, sexual orientation, national origin, genetic information, veteran status, or disability.

Boards

National Board of Perioperative MedicinePerioperative medicine is an evolving field of medicine that addresses the vulnerabilities of increasing age and complexity of patients and the increase in the number of surgical procedures being performed in United States. There is a critical need to standardize the evidence-based care of surgical patients at risk to ensure optimal outcomes.

The National Board of Perioperative Medicine comprises a group of medical professionals who are considered experts in their respective areas of Perioperative Medicine. The aim of the board is to formulate a perioperative medicine syllabus for use in the training of physicians in perioperative medicine in the United States.

Please contact Susan Morris at susan.morris@duke.edu or 919-681-6754 with any questions.

Board Members

Podcasts

Nutrition and Metabolism Before Surgery - Part 2 of 2 | EBPOM London 2020

Nutrition and Metabolism Before Surgery – Part 2 of 2 | EBPOM London 2020

Methadone, 'The Opioid Sparing Opioid' | EBPOM Chicago

Methadone, ‘The Opioid Sparing Opioid’ | EBPOM Chicago

Perioperative Anticoagulation and Anti Platelet Management; A User Friendly Approach – Audience Questions | EBPOM Chicago

Perioperative Anticoagulation and Anti Platelet Management; A User Friendly Approach – Audience Questions | EBPOM Chicago

Brain Health: Frailty, Delirium and Post-Operative Cognitive Dysfunction Part 2 | Chicago 2020

Brain Health: Frailty, Delirium and Post-Operative Cognitive Dysfunction Part 2 | Chicago 2020

Video Clips

Perioperative Pathways

Perioperative Medicine is Population Health

Proposed Syllabus

Overview

OV1: Perioperative Medicine is Population Health
OV2: The POC Team
OV3: Health Economics, Value and Perioperative Care
OV4: Designing Clinical Pathways – ERAS
OV5: Monitoring and Evaluation of POC
OV6: Understanding Population Health Reseach
OV7: Quantitating the Value of Perioperative Medicine: How to do it, Why it is critical, How far have we to go
OV8: Building and Managing a Pre-Operative Clinic
OV9: The Role of a Peri-operative Consult Service
OV10: Building and Managing a Follow Up Service
OV11: Leadership and Team Building
OV12: Process and Quality Improvement
OV13: Patient Safety, Human Factors and Ethnography
OV14: Data Science for Health: Maybe Better than the RCT?
OV15: Maximizing Perioperative Value Delivery in the Post-Health Care Reform Era
OV16: Reengineering the Pathway from Contemplation of Surgery to Full Recovery

Preoperative

PRE1: Enhanced Recovery After Surgery Pathways
PRE2: Prehabiltation and the Role of Exercise
PRE3: Cannabinoids and Pain Management
PRE4: Preoperative Carbodydrates and Hydration
PRE5: Setting up a Preoperative Anemia Clinic
PRE6: Obstructive Sleep Apnea
PRE7: Smoking and Alcohol Cessation / Moderation
PRE8: Perioperative Management of the Diabetic Patient
PRE9: Objective Evaluation of Fitness with Cardiopulmonary Exercise Testing
PRE10: Basics of Motivational Interviewing- the Importance of Health Coaching in the Preop Clinic
PRE11: Arrhythmias, Pacemakers, AICD
PRE12: How to Set Up a Preop Screening and Optimization Clinic
PRE13: Management of Chronic Pain and Opioid-Dependent Patients
PRE14: Delirium: Assessment, Avoidance, and Management
PRE15: Recreational Drug Use and Addictions
PRE16: The Role of POCUS in Perioperative Medicine

Intraoperative

INTRA1: Focusing on Optimal Analgesia to Promote Functional Recovery
INTRA2: Opioid Minimization and Avoidance – Principles and Techniques
INTRA3: Heart Disease in Pregnancy: Overarching Principles of Care
INTRA4: Enhanced Recovery for Caesarian Section
INTRA5: Enhanced Recovery for Major Abdominal Surgery
INTRA6: Fluid and hemodynamic optimization within Enhanced Recovery
INTRA7: Regional Anesthesia: Fascial Plane Blocks
INTRA8: Enhanced Recovery for Orthopedic Surgery
INTRA9: Pulmonary Hypertension and Heart Failure
INTRA10: Myocardial Injury and Protection
INTRA11: Perioperative Nephrology – Renal Protection
INTRA12: Lung Protective Ventilation in the OR
INTRA13: Perioperative Oxygen: Too Much…Too Little…or Just Right?
INTRA14: Enhanced Recovery in Emergency Surgery
INTRA15: Mechanical Cardiac Assist Devices
INTRA16: Enhanced Recovery for Cardiac Surgery

Postoperative

POST1: Postoperative Levels of Care: ICU, Floor, Same Day
POST2: The Role of Perioperative Medicine in the Opioid Epidemic
POST3: Management of Chronic Pain, Persistent Opioid Use (Independent of Chronic Pain)/IV Drug Abusers
POST4: Preventing and Managing Postopertive Delirium
POST5: Evaluation and Assessment of Home Medications/Drug-Drug Interactions
POST6: Postoperative BP Control: Goal Directed Therapy
POST7: Guiding Geriatric Patients through the Perioperative Course
POST8: Postoperative Cognitive Dysfunction
POST9: Respiratory, Airway, Ventilatory Strategies
POST10: Perioperative Nutrition
POST11: The Role of Postoperative Critical Care
POST12: Anemia, Coagulopathy, Thromboprophylaxis
POST13: PONV/PDNV Management
POST14: The Pandemic of Postoperative Morbidity
POST15: Discharge Planning and Postoperative Care Teams

National Board of Perioperative CarePerioperative care is an evolving field that addresses the vulnerabilities of increasing age and complexity of patients and the increase in the number of surgical procedures being performed in United States. There is a critical need to standardize the evidence-based care of surgical patients at risk to ensure optimal outcomes.

The National Board of Perioperative Care comprises a group of health care professionals who are considered experts in their respective areas of perioperative care. The aim of the board is to formulate a perioperative care syllabus for use in the training of health care professionals in perioperative care in the United States.

Please contact Susan Morris at susan.morris@duke.edu or 919-681-6754 with any questions.

Board Members

Podcasts

Enabling Enhanced Recovery Part 1 | EBPOM 2020

Enabling Enhanced Recovery Part 1 | EBPOM 2020

Surgery After COVID-19 Diagnosis | TopMedTalk

Surgery After COVID-19 Diagnosis | TopMedTalk

Models of perioperative care “the science of value” Part 2 | Chicago 2020

Models of Perioperative Care “The Science of Value” Part 2 | Chicago 2020

Timothy E. Miller, MB, ChB, FRCA

EBPOM London 2020 | Optimizing Fluid and Hemodynamic Management During Major Surgery

Video Clips

Fluid and Hemodynamic Optimization

Acute Pain Management in the Chronic Opioid User

Proposed Syllabus

Overview

OV1: Introduction to Perioperative Care
OV2: The POC Team
OV3: Health Economics
OV4: Designing Clinical Pathways – ERAS
OV5: Monitoring and Evaluation of POC
OV6: Quality Measurement
OV7: Basics of OR Management
OV8: Building and Managing a Pre-Operative Clinic
OV9: The Role of a Peri-operative Consult Service
OV10: Building and Managing a Follow Up Service
OV11: Leadership and Team Building
OV12: Process and Quality Improvement
OV13: Patient Safety, Human Factors and Ethnography
OV14: The Value Proposition 1 – Prehabillitation / Optimisation
OV15: The Value Proposition 2 – ERAS

Preoperative

PRE1: Enhanced Recovery After Surgery Pathways
PRE2: Prehabiltation
PRE3: Exercise
PRE4: Nutrition
PRE5: Anemia
PRE6: Obstructive Sleep Apnea
PRE7: Smoking and Alcohol Cessation / Moderation
PRE8: Diabetes
PRE9: Objective Evaluation of Fitness
PRE10: Coagulation
PRE11: Arrhythmias, Pacemakers, AICD
PRE12: Mental Wellbeing and Resilience
PRE13: Management of Chronic Pain and Opioid-Dependent Patients
PRE14: Delirium (II): Assessment, Avoidance, and Management
PRE15: Recreational Drug Use and Addictions
PRE16: Digital Health

Intraoperative

INTRA1: Focusing on Optimal Analgesia to Promote Functional Recovery
INTRA2: Opioid Minimization and Avoidance – Principles and Techniques
INTRA3: Fluids, Electrolytes, Total Body Water, Hydration, Volume Status
INTRA4: Advance Haemodynamic Monitoring
INTRA5: Depth of Anesthesia / Nociceptive / NMB Monitoring
INTRA6: Goal Directed Therapy
INTRA7: Perioperative BP Control – Autoregulation
INTRA8: Aortic Stenosis and Other Valve Disorders; Arrhythmias, Pacemakers, AICD
INTRA9: Pulmonary Hypertension and Heart Failure
INTRA10: Myocardial Injury and Protection
INTRA11: Perioperative Nephrology – Renal Protection
INTRA12: Asthma, COPD and Lung Protection
INTRA13: Glycemic Control
INTRA14: Perioperative Blood Management
INTRA15: Perioperative Temperature Management
INTRA16: Triage to Post-Operative Care Areas and Handoffs

Postoperative

POST1: Postoperative Levels of Care: ICU, Floor, Same Day
POST2: Optimal MultiModal Analgesia to  Minimize or Avoid Opioids
POST3: Management of Chronic Pain, Persistent Opioid Use (Independent of Chronic Pain)/IV Drug Abusers
POST4: Sleep, Delirium, POCD
POST5: Evaluation and Assessment of Home Medications/Drug-Drug Interactions
POST6: Postoperative BP Control: Goal Directed Therapy
POST7: Arrhythmias: EKG Interpretation; EKG Evaluation and Medications
POST8: Cardiac: Structural Disorders and Disease States
POST9: Respiratory, Airway, Ventilatory Strategies
POST10: Fluids, Electrolytes, Acid-Base, Nutrition
POST11: Endocrine Management
POST12: Anemia, Coagulopathy, Thromboprophylaxis
POST13: PONV/PDNV Management
POST14: Postoperative Recovery
POST15: Discharge Planning and Postoperative Care Teams

Our team

Joining forces to improve patient outcomes and quality of life.

John Borrelli, MBA

JOHN BORRELLI, MBA

Duke Anesthesiology

Desiree Chappell, CRNA

DESIRÉE CHAPPELL, CRNA

NorthStar Anesthesia

Natasha Curran, FRCA FFPMRCA

NATASHA CURRAN, FRCA, FFPMRCA

University College London

Padma Gulur, MD

PADMA GULUR, MD

Duke Anesthesiology

PROFESSOR DENNY LEVETT, PhD, MRCP, FRCA, FFICM

DENNY LEVETT, PhD, MRCP, FRCA, FFICM

University of Southampton

Daniel Martin, MBBS, FRCA, FFICM

DANIEL MARTIN, MBBS, FRCA, FFICM

University College London

Timothy E. Miller, MB, ChB, FRCA

TIMOTHY E. MILLER, MB, CHB, FRCA

Duke Anesthesiology

Kay Mitchell, MSc

KAY MITCHELL, RN, MSc, BSc

University of Southampton

Vicki Morton, DNP

VICKI MORTON, DNP, MSN, AGNP-BC

Providence Anesthesiology Associates

Annemarie Thompson, MD

ANNEMARIE THOMPSON, MD

Duke Anesthesiology

David Walker, MBBS, FRCP, FRCA, FFICM

DAVID WALKER, MBBS, FRCP, FRCA, FFICM

University College London

  • In the continuum of a life cycle of an entity, you begin by surviving, then you evolve to growth, and if you’re fortunate enough you enter that sphere of ‘lead.’ With this collaboration, we’re looking at ‘lead’ in the rearview mirror and shaping the future.

    Dr. Solomon Aronson
  • We are a very innovative department and we at Duke want to be leading the way as we move into this new era of health care.

    Dr. Timothy Miller
  • Our health systems have crossover, but are significantly different. There is a massive opportunity to learn from each other and take the best from both sides of the Atlantic.

    Professor Mike Grocott

Latest News

Publications

Latest

Abbott TEF, Fowler AJ, Pelosi P, Gama de Abreu M, Møller AM, Canet J, Creagh-Brown B, Mythen M, Gin T, Lalu MM, Futier E, Grocott MP, Schultz MJ, Pearse RM; StEP-COMPAC Group. A Systematic Review and Consensus Definitions for Standardised End-Points in Perioperative Medicine: Pulmonary Complications. Br J Anaesth. 2018 May;120(5):1066-1079. Epub 2018 Mar 27. Review.
Griffiths SV, Conway DH; POPC-CB Investigators, Sander M, Jammer I, Grocott MPW, Creagh-Brown BC. What are the Optimum Components in a Care Bundle Aimed at Reducing Post-Operative Pulmonary Complications in High-Risk Patients? Perioper Med (Lond). 2018 Apr 17;7:7. eCollection 2018.
Malbrain MLNG, Van Regenmortel N, Saugel B, De Tavernier B, Van Gaal PJ, Joannes-Boyau O, Teboul JL, Rice TW, Mythen M, Monnet X. Principles of Fluid Management and Stewardship in Septic Shock: It is Time to Consider the Four D’s and the Four Phases of Fluid Therapy. Ann Intensive Care. 2018 May 22;8(1):66. Review.
Calvo-Vecino JM, Ripollés-Melchor J, Mythen MG, Casans-Francés R, Balik A, Artacho JP, Martínez-Hurtado E, Serrano Romero A, Fernández Pérez C, Asuero de Lis S; FEDORA Trial Investigators Group. Effect of Goal-Directed Haemodynamic Therapy on Postoperative Complications in Lowemoderate Risk Surgical Patients: A Multicentre Randomised Controlled Trial (FEDORA trial). Br J Anaesth. 2018 Apr;120(4):734-744. Epub 2018 Feb 3.

POQI Publications

Hedrick TL, McEvoy MD, Mythen MMG, Bergamaschi R, Gupta R, Holubar SD, Senagore AJ, Gan TJ, Shaw AD, Thacker JKM, Miller TE, Wischmeyer PE, Carli F, Evans DC, Guilbert S, Kozar R, Pryor A, Thiele RH, et. al. American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on Postoperative Gastrointestinal Dysfunction Within an Enhanced Recovery Pathway for Elective Colorectal Surgery. Anesth Analg. 2018 Jun;126(6):1896-1907.
Wischmeyer PE, Carli F, Evans DC, Guilbert S, Kozar R, Pryor A, Thiele RH, Everett S, Grocott M, Gan TJ, Shaw AD, Thacker JKM, Miller TE, Hedrick TL, McEvoy MD, Mythen MG, Bergamaschi R, Gupta R, Holubar SD, Senagore AJ, et. al. American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on Nutrition Screening and Therapy Within a Surgical Enhanced Recovery Pathway. Anesth Analg. 2018 Jun;126(6):1883-1895.
Abola RE, Bennett-Guerrero E, Kent ML, Feldman LS, Fiore JF Jr, Shaw AD, Thacker JKM, Gan TJ, Miller TE, Hedrick TL, McEvoy MD, Mythen MG, Bergamaschi R, Gupta R, Holubar SD, Senagore AJ, Wischmeyer PE, Carli F, Evans DC, Guilbert S, et.al. American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on Patient-Reported Outcomes in an Enhanced Recovery Pathway. Anesth Analg. 2018 Jun;126(6):1874-1882.
Miller TE, Shaw AD, Mythen MG, Gan TJ; Perioperative Quality Initiative (POQI) I Workgroup. Evidence-Based Perioperative Medicine Comes of Age: the Perioperative Quality Initiative (POQI): The 1st Consensus Conference of the Perioperative Quality Initiative (POQI). Perioper Med (Lond). 2016 Oct 13;5:26. eCollection 2016.
McEvoy MD, Scott MJ, Gordon DB, Grant SA, Thacker JKM, Wu CL, Gan TJ, Mythen MG, Shaw AD, Miller TE; Perioperative Quality Initiative (POQI) I Workgroup. American Society for Enhanced Recovery (ASER) and Perioperative Quality Initiative (POQI) Joint Consensus Statement on Optimal Analgesia Within an Enhanced Recovery Pathway for Colorectal Surgery: Part 1-From the Preoperative Period to PACU. Perioper Med (Lond). 2017 Apr 13;6:8. eCollection 2017.
Scott MJ, McEvoy MD, Gordon DB, Grant SA, Thacker JKM, Wu CL, Gan TJ, Mythen MG, Shaw AD, Miller TE; Perioperative Quality Initiative (POQI) I Workgroup. American Society for Enhanced Recovery (ASER) and Perioperative Quality Initiative (POQI) Joint Consensus Statement on Optimal Analgesia within an Enhanced Recovery Pathway for Colorectal Surgery: Part 2-From PACU to the Transition Home. Perioper Med (Lond). 2017 Apr 13;6:7. eCollection 2017.
Moonesinghe SR, Grocott MPW, Bennett-Guerrero E, Bergamaschi R, Gottumukkala V, Hopkins TJ, McCluskey S, Gan TJ, Mythen MMG, Shaw AD, Miller TE; Perioperative Quality Initiative (POQI) I Workgroup. American Society for Enhanced Recovery (ASER) and Perioperative Quality Initiative (POQI) Joint Consensus Statement on Measurement to Maintain and Improve Quality of Enhanced Recovery Pathways for Elective Colorectal Surgery. Perioper Med (Lond). 2017 Mar 17;6:6. eCollection 2017.
Thiele RH, Raghunathan K, Brudney CS, Lobo DN, Martin D, Senagore A, Cannesson M, Gan TJ, Mythen MM, Shaw AD, Miller TE; Perioperative Quality Initiative (POQI) I Workgroup. American Society for Enhanced Recovery (ASER) and Perioperative Quality Initiative (POQI) Joint Consensus Statement on Perioperative Fluid Management Within an Enhanced Recovery Pathway for Colorectal Surgery. Perioper Med (Lond). 2016 Sep 17;5:24. eCollection 2016.
Holubar SD, Hedrick T, Gupta R, Kellum J, Hamilton M, Gan TJ, Mythen MG, Shaw AD, Miller TE; Perioperative Quality Initiative (POQI) I Workgroup. American Society for Enhanced Recovery (ASER) and Perioperative Quality Initiative (POQI) Joint Consensus Statement on Prevention of Postoperative Infection Within an Enhanced Recovery Pathway for Elective Colorectal Surgery. Perioper Med (Lond). 2017 Mar 3;6:4. eCollection 2017.

Podcasts

Listen to TopMedTalk podcasts featuring members of our team.

Morpheus ConsortiumMorpheus Consortium – Transforming Perioperative Care