The Division’s role in the medical care of patients throughout the peri-operative period continues to grow. Under the leadership of Dr Amal Bessissow, the assessment of patients’ pre-operative risks and optimization of their overall status is an important focus of the Division’s outpatient activities. GIM collaborates with the Departments of Surgery and Anesthesia in the creation of standardized testing pathways for patients going through the pre-op clinics at the MUHC. The Division is taking an increasing role in identifying high-risk patients going for surgeries who require dedicated post-op follow-up, and is developing systems to follow these patients in the hospital and also in clinics once discharged. Subspecialty GIM residents are training in all of these environments on dedicated rotations in peri-operative medicine clinics in the five McGill University GIM hospital sites.