Managing Anticoagulated Patients with Obesity: Focus on Direct Oral Anticoagulants

Jan 20 6:00pm - 8:00pm

Program Description:

This program will address the complexity of managing patients with obesity who require anticoagulation, with a particular focus on the use of direct oral anticoagulants (DOACs). As obesity has become increasingly common, how to best treat these patients with anticoagulation is a frequently encountered clinical question. In this program, speakers from several subspecialties (endocrinology, cardiology, hematology, and bariatric surgery) will review the current medical literature on DOAC use in patients with obesity and provide their unique perspectives to address this question. The program will conclude with a case-based debate and Q&A session to facilitate interdisciplinary discussion and provide insights on best management strategies.

Learning Objectives:

  • Describe best practices for defining and measuring obesity, and the complexity revolving around the management of obesity
  • Recognize the unique clinical challenges that may impact DOAC use in patients with obesity
  • Discuss the latest data on indications for DOAC use in patients with obesity, including atrial fibrillation, VTE, and in the setting of bariatric surgery
  • Identify limitations of various guideline recommendations pertaining to DOAC use in patients with obesity
  • Assess optimal prophylactic and therapeutic anticoagulation strategies in patients with obesity

Target Audience: Physicians, nurse practitioners, physician assistants, pharmacists, and other clinicians specializing in:

  • Cardiology
  • Emergency Medicine
  • Endocrinology
  • Family Medicine
  • Hematology/Oncology
  • Hospital Medicine
  • Internal Medicine
  • Surgery
  • Vascular Medicine

Registration Cost: $25.00

Thursday, January 20
Didactic Lectures
6:00PM – 6:15PM

An Internist’s Perspective: Understanding Obesity and its Management
Judy Shiau, MD, Dipl.of ABOM

6:15PM – 6:30PM

A Cardiologist’s Perspective: How I Treat my Patients with Obesity and CVD (including AFib)
Aaron Aday, MD, MSc

6:30PM – 6:45PM

A Hematologist’s Perspective: How I Treat my Patients with Obesity and VTE
Tzu-Fei Wang, MD, MPH

6:45PM – 7:00PM

A Bariatric Surgeon’s Perspective: How I Treat my Anticoagulated Patients Undergoing Bariatric Surgery
Malcolm K. Robinson, MD

Case-Based Debates and Q&A: Moderated by Dr. Allen Taylor
7:00PM – 7:20PM

Case 1: DOAC Use in a Patient with Obesity and AFib
Aaron Aday, MD, MSc

7:20PM – 7:40PM

Case 2: DOAC Use in a Patient with Obesity and VTE
Tzu-Fei Wang, MD, MPH

7:40PM – 8:00PM

Case 3: DOAC Use in a Patient Who Has Undergone Bariatric Surgery
Malcolm K. Robinson, MD

Speaker Information:

Course Director

Tzu-Fei Wang, MD, MPH

The Ottawa Hospital

Dr. Wang is an Associate Professor of Medicine at The University of Ottawa in the Division of Hematology. She received her medical degree from the University of Minnesota Medical School and completed her internal medicine residency at UCLA Medical Center, followed by a fellowship in hematology/oncology at Washington University. She also holds a Master of Public Health in Clinical and Translational Sciences from the Ohio State University.

Course Moderator

Allen J. Taylor, MD

MedStar Heart and Vascular Institute

Dr. Taylor is a board-certified cardiologist and clinical researcher, specializing in cardiovascular imaging and prevention. He is currently the Chairman of Cardiology at MedStar Heart and Vascular Institute and a member of the corporate Board of Directors for MedStar Health, the leading academic health system in the Washington DC / Maryland region. He obtained his medical training at Johns Hopkins University, followed by internal medicine residency training at Walter Reed Army Medical Center and a cardiovascular disease fellowship at the University of Virginia. During a 20-year career in the United States Army at Walter Reed, he served as the Director of Cardiovascular Research, Director of the Cardiovascular Disease Training Program, and Chief of the Cardiology service. He is a full Professor of Medicine at the Uniformed University of the Health Sciences and Georgetown University.

Aaron Aday, MD, MSc

Vanderbilt University Medical Center

Dr. Aday graduated from the Yale School of Medicine and trained in internal medicine, cardiology, and vascular medicine at Brigham and Women’s Hospital in Boston, Massachusetts. He holds a Master of Science in Epidemiology from the Harvard School of Public Health. 

He is currently an investigator in the Vanderbilt Translational and Clinical Cardiovascular Research Center at Vanderbilt University Medical Center, where he also practices cardiology and vascular medicine. His research interests include the epidemiology, pathophysiology, diagnosis, treatment, and prevention of peripheral artery disease.

Malcolm K. Robinson, MD

Brigham and Women’s Hospital

Malcolm K. Robinson, MD is Vice Chairman of the Department of Surgery for Clinical Operations, Surgical Director of Perioperative Services, and Director of the Nutrition Support Service at Brigham and Women’s Hospital in Boston, Massachusetts. He is a graduate of Harvard Medical School and currently serves on the Faculty at Harvard as an Associate Professor of Surgery. He a board-certified general surgeon with a specialty in bariatric surgery which he has practiced for over 20 years. Dr. Robinson serves on several national committees, is Associate Editor of Obesity Surgery, and routinely lectures nationally on topics of nutrition and critical care, and bariatric surgery. 

Judy Shiau, MD, FRCPC, Dipl. of ABOM

LEAF Weight Management Clinic

Dr. Judy Shiau is a General Internist and Medical Director of LEAF Weight Management Clinic®, a community-based multidisciplinary academic bariatric clinic in Ottawa, Ontario. As an Associate Professor in the Division of Endocrinology and Metabolism and Program Director for the Bariatric Medicine Fellowship at the University of Ottawa, Dr. Shiau is dedicated to teaching clinicians on how to manage obesity and to reduce weight stigma and bias for people living with obesity.  Dr. Shiau is on the executive board for the Canadian Association of Bariatric Physicians and Surgeons and lead-author of the ‘Post-Operative Management for Bariatric Surgery’ chapter in the 2020 Canadian Obesity Clinical Practice Guidelines.

Accreditation Information:

Physicians: This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of ScientiaCME and NATF. ScientiaCME is accredited by the ACCME to provide continuing medical education for physicians. ScientiaCME designates this live course educational activity for a maximum of 2.0 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Nurse Practitioners (NPs): The American Academy of Nurse Practitioners accepts AMA PRA Category 1 Credit(s)™ from organizations accredited by the ACCME. ScientiaCME will provide NPs who successfully complete each activity with a certificate of participation indicating that the activity was designated for AMA PRA Category 1 Credit(s)™.

Physician Assistants: The American Academy of Physician Assistants accepts AMA PRA Category 1 Credit(s)™ from organizations accredited by the ACCME.

Nurses: may claim credit for activities approved for AMA PRA Category 1 Credit(s)™ in most states for up to 50% of the nursing requirement for recertification. Nursing board continuing education requirements for re-licensure vary state-by-state.

Medical Practice Executives: The American College of Medical Practice Executives accepts AMA PRA Category 1 Credit(s)TM from organizations accredited by ACCME.


ScientiaCME is accredited by the Accreditation Council for Pharmacy Education (ACPE) as a provider of continuing pharmacy education. This program is approved for 2 hours (0.2 CEUs) of continuing education. Proof of participation will be posted to your NABP CPE profile within 4 to 6 weeks to participants who have successfully completed the post-test. 

Participants have 1 calendar month after the activity to provide learner information and complete the post-activity assessment and evaluation. ACPE #0574-9999-22-002-L01-P. This activity is an Assessment (K)-type activity.

Successful completion of the post-activity assessment and completion of the ACTIVITY evaluation is required to obtain a certificate of completion.