Anticoagulation Management

Introduction to this self-study CME activity


Anticoagulants are used for many reasons, including the treatment or prevention of venous thromboembolism and the prevention of stroke in patients with atrial fibrillation.  Managing anticoagulants effectively is very important to help maximize efficacy while minimizing bleeding risk.  This CME activity helps clinicians understand key elements of anticoagulation management around areas such as determining risk, anticoagulant selection and initiation, and long-term management. The educational material provides information on the most recent national and international guidelines, summaries of FDA approved oral anticoagulants, useful clinical protocols, and decision making algorithms.


Participants in this CME activity will have a better understanding of anticoagulation and will be able to more safely and effectively evaluate the need for anticoagulation, initiate anticoagulation, and handle long-term management situations according to evidence-based guidelines and protocols.  


This self-study activity is appropriate for any clinician involved with anticoagulation initiation or long-term management.


Team Leaders

  • Geoff Barnes, MD
    University of Michigan, Cardiology
  • Jim Froehlich, MD
    University of Michigan, Cardiology
  • Brian Haymart, RN
    University of Michigan, Cardiology
  • Tina Alexandris-Souphis, RN
    University of Michigan, Cardiology
  • Eva Kline-Rogers, RN
    University of Michigan, Cardiology
  • Kim Eagle, MD
    University of Michigan, Cardiology

Team Members

  • Scott Kaatz, DO
    Hurley Medical Center, Internal Medicine
  • Jay Kozlowski, MD
    Huron Valley Sinai, Cardiology
  • Gregory Kroll, MD
    Henry Ford Hospital, Internal Medicine
  • Steve Almany, MD
    William Beaumont Hospital, Cardiology
  • Brian Kurtz, PharmD
    University of Michigan, Cardiology
  • Elizabeth Renner, PharmD
    University of Michigan, Cardiology
  • Vinay Shah, MD
    Henry Ford Hospital, Internal Medicine
  • Syed Ahsan, MD
    Henry Ford Hospital, Internal Medicine


Author Disclosures

Neither the team lead, the team members, nor the consultants have financial relationships with commercial companies whose products are discussed in this CME activity.
Geoff Barnes, MD
Grant/Research Support
Blue Cross/Blue Shield of Michigan, Bristol Myer Squibb/Pfizer
Jim Froehlich, MD
Sanofi-Aventis, Ortho-McNeil, Merck
Grant Support
Sanofi-Aventis, Blue Cross/Blue Shield of Michigan, Mardigian Foundation, Fibromuscular Disease Society of America
Brian Haymart, RN
Tina Alexandris-Souphis, RN
Eva Kline-Rogers, RN
Janssen, American College of Cardiology
Board membership
AC Forum
Scott Kaatz, DO
Boehringer-Ingelheim, Janssen, Daiichi Sankyo, Bristol Myer Squibb/Pfizer
Speaker honorarium
Janssen, Boehringer-Ingelheim, Bristol Myer Squibb/Pfizer, CSL Behring
Jay Kozlowski
Gregory Krol, MD
Steve Almany, MD
Brian Kurtz, PharmD
Elizabeth Renner, PharmD
Vinay Shah, MD
Bristol Myer Squibb
Grant/Research Support
Bristol Myer Squibb/Pfizer, Merck/Boehringer-Ingelheim
Syed Ahsan, MD
Grant/Research Support
Pfizer, Bristol Myers Squib, NIH
Kim Eagle, MD

Other Acknowledgements

CME Accreditation and Credit Designation

The University of Michigan Medical School is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The University of Michigan Medical School designates this enduring material for a maximum of 2.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This CME activity was released in April 2015 with credit available through March 2018. The activity was reviewed for currency of content in April 2018 and availability of credit extended through March 2021. Continuation of credit from that date depends on a thorough reviews of the content currency and accuracy.



Method of Participation

  1. View or read the educational content provided in the links found on the next page.
  2. Complete the on-line learning assessment test with a score of 70% or higher.  After you initially take the test, the test will be immediately electronically scored. 
    If fewer than 70% of the questions are answered correctly, the questions that were not answered correctly will be noted in red.  Review the CME content related to those topics and retake the test.
    If 70% or more of the questions are answered correctly, the correct and incorrect answers for all questions will be shown along with explanations of the basis for the correct answer.  The link to register and receive credit is shown at the end of the items and explanations. 
  3. Complete the electronic credit request and activity evaluation.  An electronic certificate of participation will be provided immediately.
  4. Print the certificate of participation for your personal records.