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From: Disruptive Education:Training the Future Generation of Perioperative Physicians Anesthes. 2016;125(2):266-268. doi:10.1097/ALN.0000000000000978 Figure Legend: Vertical and horizontal pathways in development as of August 2015. Vertical pathways describe care provided through an entire care path of a specific patient population or procedure type. Horizontal pathways describe care across all or many patients by disease or entity. Green verticals are developed and implemented. The postoperative nausea and vomiting (PONV) horizontal is developed and implemented; creation of electronically mediated PONV decision support is under way. CHF = congestive heart failure; DIEP = deep inferior epigastric flap; ERAS = enhanced recovery after surgery; HBP = hepatobiliary and pancreatic; HIPEC = hyperthermic intraperitoneal chemotherapy; H&N CA = head and neck cancer; Mgmt = management; TRAM = transverse rectus abdominis myocutaneous; VHR = ventral hernia repair; WRS = weight reduction surgery. Date of download: 10/26/2017 Copyright © 2017 American Society of Anesthesiologists. All rights reserved.