ABSTRACT

GENERAL GOALS ■ To identify unrecognized comorbid disease and risk factors

for medical complications of surgery ■ To optimize preoperative medical condition ■ To foresee, prevent, and treat potential complications

PRINCIPLES OF CONSULTATION ■ Restrict advice to the internist’s unique areas of expertise, e.g.,

advise on perioperative insulin management but leave anesthetic technique to the anesthesiologist.