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The two co-vice presidents of the international board of perioperative medicine join Desiree's POCAPALOOZA. This conversation is global in its context with perceptive reflections upon the US healthcare market. "Towards high‐quality peri‐operative care: a global perspective" - the paper we begin by discussing - is here: https://onlinelibrary.wiley.com/doi/full/10.1111/anae.14921 As anesthesiologists "we are part of teams" and "anesthesia and intensive care have developed a much higher profile after COVID and we should build on that". How can innovations like telemedicine help us to do better? Are we right to be optimistic about our specialty in this difficult time? The international board for perioperative medicine is here: https://www.internationalboardpom.org/ The Hartford Foundation is here: https://www.hfpg.org/ "Perioperative medicine journal" is here: https://perioperativemedicinejournal.biomedcentral.com/ Presented by Desiree Chappell with Lee Fleisher, Professor and Chair of Anesthesiology and Critical Care, University of Pennsylvania and Carol Peden, Professor of Anesthesiology and Exec. Director of the Center for Health System Innovation, University of Southern California, University of Bath and the Institute for Healthcare Improvement (IHI). Make sure you ride the POCAPALOOZA - to the good health of perioperative care - all the way round the world. Next stop? Hong Kong! We're raising money for APORG this year, if you enjoy listening to TopMedTalk please make a generous donation: https://www.justgiving.com/crowdfunding/protea-live?utm_id=1&utm_term=ZKW35J94X If you enjoyed this piece why not try out another episode of TopMedTalk featuring Lee Fleisher here: https://www.topmedtalk.com/ebpom-2019-brain-health-peri-operative-quality-initiative-poqi-6-what-can-we-do-tomorrow-2/ Or check out Carol Peden here: https://www.topmedtalk.com/women-in-anaesthesia-part-6-carol-peden/