MedChat: Recent Episodes
NHC Center for Continuing Medical Education
MedChat is Norton Healthcare's podcast that provides evidence-based continuing medical education (CME) for physicians and other providers on the go!
Navigating Common Shoulder Injuries in Youth Athletes
Evaluation and Credit: Evaluation and Credit: https://www.surveymonkey.com/r/medchat93
Target Audience This activity is targeted toward primary care physicians and advanced providers.
Statement of Need This podcast will review the diagnosis and management of shoulder pain in youth athletes - which is a common musculoskeletal complaint. Items addressed will address common shoulder injuries and highlight key features in the diagnosis as well as red flags.
Objectives
- Identify the most common shoulder injuries in youth and adolescent athletes and differentiate overuse injuries from acute traumatic injuries.
- Review the pathology, diagnosis and management of common shoulder pain and injuries in youth athletes, including the red flags.
- List factors that contribute to overuse injuries in youth athletes.
- Discuss strategies to reduce shoulder injury risk in youth athletes as well as outlining expectations for recovery and return to play.
Moderator Monalisa Tailor, M.D. Internist Norton Community Medical Associates - Barret Louisville, KY
Speaker Caleb Davis, M.D. Orthopedic Surgeon Norton Orthopedic Institute Louisville, KY
Planners, Moderator and Speaker Disclosure The planners, moderator and speaker of this activity do not have any relevant financial relationships with ineligible companies to disclose.
Commercial Support There was no commercial support for this activity.
Physician Credits Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.
Designation Norton Healthcare designates this enduring material for a maximum of .75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Nursing Credits Norton Healthcare Institute for Education and Development is approved as a provider of nursing continuing professional development by the South Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation. This continuing professional development activity has been approved for 0.75 ANCC CE contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance.
For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org.
Resources for Additional Study/References
Childhood and Adolescent Sports-Related Overuse Injuries https://pubmed.ncbi.nlm.nih.gov/38215415/
Overuse Injuries, Overtraining, and Burnout in Young Athletes https://pubmed.ncbi.nlm.nih.gov/38247370/
Date of Original Release | Aug 2026; Information is current as of the time of recording.
Course Termination Date | Aug 2029
Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org
Also listen to Norton Healthcare's podcast Stronger After Stroke. This podcast, produced by the Norton Neuroscience Institute, discusses difficult topics, answers frequently asked questions and provides survivor stories that provide hope.
Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. More information about Norton Healthcare is available at NortonHealthcare.com.
Overview of Gestational Diabetes
Evaluation and Credit: Evaluation and Credit: https://www.surveymonkey.com/r/medchat92
Target AudienceThis activity is targeted toward primary care physicians and advanced providers.
Statement of Need This podcast explores the evolving landscape of perinatal diabetes care. Diabetes poses significant risks during pregnancy, delivery, and the postpartum period. Yet, many patients enter pregnancy without adequate metabolic control, and systemic barriers often prevent optimal care coordination. The clinical complexities of managing diabetes across the perinatal timeline, including preconception counseling, glycemic targets during pregnancy, delivery planning, and postpartum follow-up will be discussed.
Objectives
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Define current clinical guidelines for the screening and diagnosis of gestational diabetes.
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Discuss the role of preconception counseling, including optimization of metabolic control and medication management in patients with or at risk for diabetes during pregnancy.
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Describe evidence-based pharmacologic management, including the use of insulin, for diabetes during and after pregnancy.
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Recognize the short- and long-term maternal and fetal risks associated with gestational diabetes.
ModeratorKris E. Barnsfather, M.D. Obstetrician and Gynecologist Women's Care Physicians of Louisville Norton Women's Care Louisville, KY
SpeakerKristine Y. Lain, M.D. Maternal and Fetal Medicine Specialist Norton Children's Maternal – Fetal Medicine Louisville, KY
Planners, Moderator and Speaker Disclosure
The planners, moderator and speaker of this activity do not have any relevant financial relationships with ineligible companies to disclose.
Commercial Support
There was no commercial support for this activity.
Physician CreditsAccreditation
Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.
Designation
Norton Healthcare designates this enduring material for a maximum of .75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Nursing Credits
Norton Healthcare Institute for Education and Development is approved as a provider of nursing continuing professional development by the South Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation. This continuing professional development activity has been approved for 0.75 ANCC CE contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance.
For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org.
Resources for Additional Study/References
American Diabetes Association https://www.diabetes.org
Navigating Diabetes in Pregnancy: Critical Approaches to Mitigate Risks and Improve Outcomes for Mother and Child https://pubmed.ncbi.nlm.nih.gov/40137145/
Management of Diabetes in Pregnancy: Standards of Care in Diabetes—2025 https://pubmed.ncbi.nlm.nih.gov/39651985/
Date of Original Release | July 2026; Information is current as of the time of recording.
Course Termination Date | July 2029
Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org
Also listen to Norton Healthcare's podcast Stronger After Stroke. This podcast, produced by the Norton Neuroscience Institute, discusses difficult topics, answers frequently asked questions and provides survivor stories that provide hope.
Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. More information about Norton Healthcare is available at NortonHealthcare.com.
Innovations in Islet Cell Research Evaluation and Credit: Evaluation and Credit: https://www.surveymonkey.com/r/medchat91 Target Audience This activity is targeted toward primary care physicians and advanced providers. Statement of Need The purpose of this podcast is for physicians and clinicians to gain a deepening understanding of pancreatic islet cell transplantation research and its application for the treatment of chronic pancreatitis as well as future treatment of Type 1 diabetes. Objectives 1. Explain the role of pancreatic islet cells and their function in glucose homeostasis and insulin regulation. 2. Discuss emerging research and investigational advances in islet-cell therapies. 3. Differentiate allogenic, xenogenic and autologous islet cell transplantation, as well as islet cell transplantation via stem cells in the management of chronic pancreatis and Type 1 diabetes. Moderator Mark McDonald, M.D., MHA, CPE System Vice President Pediatric Medical Affairs Medical Director, Norton Children's Louisville, Kentucky Professor Department of Pediatrics Division of Critical Care UofL School of Medicine Louisville, Kentucky Speaker Balamurugan Appakala, Ph.D. Norton Islet Cell Research and Transplant Program Director Wendy Novak Diabetes Institute, a part of Norton Healthcare and Norton Children's Professor of Pediatric Endocrinology UofL School of Medicine Planners, Moderator and Speaker Disclosure The planners, moderator and speaker of this activity do not have any relevant financial relationships with ineligible companies to disclose. Commercial Support There was no commercial support for this activity. Physician Credits Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. Designation Norton Healthcare designates this enduring material for a maximum of .75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Nursing Credits Norton Healthcare Institute for Education and Development is approved as a provider of nursing continuing professional development by the South Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation. This continuing professional development activity has been approved for 0.75 ANCC CE contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance. For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org. Resources for Additional Study/References Islet cell transplantation in children https://pubmed.ncbi.nlm.nih.gov/32571510/ Current status of pancreatic islet xenotransplantation https://pubmed.ncbi.nlm.nih.gov/39924969/ Date of Original Release | June 2026; Information is current as of the time of recording. Course Termination Date | June 2029 Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org Also listen to Norton Healthcare's podcast Stronger After Stroke. This podcast, produced by the Norton Neuroscience Institute, discusses difficult topics, answers frequently asked questions and provides survivor stories that provide hope. Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. More information about Norton Healthcare is available at NortonHealthcare.com.
Updates in the Diagnosis and Treatment of Osteoporosis
Evaluation and Credit: https://www.surveymonkey.com/r/medchat90
Target Audience
This activity is targeted toward primary care physicians and advanced providers.
Statement of Need
This podcast reviews recent advances in osteoporosis care, including updated screening recommendations, risk-based diagnosis beyond BMD, and the expanding role of anabolic therapies for patients at highest fracture risk. Experts discuss goal-directed, individualized treatment strategies to improve long-term bone health and fracture prevention.
Objectives
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Outline current guidelines for osteoporosis screening, including the role of fracture risk assessment.
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Review prevention strategies and risk factors for osteoporosis.
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Discuss risk-appropriate osteoporosis treatment plans.
Moderator
Kris E. Barnsfather, M.D.
Obstetrician and Gynecologist
Women's Care Physicians of Louisville
Norton Women's Care
Louisville, KY
Speaker
Anna K. Feitelson, M.D.
Gynecologist
Associates in Obstetrics and Gynecology
Norton Women's Care
Louisville, KY
Planners, Moderator and Speaker Disclosure
The planners, moderator and speaker of this activity do not have any relevant financial relationships with ineligible companies to disclose.
Commercial Support
There was no commercial support for this activity.
Physician Credits
Accreditation
Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.
Designation
Norton Healthcare designates this enduring material for a maximum of .50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Nursing Credits
Norton Healthcare Institute for Education and Development is approved as a provider of nursing continuing professional development by the South Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation. This continuing professional development activity has been approved for 0.50 ANCC CE contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance.
For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org.
Resources for Additional Study/References
Osteoporosis: A review
https://pubmed.ncbi.nlm.nih.gov/40587168/
Screening for Osteoporosis to Prevent Fractures: US Preventive Services Task Force Recommendation Statement
https://pubmed.ncbi.nlm.nih.gov/39808425/
Date of Original Release | May 2026; Information is current as of the time of recording.
Course Termination Date | May 2029
Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org
Also listen to Norton Healthcare's podcast Stronger After Stroke. This podcast, produced by the Norton Neuroscience Institute, discusses difficult topics, answers frequently asked questions and provides survivor stories that provide hope.
Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. More information about Norton Healthcare is available at NortonHealthcare.com.
A Practical Guide to the Management of Type 2 Diabetes
Evaluation and Credit: https://www.surveymonkey.com/r/medchat89
Target Audience
This activity is targeted toward primary care physicians and advanced providers.
Statement of Need
This program will address the newly updated ADA Standards of Care as well as highlight best practices in the screening and management of type 2 diabetes. Type 2 diabetes continues to rise in prevalence among adults, with expanding clinical complexity due to the increasing burden of comorbidities such as obesity, cardiovascular disease, kidney disease, and liver disease.
Objectives
Review trends and incidence of type 2 diabetes in adult patients and associated comorbidities.
Discuss evidence-based guidelines for screening and management of type 2 diabetes incorporating the updated guidelines from the American Diabetes Association (ADA) Standards of Care.
Describe patient-centered communication strategies to guide and motivate adult patients with type 2 diabetes to adopt lifestyle modifications.
Moderator
Monalisa Tailor, M.D.
Internist
Norton Community Medical Associates - Barret
Louisville, KY
Speaker
Steven Patton, D.O.
Family Medicine Physician
Norton Community Medical Associates - Preston
Louisville, KY
Planners, Moderator and Speaker Disclosure
The planners, moderator and speaker of this activity do not have any relevant financial relationships with ineligible companies to disclose.
Commercial Support
There was no commercial support for this activity.
Physician Credits
Accreditation
Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.
Designation
Norton Healthcare designates this enduring material for a maximum of .75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Nursing Credits
Norton Healthcare Institute for Education and Development is approved as a provider of nursing continuing professional development by the South Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation. This continuing professional development activity has been approved for 0.75 ANCC CE contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance.
For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org.
Resources for Additional Study/References
Standards of Care in Diabetes – 2025 Abridged for Primary Care
https://pubmed.ncbi.nlm.nih.gov/40290834/
The effect of on-line health management on type 2 diabetes mellitus: A systematic review and meta-analysis
https://pubmed.ncbi.nlm.nih.gov/41047299/
Date of Original Release | April 2026; Information is current as of the time of recording.
Course Termination Date | April 2028
Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org
Also listen to Norton Healthcare's podcast Stronger After Stroke. This podcast, produced by the Norton Neuroscience Institute, discusses difficult topics, answers frequently asked questions and provides survivor stories that provide hope.
Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. More information about Norton Healthcare is available at NortonHealthcare.com.
The Essentials of MHT and Menopause
Evaluation and Credit: https://www.surveymonkey.com/r/medchat88
Target AudienceThis activity is targeted toward primary care physicians and advanced providers.
Statement of Need Research indicates that MHT is the most effective therapy for symptoms of menopause (vasomotor symptoms & genitourinary syndrome) but its use is low and inconsistent. Physicians may be unaware of the latest research regarding the safety and application of MHT and therefore prescribing patterns are inconsistent for treatment of menopausal symptoms. This podcast will discuss the essentials of MHT (formerly referenced as HRT) for the treatment of menopause. This program will address the latest treatment guidelines and research updates as information continues to evolve.
Objectives
- Describe the current evidence supporting menopause hormone therapy (MHT), including risks and benefits, and the implications of the recently updated FDA safety communications.
- Outline evidence-based strategies to individualize MHT treatment for patients as well as determination criteria for when to initiate or discontinue treatment.
Moderator Kris E. Barnsfather, M.D. Obstetrician and Gynecologist Women's Care Physicians of Louisville Norton Women's Care Louisville, KY
Speaker Anna K. Feitelson, M.D. Gynecologist Associates in Obstetrics and Gynecology Norton Women's Care Louisville, KY
Planners, Moderator and Speaker Disclosure The planners, moderator and speaker of this activity do not have any relevant financial relationships with ineligible companies to disclose.
Commercial Support There was no commercial support for this activity.
Physician Credits Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.
Designation Norton Healthcare designates this enduring material for a maximum of .75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Nursing Credits Norton Healthcare Institute for Education and Development is approved as a provider of nursing continuing professional development by the South Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation. This continuing professional development activity has been approved for 0.75 ANCC CE contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance.
For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org.
Resources for Additional Study/References
The Art of Hormone Replacement Therapy (HRT) in Menopause Management https://pubmed.ncbi.nlm.nih.gov/37002679/
The mental health challenges, especially suicidality, experienced by women during perimenopause and menopause: A qualitative study https://pubmed.ncbi.nlm.nih.gov/40626330/
Date of Original Release | March 2026; Information is current as of the time of recording. Course Termination Date | March 2028 Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org
Also listen to Norton Healthcare's podcast Stronger After Stroke. This podcast, produced by the Norton Neuroscience Institute, discusses difficult topics, answers frequently asked questions and provides survivor stories that provide hope.
Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. More information about Norton Healthcare is available at NortonHealthcare.com.
Cardiac Symptoms & Diagnostics: A Practical Guide for Primary Care
Evaluation and Credit: https://www.surveymonkey.com/r/medchat87
Target Audience This activity is targeted toward primary care physicians and advanced providers.
Statement of Need This podcast will provide tools for clinicians to interpret cardiac symptoms accurate, utilize the right diagnostic tools resulting in early detection and improved management of cardiovascular disease.
Objectives
- Discuss evidence-based criteria to determine when specific cardiology diagnostic tests are indicated.
- Describe red flags that warrant urgent testing or specialty referral
- Differentiate between cardiac diagnostic testing and clinical indications.
Moderator Monalisa Tailor, M.D. Internist Norton Community Medical Associates - Barret Louisville, KY
Speaker Mostafa O. El – Refai, M.D., M.Sc., MBA Interventional Cardiologist Norton Heart and Vascular Institute Louisville, KY
Medical Director, Norton Brownsboro Hospital System Medical Director for Quality Norton Healthcare Louisville, KY
Planners, Moderator and Speaker Disclosure The planners, moderator and speaker of this activity do not have any relevant financial relationships with ineligible companies to disclose.
Commercial Support There was no commercial support for this activity.
Physician Credits Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.
Designation Norton Healthcare designates this enduring material for a maximum of .75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Nursing Credits Norton Healthcare Institute for Education and Development is approved as a provider of nursing continuing professional development by the South Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation. This continuing professional development activity has been approved for 0.75 ANCC CE contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance.
For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org.
Resources for Additional Study/References
Mesa CA Score Calculator https://ebmcalc.com/NoteRight3000/MESA.htm
National Heart, Lung and Blood Institute – Coronary Heart Disease Diagnosis https://www.nhlbi.nih.gov/health/coronary-heart-disease/diagnosis
Cardiovascular Risk Assessment: Practical Tips for the Internal Medicine Specialist https://pubmed.ncbi.nlm.nih.gov/41285656/
Date of Original Release | Feb. 2026; Information is current as of the time of recording. Course Termination Date | Feb. 2029 Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org
Also listen to Norton Healthcare's podcast Stronger After Stroke. This podcast, produced by the Norton Neuroscience Institute, discusses difficult topics, answers frequently asked questions and provides survivor stories that provide hope.
Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. More information about Norton Healthcare is available at NortonHealthcare.com.
Supporting Physician Health: Identifying and Addressing Impairment
Evaluation and Credit: https://www.surveymonkey.com/r/medchat86
Target Audience This activity is targeted toward primary care physicians and advanced providers.
Statement of Need This podcast will highlight how providers can recognize their impairment or a colleague. Additionally, the responsibility of providers will be addressed once impairment is suspected. A study published in PubMed, indicated that a physician's rate of substance use disorder is slightly higher than the general population. As a result of long hours, high responsibility and emotional stress physicians face an increased risk for burnout, depression and substance use. Even though there is the risk of patient safety, physicians delay seeking help due to the stigma or fee of professional consequences.
Objectives
- Discuss the common causes, symptoms and factors that contribute to physician impairment.
- Describe the impact of impairment on patient safety and professional responsibility.
- Identify appropriate intervention strategies and available support systems.
ModeratorJames Jennings, M.D., MBA Executive Medical Director Norton Medical Group Louisville, Kentucky
Speaker Tina Simpson, M.D. Medical Director Kentucky Physicians Health Foundation Louisville, Kentucky
Planners, Moderator and Speaker Disclosures The planners, moderator and speaker of this activity do not have any relevant financial relationships with ineligible companies to disclose.
Commercial Support There was no commercial support for this activity.
Physician Credits Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.
Designation Norton Healthcare designates this enduring material for a maximum of .75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Resources for Additional Study/References
The Impaired Surgeon https://pubmed.ncbi.nlm.nih.gov/26612022/
Family Medicine Physicians With Substance Use Disorder: A 5-year Outcome Study https://pubmed.ncbi.nlm.nih.gov/28067757/
Date of Original Release | Jan. 2026; Information is current as of the time of recording.
Course Termination Date | Jan. 2028
Contact Information | Center for Continuing Medical Education (502) 446-5955 or cme@nortonhealthcare.org
Also listen to Norton Healthcare's podcast Stronger After Stroke. This podcast, produced by the Norton Neuroscience Institute, discusses difficult topics, answers frequently asked questions and provides survivor stories that provide hope.
Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. More information about Norton Healthcare is available at NortonHealthcare.com.
Navigating Dementia – Related Behaviors Evaluation and Credit: https://www.surveymonkey.com/r/medchat85 Target Audience This activity is targeted toward primary care physicians and advanced providers. Statement of Need This podcast will address common behavioral and psychological symptoms (BPSD) associated w/ dementia and provide strategies for clinicians to recognize and manage. Up to 90% of individuals with dementia can suffer from BPSD that can include agitation, anxiety, depression, hallucinations and aggression This can be challenging for care givers, patients and care teams. Objectives
- List common behavioral and psychological symptoms (BPSD) associated with dementia.
- Identify environmental, medical and psychosocial factors that can contribute to BPSD.
- Discuss evidence-based strategies to evaluate and manage BPSD, minimizing antipsychotics and highlighting non-pharmacological.
Moderator Greg E. Cooper, M.D., Ph.D. Chief, Adult Neurology Medical Director, Memory Center Norton Neuroscience Institute. Speaker Rachel Hart, D.O. Geriatric Medicine Physician Memory and Cognitive Disorders Specialist Norton Neuroscience Institute Memory Center Planner Disclosure The planners of this activity do not have any relevant financial relationships with ineligible companies to disclose. Moderator and Speaker Disclosure The speaker, Gregory Cooper, M.D., Ph.D., discloses relevant financial relationships with Eli Lilly and Eisai (research). The moderator, Rachel Hart, D.O., discloses a relevant financial relationship with Eli Lilly (faculty). All relevant financial relationships have been successfully mitigated. Commercial Support There was no commercial support for this activity. Physician Credits Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. Designation Norton Healthcare designates this enduring material for a maximum of .50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Nursing Credits Norton Healthcare Institute for Education and Development is approved as a provider of nursing continuing professional development by the South Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation. This continuing professional development activity has been approved for 0.50 ANCC CE contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance. For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org. Social Worker Credits This activity will provide .50 hours of required continuing education units. National Association of Social Workers, Kentucky Chapter (NASW-KY) is an approved provider for social work credits through the Kentucky Board of Social Work. NASWKY#06/30/25. For information about social worker credits, please send an email to cme@nortonhealthcare.org. Resources for Additional Study/References Guideline Recommendations on Behavioral and Psychological Symptoms of Dementia: A Systematic Review https://pubmed.ncbi.nlm.nih.gov/38640961/ Nonpharmacological Interventions for Management of Behavioral and Psychological Symptoms of Dementia in Long-Term Care Facilities by Direct Caregivers: A Systematic Review https://pubmed.ncbi.nlm.nih.gov/35771069/ Date of Original Release | Dec. 2025; Information is current as of the time of recording. Course Termination Date | Dec. 2027 Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org Also listen to Norton Healthcare's podcast Stronger After Stroke. This podcast, produced by the Norton Neuroscience Institute, discusses difficult topics, answers frequently asked questions and provides survivor stories that provide hope. Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. More information about Norton Healthcare is available at NortonHealthcare.com.
Behind the Screen: The Impact of AI Companions on Adolescents
Evaluation and Credit: https://www.surveymonkey.com/r/medchat84
Target Audience This activity is targeted toward primary care physicians and advanced providers.
Statement of Need This will be a two-part podcast that will focus on the psychological effects of cyberbullying and AI companions. This will be specific to adolescents and teens. As a result of the growing prevalence in digital engagement, a by-product has been cyberbullying. The psychological effects of cyberbullying are unique in that they differ from traditional bullying due to the anonymity and permanence. Additionally, with the growing popularity of AI companions a second podcast will address this topic. Both podcasts will address the psychological effects and provide tools for providers to use to screen for subtle signs as well as resources.
Objectives
- Define what constitutes an AI companion and differentiate from interactive AI-enabled toys.
- Discuss how frequent interaction with AI companions can influence psychological and social development of adolescents and teens.
- Identify behavioral and psychological signs that may indicate an adolescent/teen has or is developing an unhealthy reliance on AI companions.
Moderator
Mark McDonald, M.D., MHA, CPE System Vice President Pediatric Medical Affairs Norton Healthcare Medical Director, Norton Children's Professor, University of Louisville School of Medicine Department of Pediatrics Division of Pediatric Critical Care
Speaker
Michael Eiden, Ph.D, LCSW, LCADC, CSAT, CCSMichael Eiden, PhD, LCSW, LCADC, CSAT, CCS Licensed Clinical Social Worker Licensed Clinical Alcohol and Drug Counselor Certified Sex Addiction Therapist Certified Clinical Supervisor Board Certified Sex Therapist EMDR Trained Eiden Integrative Counseling
Planner and Moderator Disclosures The planners, moderator and speaker of this activity do not have any relevant financial relationships with ineligible companies to disclose.
Commercial Support There was no commercial support for this activity.
GrantThis episode is supported by a grant from the Kentucky Medical Association's 'Small STEPS, Big Impact' campaign, a two-year initiative that encourages patients to achieve long-term success through taking simple steps that can add up to make a big impact on their health. The campaign focuses on five key areas (screenings, tobacco use, exercise & nutrition, physician visits and stress) and offers straightforward strategies and support for patients. It is a partnership between the KMA and its charitable arm, the Kentucky Foundation for Medical, made possible by a grant from the Kentucky Department for Public Health. For more information, visit SmallSTEPSKy.org.
Physician Credits Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.
Designation Norton Healthcare designates this enduring material for a maximum of .50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Nursing CreditsNorton Healthcare Institute for Education and Development is approved as a provider of nursing continuing professional development by the South Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation. This continuing professional development activity has been approved for 0.50 ANCC CE contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance.
For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org.
Social Worker CreditsThis activity will provide .50 hours of required continuing education units. National Association of Social Workers, Kentucky Chapter (NASW-KY) is an approved provider for social work credits through the Kentucky Board of Social Work. NASWKY#06/30/25.
For information about social worker credits, please send an email to cme@nortonhealthcare.org.
Resources for Additional Study/References
Internet Addiction Assessment (IAA) https://psychology-tools.com/test/internet-addiction-assessment
Parent Tools – Operation Parent https://www.operationparent.org/
Parent Tools – Children and Screens https://www.childrenandscreens.org/
Digital companionship or psychological risk? The role of AI characters in shaping youth mental health https://pubmed.ncbi.nlm.nih.gov/39798495/
Artificial Intelligence and Adolescent Well-being https://www.apa.org/topics/artificial-intelligence-machine-learning/health-advisory-ai-adolescent-well-being
SmallSTEPSKy.org
Date of Original Release | Nov. 2025; Information is current as of the time of recording. Course Termination Date | Nov. 2027
Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org
Also listen to Norton Healthcare's podcast Stronger After Stroke. This podcast, produced by the Norton Neuroscience Institute, discusses difficult topics, answers frequently asked questions and provides survivor stories that provide hope.
Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. More information about Norton Healthcare is available at NortonHealthcare.com.
Behind the Screen: The Impact of Cyberbullying on Adolescents
Evaluation and Credit: https://www.surveymonkey.com/r/medchat83
Target Audience This activity is targeted toward primary care physicians and advanced providers.
Statement of NeedThis will be a two-part podcast that will focus on the psychological effects of cyberbullying and AI companions. This will be specific to adolescents and teens. As a result of the growing prevalence in digital engagement, a by-product has been cyberbullying. The psychological effects of cyberbullying are unique in that they differ from traditional bullying due to the anonymity and permanence. Additionally, with the growing popularity of AI companions a second podcast will address this topic. Both podcasts will address the psychological effects and provide tools for providers to use to screen for subtle signs as well as resources.
Objectives
- Define cyberbullying and distinguish its varying levels of severity.
- Describe the psychological effects of cyberbullying and differentiate its impact from traditional bullying in pediatric populations.
- Identify clinical indicators, behavioral signs and psychosocial cues that may suggest that a patient is a victim of cyberbullying.
Moderator
Mark McDonald, M.D., MHA, CPE System Vice President Pediatric Medical Affairs Norton Healthcare Medical Director, Norton Children's Professor, University of Louisville School of Medicine Department of Pediatrics Division of Pediatric Critical Care
SpeakerMichael Eiden, PhD, LCSW, LCADC, CSAT, CCS Licensed Clinical Social Worker Licensed Clinical Alcohol and Drug Counselor Certified Sex Addiction Therapist Certified Clinical Supervisor Board Certified Sex Therapist EMDR Trained Eiden Integrative Counseling
Planner and Moderator Disclosures The planners, moderator and speaker of this activity do not have any relevant financial relationships with ineligible companies to disclose.
Commercial Support There was no commercial support for this activity.
GrantThis episode is supported by a grant from the Kentucky Medical Association's 'Small STEPS, Big Impact' campaign, a two-year initiative that encourages patients to achieve long-term success through taking simple steps that can add up to make a big impact on their health. The campaign focuses on five key areas (screenings, tobacco use, exercise & nutrition, physician visits and stress) and offers straightforward strategies and support for patients. It is a partnership between the KMA and its charitable arm, the Kentucky Foundation for Medical, made possible by a grant from the Kentucky Department for Public Health. For more information, visit SmallSTEPSKy.org.
Physician Credits
Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.
Designation Norton Healthcare designates this enduring material for a maximum of .50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Nursing CreditsNorton Healthcare Institute for Education and Development is approved as a provider of nursing continuing professional development by the South Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation. This continuing professional development activity has been approved for 0.50 ANCC CE contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance.
For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org.
Social Worker CreditsThis activity will provide .50 hours of required continuing education units. National Association of Social Workers, Kentucky Chapter (NASW-KY) is an approved provider for social work credits through the Kentucky Board of Social Work. NASWKY#06/30/25.
For information about social worker credits, please send an email tocme@nortonhealthcare.org.
Resources for Additional Study/References
Internet Addiction Assessment (IAA) https://psychology-tools.com/test/internet-addiction-assessment
Parent Tools – Operation Parent https://www.operationparent.org/
Parent Tools – Children and Screens https://www.childrenandscreens.org/
Adverse Childhood Experiences and Early Adolescent Cyberbullying in the United States https://pubmed.ncbi.nlm.nih.gov/36443937/
Social Epidemiology of Early Adolescent Cyberbullying in the United States https://pubmed.ncbi.nlm.nih.gov/35840085/
SmallSTEPSKy.org
Date of Original Release | Oct. 2025; Information is current as of the time of recording.
Course Termination Date | Oct. 2027
Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org
Also listen to Norton Healthcare's podcast Stronger After Stroke. This podcast, produced by the Norton Neuroscience Institute, discusses difficult topics, answers frequently asked questions and provides survivor stories that provide hope.
Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. More information about Norton Healthcare is available at NortonHealthcare.com.
Alzheimer's Disease Early Diagnosis and Management
Evaluation and Credit: https://www.surveymonkey.com/r/medchat82
Target Audience This activity is targeted toward primary care physicians and advanced providers.
Statement of Need A special report of Alzheimer's Disease Facts and Figures published in 2017, indicated 4 out of 5 Americans would want to know if they had Alzheimer's disease before it impacted their life. With the aging population the incidence of Alzheimer's is growing, according to the Alzheimer's Association over 7 million Americans are living with AD.
This program will focus on screening and dx of AD in the early stages especially in pc offices, where patients will first present with cognitive symptoms. Additionally, this podcast will highlight the new blood biomarker test recently approved and its indications.
Objectives
- Differentiate between normal cognitive aging, mild cognitive impairment and early-stage Alzheimer’s disease.
- Identify appropriate cognitive screening tools for use in primary care and their role in the early identification of Alzheimer’s disease.
- Explain the mechanism and clinical relevance of blood-based biomarkers in the diagnosis of Alzheimer’s disease, including the current guidelines and emerging practices.
ModeratorRachel Hart, D.O. Geriatric Medicine Physician Memory and Cognitive Disorders Specialist Norton Neuroscience Institute Memory Center
SpeakerGreg E. Cooper, M.D., Ph.D. Chief, Adult Neurology Medical Director, Memory Center Norton Neuroscience Institute
Planner Disclosure The planners of this activity do not have any relevant financial relationships with ineligible companies to disclose.
Moderator and Speaker DisclosureThe guest, Gregory Cooper, M.D., Ph.D., discloses relevant financial relationships with Eli Lilly and Eisai (research). The moderator, Rachel Hart, D.O., discloses a relevant financial relationship with Eli Lilly (faculty).
All relevant financial relationships have been successfully mitigated.
Commercial Support There was no commercial support for this activity.
Physician CreditsAccreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.
Designation Norton Healthcare designates this enduring material for a maximum of .50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Nursing Credits Norton Healthcare Institute for Education and Development is approved as a provider of nursing continuing professional development by the South Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. This continuing professional development activity has been approved for 0.50 ANCC CE contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance.
For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org.
Resources for Additional Study/ReferencesAmerican Perspectives on Early Detection of Alzheimer's Disease in the Era of Treatment https://www.alz.org/alzheimers-dementia/facts-figures
Blood Biomarkers to Detect Alzheimer Disease in Primary Care and Secondary Care https://pubmed.ncbi.nlm.nih.gov/39068545/
Date of Original Release | Sept. 2025; Information is current as of the time of recording.
Course Termination Date | Sept. 2028
Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org
Also listen to Norton Healthcare’s podcast Stronger After Stroke. This podcast, produced by the Norton Neuroscience Institute, discusses difficult topics, answers frequently asked questions and provides survivor stories that provide hope.
Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. More information about Norton Healthcare is available at NortonHealthcare.com.
Navigating Vaccine Hesitancy in Pediatrics
Evaluation and Credit:
Navigating Vaccine Hesitancy in Pediatrics
Evaluation and Credit: https://www.surveymonkey.com/r/medchat81
Target AudienceThis activity is targeted toward primary care physicians and advanced providers.
Statement of Need Despite the availability of safe and effective vaccines, pediatricians and clinicians continue to encounter significant vaccine hesitancy among caregivers, which can lead to suboptimal immunization rates and increased risk of preventable diseases. This podcast will provide key information for providers on the causes of vaccine hesitancy and how to address with parents. In that it is a podcast, it will be a discussion with the guest and moderator.
Objectives * Define pediatric vaccine hesitancy and describe its impact on public health. * Discuss key factors that contribute to vaccine hesitancy. * Describe effective communication strategies to address parental concerns to improve vaccine confidence in pediatric care.
ModeratorMark McDonald, M.D., MHA, CPE System Vice President Pediatric Medical Affairs Medical Director, Norton Children’s Louisville, Kentucky
SpeakerKristina Bryant, M.D. Pediatric Infectious Diseases Physician Norton Children’s Infectious Diseases Chair, Norton Children’s Hospital Infection Control
Associate Fellowship Director Professor UofL School of Medicine Louisville, Kentucky
Planner and Moderator Disclosures The planners and moderator of this activity do not have any relevant financial relationships with ineligible companies to disclose.
Speaker DisclosureThe speaker, Kristina Bryant, M.D. discloses relevant financial relationship with Sanofi as an investigator. She had relationships with Gilead, Enanta Pharmaceuticals and Pfizer as an investigator. These relationships have ended.
All relevant financial relationships have been successfully mitigated.
Commercial Support There was no commercial support for this activity.
GrantThis episode is supported by a grant from the Kentucky Medical Association’s ‘Small STEPS, Big Impact’ campaign, a two-year initiative that encourages patients to achieve long-term success through taking simple steps that can add up to make a big impact on their health. The campaign focuses on five key areas (screenings, tobacco use, exercise & nutrition, physician visits and stress) and offers straightforward strategies and support for patients. It is a partnership between the KMA and its charitable arm, the Kentucky Foundation for Medical, made possible by a grant from the Kentucky Department for Public Health. For more information, visit SmallSTEPSKy.org.
Physician Credits
Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.
Designation Norton Healthcare designates this enduring material for a maximum of .75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Nursing CreditsNorton Healthcare Institute for Education and Development is approved as a provider of nursing continuing professional development by the South Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. This continuing professional development activity has been approved for 0.75 ANCC CE contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance.
For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org.
Social Worker CreditsThe National Association of Social Workers, Kentucky Chapter (NASW-KY), is an approved provider for social work credits through the Kentucky Board of Social Work. This activity will provide 1.0 hours of required continuing education units. NASWKY # 0630/25.
Resources for Additional Study/References
A Review of the Resurgence of Measles, a Vaccine-Preventable Disease, as Current Concerns Contrast with Past Hopes for Measles Elimination https://pubmed.ncbi.nlm.nih.gov/38525549/
A Structural Lens Approach to Vaccine Hesitancy and Identity https://pubmed.ncbi.nlm.nih.gov/36841595/
SmallSTEPSKy.org
Date of Original Release | Aug. 2025; Information is current as of the time of recording.
Course Termination Date | Aug. 2027
Contact Information | Center for Continuing Medical EducationNavigating Vaccine Hesitancy in Pediatrics; (502) 446-5955 or cme@nortonhealthcare.org
Also listen to Norton Healthcare’s podcast Stronger After Stroke. This podcast, produced by the Norton Neuroscience Institute, discusses difficult topics, answers frequently asked questions and provides survivor stories that provide hope.
Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. More information about Norton Healthcare is available at NortonHealthcare.com.
Episode 80: Balancing Relief and Risk: Pain Management and Opioid Prescribing in Children and Adolescents
Evaluation and Credit: https://www.surveymonkey.com/r/medchat80
Target Audience This activity is targeted toward primary care physicians and advanced providers.
Statement of Need This podcast will address effective pain management in adolescents and teens and the utilization of opioids and risk reduction. Pediatricians may not have up-to-date knowledge and skills to effectively balance pain management with opioid safety in children and adolescents. Current practice often reflects underuse of multimodal pain strategies, inconsistent application of opioid prescribing guidelines, and limited screening for substance use disorders (SUDs) in youth. This educational activity addresses the gap between current and optimal practice by enhancing pediatricians’ competence in evidence-based opioid prescribing and their performance in implementing risk mitigation strategies in clinical settings.
Objectives
- Describe evidence-based guidelines for prescribing opioids in a manner that optimizes both pain treatment and safety for children and adolescents (“youth”).
- Discuss evidence-based strategies for the prevention, screening, and treatment for substance use disorders in youth.
ModeratorMark McDonald, M.D., MHA, CPE System Vice President Pediatric Medical Affairs Medical Director, Norton Children’s Louisville, Kentucky
SpeakerScott E. Hadland, M.D., MPH, MS Associate Professor of Pediatrics Chief, Division of Adolescent and Young Adult Medicin Mass General Hospital for Children / Harvard Medical School Boston, MA
Moderator, Speaker and Planner Disclosures The planners, moderator and speaker of this activity do not have any relevant financial relationships with ineligible companies to disclose.
Commercial Support There was no commercial support for this activity.
Physician Credits Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.
Designation Norton Healthcare designates this enduring material for a maximum of .75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
HB1This program has been approved for .75 HB1 credit hours by the Kentucky Board of Medical Licensure, ID# 037-H.75 NHC3A.
Nursing Credits Norton Healthcare Institute for Education and Development is approved as a provider of nursing continuing professional development by the South Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. This continuing professional development activity has been approved for 0.75 ANCC CE contact hours.
In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance. For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org.
Resources for Additional Study/References
Screening to Brief Intervention (S2BI) https://nida.nih.gov/s2bi
Brief Screener to Tabacco, Alcohol, and other Drugs https://nida.nih.gov/bstad/
Crafft Screening Tools https://crafft.org/
Opioid Prescribing for Acute Pain Management in Children and Adolescents in Outpatient Settings: Clinical Practice Guideline https://publications.aap.org/pediatrics/article/154/5/e2024068752/199482/Opioid-Prescribing-for-Acute-Pain-Management-in?autologincheck=redirected
Find Treatment Website https://findtreatment.gov/
Date of Original Release | July 2025; Information is current as of the time of recording. Course Termination Date | July 2028 Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org
Also listen to Norton Healthcare’s podcast Stronger After Stroke. This podcast, produced by the Norton Neuroscience Institute, discusses difficult topics, answers frequently asked questions and provides survivor stories that provide hope.
Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. More information about Norton Healthcare is available at NortonHealthcare.com.
Wellness in Practice: Small Steps with Big Impacts
Evaluation and Credit: https://www.surveymonkey.com/r/medchat79
Target AudienceThis activity is targeted toward primary care physicians and advanced providers.
Statement of Need Physicians often face challenges in effectively counseling patients on lifestyle changes due to time constraints and lack of training in behavior change techniques. Addressing these gaps is crucial for improving patient outcomes and overall health. By focusing on small, manageable steps, physicians can make a significant difference in their patients' lives without overwhelming them. This podcast will highlight the importance of how providers can recommend manageable changes to their daily habits that can lead to significant long-term health improvements.
Objectives
- Identify small, evidence-based lifestyle changes that can significantly impact patient health outcomes.
- Describe strategies to incorporate wellness advice into routine clinical visits efficiently, even within time constraints.
- Recognize common barriers patients face when making lifestyle changes and develop strategies to address these challenges.
- List actionable steps that providers can take in their own lives to improve their wellness.
Moderator James Jennings, M.D., MBA Executive Medical Director Norton Medical Group Louisville, Kentucky
SpeakerEvelyn Montgomery Jones, M.D., FAADDermatologistWellSprings DermatologyPaducah, Kentucky2025 PresidentKentucky Medical Association
Moderator, Speaker and Planner Disclosures The planners, moderator and speaker of this activity do not have any relevant financial relationships with ineligible companies to disclose.
Commercial Support There was no commercial support for this activity.
GrantThis episode is supported by a grant from the Kentucky Medical Association’s ‘Small STEPS, Big Impact’ campaign, a two-year initiative that encourages patients to achieve long-term success through taking simple steps that can add up to make a big impact on their health. The campaign focuses on five key areas (screenings, tobacco use, exercise & nutrition, physician visits and stress) and offers straightforward strategies and support for patients. It is a partnership between the KMA and its charitable arm, the Kentucky Foundation for Medical, made possible by a grant from the Kentucky Department for Public Health. For more information, visit SmallSTEPSKy.org.
Physician CreditsAccreditationNorton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.
DesignationNorton Healthcare designates this enduring material for a maximum of .75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Nursing CreditsNorton Healthcare Institute for Education and Development is approved as a provider of nursing continuing professional development by the South Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. This continuing professional development activity has been approved for 0.75 ANCC CE contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance.
For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889or sally.sturgeon@nortonhealthcare.org.
Resources for Additional Study/Referenceshttps://lifestylemedicine.org/ SmallSTEPSKy.org
Supporting Professionals in Critical Care Medicine: Burnout, Resiliency, and System-Level Changehttps://pubmed.ncbi.nlm.nih.gov/36116823/
Battling Burnout: Strategies for Promoting Physician Wellnesshttps://pubmed.ncbi.nlm.nih.gov/30053918/
Date of Original Release | June 2025; Information is current as of the time of recording.Course Termination Date | June 2028Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org
This episode is supported by a grant from the Kentucky Medical Association’s ‘Small STEPS, Big Impact’ campaign, a two-year initiative that encourages patients to achieve long-term success through taking simple steps that can add up to a big impact on their health. The campaign focuses on five key areas (Screenings, Tobacco use, Exercise & Nutrition, Physician visits, and Stress) and offers straightforward strategies and support for patients. It is a partnership between the KMA and its charitable arm, the Kentucky Foundation for Medical, made possible by a grant from the Kentucky Department for Public Health. For more information, visit SmallSTEPSKy.org.
Also listen to Norton Healthcare’s podcast Stronger After Stroke. This podcast, produced by the Norton Neuroscience Institute, discusses difficult topics, answers frequently asked questions and provides survivor stories that provide hope.
Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. More information about Norton Healthcare is available at NortonHealthcare.com.
Parkinson’s: Diagnosis and Treatment
Evaluation and Credit: https://www.surveymonkey.com/r/medchat78
Target Audience This activity is targeted toward primary care physicians and advanced providers.
Statement of Need This podcast will provide an overview of the diagnosis and management of Parkinson’s disease including screening guidelines to improve early recognition. In that early symptoms of Parkinson’s disease can mimic other conditions, for early recognition a review of this will be highlighted. The goal of this podcast is to provide tools for early recognition and management to maintain a patient’s quality of life. According to the Parkinson’s Foundation, there are approximately 90,000 people in the U.S. diagnosed with Parkinson’s each year, which represents significant increase.
Objectives
- Define Parkinson's disease and highlight its prevalence.
- Explain the signs and symptoms of Parkinson's disease, including the moto and non-motor manifestations.
- Outline the diagnostic criteria for Parkinson's disease, including clinical evaluations, neurological exams and applicable testing.
- Discuss the management of Parkinson's disease symptoms, addressing pharmacological treatments, surgical options and multidisciplinary team strategies to optimize patient care.
ModeratorGregory E. Cooper, M.D., Ph.D. Neurologist Chief of Adult Neurology and Director of the Memory Center Norton Neuroscience Institute Louisville, Kentucky
SpeakerJason L. Crowell, M.D. Neurologist and Movement Disorders Specialist Norton Neuroscience Institute Louisville, Kentucky
Moderator and Planner Disclosures The moderator, Gregory E. Cooper, M.D., Ph.D, discloses relevant financial relationships with Eli Lilly and Eisai as a principal investigator. The planners of this activity do not have any relevant financial relationships with ineligible companies to disclose.
Speaker DisclosureThe speaker, Jason L. Cromwell, M.D. discloses a relevant financial relationship with the ineligible company AbbVie as a consultant and CND Life Services in research.
All relevant financial relationships have been successfully mitigated.
Commercial Support There was no commercial support for this activity.
Physician Credits Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.
Designation Norton Healthcare designates this enduring material for a maximum of .50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Nursing CreditsNorton Healthcare Institute for Education and Development is approved as a provider of nursing continuing professional development by the South Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. This continuing professional development activity has been approved for 0.50 ANCC CE contact hours.
In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance. For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org.
Resources for Additional Study/References
Perspectives of People At-Risk on Parkinson’s Prevention Research https://pubmed.ncbi.nlm.nih.gov/38489198/
Risk of Parkinson Disease Among Adults With vs Without Posttraumatic Stress Disorder https://pubmed.ncbi.nlm.nih.gov/35925604/
Date of Original Release | May 2025; Information is current as of the time of recording.
Course Termination Date | May 2028
Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org
Also listen to Norton Healthcare’s podcast Stronger After Stroke. This podcast, produced by the Norton Neuroscience Institute, discusses difficult topics, answers frequently asked questions and provides survivor stories that provide hope.
Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. More information about Norton Healthcare is available at NortonHealthcare.com.
Episode 77: Pediatric Obesity: The Role of GLP – 1 Receptors
Evaluation and Credit: https://www.surveymonkey.com/r/medchat77
Target Audience This activity is targeted toward primary care physicians and advanced providers.
Statement of Need This podcast will address the role of GLP – receptors in the treatment of pediatric obesity. As the prevalence of pediatric obesity is on the rise, the need for effective, evidence-based treatments is essential. This increase in pediatric obesity is associated with numerous health complications for the pediatric patient including type 2 diabetes, hypertension and cardiovascular diseases. Early intervention in the pediatric patient and management can prevent the progression of obesity with the goal of improving the long-term health of these individuals.
Objectives
- Define pediatric obesity.
- Discuss the key aspects of GLP – 1 receptors and their use of treatment of the pediatric patient.
- Explain the mechanisms and criteria for patient selection for GLP – 1 as a treatment option for obesity.
- Describe best practices integrating GLP-1 receptor agnostic into a broader treatment plan and appropriate monitoring and follow-up.
ModeratorMark McDonald, M.D., MHA, CPE System Vice President Pediatric Medical Affairs Medical Director, Norton Children’s Louisville, Kentucky
Professor Department of Pediatrics Division of Critical Care UofL School of Medicine Louisville, Kentucky
SpeakerSara Watson, M.D. Pediatric Endocrinologist Medical Director of the Type 2 Diabetes Program and the Health Weight Program Norton Children's Endocrinology Louisville, Kentucky
Moderator and Planner Disclosures The planners, moderator and speaker of this activity do not have any relevant financial relationships with ineligible companies to disclose.
Speaker DisclosureThe speaker, Sara Watson, M.D. discloses a relevant financial relationship with the ineligible company Lilly as a principal investigator. All relevant financial relationships have been mitigated.
Commercial Support There was no commercial support for this activity.
Physician Credits
Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.
Designation Norton Healthcare designates this enduring material for a maximum of .75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Nursing CreditsNorton Healthcare Institute for Education and Development is approved as a provider of nursing continuing professional development by the South Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. This continuing professional development activity has been approved for 0.75 ANCC CE contact hours.
In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance. For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org.
Resources for Additional Study/References
Characterizing GLP-1 Receptor Agonist Use in Preadolescent and Adolescent Populations https://pubmed.ncbi.nlm.nih.gov/39412809/
Role of GLP-1 Receptor Agonists in Pediatric Obesity: Benefits, Risks, and Approaches to Patient Selection https://pubmed.ncbi.nlm.nih.gov/33085056/
Date of Original Release | April 2025; Information is current as of the time of recording. Course Termination Date | April 2028 Contact Information | Center for Continuing Medical Education (502) 446-5955 or cme@nortonhealthcare.org
Also listen to Norton Healthcare’s podcast Stronger After Stroke. This podcast, produced by the Norton Neuroscience Institute, discusses difficult topics, answers frequently asked questions and provides survivor stories that provide hope.
Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. More information about Norton Healthcare is available at NortonHealthcare.com.
Colon Cancer Insights: Screenings and Risk Factors
Evaluation and Credit: https://www.surveymonkey.com/r/Medchat76
Target Audience This activity is targeted toward primary care physicians and advanced providers.
Statement of Need This podcast will discuss the latest guidelines as related to the screening for colorectal cancer (CRC); it will address the types of screenings and indications. Additionally, the progression of CRC will be discussed as well as risk factors. In that CRC is the third most common cancer (not including skin cancer), it is important for providers to be aware of the latest screening guidelines and recommendations for optimal patient care.
Objectives
- Review the latest colorectal cancer screening guidelines.
- Describe the different colorectal screening tools and their indications.
- Discuss the risk factors for colorectal cancer and strategies to assess high-risk and average risk patients.
- Examine the incidence, risk factors and genetic predispositions of early-onset colorectal cancer.
ModeratorJoseph Flynn, D.O., MPH, FACP Chief Administrative Officer Norton Medical Group Louisville, Kentucky
Physician-in-chief Norton Cancer Institute Louisville, Kentucky
SpeakerWilliam B. Evans, III, M.D., MSc, FASGE Gastroenterologist Norton Gastroenterology Consultants Louisville, Kentucky
Moderator, Speaker and Planner Disclosures The planners, moderator and speaker of this activity do not have any relevant financial relationships with ineligible companies to disclose.
Commercial Support There was no commercial support for this activity.
Physician Credits Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.
Designation Norton Healthcare designates this enduring material for a maximum of .75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Nursing CreditsNorton Healthcare Institute for Education and Development is approved as a provider of nursing continuing professional development by the South Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. This continuing professional development activity has been approved for 0.75 ANCC CE contact hours.
In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance. For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org.
Resources for Additional Study/References
Changing colon cancer screening guidelines to age 45: Has it made a difference? https://pubmed.ncbi.nlm.nih.gov/38981796/
Colon Cancer Screening https://pubmed.ncbi.nlm.nih.gov/32644490/
Date of Original Release | March 2025; Information is current as of the time of recording. Course Termination Date | March 2028
Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org
Also listen to Norton Healthcare’s podcast Stronger After Stroke. This podcast, produced by the Norton Neuroscience Institute, discusses difficult topics, answers frequently asked questions and provides survivor stories that provide hope.
Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. More information about Norton Healthcare is available at NortonHealthcare.com.
Primary Care and GLP-1: Navigating Weight Management
Evaluation and Credit: https://www.surveymonkey.com/r/medchat75
Target Audience This activity is targeted toward primary care physicians and advanced providers.
Statement of Need As GLP-1's are becoming more prevalent in the treatment of obesity, primary care providers should have the latest information to effectively and safely utilize this option in the care of their patients. In that GLP-1 are relatively new as a treatment for obesity, providers may not be aware of the latest treatment recommendations as well as management strategies to effectively manage their patients on these medications.
Objectives
- Explain the mechanism of how GLP-1 receptor agonists work in the treatment of obesity.
- Describe the indications and strategies to select appropriate patients for GLP-1 as a treatment modality for obesity.
- Discuss best practices for initiation and titrating GLP-1 receptor agonists as well as ongoing patient management/monitoring.
ModeratorJames T. Jennings, M.D., MBA Executive Medical Director Norton Medical Group Norton Healthcare Louisville, Kentucky
SpeakerSteven Patton, D.O. Family Medicine Norton Community Medical Associates - Preston Louisville, Kentucky
Moderator, Speaker and Planner Disclosures The planners, moderator and speaker of this activity do not have any relevant financial relationships with ineligible companies to disclose.
Commercial Support There was no commercial support for this activity.
Physician Credits
Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.
Designation Norton Healthcare designates this enduring material for a maximum of .75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Nursing CreditsNorton Healthcare Institute for Education and Development is approved as a provider of nursing continuing professional development by the South Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. This continuing professional development activity has been approved for 0.75 ANCC CE contact hours. Norton Healthcare is also a Kentucky Board of Nursing (KBN) approved provider. This activity has also been approved by Norton Healthcare for 0.75 KBN Pharmacology contact hour, which expires 12/31/2026. KBN approval of a continuing education provider does not constitute endorsement of program content. This activity/session meets 0.75 CE contact hour (of the 3.0 contact hour annual requirement) of approved pain management and addiction disorder CE required by the Kentucky Board of Nursing (KBN) for annual license renewal for APRNs that are registered with the DEA and have a Prescription Drug Monitoring Program (PDMP) account– 201 KAR 20:215.” – 4-0002-12-26-004.
In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance. For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org.
Resources for Additional Study/ReferencesImpact of a clinical pharmacist on provider prescribing patterns in a primary care clinic
https://pubmed.ncbi.nlm.nih.gov/34756524/
Role of GLP-1 Receptor Agonists in Pediatric Obesity: Benefits, Risks, and Approaches to Patient Selection
https://pubmed.ncbi.nlm.nih.gov/33085056/
Date of Original Release | Feb. 2025; Information is current as of the time of recording. Course Termination Date | Feb. 2028
Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org
Also listen to Norton Healthcare’s podcast Stronger After Stroke. This podcast, produced by the Norton Neuroscience Institute, discusses difficult topics, answers frequently asked questions and provides survivor stories that provide hope.
Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. More information about Norton Healthcare is available at NortonHealthcare.com.
Evaluation and Credit: https://www.surveymonkey.com/r/medchat74
Target Audience This activity is targeted toward primary care physicians and advanced providers.
Statement of Need With the 2023 DEA regulation changes, physicians can now treat patients with Opioid Use Disorder (OUD) without requiring an X waiver. As the demand for treatment providers rises, primary care providers are pivotal in addressing this gap by initiating OUD treatments. Given that primary care often serves as the first point of contact within the healthcare system, it's crucial for providers to identify patients who could benefit from OUD treatment. However, many providers fail to recognize these patients and may refer them elsewhere, missing opportunities for immediate care.
Objectives
- Describe screening guidelines and key diagnostic criteria for Opioid Use Disorder (OUD)
- Discuss effective medications for the treatment of opioid use disorder (MOUD).
- Review treatment strategies for MOUD treatment including guidelines for detox in the primary care setting.
ModeratorJames T. Jennings, M.D., MBA Executive Medical Director Norton Medical Group Norton Healthcare Louisville, Kentucky
SpeakerKelly Cooper, M.D., MPH, FASAM Medical Director Addiction Services Norton Behavioral Medicine Norton Healthcare Louisville, Kentucky
Moderator, Speaker and Planner Disclosures The planners, moderator and speaker of this activity do not have any relevant financial relationships with ineligible companies to disclose.
Commercial Support There was no commercial support for this activity.
Physician Credits
Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.
Designation Norton Healthcare designates this enduring material for a maximum of .75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
HB1This program has been approved for .75 HB1 credit hours by the Kentucky Board of Medical Licensure, ID# 1124-H.75-NHC11a.
For more information about continuing medical education, please send an email to cme@nortonhealthcare.org.
Nursing CreditsNorton Healthcare Institute for Education and Development is approved with distinction as a provider of nursing continuing professional development by the South Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. This continuing professional development activity has been approved for 0.75 ANCC CE contact hours. Norton Healthcare is also a Kentucky Board of Nursing (KBN) approved provider. This activity has also been approved by Norton Healthcare for 0.75 KBN Pharmacology contact hour, which expires 12/31/2026. KBN approval of a continuing education provider does not constitute endorsement of program content. This activity/session meets 0.75 CE contact hour (of the 3.0 contact hour annual requirement) of approved pain management and addiction disorder CE required by the Kentucky Board of Nursing (KBN) for annual license renewal for APRNs that are registered with the DEA and have a Prescription Drug Monitoring Program (PDMP) account– 201 KAR 20:215.” – 4-0002-12-26-004.
In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance. For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org.
Resources for Additional Study/References
Reframing conceptualizations of primary care involvement in opioid use disorder treatment; Chiu and Sud BMC Primary Care (2024) 25:356.
Integrating Routine Screening for Opioid Use Disorder into Primary Care Settings: Experiences from a National
Cohort of Clinics; J Gen Intern Med 38(2):332–40; DOI: 10.1007/s11606-022-07675-2.
Resources
American Society of Addiction Medicine
Provider Clinical Support System
U.S. Centers for Disease Control and Prevention
Date of Original Release | Jan. 2025; Information is current as of the time of recording. Course Termination Date | Jan. 2028
Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org
Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. More information about Norton Healthcare is available at NortonHealthcare.com.
Evaluation and Credit: https://www.surveymonkey.com/r/Medchat73
Target Audience This activity is targeted toward primary care physicians and advanced providers.
Statement of Need The relationship between female hormones and migraines is complex and primary care providers may not be aware of the latest research regarding the role of hormonal changes during different life stages (e.g., menarche, pregnancy, and menopause) and their impact on migraine patterns or the latest management guidelines. By addressing these needs, the podcast will equip clinicians with the tools to better diagnose, treat, and prevent hormonal migraines, ultimately improving patient care and outcomes.
Objectives At the conclusion of this offering, the participant will be able to:
- Review the diagnostic criteria of migraines and characteristics of hormonal migraines.
- Discuss treatment and prevention strategies for hormonal migraines, including during pregnancy.
- Describe the role hormones in the treatment of migraines.
ModeratorBrian Plato, D.O., FAHS Neurologist Medical Director Headache Medicine, Neurology Norton Neuroscience Institute Norton Healthcare Louisville, Kentucky
SpeakersKris Barnsfather, M.D. Obstetrician Gynecologist Women’s Care Physicians of Louisville Norton Healthcare Louisville, Kentucky
Christopher Rhyne, M.D. Neurologist Headache Medicine, Neurology Norton Neuroscience Institute Norton Healthcare Louisville, Kentucky
Moderator and Planner Disclosures The planners and moderator of this activity do not have any relevant financial relationships with ineligible companies to disclose.
Speaker DisclosureThe speaker Kris Barnsfather, M.D. does not have any relevant financial relationships with ineligible companies to disclose.
The speaker Christopher Rhynes, M.D., has relevant financial relationships with ineligible companies Lundbeck and Abbvie as a speaker/consultant. Relevant financial relationships with ineligible companies Pfizer and Lilly as a speaker/consultant; and Amgen, Teva and Impel as a speaker have ended. All relevant financial relationships have been mitigated.
Commercial Support There was no commercial support for this activity.
Physician Credits Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.
Designation Norton Healthcare designates this enduring material for a maximum of .75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
For more information about continuing medical education, please send an email to cme@nortonhealthcare.org.
Nursing CreditsNorton Healthcare Institute for Education and Development is approved with distinction as a provider of nursing continuing professional development by the South Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. This continuing professional development activity has been approved for .75 contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance.
For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org.
Resources for Additional Study/References
Migraine: navigating the hormonal minefield https://pubmed.ncbi.nlm.nih.gov/31753858/
Role of Estrogens in Menstrual Migraine https://pubmed.ncbi.nlm.nih.gov/35456034/
Date of Original Release | Dec. 2024; Information is current as of the time of recording. Course Termination Date | Dec. 2027
Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org
Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. More information about Norton Healthcare is available at NortonHealthcare.com.
Evaluation and Credit: https://www.surveymonkey.com/r/Medchat72
Target Audience This activity is targeted toward primary care physicians and advanced providers.
Statement of NeedAdolescents with Type 1 diabetes mellitus (T1DM) face a significantly higher risk of developing cardiovascular disease (CVD) compared to their peers without diabetes. Regular physical activity is crucial for these young individuals, as it helps mitigate CVD risk and improves cardiorespiratory fitness (CRF). Therefore, promoting lifelong physical activity, with appropriate insulin and dietary adjustments, is essential for managing T1DM and preventing CVD. This podcast will highlight the benefits of exercise in preventing cardiovascular disease, describe the advantages of sports activities, and outline clinical guidelines for safe exercise practices in adolescents with T1DM.
Objectives At the conclusion of this offering, the participant will be able to:
- Discuss the benefits of exercise in the management of adolescent patients with Type 1 diabetes.
- Describe potential glycemic management strategies during times of sport/activity in adolescents with Type 1 diabetes.
- Review the role of technology and future advancements in the management of diabetes.
Moderator
Mark McDonald, M.D., MHA, CPE System Vice President Pediatric Medical Affairs Medical Director, Norton Children’s Louisville, Kentucky
Professor Department of Pediatrics Division of Critical Care UofL School of Medicine Louisville, Kentucky
Speaker
Brad Thrasher, D.O., MBAPediatric Endocrinologist Medical Director, Pediatric Diabetes Medical Director, Sport & Activity Wendy Novak Diabetes Institute Norton Children’s Endocrinology Louisville, Kentucky
Associate Professor UofL School of Medicine Louisville, Kentucky
Moderator, Speaker and Planner Disclosures The planners, moderator and speaker of this activity do not have any relevant financial relationships with ineligible companies to disclose.
Commercial Support There was no commercial support for this activity.
Physician Credits Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.
Designation Norton Healthcare designates this enduring material for a maximum of .50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
For more information about continuing medical education, please send an email to cme@nortonhealthcare.org.
Nursing CreditaNorton Healthcare Institute for Education and Development is approved with distinction as a provider of nursing continuing professional development by the South Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. This continuing professional development activity has been approved for .50 contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance.
For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org.
Resources for Additional Study/References
Chang, Xinyi, et. Al. “Effect of Physician Activity/Exercise on Cardiorespiratory Fitness in Children and Adolescents with Type I Diabetes: A Scoping Review”; International Journal of Environmental Research and Public Health, Jan. 12, 2023; https://doi.org/10.3390/ijerph20021407
Cockcroft et al. “Factors affecting the support for physical activity in children and adolescents with type 1 diabetes mellitus: a national survey of health care professionals’ perceptions”; BMC Pediatrics (2023) 23:131. https://doi.org/10.1186/s12887-023-03940-3
Date of Original Release | Nov. 2024; Information is current as of the time of recording. Course Termination Date | Nov. 2026
Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org
Also listen to Norton Healthcare’s podcast Stronger After Stroke. This podcast, produced by the Norton Neuroscience Institute, discusses difficult topics, answers frequently asked questions and provides survivor stories that provide hope.
Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. More information about Norton Healthcare is available at NortonHealthcare.com.
Pediatric Hypertension: Clinical Approaches to Management
Evaluation and Credit: https://www.surveymonkey.com/r/MedChat71
Target Audience This activity is targeted toward primary care physicians and advanced providers.
Statement of Need This program will be a continuation of the discussion on pediatric hypertension. A prior podcast discussed the symptoms and diagnosis. This podcast will focus on effective treatment strategies. With the increase of childhood obesity and other risk factors, research has concluded a direct correlation to an increase in high blood pressure. According to the CDC, approximately 20% of children less than 19 are considered obese. https://www.cdc.gov/obesity/data/childhood.html
Objectives At the conclusion of this offering, the participant will be able to:
- Define Stages 1 and 2 of hypertension for adolescent patients.
- Discuss strategies to effectively manage pediatric hypertension; including lifestyle management and pharmacological.
- Describe the long-term implications on patient's health if pediatric hypertension is untreated.
ModeratorMark McDonald, M.D., FAAP Medical Director Norton Children’s Hospital and Norton Children’s Medical Center Professor Department of Pediatrics, Critical Care UofL School of Medicine Louisville, Kentucky
SpeakerMalavika Prasad, M.D. Pediatric Nephrologist Norton Children’s Nephrology Affiliated with UofL School of Medicine Louisville, Kentucky
Moderator, Speaker and Planner Disclosures The planners, moderator and speaker of this activity do not have any relevant financial relationships with ineligible companies to disclose.
Commercial Support There was no commercial support for this activity.
Physician Credits Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.
Designation Norton Healthcare designates this enduring material for a maximum of .75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
For more information about continuing medical education, please send an email to cme@nortonhealthcare.org.
Nursing CreditsNorton Healthcare Institute for Education and Development is approved with distinction as a provider of nursing continuing professional development by the South Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. This continuing professional development activity has been approved for .75 contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance.
For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org.
Resources for Additional Study/References:
Pediatric Hypertension https://pubmed.ncbi.nlm.nih.gov/34311845/
Updates on Hypertension and New Guidelines https://pubmed.ncbi.nlm.nih.gov/31230693/
Date of Original Release | Oct. 2024; Information is current as of the time of recording.
Course Termination Date | Oct. 2026
Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org
Also listen to Norton Healthcare’s podcast Stronger After Stroke. This podcast, produced by the Norton Neuroscience Institute, discusses difficult topics, answers frequently asked questions and provides survivor stories that provide hope.
Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. More information about Norton Healthcare is available at NortonHealthcare.com.
Podcast Editing and Post Production by www.unmuteaudio.com
Navigating Chronic Pelvic Pain
Evaluation and Credit: https://www.surveymonkey.com/r/MedChat70
Target Audience This activity is targeted toward primary care physicians and advanced providers.
Statement of Need Chronic pelvic pain is a common condition that can negatively impact an individual's quality of life. Providers should be aware how to effectively diagnosis and manage chronic pelvic pain. This podcast will be a discussion that will review key aspects of the management of chronic pelvic pain and include diagnosis and treatment. There will be a focus on surgical indications for treatment of chronic pelvic pain and the applications.
Objectives At the conclusion of this offering, the participant will be able to:
- Define chronic pelvic pain.
- Discuss the differential causes and diagnoses of acute and chronic pelvic pain.
- Review the latest evidence-based recommendations in the assessment and management of chronic pelvic pain.
ModeratorKris Barnsfather, M.D. Obstetrician Gynecologist Women's Care Physicians of Louisville Norton Healthcare Louisville, Kentucky
SpeakerSteven J Radtke, MD, FACOG, FMIGS Minimally Invasive Gynecology Surgeon Norton Urogynecology Center Louisville, Kentucky
Moderator, Speaker and Planner Disclosures The planners, moderator and speaker of this activity do not have any relevant financial relationships with ineligible companies to disclose.
Commercial Support There was no commercial support for this activity.
Physician Credits Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.
Designation Norton Healthcare designates this enduring material for a maximum of .75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
For more information about continuing medical education, please send an email to cme@nortonhealthcare.org.
Nursing CreditsNorton Healthcare Institute for Education and Development is approved with distinction as a provider of nursing continuing professional development by the South Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. This continuing professional development activity has been approved for .75 contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance.
For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org.
Resources for Additional Study:
Female Pelvic Conditions: Chronic Pelvic Pain https://pubmed.ncbi.nlm.nih.gov/35420402/
Do we want to know the enormity of women’s severe menstrual disorders and chronic pelvic pain? https://pubmed.ncbi.nlm.nih.gov/38570116/
Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. Five Louisville-based hospitals and three hospitals in Southern Indiana, provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women’s and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com.
Date of Original Release | Sept. 2024; Information is current as of the time of recording. Course Termination Date | Sept. 2026 Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org
Podcast Production and Editing: www.unmuteaudio.com
Genectic Innovations: From Gene Therapy to Germline Genome Editing
Evaluation and Credit: https://www.surveymonkey.com/r/MedChat69
Target Audience This activity is targeted toward primary care physicians and advanced providers.
Statement of Need This program will provide an overview of recent innovations in genetics, highlighting gene therapy and germline genome editing. The discussion will include a review of what it is as well as applications andfuture trends in gene therapy.
Objectives At the conclusion of this offering, the participant will be able to:
- Define gene therapy, germline genome editing and precision medicine.
- Review the applications of gene therapy and germline genome editing.
- Explain the differences and clinical implications of whole genome sequencing and whole exome sequencing.
- Discuss future trends of gene therapy and germline genome editing.
ModeratorMark McDonald, M.D., FAAP Medical Director Norton Children’s Hospital and Norton Children’s Medical Center Professor Department of Pediatrics, Critical Care UofL School of Medicine Louisville, Kentucky
SpeakerKyle B. Brothers, M.D., Ph.D. Pediatrician and Bioethicist Chief Scientific Officer Norton Children's Research Institute affiliated with the UofL School of Medicine Louisville, Kentucky
Moderator, Speaker and Planner Disclosures The planners and moderator of this activity do not have any relevant financial relationships with ineligible companies to disclose. The speaker Kyle Brothers, M.D., Ph.D., discloses a relevant financial relationship with Invitae in research. This relationship has been mitigated.
Commercial Support There was no commercial support for this activity.
Physician Credits Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.
Designation Norton Healthcare designates this enduring material for a maximum of .50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
For more information about continuing medical education, please send an email to cme@nortonhealthcare.org.
Nursing CreditsNorton Healthcare Institute for Education and Development is approved with distinction as a provider of nursing continuing professional development by the South Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. This continuing professional development activity has been approved for .50 contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance.
For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org.
Resources for Additional Study:
Changes in opinions about human germline gene editing as a result of the Dutch DNA-dialogue project https://pubmed.ncbi.nlm.nih.gov/35551502/
Altered lipid metabolism and the development of metabolic-associated fatty liver disease https://pubmed.ncbi.nlm.nih.gov/38484227/
Also listen to Norton Healthcare’s podcast Stronger After Stroke. This podcast, produced by the Norton Neuroscience Institute, discusses difficult topics, answers frequently asked questions and provides survivor stories that provide hope. Hear from stroke survivors and medical specialists about being stronger after stroke. Listen on your favorite podcast platform.
Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. Five Louisville-based hospitals and three hospitals in Southern Indiana, provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women’s and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com.
Date of Original Release | Aug. 2024; Information is current as of the time of recording.
Course Termination Date | Aug. 2026
Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org
Podcast editing and production by: www.unmuteaudio.com
Navigating Substance Use Disorders in Adolescents
Evaluation and Credit: https://www.surveymonkey.com/r/MedChat68
Target Audience This activity is targeted toward primary care and advanced providers.
Statement of Need Adolescent substance abuse is a critical public health issue in the United States, with drug misuse often starting during adolescence and young adulthood. Physicians play a crucial role in identifying and addressing this problem. By incorporating validated screening tools and communicating with patients, providers can assist in early detection. This podcast will educate providers about the trends in substance use disorders and review effective interventions essential to combat adolescent substance abuse.
Objectives At the conclusion of this offering, the participant will be able to:
- Describe trends in substance use disorders among adolescents.
- Discuss effects of cannabis on development.
- Review screening guidelines and tools for substance use disorders.
- Identify strategies for effective communication with adolescent patients and parents.
Moderator
Erin Frazier, M.D. Pediatrician Norton Children’s Medical Group Norton Healthcare Louisville, Kentucky
Speaker Brittany Badal, M.D. Adolescent Medicine Norton Children’s Medical Group – Novak Center Norton Healthcare Louisville, Kentucky
Moderator, Speaker and Planner Disclosures The planners, moderators and speakers of this activity do not have any financial relationships with ineligible companies to disclose.
Commercial Support There was no commercial support for this activity.
Physician Credits
Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.
Designation Norton Healthcare designates this enduring material for a maximum of .75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
For more information about continuing medical education, please send an email to cme@nortonhealthcare.org.
Nursing CreditsNorton Healthcare Institute for Education and Development is approved with distinction as a provider of nursing continuing professional development by the South Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. This continuing professional development activity has been approved for .75 contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance.
For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org.
HB1 / Prescribing Controlled Substances
The Kentucky Board of Medical Licensure has approved the podcast Navigating Substance Use Disorders in Adolescents for .75 HB1 credit hours. ID# 0724-H.75-NHC1b.
Resources for Additional Study:
SBIRT Screening Tool https://www.sbirt.care/tools.aspx
CRAFFT Screening Tool https://njaap.org/wp-content/uploads/2018/03/COMBINED-CRAFFT-2.1-Self-Admin_Clinician-Interview_Risk-Assess-Guide.pdf
Also listen to Norton Healthcare’s podcast Stronger After Stroke. This podcast, produced by the Norton Neuroscience Institute, discusses difficult topics, answers frequently asked questions and provides survivor stories that provide hope. Hear from stroke survivors and medical specialists about being stronger after stroke. Listen on your favorite podcast platform.
Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. Five Louisville-based hospitals and three hospitals in Southern Indiana, provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women’s and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com.
Date of Original Release | July 2024; Information is current as of the time of recording.
Course Termination Date | July 2027
Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org
Podcast Editing and Production by www.unmuteaudio.com
Episode 67: The Essentials of Functional Medicine
Evaluation and Credit: https://www.surveymonkey.com/r/MedChat67
Target Audience This activity is targeted toward primary care and advanced providers.
Statement of Need This program will highlight the essentials of functional medicine; defining how it addresses illness in respect to looking at the underlying cause of the disease. According to the CDC, 6 out of 10 Americans have at least one form of chronic disease that could be modified by lifestyle. This podcast will highlight key aspects of functional medicine and its role in lifestyle modification with tips on how providers can incorporate key principles into practice.
Objectives At the conclusion of this offering, the participant will be able to:
- Define functional medicine.
- Discuss the benefits of functional medicine.
- Discuss key principles of functional medicine that can be incorporated into practice.
Moderator Elizabeth Archer-Nanda, DNP, APRN, PMHCNS-BC Clinical Director Norton Healthcare Office of Advanced Practice Manager, Norton Cancer Institute Behavioral Oncology Program Norton Healthcare Louisville, Kentucky
Speaker Carl Paige, M.D., FAARM, FSSRP Chief Medical Officer and Co-founder Medical Transformation Center Louisville, Kentucky
Moderator, Speaker and Planner Disclosures The planners and speakers of this activity do not have any relevant relationships to disclose. The moderator, Elizabeth Archer-Nanda, DNP, APRN, PMHSNC-BC discloses a relevant relationship with BeiGene as a consultant. This relationship has been successfully mitigated.
Commercial Support There was no commercial support for this activity.
Physician Credits
Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.
Designation Norton Healthcare designates this enduring material for a maximum of .50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Nursing Credits Norton Healthcare Institute for Education and Development is approved with distinction as a provider of nursing continuing professional development by the South Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. This continuing professional development activity has been approved for 1.0 contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance.
For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org.
Resources for Additional Study:
Exercise as medicine: Providing practitioner guidance on exercise prescription https://pubmed.ncbi.nlm.nih.gov/33659155/
The impact of functional medicine on patient-reported outcomes in inflammatory arthritis: A retrospective study https://pubmed.ncbi.nlm.nih.gov/33031458/
Also listen to Norton Healthcare’s podcast Stronger After Stroke. This podcast, produced by the Norton Neuroscience Institute, discusses difficult topics, answers frequently asked questions and provides survivor stories that provide hope. Hear from stroke survivors and medical specialists about being stronger after stroke. Listen on your favorite podcast platform.
Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. Five Louisville-based hospitals and three hospitals in Southern Indiana, provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women’s and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com.
Date of Original Release | June 2024; Information is current as of the time of recording.
Course Termination Date | June 2027
Contact Information | Center for Continuing Medical, Provider and Nursing Education; (502) 446-5955 or cme@nortonhealthcare.org
Editing and Production: www.unmuteaudio.com
Episode 66: Pediatric Hypertension: A Comprehensive Guide to Screening and Diagnosis
Evaluation and Credit: https://www.surveymonkey.com/r/MedChat66
Target AudienceThis activity is targeted toward primary care and pediatric healthcare providers and advanced providers.
Statement of NeedThis program will provide the latest information on the diagnosis and treatment of pediatric hypertension. Additionally, risk factors and etiology will be reviewed. Hypertension in the pediatric population continues to rise; and rates have shown an increasing linear relationship to increasing adiposity. According to the CDC, approximately 20% of children less than 19 are considered obese.
Objectives
At the conclusion of this offering, the participant will be able to:
- Define pediatric hypertension.
- List the diagnostic guidelines for pediatric hypertension.
- Review the proper technique for taking blood pressure in pediatric patients to ensure accuracy.
- Describe the etiology and risk factors for pediatric hypertension.
ModeratorMark McDonald, M.D., FAAP Medical Director Norton Children’s Hospital and Norton Children’s Medical Center Professor, Department of Pediatrics, Critical Care UofL School of Medicine Louisville, Kentucky
SpeakerMalavika Prasad, M.D. Pediatric Nephrologist Norton Children’s Nephrology Affiliated with UofL School of Medicine Louisville, Kentucky
Moderator, Speaker and Planner Disclosures The planners, moderators and speakers of this activity do not have any relevant financial relationships to disclose.
Commercial Support There was no commercial support for this activity.
Physician Credits Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.
Designation Norton Healthcare designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Nursing CreditsNorton Healthcare Institute for Education and Development is approved with distinction as a provider of nursing continuing professional development by the South Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. This continuing professional development activity has been approved for 1.0 contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance.
For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org.
Resources for Additional Study:
Updates on Hypertension and New Guidelines https://pubmed.ncbi.nlm.nih.gov/31230693/
Pediatric Hypertension https://pubmed.ncbi.nlm.nih.gov/34311845/
Also listen to Norton Healthcare’s podcast Stronger After Stroke. This podcast, produced by the Norton Neuroscience Institute, discusses difficult topics, answers frequently asked questions and provides survivor stories that provide hope. Hear from stroke survivors and medical specialists about being stronger after stroke. Listen on your favorite podcast platform.
Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. Five Louisville-based hospitals and three hospitals in Southern Indiana, provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women’s and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com.
Date of Original Release | May 2024; Information is current as of the time of recording. Course Termination Date | May 2027
Contact Information | Center for Continuing Medical, Provider and Nursing Education; (502) 446-5955 or cme@nortonhealthcare.org
Audio Editing and Production: www.unmuteaudio.com
Episode 65: Guidelines for Safe Prescribing of Controlled Substances
Evaluation and Credit: https://www.surveymonkey.com/r/MedChat65
Target AudienceThis activity is targeted toward primary care and geriatric healthcare providers and advanced providers.
Statement of Need This activity will discuss the steps to safe prescribing of opioids for providers. In that chronic pain is commonly treated in the primary care office and back pain is one of top ten reasons patients visit health care providers, providers should be aware of how to safely prescribe controlled substances if selected as the treatment for these patients.
Objectives At the conclusion of this offering, the participant will be able to:
- Describe the risks and benefits of prescribing and tapering controlled substances.
- Identify the key components of safe prescribing of controlled substances.
ModeratorGregory E. Cooper, M.D., Ph.D. Chief of Adult Neurology Medical Director, Memory Center Norton Neuroscience Institute Norton Healthcare Louisville, Kentucky
SpeakerKelly C. Cooper, M.D., MPH, FASAM Addiction Specialist Norton Behavioral Health Louisville, Kentucky
Moderator, Speaker and Planner Disclosures The planners, moderators and speakers of this activity do not have any relevant financial relationships to disclose.
Commercial Support There was no commercial support for this activity.
Physician Credits Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.
Designation Norton Healthcare designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Nursing CreditsNorton Healthcare Institute for Education and Development is approved with distinction as a provider of nursing continuing professional development by the South Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. This continuing professional development activity has been approved for 0.75 contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance.
For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org.
HB1 / Prescribing Controlled SubstancesThe Kentucky Board of Medical Licensure has approved the podcast Guidelines for Safe Prescribing of Controlled Substances for .75 HB1 credit hours. ID# 0723-H.75-NHC2i
Resources for Additional Study: The Impact of Increased Hydrocodone Regulation on Opioid Prescribing in an Urban Safety-Net Health Care System https://pubmed.ncbi.nlm.nih.gov/31068400/
CDC Clinical Practice Guideline for Prescribing Opioids for Pain - United States, 2022 https://pubmed.ncbi.nlm.nih.gov/36327391/
Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. Five Louisville hospitals provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women’s and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com.
Date of Original Release | March 2024; Information is current as of the time of recording. Course Termination Date | March 2027
Contact Information | Center for Continuing Medical, Provider and Nursing Education; (502) 446-5955 or cme@nortonhealthcare.org
Also listen to Norton Healthcare’s podcast Stronger After Stroke. This podcast, produced by the Norton Neuroscience Institute Resource Center, discusses difficult topics, answers frequently asked questions and provides survivor stories that provide hope. Hear from stroke survivors and medical specialists about being stronger after stroke. Listen on the Norton Healthcare Channel on Apple Podcasts or on your favorite podcast platform.
Podcast editing and production: www.unmuteaudio.com
Management of Insomnia Evaluation and Credit: https://www.surveymonkey.com/r/MedChat64 Target Audience This activity is targeted toward primary care and geriatric healthcare providers and advanced providers. Statement of Need The program is a podcast discussion that will address the diagnosis and treatment of insomnia in adults. Insomnia is a common problem seen in the primary care setting and this podcast will address common issues/questions of providers helping them to improve patient care as related to insomnia. Objectives At the conclusion of this offering, the participant will be able to: 1. Define acute and chronic insomnia. 2. Discuss the diagnostic criteria for insomnia. 3. Identify strategies for the management of insomnia. Moderator Gregory E. Cooper, M.D., Ph.D. Chief of Adult Neurology Medical Director, Memory Center Norton Neuroscience Institute Norton Healthcare Louisville, Kentucky Speaker Kevin K. Trice, M.D., MBA Sleep Medicine Physician Norton Pulmonary Specialists Louisville, Kentucky Moderator, Speaker and Planner Disclosures The planners and moderators of this activity do not have any relevant financial relationships to disclose. Kevin Trice, M.D. has relationships with Jazz Pharma, Harmony Biosciences, Axsome Therapeutics, Avadel and Idorsia as a consultant. These relationships have been mitigated. Commercial Support There was no commercial support for this activity. Physician Credits Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. Designation Norton Healthcare designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Nursing Credits Norton Healthcare Institute for Education and Development is approved with distinction as a provider of nursing continuing professional development by the South Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. This continuing professional development activity has been approved for 0.75 contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance. For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org. Resources for Additional Study: Insomnia https://pubmed.ncbi.nlm.nih.gov/36115372/ Waking up to the importance of sleep https://pubmed.ncbi.nlm.nih.gov/36115369/ Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. Five Louisville hospitals provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women’s and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com. Date of Original Release | March 2024; Information is current as of the time of recording. Course Termination Date | March 2027 Contact Information | Center for Continuing Medical, Provider and Nursing Education; (502) 446-5955 or cme@nortonhealthcare.org Also listen to Norton Healthcare’s podcast Stronger After Stroke. This podcast, produced by the Norton Neuroscience Institute Resource Center, discusses difficult topics, answers frequently asked questions and provides survivor stories that provide hope. Hear from stroke survivors and medical specialists about being stronger after stroke. Listen on the Norton Healthcare Channel on Apple Podcasts or on your favorite podcast platform.
Podcast editing and production: www.unmuteaudio.com
Female Patterned Heart Disease Evaluation and Credit: https://www.surveymonkey.com/r/MedChat63 Target Audience This activity is targeted toward primary care providers and advanced providers. Statement of Need This podcast will discuss female-patterned heart disease. Cardiovascular disease continues to be one of the leading causes of mortality for women. Research indicates that there continues to be disparities in the diagnosis and treatment of cardiovascular disease for women, resulting in greater mortality rate. (American Journal of Preventive Cardiology). The goal of this program is to highlight risks, symptoms and diagnostic characteristics specific to female patients with the goal of earlier intervention and improved patient outcomes. Objectives At the conclusion of this offering, the participant will be able to:
- Define female-patterned heart disease and presenting symptoms unique to females.
- Discuss the latest diagnostic guidelines for female-patterned heart disease.
- Describe female specific risk factors of cardiovascular disease.
Moderator Mona Lisa Tailor, M.D. Internal Medicine Norton Community Medical Associates - Barrett Louisville, Kentucky Speaker Li Zhou, M.D., Ph.D. Medical Director Norton Heart and Vascular Institute Norton Healthcare Louisville, Kentucky Moderator, Speaker and Planner Disclosures The planners, moderator and speaker of this activity do not have any relevant financial relationships to disclose. Commercial Support There was no commercial support for this activity. Physician Credits Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. Designation Norton Healthcare designates this enduring material for a maximum of .75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Nursing Credits Norton Healthcare Institute for Education and Development is approved with distinction as a provider of nursing continuing professional development by the South Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. This continuing professional development activity has been approved for .75 contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance. For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org. Resources Cardiovascular disease in women https://pubmed.ncbi.nlm.nih.gov/17569469/ Beyond equality, women require extra care in cardiovascular imaging https://pubmed.ncbi.nlm.nih.gov/35962143/ Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. Five Louisville hospitals provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women’s and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com. Date of Original Release | Feb 2024; Information is current as of the time of recording. Course Termination Date | Feb 2027 Contact Information | Center for Continuing Medical, Provider and Nursing Education; (502) 446-5955 or cme@nortonhealthcare.org Also listen to Norton Healthcare’s podcast Stronger After Stroke. This podcast, produced by the Norton Neuroscience Institute Resource Center, discusses difficult topics, answers frequently asked questions and provides survivor stories that provide hope. Hear from stroke survivors and medical specialists about being stronger after stroke. Listen on the Norton Healthcare Channel on Apple Podcasts or on your favorite podcast platform.
Podcast editing and production: www.unmuteaudio.com
Part One: Hidden Victims: A Guide for Healthcare Providers in Identifying Human Trafficking Victims
Evaluation and Credit: https://www.surveymonkey.com/r/MedChat61
Target Audience
This activity is targeted toward primary care providers, advanced providers and healthcare clinicians.
Statement of Need
According to the American Public Health Association, the health system plays an important role in identifying and treating victims of human trafficking. Estimates show that approximately 80 percent of human trafficking victims are women, and health care providers are often the first professionals to have contact with trafficked women and girls. One study found that close to 50 percent of trafficked individuals saw a health care professional during their exploitation. Clinicians need to be aware of red flags that their patient could be a victim of human trafficking, best practices for screening and assessing patients for trafficking, and their response as a health care professional, and resources for assisting the victims.
Providers should know how to screen patients for human trafficking; and what to do if there are indicators of a potential victim of human trafficking.
Objectives
At the conclusion of this offering, the participant will be able to:
- Discuss the scope of human trafficking locally and nationally.
- Identify the red flags of human trafficking and screening questions to ask, so that a potential victim can be identified when they are accessing the healthcare system.
- Review the reporting and documentation guidelines for when a patient is suspected of being a victim of human trafficking.
- Discuss appropriate communication strategies, including trauma-informed communication, to best facilitate trust between provider and patient.
Moderator
Kim Boland, M.D., FAAP Professor and Chair of Pediatrics Billy F. Andrew’s Endowed Chair UofL School of Medicine Department of Pediatrics
Chief of Staff Norton Children’s Hospital Louisville, Kentucky
Speakers
Olivia Mittel, M.D., M.S. Professor and Associate Dean for Student Affairs UofL School of Medicine Louisville, Kentucky
Pediatric Hospitalist Norton Children’s Hospital Louisville Kentucky
Naomi Warnick, M.D., J.D. Pediatric Emergency Medicine Fellow UofL School of Medicine Department of Pediatrics Louisville, Kentucky
Moderator, Speaker and Planner Disclosures
The planners, moderator and speaker of this activity do not have any relevant financial relationships to disclose.
Commercial Support
There was no commercial support for this activity.
Physician Credits
Accreditation
Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.
Designation
Norton Healthcare designates this enduring material for a maximum of .75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
For more information about continuing medical education credits, please send an email to cme@nortonhealthcare.org.
Nursing Credits
Norton Healthcare Institute for Education and Development is approved with distinction as a provider of nursing continuing professional development by the South Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. This continuing professional development activity has been approved for .75 contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance.
For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org.
Social Workers
The National Association of Social Workers, Kentucky Chapter (NASW-KY), is an approved provider for social work credits through the Kentucky Board of Social Work. This activity will provide .75 hours of required continuing education units. NASWKY#090123
For more information about social worker credits, contact the Norton Healthcare Center for Medical, Provider & Nursing Education at (502) 446-5955 or cme@nortonhealthcare.org.
Other attendees
Confirmed attendance hours will be recorded for all other attendees. Hours of confirmed attendance will be equivalent to the number of hours of one’s attested attendance.
For additional information related to confirmed attendance, contact the Norton Healthcare Center for Medical, Provider & Nursing Education at (502) 466-5955 or cme@nortonhealthcare.org.
Resources
National Human Trafficking Hotline 1-888-373-7888 or text 233733
Polaris Project – https://polarisproject.org
HEAL Trafficking – Healtrafficking.org
Mental Health Lifeline – 988
Human Trafficking: Empowering Healthcare Providers and Community Partners as Advocates for Victims https://pubmed.ncbi.nlm.nih.gov/34569887/
Human Trafficking in the Emergency Department: Improving Our Response to a Vulnerable Population https://pubmed.ncbi.nlm.nih.gov/32421500/
Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. Five Louisville hospitals provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women’s and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com.
Date of Original Release |Jan. 2024; Information is current as of the time of recording.
Course Termination Date | Jan 2026
Contact Information | Center for Continuing Medical, Provider and Nursing Education; (502) 446-5955 or cme@nortonhealthcare.org
Also listen to Norton Healthcare’s podcast Stronger After Stroke. This podcast, produced by the Norton Neuroscience Institute Resource Center, discusses difficult topics, answers frequently asked questions and provides survivor stories that provide hope. Hear from stroke survivors and medical specialists about being stronger after stroke. Listen on the Norton Healthcare Channel on Apple Podcasts or on your favorite podcast platform.
Podcast editing and production: www.unmuteaudio.com
Human Trafficking: A Survivor’s Story
Evaluation and Credit: https://www.surveymonkey.com/r/MedChat62
Target Audience
This activity is targeted toward primary care providers, advanced providers and healthcare clinicians.
Statement of Need
According to the American Public Health Association, the health system plays an important role in identifying and treating victims of human trafficking. Estimates show that approximately 80 percent of human trafficking victims are women, and health care providers are often the first professionals to have contact with trafficked women and girls. One study found that close to 50 percent of trafficked individuals saw a health care professional during their exploitation. Clinicians need to be aware of red flags that their patient could be a victim of human trafficking, best practices for screening and assessing patients for trafficking, and their response as a health care professional, and resources for assisting the victims.
Providers should know how to screen patients for human trafficking; and what to do if there are indicators of a potential victim of human trafficking.
Objectives
At the conclusion of this offering, the participant will be able to:
- Identify red flags of human trafficking and opportunities for victim identification that can be missed by the healthcare provider.
- Highlight communication strategies for identifying potential human trafficking victims from the perspective of a victim.
- Discuss the significance and impact of compassion to the patient in the delivery of health care.
Moderator
Naomi Warnick, M.D., J.D. Pediatric Emergency Medicine Fellow UofL School of Medicine Department of Pediatrics Louisville, Kentucky
Pediatric Hospitalist Norton Children’s Hospital Louisville Kentucky
Guest
Kathleen: Human Traffic Survivor
Commercial Support
There was no commercial support for this activity.
Physician Credits
Accreditation
Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.
Designation
Norton Healthcare designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
For more information about continuing medical education credits, please send an email to cme@nortonhealthcare.org.
Nursing Credits
Norton Healthcare Institute for Education and Development is approved with distinction as a provider of nursing continuing professional development by the South Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. This continuing professional development activity has been approved for 1.0 contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance.
For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org.
Social Workers
The National Association of Social Workers, Kentucky Chapter (NASW-KY), is an approved provider for social work credits through the Kentucky Board of Social Work. This activity will provide 1.0 hours of required continuing education units. NASWKY#090123
For more information about social worker credits, contact the Norton Healthcare Center for Medical, Provider & Nursing Education at (502) 446-5955 or cme@nortonhealthcare.org.
Other attendees
Confirmed attendance hours will be recorded for all other attendees. Hours of confirmed attendance will be equivalent to the number of hours of one’s attested attendance.
For additional information related to confirmed attendance, contact the Norton Healthcare Center for Medical, Provider & Nursing Education at (502) 466-5955 or cme@nortonhealthcare.org.
Resources
National Human Trafficking Hotline 1-888-373-7888 or text 233733
Polaris Project – https://polarisproject.org
HEAL Trafficking – Healtrafficking.org
Mental Health Lifeline - 988
Human Trafficking: Empowering Healthcare Providers and Community Partners as Advocates for Victims https://pubmed.ncbi.nlm.nih.gov/34569887/
Human Trafficking in the Emergency Department: Improving Our Response to a Vulnerable Population https://pubmed.ncbi.nlm.nih.gov/32421500/
Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. Five Louisville hospitals provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women’s and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com.
Date of Original Release |Jan. 2024; Information is current as of the time of recording.
Course Termination Date | Jan 2026
Contact Information | Center for Continuing Medical, Provider and Nursing Education; (502) 446-5955 or cme@nortonhealthcare.org
Also listen to Norton Healthcare’s podcast Stronger After Stroke. This podcast, produced by the Norton Neuroscience Institute Resource Center, discusses difficult topics, answers frequently asked questions and provides survivor stories that provide hope. Hear from stroke survivors and medical specialists about being stronger after stroke. Listen on the Norton Healthcare Channel on Apple Podcasts or on your favorite podcast platform.
Podcast editing and production: www.unmuteaudio.com
Podcast: Updates in Hyperthyroidism Evaluation and Credit: https://www.surveymonkey.com/r/MedChat60 Target Audience This activity is targeted toward primary care providers and advanced providers. Statement of Need This podcast will discuss the diagnosis and management of hyperthyroidism in pediatric and adult patients. In that the clinical presentation of hyperthyroidism symptoms varies among adult and pediatric patients, it is important for providers to be aware of the latest diagnostic guidelines and latest updates in the treatment of hyperthyroidism. Objectives At the conclusion of this offering, the participant will be able to: 1. Define hyperthyroidism and causes of hyperthyroidism. 2. Discuss symptoms and the latest diagnostic guidelines for hyperthyroidism in the adult and pediatric patient. 3. Review the clinical components of a thyroid storm. 4. Describe the management options for hyperthyroidism.
Moderator Mona Lisa Tailor, M.D. Internal Medicine Norton Community Medical Associates - Barrett Louisville, Kentucky Speaker Lisal J. Folsom, M.D., M.S. Adult and Pediatric Endocrinologist Norton Community Healthcare Associates - Endocrinology Norton Children’s Endocrinology Louisville, Kentucky Moderator, Speaker and Planner Disclosures The planners, moderator and speaker of this activity do not have any relevant financial relationships to disclose. Commercial Support There was no commercial support for this activity. Physician Credits Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. Designation Norton Healthcare designates this enduring material for a maximum of .5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Nursing Credits Norton Healthcare Institute for Education and Development is approved with distinction as a provider of nursing continuing professional development by the South Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. This continuing professional development activity has been approved for .5 contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance. For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org. Resources Burch-Wartofsky Point Scale (BWPS) https://www.mdcalc.com/calc/3816/burch-wartofsky-point-scale-bwps-thyrotoxicosis Clinical Review and Update on the Management of Thyroid Storm https://pubmed.ncbi.nlm.nih.gov/36118802/ Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. Five Louisville hospitals provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women’s and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com. Date of Original Release |Dec 2023; Information is current as of the time of recording. Course Termination Date | Dec 2026 Contact Information | Center for Continuing Medical, Provider and Nursing Education; (502) 446-5955 or cme@nortonhealthcare.org
Bipolar Disease: Diagnosis and Management Evaluation and Credit: https://www.surveymonkey.com/r/MedChat59 Target Audience This activity is targeted toward primary care providers and advanced providers. Statement of Need This podcast will discuss the diagnosis and management of bipolar disorders with a focus for the primary care setting. Patients with these disorders are often seen in the primary care setting, although diagnosis can be challenging in that the prevalence is low.
Objectives At the conclusion of this offering, the participant will be able to:
- Define bipolar disorder, including characteristics and prevalence.
- Describe the distinction between Bipolar Type 1 and Type 2.
- Discuss combordities that exist with Bipolar Disorder.
- Review management strategies for patients diagnosed with Bipolar Disorder. Moderator Jim Frazier, M.D. Pediatrician Chief Medical Officer Norton Healthcare Louisville, Kentucky Speaker John J. Wernert, M.D., MHA, DLFAP Executive Medical Director Norton Behavioral Medicine Norton Healthcare Louisville, Kentucky Moderator, Speaker and Planner Disclosures The planners, moderator and speaker of this activity do not have any relevant financial relationships to disclose. Commercial Support There was no commercial support for this activity. Physician Credits Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. Designation Norton Healthcare designates this enduring material for a maximum of .5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Nursing Credits Norton Healthcare Institute for Education and Development is approved with distinction as a provider of nursing continuing professional development by the South Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. This continuing professional development activity has been approved for .5 contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance. For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org. Resources for Additional Study Screening for Bipolar I Disorder and the Rapid Mood Screener: Results of a Nationwide Health Care Provider Survey https://pubmed.ncbi.nlm.nih.gov/37115145/ Is it depression or is it bipolar depression? https://pubmed.ncbi.nlm.nih.gov/33017361/ Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. Five Louisville hospitals provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women’s and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com. Date of Original Release |Nov 2023; Information is current as of the time of recording. Course Termination Date | Nov 2025 Contact Information | Center for Continuing Medical, Provider and Nursing Education; (502) 446-5955 or cme@nortonhealthcare.org
Podcast: Screen Use and Mental Health Evaluation and Credit: https://www.surveymonkey.com/r/MedChat58 Target Audience This activity is targeted toward primary care and geriatric healthcare providers and advanced providers. Statement of Need This program will review the negative impact of digital technology (screen use) on brain health and cognitive brain development. Recent research indicates that children in the US spend more than 4 - 6 hours a day watching/using screens, and teens up to 9 hours; adults approx. 10.5 hours per day. This podcast will discuss the negative impacts of screen use for adolescents as well as characteristics and management of screen addiction.. Objectives At the conclusion of this offering, the participant will be able to:
- Distinguish between passive and interactive screen use.
- Identify the current diagnostics and clinical presentations for screen addicted patients.
- Discuss the emotional and physiological underpinning of interactive screen use compulsivity.
- Review the overview treatment methodology and clinical interventions for screen addiction.
Moderator Erin Frazier, M.D. Pediatrician Norton Children’s Medical Group – Broadway Norton Healthcare Louisville Kentucky Speakers Michael Eiden, LCSW, LCADC, CSAT Eiden Integrative Counseling Louisville, Kentucky Moderator, Speaker and Planner Disclosures The planners, moderator and speaker of this activity do not have any relevant financial relationships to disclose. Commercial Support There was no commercial support for this activity. Physician Credits Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. Designation Norton Healthcare designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Nursing Credits Norton Healthcare Institute for Education and Development is approved with distinction as a provider of nursing continuing professional development by the South Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. This continuing professional development activity has been approved for 1.0 contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance. For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org. Social Workers The National Association of Social Workers, Kentucky Chapter (NASW-KY), is an approved provider for social work credits through the Kentucky Board of Social Work. This activity will provide 1.0 hours of required continuing education units. NASWKY#090123
For more information about social worker credits, contact the Norton Healthcare Center for Medical, Provider & Nursing Education at (502) 446-5955 or cme@nortonhealthcare.org.
Resources for Providers Healthy Children.org from the American Academy of Pediatrics American Academy of Pediatrics Screen Time Guidelines Resources for Additional Study Screen Time and Children Screen Time and Children (aacap.org) Dunckley V. L. (2015). Reset your child's brain: a four-week plan to end meltdowns raise grades and boost social skills by reversing the effects of electronic screen-time. New World Library. Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. Five Louisville hospitals provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women’s and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com. Date of Original Release |Oct 2023; Information is current as of the time of recording. Course Termination Date | Oct 2025 Contact Information | Center for Continuing Medical, Provider and Nursing Education; (502) 446-5955 or cme@nortonhealthcare.org
Podcast: Alzheimer’s Disease: Part Two – Update in Treatment and Management Evaluation and Credit: https://www.surveymonkey.com/r/MedChat57 Target Audience This activity is targeted toward primary care and geriatric healthcare providers and advanced providers. Statement of Need Implementation of the latest screening tools for the diagnosis of patients with AD. Utilization of the most appropriate treatment options in the management of patients with AD, with an understanding of the application and efficacy of the newly FDA-approved medication options. Objectives At the conclusion of this offering, the participant will be able to: 1. Describe effective management and treatment options for patients with Alzheimer's disease (AD). 2. Review the classes and efficacy of the medications used to manage AD.
Moderator Greg Cooper, M.D., Ph.D Chief of Adult Neurology Medical Director, Memory Center Norton Neuroscience Institute Norton Healthcare Louisville, Kentucky Speaker K. Gregory Pugh, M.D., M.Sc. Geriatric Medicine Norton Neuroscience Institute Memory Center Norton Healthcare Louisville, Kentucky Moderator, Speaker and Planner Disclosures The speaker, planners and moderator of this activity do not have any relevant relationships to disclose. Commercial Support There was no commercial support for this activity. Physician Credits Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. Designation Norton Healthcare designates this enduring material for a maximum of 0.50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Nursing Credits Norton Healthcare Institute for Education and Development is approved with distinction as a provider of nursing continuing professional development by the South Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. This continuing professional development activity has been approved for 0.50 contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance. For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org. Resources for Additional Study: Alzheimer's disease: Treatment Strategies and Their Limitations https://pubmed.ncbi.nlm.nih.gov/36430432/ Diet in the Prevention of Alzheimer’s disease: Current Knowledge and Future Research Requirements https://pubmed.ncbi.nlm.nih.gov/36364826/ Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. Five Louisville hospitals provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women’s and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com. Date of Original Release |September 2023; Information is current as of the time of recording. Course Termination Date | September 2025 Contact Information | Center for Continuing Medical, Provider, and Nursing Education; (502) 446-5955 or cme@nortonhealthcare.org
Podcast: Alzheimer’s Disease: Part One – A Review and Diagnosis Evaluation and Credit: https://www.surveymonkey.com/r/MedChat56 Target Audience This activity is targeted toward primary care and geriatric healthcare providers and advanced providers. Statement of Need Implementation of the latest screening tools for the diagnosis of patients with AD. Utilization of the most appropriate treatment options in the management of patients with AD, with an understanding of the application and efficacy of the newly FDA-approved medication options. Objectives At the conclusion of this offering, the participant will be able to: 1. Discuss the underlying pathophysiology of Alzheimer's disease and the clinical manifestations. 2. Review the symptoms and progression of AD. 3. Outline the diagnostic tools for the identification of patients with AD.
Moderator Greg Cooper, M.D., Ph.D Chief of Adult Neurology Medical Director, Memory Center Norton Neuroscience Institute Norton Healthcare Louisville, Kentucky Speaker K. Gregory Pugh, M.D., M.Sc. Geriatric Medicine Norton Neuroscience Institute Memory Center Norton Healthcare Louisville, Kentucky Moderator, Speaker and Planner Disclosures The speaker, planners and moderator of this activity do not have any relevant relationships to disclose. Commercial Support There was no commercial support for this activity. Physician Credits Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. Designation Norton Healthcare designates this enduring material for a maximum of 0.50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Nursing Credits Norton Healthcare Institute for Education and Development is approved with distinction as a provider of nursing continuing professional development by the South Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. This continuing professional development activity has been approved for 0.50 contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance. For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org. Resources for Additional Study: Alzheimer’s disease https://pubmed.ncbi.nlm.nih.gov/33667416/ Biomarkers used in Alzheimer's disease diagnosis, treatment, and prevention https://pubmed.ncbi.nlm.nih.gov/34933129/ Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. Five Louisville hospitals provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women’s and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com. Date of Original Release |September 2023; Information is current as of the time of recording. Course Termination Date | September 2025 Contact Information | Center for Continuing Medical, Provider and Nursing Education; (502) 446-5955 or cme@nortonhealthcare.org
Podcast: Podcast: Recognition and Management of Trigeminal Neuralgia Evaluation and Credit: https://www.surveymonkey.com/r/MedChat55 Target Audience This activity is targeted toward primary care and geriatric healthcare providers and advanced providers. Statement of Need This podcast will provide an overview of the symptoms and diagnosis of trigeminal neuralgia (TN). Additionally, the medical and surgical treatment options will be discussed, including their indications and effectiveness. Providers may not be aware of the latest diagnostic and treatment guidelines. This podcast will provide the latest information related to TN for providers. Objectives At the conclusion of this offering, the participant will be able to: 1. Discuss and define trigeminal neuralgia and classifications 2. Describe the clinical manifestations and diagnosis for trigeminal neuralgia. 3. Review effective medical and surgical treatment options for trigeminal neuralgia; indications and effectiveness. Moderator Gregory E. Cooper, M.D., Ph.D. Chief of Adult Neurology Medical Director, Memory Center Norton Neuroscience Institute Norton Healthcare Louisville, Kentucky Speakers Abigail Rao, M.D. Neurosurgeon Norton Neuroscience Institute Norton Healthcare Louisville, Kentucky Brian Plato, D.O., FAHS Neurologist Medical Director Headache Medicine, Neurology Norton Neuroscience Institute Norton Healthcare Louisville, Kentucky Moderator, Speaker and Planner Disclosures The planners and moderators of this activity do not have any relevant financial relationships to disclose. Brian Plato, D.O., did have relationships with Pfizer and Biohaven as a speaker which have ended. Abigal Rao, M.D. did have a relationship with Medtronic as a consultant and speaker which has ended. Commercial Support There was no commercial support for this activity. Physician Credits Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. Designation Norton Healthcare designates this enduring material for a maximum of 0.50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Nursing Credits Norton Healthcare Institute for Education and Development is approved with distinction as a provider of nursing continuing professional development by the South Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. This continuing professional development activity has been approved for 0.50 contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance. For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org. Resources for Additional Study: The changing face of trigeminal neuralgia-A narrative review https://pubmed.ncbi.nlm.nih.gov/34214179/ Trigeminal Neuralgia https://pubmed.ncbi.nlm.nih.gov/36404084/ Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. Five Louisville hospitals provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women’s and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com. Date of Original Release |Aug 2023; Information is current as of the time of recording. Course Termination Date | Aug 2025 Contact Information | Center for Continuing Medical, Provider and Nursing Education; (502) 446-5955 or cme@nortonhealthcare.org
A Review of Total Hip Arthroplasty Evaluation and Credit: https://www.surveymonkey.com/r/MedChat54 Target Audience This activity is targeted toward primary care and geriatric healthcare providers and advanced providers. Statement of Need This program will discuss the indications for total hip arthroplasty and identify when patients may benefit from total hip arthroplasty and identify red flags during routine exams of patients that have had total hip arthroplasty. Objectives At the conclusion of this offering, the participant will be able to: 1. Review the indications for total hip arthroplasty. 2. Differentiate between the direct anterior approach and posterior approach for total hip arthroplasty. 3. Identify red flags during routine medical care of patients that have undergone total hip arthroplasty.
Moderator James Jennings, M.D., MBA Executive Medical Director of Quality, Provider Development and Innovation Norton Medical Group Louisville, Kentucky Speaker Jeffrey Stimac, M.D. Orthopedic Surgeon Norton Orthopedic Institute Louisville, Kentucky Moderator, Speaker and Planner Disclosures The speaker, planners and moderator of this activity do not have any relevant relationships to disclose. Commercial Support There was no commercial support for this activity. Physician Credits Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. Designation Norton Healthcare designates this enduring material for a maximum of 0.50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Nursing Credits Norton Healthcare Institute for Education and Development is approved with distinction as a provider of nursing continuing professional development by the South Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. This continuing professional development activity has been approved for 0.50 contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance. For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org. Resources for Additional Study: Arthroscopic Diagnosis and Treatment of Chronic Hip Pain After Total Hip Arthroplasty and the Role of Anterior Capsule Disruption in Iliopsoas Tendinopathy https://pubmed.ncbi.nlm.nih.gov/31276006/ Consensus statement for perioperative care in total hip replacement and total knee replacement surgery: Enhanced Recovery After Surgery (ERAS®) Society recommendations https://pubmed.ncbi.nlm.nih.gov/31663402/ Physical Examination of the Hip https://pubmed.ncbi.nlm.nih.gov/33217250/ Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. Five Louisville hospitals provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women’s and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com. Date of Original Release |July 2023; Information is current as of the time of recording. Course Termination Date | July 2025 Contact Information | Center for Continuing Medical, Provider and Nursing Education; (502) 446-5955 or cme@nortonhealthcare.org
Management of Perimenopause and Menopause Evaluation and Credit: https://www.surveymonkey.com/r/MedChat53 Target Audience This activity is targeted toward primary care and geriatric healthcare providers and advanced providers. Statement of Need This program will provide the latest clinical guidelines and treatment options for the management of menopause. One research study indicated that 50% of patients delayed seeking treatment for 6-months despite having bothersome symptoms. Providers should be up-to-date on the latest recommendations for the management of patients experiencing perimenopause and menopause. Objectives At the conclusion of this offering, the participant will be able to: 1. Define perimenopause and menopause. 2. List the symptoms associated with perimenopause and menopause. 3. Discuss strategies and considerations for the effective management of menopausal symptoms.
Moderator Monalisa Tailor, M.D. Internal Medicine Norton Community Medical Associates Norton Healthcare Louisville, Kentucky Speaker Kris Barnsfather, M.D. Obstetrician Gynecologist Women’s Care Physicians of Louisville Louisville, Kentucky Moderator, Speaker and Planner Disclosures The speaker, planners and moderator of this activity do not have any relevant relationships to disclose. Commercial Support There was no commercial support for this activity. Physician Credits Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. Designation Norton Healthcare designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Nursing Credits Norton Healthcare Institute for Education and Development is approved with distinction as a provider of nursing continuing professional development by the South Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. This continuing professional development activity has been approved for 0.75 contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance. For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org. Resources for Additional Study: Postmenopausal Estrogen Therapy Route of Administration and Risk of Venous Thromboembolism https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2013/04/postmenopausal-estrogen-therapy-route-of-administration-and-risk-of-venous-thromboembolism Should we be prescribing testosterone to perimenopausal and menopausal women? A guide to prescribing testosterone for women in primary care https://pubmed.ncbi.nlm.nih.gov/32217602/ Treatment and resource utilization for menopausal symptoms in the United States: a retrospective review of real-world evidence from US electronic health records https://pubmed.ncbi.nlm.nih.gov/36576444/ Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. Five Louisville hospitals provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women’s and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com. Date of Original Release |June 2023; Information is current as of the time of recording. Course Termination Date | June 2025 Contact Information | Center for Continuing Medical, Provider and Nursing Education; (502) 446-5955 or cme@nortonhealthcare.org
Management of Atrial Fibrillation in Primary Care Evaluation and Credit: https://www.surveymonkey.com/r/MedChat52 Target Audience This activity is targeted toward primary care and geriatric healthcare providers and advanced providers. Statement of Need A common chronic condition seen in the primary care setting is atrial fibrillation. The management of this disease can be complicated with many facets. Providers should be aware of the risk factors of untreated a-fib; as well as how to recognize, screen and manage the condition. Additionally, providers should incorporate the latest screening and treatment options for optimal care of their patients, minimizing their risks of complications from A-Fib, including stroke. Objectives At the conclusion of this offering, the participant will be able to: 1. Discuss the prevalence of atrial fibrillation. 2. List the risk factors of atrial fibrillation and monosymptomatic atrial fibrillation. 3. Describe management strategies of atrial fibrillation. 4. Identify when specialty care is needed for the management of atrial fibrillation.
Moderator James Jennings, M.D., MBA Executive Medical Director of Quality, Provider Development and Innovation Norton Medical Group Norton Healthcare Louisville, Kentucky Speakers Kent Morris, M.D. Clinical Cardiac Electrophysiology Associate Director of Cardiology Norton Heart and Vascular Institute Norton Healthcare Louisville, Kentucky Tara Mudd, APRN Norton Heart Specialists Norton Healthcare Louisville, Kentucky Moderator, Speaker and Planner Disclosures
The planners and moderator of this activity do not have any relevant relationships to disclose. The speaker Kent Morris, M.D., has relevant relationships with AtriCure, Medtronic and Biosense Webster as a consultant. Additionally, with Atricure on the Speaker’s Bureau. The speaker Tara Mudd, APRN has a relevant relationship with AtriCure as a Consultant. These relationships have been successfully mitigated.
Commercial Support There was no commercial support for this activity. Physician Credits Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. Designation Norton Healthcare designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Nursing Credits Norton Healthcare Institute for Education and Development is approved with distinction as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation (ANCC). This continuing professional development activity has been approved for 0.5 contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance. For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org. Resources for Additional Study: Screening and management of atrial fibrillation in primary care https://pubmed.ncbi.nlm.nih.gov/33846159/ Atrial Fibrillation: Pathogenesis, Predisposing Factors, and Genetics https://pubmed.ncbi.nlm.nih.gov/35008432/ Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. Five Louisville hospitals provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women’s and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com. Date of Original Release |May 2023; Information is current as of the time of recording. Course Termination Date | May 2025 Contact Information | Center for Continuing Medical, Provider and Nursing Education; (502) 446-5955 or cme@nortonhealthcare.org
Addressing Firearm Injuries in Children and Teens Evaluation and Credit: https://www.surveymonkey.com/r/MedChat51 Target Audience This activity is targeted toward primary care and pediatric healthcare providers and advanced providers. Statement of Need Firearm injuries are now the leading cause of death in persons 0-24 years old, surpassing auto accidents. Yet, providers may not consistently ask parents/guardians about firearm ownership as a part of the wellness/preventative exam. Or, they may not be comfortable addressing firearm ownership and safety. Research and statistics have concluded that children who live in a home with a firearm are at increased risk of death by suicide or unintentional injury compared with children who live in a home without firearms. This podcast will discuss the guidelines for safe gun ownership as well as effective communication strategies in addressing gun ownership with parents/guardians as well as adolescents. The American Academy of Pediatrics has issued guidelines for safe gun ownership that will be reviewed as well as guidelines for providers. Objectives At the conclusion of this offering, the participant will be able to: 1. Discuss the epidemiology of firearm injuries in children. 2. Discuss the current trends in intentional and unintentional firearm injuries in children. 3. Describe effective strategies to discuss firearm safety with families. 4. Review the evidence-based practices to reduce the risks of gun-related injuries to children and teens; including screening recommendations and firearm storage/safety.
Moderator Erin Frazier, M.D. Pediatrician Norton Children’s Medical Group – Broadway Norton Healthcare Louisville Kentucky Speakers Brit Anderson, M.D. Pediatric Emergency Medicine Physician Norton Children’s Hospital Louisville, Kentucky Vice-Chair for Advocacy Department of Pediatrics for UofL School of Medicine Louisville, Kentucky David Foley, M.D. Pediatric General Surgeon Norton Children’s Surgery affiliated with UofL School of Medicine, Louisville, Kentucky Trauma Medical Director Norton Children’s Hospital Louisville, Kentucky Moderator, Speaker and Planner Disclosures The planners, moderator and speakers of this activity do not have any relevant relationships to disclose. Commercial Support There was no commercial support for this activity. Physician Credits Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. Designation Norton Healthcare designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Nursing Credits Norton Healthcare Institute for Education and Development is approved with distinction as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation (ANCC). This continuing professional development activity has been approved for 0.75 contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance. For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org. Resources for Additional Study: Firearm-Related Injuries Affecting the Pediatric Population https://publications.aap.org/pediatrics/article/130/5/e1416/32375/Firearm-Related-Injuries-Affecting-the-Pediatric?_ga=2.54893036.695098718.1679324551-629979946.1679324551 Firearm-Related Injuries and Deaths in Children and Youth: Injury Prevention and Harm Reduction https://publications.aap.org/pediatrics/article/150/6/e2022060070/189686/Firearm-Related-Injuries-and-Deaths-in-Children?_ga=2.213842644.1750980841.1679407638-71115156.1668696572?autologincheck=redirected Safe Storage for Firearms https://www.aap.org/en/patient-care/gun-safety-and-injury-prevention/safe-storage-of-firearms/ Gun Safety Campaign Tool Kit Gun Safety Campaign Toolkit (aap.org) Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. Five Louisville hospitals provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women’s and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com. Date of Original Release |April 2023; Information is current as of the time of recording. Course Termination Date | April 2025 Contact Information | Center for Continuing Medical, Provider and Nursing Education; (502) 446-5955 or cme@nortonhealthcare.org
Strategies to DePrescribe in the Geriatric Population Evaluation and Credit: https://www.surveymonkey.com/r/MedChat50 Target Audience This activity is targeted toward primary care and geriatric healthcare providers and advanced providers. Statement of Need When patients are being treated by multiple providers and/or by a variety of physicians, The caregivers may not be aware of the complete prescription listing a patient has been prescribed. This is especially true if the patient sees providers in multiple healthcare systems, in that a centralized list may not be available in the electronic medical record. These circumstances may lead to potentially inappropriate prescribing (over-, mis- or underprescribing). Additionally, physicians/providers may not routinely do a medication review with patients that are at risk of polypharmacy. Objectives At the conclusion of this offering, the participant will be able to: 1. Define polypharmacy; highlighting the prevalence. 2. List the factors that contribute to polypharmacy. 3. Describe the risk factors of polypharmacy. 4. Review effective strategies for deprescribing of medications. 5. Discuss key considerations for prescribing new medications. Moderator Monalisa Tailor, M.D. Internal Medicine Norton Community Medical Associates Norton Healthcare Louisville, Kentucky Speakers Steve Patton, D.O. Family Practitioner Norton Community Medical Associates - Preston Norton Healthcare Louisville, Kentucky Amanda Thurman, PharmD Norton Audubon Hospital Norton Healthcare Louisville, Kentucky Moderator, Speaker and Planner Disclosures The planners and moderator of this activity do not have any relevant relationships to disclose. The speaker, Amanda Thurman, PharmD, has a relevant relationship with Novo Nordisk – Diabetes as a Speaker. This relationship has been successfully mitigated. Commercial Support There was no commercial support for this activity. Physician Credits Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. Designation Norton Healthcare designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Nursing Credits Norton Healthcare Institute for Education and Development is approved with distinction as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation (ANCC). This continuing professional development activity has been approved for 1.0 contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance. For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org. Resources for Additional Study: STOPP/START criteria for potentially inappropriate medications/potential prescribing omissions in older people: origin and progress Denis O’Mahony (2020) STOPP/START criteria for potentially inappropriate medications/potential prescribing omissions in older people: origin and progress, Expert Review of Clinical Pharmacology, 13:1, 15-22, DOI: 10.1080/17512433.2020.1697676 https://www.tandfonline.com/doi/full/10.1080/17512433.2020.1697676 American Geriatrics Society 2019 Updated AGS Beers Criteria® for Potentially Inappropriate Medication Use in Older Adults https://pubmed.ncbi.nlm.nih.gov/30693946/ Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. Five Louisville hospitals provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women’s and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com. Date of Original Release |March 2023; Information is current as of the time of recording. Course Termination Date | March 2025 Contact Information | Center for Continuing Medical, Provider and Nursing Education; (502) 446-5955 or cme@nortonhealthcare.org
Podcast: Women's Health: Surgical Options for Weight Management Evaluation and Credit: https://www.surveymonkey.com/r/MedChat22 Target Audience This activity is targeted toward primary care specialties. Statement of Need A recent study released indicated that approximately 35% of the population is Kentucky is obese; putting Kentucky in the top 10 list for obesity in the US. The negative effects of obesity on a patient's health increases decreases their quality of life, increases co-morbidities and risk of early death; therefore it is important for providers to be knowledgeable about viable surgical treatment options so that these can be discussed with patients. This program will provide those that listen an overview of the different bariatric surgical procedure. This will include the indications, contraindications as well as patient outcomes. This information will give providers information necessary to advice patients on viable surgical options for weight management. Objectives At the conclusion of this offering, the participant will be able to: 1. Discuss the patient selection process / criteria for bariatric surgery. 2. Describe different surgical options for weight management; including criteria, indications, contraindications and outcomes. 3. Review appropriate pre- and post-operative management following bariatric surgery. Moderator Ryan G. Nazar, M.D., EMHA Clinical Effectiveness Director, Quality Management Norton Medical Group Speaker Jeffrey Allen, M.D. Bariatric Surgery Director of Bariatric Surgery for Norton Weight Management Services. Moderator, Speaker and Planner Disclosures The speaker, moderator and planners for this activity have no potential or actual conflicts of interest to disclose. Commercial Support There was no commercial support for this activity. Physician Credits American Medical Association Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. Designation Norton Healthcare designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Date of Original Release |January 2021 Course Termination Date | December 31, 2023 Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org Resources for Additional Study Jalal, Asif, Systematic Review and Meta-Analysis of Endoscopic Sleeve Gastroplasty with Comparison to Laparoscopic Sleeve Gastroectomy; Obesity Surgery (2020) 30:2754-2762. https://pubmed.ncbi.nlm.nih.gov/32304011/ Novikov, Aleksey, et. al.; Endoscopic Sleeve Gastroplasty, Laparoscopic Sleeve Gastrectomy, ad Laparoscopic Band for Weight Loss: How Do They Compare? J. Gastroninest. Surg. (201) 22:267-273. https://pubmed.ncbi.nlm.nih.gov/29110192/ Schroeder, Robin, M.D., et. al.; Treatment of Adult Obesity with Bariatric Surgery, American Academy of Family Physicians, 2016. Sharaiha, Reem Z., et. al.; Five-Year Outcomes of Endoscopic Sleeve Gastroplasty for the Treatment of Obesity; Clinical Gastroenteroloy and Hepatology, Nov. 2020. Sherf-Dagan, Shiri, et. al.; Nutritional Assessment and Preparation for Adult Bariatric Surgery Candidates: Clinical Practice; Advances in Nutrition, 10 October 2020. https://academic.oup.com/advances/advance-article/doi/10.1093/advances/nmaa121/5920778
Recognizing and ManagingPediatric Suicidality Evaluation and Credit: https://www.surveymonkey.com/r/MedChat49 Target Audience This activity is targeted toward primary care and pediatric healthcare providers and advanced providers. Statement of Need Suicide is a major public health concern and the second leading cause of death for adolescents. Research suggests that many patients that commit suicide had seen a health care provider within two months preceding the event; yet, research also indicates that pediatricians may not feel adequately trained to manage behavioral health complaints, including suicidality. These factors reinforce the need for practitioners to screen patients for imminent suicidal risk. However, even if a screening assessment is utilized routinely, providers may not be fully comfortable managing a patient presenting an identified risk. (Adolescent suicide: what can pediatricians do? Current Opinion; 2020) Objectives 1. At the conclusion of this offering, the participant will be able to: 2. Describe the risk factors for suicidal idealization in the pediatric population.Discuss effective screening tools and implementation recommendations for suicidality. 3. List components of the patient safety plan for the at-risk patient. Moderator Erin Frazier, M.D. Pediatrician Norton Children’s Medical Group Norton Healthcare Louisville, Kentucky Speakers Katy Hopkins, M.D. Pediatric Psychologist Norton Children’s Behavioral Health – Hikes Point Norton Healthcare Louisville, Kentucky Moderator, Speaker and Planner Disclosures The planners, speaker and moderator of this activity do not have any relevant relationships to disclose. Commercial Support There was no commercial support for this activity. The National Suicide and crisis Hotline number is 988, and is available 24 hours a day, 7 days a week. Physician Credits Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. Designation Norton Healthcare designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Nursing Credits Norton Healthcare Institute for Education and Development is approved with distinction as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation (ANCC). This continuing professional development activity has been approved for 1.0 contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance. For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org. Resources for Additional Study: National Institute for Mental Health – Ask Suicide-Screening Questions (ASQ) Toolkit https://www.nimh.nih.gov/research/research-conducted-at-nimh/asq-toolkit-materials American Psychological Association – Patient Health Questionnaire – 9 (PHQ-9) https://www.apa.org/depression-guideline/patient-health-questionnaire.pdf Assessment and Management of Depression and Suicidality: Pediatric Resident Perspectives on Training and Practice https://pubmed.ncbi.nlm.nih.gov/32525351/ Pediatric Suicide Screening: A Review of the Evidence https://pubmed.ncbi.nlm.nih.gov/33387798/ Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. Five Louisville hospitals provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women’s and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com. Date of Original Release |February 2023; Information is current as of the time of recording. Course Termination Date | February 2025 Contact Information | Center for Continuing Medical, Provider and Nursing Education; (502) 446-5955 or cme@nortonhealthcare.org
Podcast: Updates in Chronic Pain Management Evaluation and Credit: https://www.surveymonkey.com/r/MedChat48 Target Audience This activity is targeted toward all physician specialties and advanced providers. Statement of Need Chronic pain is one of the most common reasons that patients see their physician. A report by the Institute of Medicine indicated that one in three Americans suffer from chronic pain. Therefore, it is important for providers to understand key factors in treating patients with pain that would affect diagnosis and treatment plans. Additionally, providers should be aware of effective nonpharmacological and pharmacology treatment options as well as the latest guidelines in the use of opioids for chronic pain management. Objectives At the conclusion of this offering, the participant will be able to: 1. Differentiate between acute and chronic pain. 2. Describe the types and major drivers of chronic pain. 3. Discuss effective treatment options in the management of patients with chronic pain; including identification of red flags. 4. Highlight the latest CDC recommendations in the use of opioids for chronic pain management. Moderator James Jennings, M.D., MBA Executive Medical Director of Quality, Provider Development and Innovation Norton Medical Group Speakers Don Teater, M.D., MPH Pain and Addiction Specialist Southeast Alaska Regional Health Consortium Owner of Teater Health Solutions. Moderator, Speaker and Planner Disclosures The planners, speaker and moderator of this activity do not have any relevant relationships to disclose. Commercial Support There was no commercial support for this activity. Physician Credits Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. Designation Norton Healthcare designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. House Bill 1 credits The podcast Updates in Chronic Pain Management has been approved for .75 HB1 credit hours by the Kentucky Board of Medical Licensure. ID# 1122-H.75-NHc5h Nursing Credits Norton Healthcare Institute for Education and Development is approved with distinction as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation (ANCC). This continuing professional development activity has been approved for 0.75 contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance. Norton Healthcare is also a Kentucky Board of Nursing (KBN) Approved Provider: Activity Number 4-0002-12-24- 012. The activity has also been approved by Norton Healthcare for 0.75 contact hours which expires 12/31/2024. KBN approval of a continuing education provider does not constitute endorsement of program content. This activity meets 0.75 contact hours of approved dual subjects of pharmacology and pain management CE required by the Kentucky Board of Nursing (KBN) for annual license renewal for APRNs with a Collaborative Agreement for Advanced Practice Registered Nurse’s Prescriptive Authority for Controlled Substances (CAPA-CS) – 201 KAR 20:215(5)(1)(c). For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org. Resources for Additional Study: Goldstick JE, Guy GP, Losby JL, Baldwin G, Myers M, Bohnert ASB. Changes in Initial Opioid Prescribing Practices After the 2016 Release of the CDC Guideline for Prescribing Opioids for Chronic Pain. JAMA Netw Open. 2021;4(7): Rajput, K., Vadivelu, N. Acute Pain Management of Chronic Pain Patients in Ambulatory Surgery Centers. Curr Pain Headache Rep 25, 1 (2021) Vargas-Schaffer G, Steverman A, Potvin V (December 12, 2021) Monitoring Pharmacological Treatment in Patients With Chronic Noncancer Pain. Cureus 13(12): e20358. DOI 10.7759/cureus.20358 Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. Five Louisville hospitals provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women’s and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com. Date of Original Release |January 2023; Information is current as of the time of recording. Course Termination Date | January 2025 Contact Information | Center for Continuing Medical, Provider and Nursing Education; (502) 446-5955 or cme@nortonhealthcare.org
Endocrine Pearls Evaluation and Credit: https://www.surveymonkey.com/r/MedChat47 Target Audience This activity is targeted toward all physician specialties. Statement of Need Primary care providers may not be aware of the latest diagnosis guidelines in the assessment of patients with either primary or secondary endocrine disorders; additionally many symptoms common to endocrine disorders are experienced by patients without endocrine disorders. Objectives At the conclusion of this offering, the participant will be able to: 1. Summarize the prevalence of endocrine conditions, including the most common conditions. 2. Discuss the latest screening and diagnostic guidelines for frequently treated endocrine conditions seen in the primary care setting. 3. Distinguish between primary and secondary endocrine disorders. 4. Describe updated treatment options for common endocrine conditions seen in the primary care setting.
Moderator Monalisa Tailor, M.D. Internal Medicine Norton Community Medical Associates Speaker Lisa Folsom, M.D. Pediatric Endocrinologist Norton Community Medical Associates Moderator, Speaker and Planner Disclosures The planners, speaker and moderator of this activity do not have any relevant relationships to disclose. Commercial Support There was no commercial support for this activity. Physician Credits Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. Designation Norton Healthcare designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Nursing Credits Norton Healthcare Institute for Education and Development is approved with distinction as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation (ANCC). This continuing professional development activity has been approved for .75 contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance. For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org. Resources for Additional Study: Association Between Area-Level Socioeconomic Deprivation and Diabetes Care Quality in US Primary Care Practices https://pubmed.ncbi.nlm.nih.gov/34964856/ Endocrine Causes of Hypertension https://pubmed.ncbi.nlm.nih.gov/33079272/ Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. Five Louisville hospitals provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women’s and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com. Date of Original Release |December 2022; Information is current as of the time of recording. Course Termination Date | December 2024 Contact Information | Center for Continuing Medical, Provider and Nursing Education; (502) 446-5955 or cme@nortonhealthcare.org
Podcast: The Essentials of Clinical Trials Evaluation and Credit: https://www.surveymonkey.com/r/MedChat46 Target Audience This activity is targeted toward all physician specialties. Statement of Need Clinical research is an integral component to the development of new treatments, drugs or medical drugs. Successful patient recruitment has been determined as a contributing factor to the success of clinical research studies. It has been identified that an obstacle in successful studies is the recruitment of sufficient number of patients to participate in research studies. One gap identified in this is the role that providers play in that they may be unaware of how patients can benefit from research studies or how to find applicable studies for their patients. Objectives At the conclusion of this offering, the participant will be able to: 1. Discuss the basics of clinical research including the types of research and phases of trials addressing both adult and pediatric research. 2. Describe the importance of patient selection and characteristics in clinical research. 3. List the limitations of clinical research.
Moderator Kyle Brothers, M.D. Chief Scientific Officer Norton Children's Research Institute affiliated with the University of Louisville, School of Medicine Louisville, Kentucky Speakers Jennifer Comings, R.N., MSN, CCRC Director of Clinical Research Norton Healthcare Louisville, KY Marti Gardner, APRN, MSN, CCRC System Director of Clinical Research Operations Norton Healthcare Louisville, Kentucky Moderator, Speaker and Planner Disclosures The planners, speaker and moderator of this activity do not have any relevant relationships to disclose. Commercial Support There was no commercial support for this activity. Physician Credits Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. Designation Norton Healthcare designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Nursing Credits Norton Healthcare Institute for Education and Development is approved with distinction as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation (ANCC). This continuing professional development activity has been approved for .75 contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance. For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org. Resources for Additional Study: National Institute for Health https://www.nih.gov/health-information/nih-clinical-research-trials-you/finding-clinical-trial Clinical Trials 2021 https://pubmed.ncbi.nlm.nih.gov/33795058/ Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. Five Louisville hospitals provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women’s and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com. Date of Original Release |November 2022; Information is current as of the time of recording. Course Termination Date | November 2024 Contact Information | Center for Continuing Medical, Provider and Nursing Education; (502) 446-5955 or cme@nortonhealthcare.org
Podcast: Cognition and the Aging Brain Evaluation and Credit: https://www.surveymonkey.com/r/MedChat44 Target Audience This activity is targeted toward all physician specialties. Statement of Need Normal aging is associated with pathology and cognitive impairment that can be similar to those found in patients with Alzheimer's disease (AD). Providers should be aware of the latest diagnostic tools to distinguish between normal cognitive impairment with aging and early stages of AD. Objectives At the conclusion of this offering, the participant will be able to: 1. Differentiate the clinical manifestations of cognitive impairment of normal aging versus Alzheimer Disease. 2. Identify the screening and diagnostic tools for patients with cognitive impairment. 3. Discuss appropriate management of normal cognitive impairment as a result of aging.
Moderator Elizabeth Archer-Nanda, DNP, APRN Advanced Practice Clinical Director Manager, Behavioral Oncology Program Norton Cancer Institute Louisville, Kentucky Speaker Gregory E. Cooper, M.D., Ph.D. Neurologist Norton Neuroscience Institute Chief of Neurology and Medical Director Norton Neuroscience Institute Memory Center Louisville, Kentucky Moderator, Speaker and Planner Disclosures The planners, speaker and moderator of this activity do not have any relevant relationships to disclose. Commercial Support There was no commercial support for this activity. Physician Credits Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. Designation Norton Healthcare designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Nursing Credits Norton Healthcare Institute for Education and Development is approved with distinction as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation (ANCC). This continuing professional development activity has been approved for .75 contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance. For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org. Resources for Additional Study: Mild cognitive impairment can be distinguished from Alzheimer disease and normal aging for clinical trials https://pubmed.ncbi.nlm.nih.gov/14732621/ Distinguishing normal brain aging from the development of Alzheimer’s disease: inflammation, insulin signaling and cognition https://pubmed.ncbi.nlm.nih.gov/30136683/ Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. Five Louisville hospitals provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women’s and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com. Date of Original Release |October 2022; Information is current as of the time of recording. Course Termination Date | October 2025 Contact Information | Center for Continuing Medical, Provider and Nursing Education; (502) 446-5955 or cme@nortonhealthcare.org
Podcast: Teens and Headaches Evaluation and Credit: https://www.surveymonkey.com/r/MedChat43 Target Audience This activity is targeted toward all physician specialties. Statement of Need When pediatric patients present with headaches, a comprehensive evaluation should be conducted to determine if it is a primary or secondary headache. Providers should consistently utilize the latest diagnostic and management guidelines to effectively diagnose and manage their pediatric patients with headaches. Objectives At the conclusion of this offering, the participant will be able to: 1. Discuss the prevalence of headaches in the pediatric population. 2. Discuss the symptoms and clinical characteristics of headaches including the distinction of symptoms between adults and teens. 3. Describe the diagnostic process for headaches in teens including red flags. 4. Identify effective management strategies for primary headaches including migraines in the teen patient.
Moderator Joe Flynn, D.O. Chief Administrative Officer Norton Medical Group Physician-in-Chief Norton Cancer Institute Speaker Brian Plato, D.O., FAHS Medical Director Headache Medicine, Neurology Norton Neuroscience Institute Norton Healthcare Moderator, Speaker and Planner Disclosures The planners and moderator of this activity do not have any relevant relationships to disclose. The speaker, Brian Plato, D.O., FAHS has relevant relationships with: Allergan and Amgen - Advisory Board and Speaker Bureau; Biohaven – Speaker Bureau; and Teva - Advisory Board. These relationships have been successfully mitigated. Commercial Support There was no commercial support for this activity. Physician Credits Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. Designation Norton Healthcare designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Nursing Credits Norton Healthcare Institute for Education and Development is approved with distinction as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation (ANCC). This continuing professional development activity has been approved for .5 contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance. For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org. Resources for Additional Study: Headache Diagnosis in Children and Adolescents https://pubmed.ncbi.nlm.nih.gov/29476266/ Practice guideline update summary: Acute treatment of migraine in children and adolescents: Report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American https://pubmed.ncbi.nlm.nih.gov/31413171/ American Headache Society https://americanheadachesociety.org/ Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. Five Louisville hospitals provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women’s and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com. Date of Original Release |September 2022; Information is current as of the time of recording. Course Termination Date | September 2024 Contact Information | Center for Continuing Medical, Provider and Nursing Education; (502) 446-5955 or cme@nortonhealthcare.org
Podcast: Teens and Headaches Evaluation and Credit: https://www.surveymonkey.com/r/MedChat43 Target Audience This activity is targeted toward all physician specialties. Statement of Need When pediatric patients present with headaches, a comprehensive evaluation should be conducted to determine if it is a primary or secondary headache. Providers should consistently utilize the latest diagnostic and management guidelines to effectively diagnose and manage their pediatric patients with headaches. Objectives At the conclusion of this offering, the participant will be able to: 1. Discuss the prevalence of headaches in the pediatric population. 2. Discuss the symptoms and clinical characteristics of headaches including the distinction of symptoms between adults and teens. 3. Describe the diagnostic process for headaches in teens including red flags. 4. Identify effective management strategies for primary headaches including migraines in the teen patient.
Moderator Joe Flynn, D.O. Chief Administrative Officer Norton Medical Group Physician-in-Chief Norton Cancer Institute Speaker Brian Plato, D.O., FAHS Medical Director Headache Medicine, Neurology Norton Neuroscience Institute Norton Healthcare Moderator, Speaker and Planner Disclosures The planners and moderator of this activity do not have any relevant relationships to disclose. The speaker, Brian Plato, D.O., FAHS has relevant relationships with: Allergan and Amgen - Advisory Board and Speaker Bureau; Biohaven – Speaker Bureau; and Teva - Advisory Board. These relationships have been successfully mitigated. Commercial Support There was no commercial support for this activity. Physician Credits Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. Designation Norton Healthcare designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Nursing Credits Norton Healthcare Institute for Education and Development is approved with distinction as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation (ANCC). This continuing professional development activity has been approved for .5 contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance. For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org. Resources for Additional Study: Headache Diagnosis in Children and Adolescents https://pubmed.ncbi.nlm.nih.gov/29476266/ Practice guideline update summary: Acute treatment of migraine in children and adolescents: Report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American https://pubmed.ncbi.nlm.nih.gov/31413171/ American Headache Society https://americanheadachesociety.org/ Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. Five Louisville hospitals provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women’s and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com. Date of Original Release |September 2022; Information is current as of the time of recording. Course Termination Date | September 2024 Contact Information | Center for Continuing Medical, Provider and Nursing Education; (502) 446-5955 or cme@nortonhealthcare.org
Long COVID and the Adult Patient (Part 1) Evaluation and Credit: https://www.surveymonkey.com/r/MedChat42a Target Audience This activity is targeted toward all physician specialties. Statement of Need Long haulers for COVID-19 have been recognized as a public health concern since the COVID pandemic in March 2020. Approximately 10-30% of patients with SARS-CoV2 will have long term problems. Since that time, little research has been conducted to investigate and better understand post-COVID conditions. The CDC is actively pursuing research to evaluate the long-term effects of COVID-19 to assist in the development of management and treatment strategies. Providers may not be aware of available research and recommendations. Objectives At the conclusion of this offering, the participant will be able to: * Define the parameters of Long COVID for the adult patient. * Discuss the prevalence of Long COVID associated risk factors. * Describe symptoms and management of post-COVID syndrome for adult patients.
Moderator Joe Flynn, D.O. Chief Administrative Officer Norton Medical Group Physician-in-Chief Norton Cancer Institute Speaker Kris Bryant, M.D. Pediatric Infectious Disease Specialist Norton Children’s Medical Group Medical Director for Pediatric Infection Prevention and Control Norton Healthcare Moderator, Speaker and Planner Disclosures The planners and moderator of this activity do not have any relevant relationships to disclose. The speaker, Kris Bryant, M.D. has relevant relationships with: Pfizer, Enanta and Gilead - Research. These relationships have been successfully mitigated. Commercial Support There was no commercial support for this activity. Physician Credits Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. Designation Norton Healthcare designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Nursing Credits Norton Healthcare Institute for Education and Development is approved with distinction as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation (ANCC). This continuing professional development activity has been approved for .5 contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance. For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org. Resources for Additional Study: COVID-19 “Long-Haulers”: Caring for Older People in the Aftermath of a Global Pandemic https://pubmed.ncbi.nlm.nih.gov/34311812/ COVID-19 long haulers https://pubmed.ncbi.nlm.nih.gov/34257426/ Chronotropic Incompetence in Non-Hospitalized Patients with Post-COVID-19 Syndrome https://pubmed.ncbi.nlm.nih.gov/34830716/ Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. Five Louisville hospitals provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women’s and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com. Date of Original Release |August 2022; Information is current as of the time of recording. Course Termination Date | August 2024 Contact Information | Center for Continuing Medical, Provider and Nursing Education; (502) 446-5955 or cme@nortonhealthcare.org
Long COVID and the Pediatric Patient (Part 2) Evaluation and Credit: https://www.surveymonkey.com/r/MedChat42b Target Audience This activity is targeted toward all physician specialties. Statement of Need Long haulers for COVID-19 have been recognized as a public health concern since the COVID pandemic in March 2020. Approximately 10-30% of patients with SARS-CoV2 will have long term problems. Since that time, little research has been conducted to investigate and better understand post-COVID conditions. The CDC is actively pursuing research to evaluate the long-term effects of COVID-19 to assist in the development of management and treatment strategies. Providers may not be aware of available research and recommendations. Objectives At the conclusion of this offering, the participant will be able to: * Define the parameters of Long COVID for the pediatric patient. * Discuss the prevalence of Long COVID associated risk factors. * Describe symptoms and management of post-COVID syndrome for pediatric patients.
Moderator Joe Flynn, D.O. Chief Administrative Officer Norton Medical Group Physician-in-Chief Norton Cancer Institute Speaker Kris Bryant, M.D. Pediatric Infectious Disease Specialist Norton Children’s Medical Group Medical Director for Pediatric Infection Prevention and Control Norton Healthcare Moderator, Speaker and Planner Disclosures The planners and moderator of this activity do not have any relevant relationships to disclose. The speaker, Kris Bryant, M.D. has relevant relationships with: Pfizer, Enanta and Gilead - Research. These relationships have been successfully mitigated. Commercial Support There was no commercial support for this activity. Physician Credits Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. Designation Norton Healthcare designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Nursing Credits Norton Healthcare Institute for Education and Development is approved with distinction as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation (ANCC). This continuing professional development activity has been approved for .5 contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance. For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org. Resources for Additional Study: How Common is Long COVID in Children and Adolescents? https://pubmed.ncbi.nlm.nih.gov/34870392/ Long COVID in children and adolescents https://pubmed.ncbi.nlm.nih.gov/34478045/ Preliminary evidence on long COVID in children https://pubmed.ncbi.nlm.nih.gov/33835507/ Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. Five Louisville hospitals provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women’s and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com. Date of Original Release |August 2022; Information is current as of the time of recording. Course Termination Date | August 2024 Contact Information | Center for Continuing Medical, Provider and Nursing Education; (502) 446-5955 or cme@nortonhealthcare.org
Dual Diagnosis: Identification and Management
Evaluation and Credit: https://www.surveymonkey.com/r/MedChat41
Target Audience This activity is targeted toward all physician specialties. Statement of Need In the diagnosis and treatment of patients with either SUD or SMI there is limited consistency for the screening of both conditions if one condition exists, even though statistics indicate that up to 75% with one of these conditions will have a dual diagnosis (approx. 75% of patients with SMI will have SUD; and approx. 60% of patients with SUD will have one type of SMI). Additionally, There may be a lack of consistent utilization of the latest clinical guidelines in the management of patients with dual diagnosis. Objectives At the conclusion of this offering, the participant will be able to: * Define dual diagnosis and the incidence. * Discuss assessment strategies and indications for dual diagnosis. * Describe integrated treatment strategies for dual diagnosis.
Moderator Elizabeth Archer-Nanda, APRN Norton Cancer Institute's Behavioral Oncology Speaker John Wernert, M.D., MHA, DLFAP Executive Medical Director Norton Behavioral Medicine Moderator and Planner Disclosures The moderator, speakers and planners for this activity have no relevant relationships to disclose. Commercial Support There was no commercial support for this activity. Physician Credits Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. Designation Norton Healthcare designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Nursing Credits Norton Healthcare Institute for Education and Development is approved with distinction as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation (ANCC). This continuing professional development activity has been approved for .5 contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance. For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org. Resources for Additional Study: Dual diagnosis: A systematic review of the organization of community health services https://pubmed.ncbi.nlm.nih.gov/31957528/ Chicken or egg: A dual diagnosis narrative https://pubmed.ncbi.nlm.nih.gov/34623010/ Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. Five Louisville hospitals provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women’s and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com. Date of Original Release |July 2022; Information is current as of the time of recording. Course Termination Date | July 2024 Contact Information | Center for Continuing Medical, Provider and Nursing Education; (502) 446-5955 or cme@nortonhealthcare.org
Podcast: COVID-19 and Pregnancy
Evaluation and Credit: https://www.surveymonkey.com/r/MedChat40
Target Audience
This activity is targeted toward all physician specialties.
Statement of Need
The declaration of the COVID-19 global pandemic from the World Health Organization in March 2020, resulted in new concerns for pregnant women. Pregnant women have had increased risk of severe maternal and neonatal morbidity from similar viral diseases. As a result of the COVID-19 pandemic, it was unknown what the effects of COVID-19 would be on pregnancy. Additionally, with the launch of the COVID-19 vaccine, the effects of this on the mother and unborn child were unknown. Providers were unclear as to how to advise patients. This program will provide the latest recommendations and research highlights regarding prenatal care and the efficacy and risk of the COVID-19 vaccine; as well as updates in the treatment of pregnant patients with COVID-19. Additionally, the risk factors for severe COVID-19 will be discussed. Following this program, providers should have the latest information on how to advise their pregnant patients as well as those who are considering pregnancy.
Objectives
At the conclusion of this offering, the participant will be able to:
- Describe the increased risks and consideration of pregnant patients of COVID-19.
- Discuss the latest COVID-19 vaccination recommendations and effectiveness during pre-pregnancy and pregnancy.
- Describe the standard of care and treatment protocols for pregnant patients with COVID-19.
- Review the latest research on the effects of COVID-19 and pregnancy.
Moderator Monalisa Tailor, M.D. Internal Medicine Norton Community Medical Associates Speaker Kara Knapp, M.D. Obstetrician – Gynecologist Total Women, Norton Women’s Care Moderator and Planner Disclosures
The moderator, speakers and planners for this activity have no relevant relationships to disclose.
Commercial Support
There was no commercial support for this activity.
Physician Credits
American Medical Association
Accreditation
Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.
Designation
Norton Healthcare designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
For the latest recommendations visit:
The American College of Obstetricians and Gynecologists
https://www.acog.org/
Centers for Disease Control and Prevention
https://www.cdc.gov/
Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. Five Louisville hospitals provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women’s and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com.
Date of Original Release | June 2022; Information is current as of the time of recording.
Course Termination Date | December 2023
Contact Information | Center for Continuing Medical, Provider and Nursing Education; (502) 446-5955 or cme@nortonhealthcare.org
Podcast: A Review of GI Malignancies Evaluation and Credit: https://www.surveymonkey.com/r/MedChat39 Target Audience This activity is targeted toward all physician specialties. Statement of Need The prognosis of gastric cancer is closely related to the stage of diagnosis. Early gastric cancer (EGC) is limited to mucosa and submucosa and when found early it has a greater than 90% survival rate. Therefore practitioners should be aware of the risks of EGC and recognize the symptoms that are commonly associated with GI malignancies. Objectives At the conclusion of this offering, the participant will be able to: * Define the scope of gastric intestinal (GI) cancers. * List the risks, red flags and symptoms of GI problems that are associated with GI malignancies. * Describe the applicable screenings and diagnostic guidelines. * Discuss the role of the multidisciplinary team in the treatment of GI cancers.
Moderator Joe Flynn, D.O. Chief Administrative Officer Norton Medical Group Physician-in-Chief Norton Cancer Institute Speaker Douglas Nelson, M.D. Hematology Oncologist Norton Cancer Institute Moderator and Planner Disclosures The planners and moderator of this activity do not have any relevant relationships to disclose. The speaker, Douglas Nelson, M.D. has relevant relationships with: Bristol Myers Squibb - Stock; Invitae – Stock; Mirati Therapeutics – Stock; Myriad – Stock; Natera – Stock; and Zymeworks - Stock. These relationships have been successfully mitigated. Commercial Support There was no commercial support for this activity. Physician Credits American Medical Association Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. Designation Norton Healthcare designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Resources for Additional Study The role of primary care physicians in early diagnosis and treatment of chronic gastrointestinal diseases https://pubmed.ncbi.nlm.nih.gov/24648750/ Primary Care Provider Beliefs and Recommendations About Colorectal Cancer Screening in Four Healthcare Systems https://pubmed.ncbi.nlm.nih.gov/32669318/ Cancer risk perception and physician communication behaviors on cervical cancer and colorectal cancer screening https://pubmed.ncbi.nlm.nih.gov/34427182/ Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. Five Louisville hospitals provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women’s and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com. Date of Original Release |May 2022 Course Termination Date | May 2024 Contact Information | Center for Continuing Medical, Provider and Nursing Education; (502) 446-5955 or cme@nortonhealthcare.org
Podcast: Eating Disorders – Diagnosis and Management in the Pediatric Patient Evaluation and Credit: https://www.surveymonkey.com/r/MedChat38 Target Audience This activity is targeted toward all physician providers. Statement of Need Providers should carefully monitor patient's height, weight and body mass index for subtle changes as well as recognize characteristics for disordered eating with the goal of early intervention to maximize patient outcomes. Objectives At the conclusion of this offering, the participant will be able to: 1. Define the eating disorders that are most common in pediatric patients. 2. Identify symptoms and red flags of eating disorders, including co-morbidities. 3. Discuss the common diagnostic criteria, screening tools and components of the medical evaluation for eating disorders. 4. Describe treatment strategies and protocols for eating disorders; as well as the components for successful medical supervision.
Moderator Mark McDonald, M.D. Medical Director Norton Children’s Hospital Speaker Andrea Krause, M.D. Pediatric Hospitalist Norton Children’s Hospital Associate Professor of Pediatrics Louisville School of Medicine Moderator and Planner Disclosures The moderator, speakers and planners for this activity have no relevant relationships to disclose. Commercial Support There was no commercial support for this activity. Physician Credits American Medical Association Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. Designation Norton Healthcare designates this enduring material for a maximum of 0.50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Resources for Additional Study Identification and Management of Eating Disorders in Children and Adolescents https://pubmed.ncbi.nlm.nih.gov/33386343/ Eating Disorders in Children and Adolescents: A Practical Review and Update for Pediatric Gynecologists https://pubmed.ncbi.nlm.nih.gov/33486085/ Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. Five Louisville hospitals provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women’s and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com. Date of Original Release |April 2022 Course Termination Date | April 2024 Contact Information | Center for Continuing Medical, Provider and Nursing Education; (502) 446-5955 or cme@nortonhealthcare.org
Migraines, Part 1: Overview and Diagnosis
Evaluation and Credit: https://www.surveymonkey.com/r/MedChat37
Target Audience
This activity is targeted toward all physician providers.
Statement of Need
Data indicates that approximately 12 percent of Americans suffer from migraine headaches. Migraines are more common in women than men, with a three to one ratio. Additionally, a migraine is one of the top reasons that patients visit their physician. Therefore, providers should be current on recognizing the symptoms of migraines as well as how to treat migraines or when to refer to a neurologist.
Objectives
At the conclusion of this offering, the participant will be able to:
- Define headache disorders and migraines
- Identify the steps to effectively diagnose migraines
- Describe the red flags in the evaluation of headaches
ModeratorJoe Flynn, D.O.
Chief Administrative Officer
Norton Medical Group
Physician-in-Chief
Norton Cancer Institute
Speaker
Brian Plato, D.O., FAHS
Medical Director
Headache Medicine, Neurology
Norton Neuroscience Institute
Moderator, Speaker and Planner Disclosures
The planners and moderator of this activity do not have any relevant relationships to disclose. The speaker, Brian Plato, D.O., FAHS has relevant relationships with: Allergan and Amgen - Advisory Board and Speakers Bureau; Biohaven – Speakers Bureau; and Teva - Advisory Board. These relationships have been successfully mitigated.
Commercial Support
There was no commercial support for this activity.
Physician Credits
American Medical Association
AccreditationNorton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.
DesignationNorton Healthcare designates this enduring material for a maximum of 0.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Resources for Additional Study
Migraine: disease characterization, biomarkers, and precision medicine:
https://pubmed.ncbi.nlm.nih.gov/33773610/
A rational approach to migraine diagnosis and management in primary care:
https://pubmed.ncbi.nlm.nih.gov/34714201/
National Headaches Foundation
https://headaches.org/
Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. Five Louisville hospitals provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women’s and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com.
Date of Original Release | Dec. 2019; Reviewed and edited Jan. 2022.
Course Termination Date | March 2024 Contact Information | Center for Continuing Medical, Provider and Nursing Education; (502) 446-5955 or cme@nortonhealthcare.org
Migraines, Part 2: What is New in Migraine Treatment? Evaluation and Credit: https://www.surveymonkey.com/r/MedChat37pt2 Target Audience This activity is targeted toward all physician providers. Statement of Need Data indicates that approximately 12 percent of Americans suffer from migraine headaches and migraines are more common in women than men, with a ratio of three to one. Additionally, a migraine is one of the top reasons that patients visit their physician. Therefore, providers should be current on recognizing the symptoms of migraine as well as how to treat migraines or when to refer to a neurologist. Objectives At the conclusion of this offering, the participant will be able to: 1. List lifestyle modifications that can affect the incidence of migraines 2. Describe the acute interventions for migraine, non-specific and migraine specific 3. Discuss non-pharmacological, pharmacological and preventative treatments for migraines
Moderator Joe Flynn, D.O. Chief Administrative Officer Norton Medical Group Physician-in-Chief Norton Cancer Institute Speaker Brian Plato, D.O., FAHS Medical Director Headache Medicine, Neurology Norton Neuroscience Institute Moderator, Speaker and Planner Disclosures The planners and moderator of this activity do not have any relevant relationships to disclose. The speaker, Brian Plato, D.O., FAHS has relevant relationships with: Allergan and Amgen - Advisory Board and Speakers Bureau; Biohaven - Speakers Bureau; and Teva - Advisory Board. These relationships have been successfully mitigated. Commercial Support There was no commercial support for this activity. Physician Credits American Medical Association Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. Designation Norton Healthcare designates this enduring material for a maximum of 0.50 AMA PRA Category 1 Credits‚Ñ¢. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Resources for Additional Study Interventional Procedures in Episodic Migraine https://pubmed.ncbi.nlm.nih.gov/33184708/ The Role of Diet and Nutrition in Migraine Triggers and Treatment: A Systematic Literature Review https://pubmed.ncbi.nlm.nih.gov/32449944/ Mindfulness Meditation has Benefits for Migraine Sufferers https://pubmed.ncbi.nlm.nih.gov/34009172/ Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. Five Louisville hospitals provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women's and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com. Date of Original Release | March 2022 Course Termination Date | March 2024 Contact Information | Center for Continuing Medical, Provider and Nursing Education; (502) 446-5955 or cme@nortonhealthcare.org
Podcast: Updates in Acute Stroke Management Evaluation and Credit: https://www.surveymonkey.com/r/MedChat36 Target Audience This activity is targeted toward all physician providers. Statement of Need Stroke is the fifth leading cause of death in the U.S. and Kentucky. Additionally, stroke is a leading cause of disability in the US. Kentucky residents exceed the national average for lifestyle habits that lead to stroke (smoking, obesity, etc.). Providers can benefit from understanding the latest treatment options in the acute management of strokes with the goal of maximizing patient outcomes. Objectives At the conclusion of this offering, the participant will be able to: 1. Define the types and causes of strokes. 2. Describe the latest clinical protocols in the acute management of ischemic strokes.
Moderator Monalisa Tailor, M.D. Internal Medicine Norton Community Medical Associates Speaker Danny Rose, M.D. Neurologist Norton Neurology Institute Moderator and Planner Disclosures The moderator, speakers and planners for this activity have no relevant relationships to disclose. Commercial Support There was no commercial support for this activity. Physician Credits American Medical Association Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. Designation Norton Healthcare designates this enduring material for a maximum of 0.50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Resources for Additional Study Acute Stroke Intervention: A Systematic Review https://pubmed.ncbi.nlm.nih.gov/25871671/ Acute Stroke Management: Overview and Recent Updates https://pubmed.ncbi.nlm.nih.gov/34221544/ Scoping Review of Clinical Practice Guidelines for the Early Management of Stroke with Focus on Endovascular Treatment https://pubmed.ncbi.nlm.nih.gov/34418610/ Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. Five Louisville hospitals provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women’s and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com. Date of Original Release |February 2022 Course Termination Date | February 2024 Contact Information | Center for Continuing Medical, Provider and Nursing Education; (502) 446-5955 or cme@nortonhealthcare.org
Podcast: Obesity and Medical Weight Management Evaluation and Credit: https://www.surveymonkey.com/r/MedChat35 Target Audience This activity is targeted toward all physician providers. Statement of Need Kentucky consistently ranks in the top 10 in the United States for obesity. According to Kentucky Health Facts, 32% of adults in Jefferson County are classified as obese. Providers should treat patients for obesity similar to other chronic conditions, thereby implementing protocols for diagnosis and treatment of obesity. Objectives At the conclusion of this offering, the participant will be able to: 1. Define the diagnosis and classification of obesity. 2. Describe effective weight management treatments for patients identified as overweight or obese.
Moderator Monalisa Tailor, M.D. Internal Medicine Norton Community Medical Associates Speaker Kelley McIntyre, M.D. Internal Medicine Bariatric Medicine Specialist Norton Community Medical Associates Moderator and Planner Disclosures The moderator, speakers and planners for this activity have no relevant relationships to disclose. Commercial Support There was no commercial support for this activity. Physician Credits American Medical Association Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. Designation Norton Healthcare designates this enduring material for a maximum of 0.50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Resources for Additional Study Measuring What Matters: Beyond Quality Performance Measures in Caring for Adults with Obesity https://pubmed.ncbi.nlm.nih.gov/33180000/ The Most Undertreated Chronic Disease: Addressing Obesity in Primary Care Settings https://pubmed.ncbi.nlm.nih.gov/34297343/ Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. Five Louisville hospitals provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women’s and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com. Date of Original Release |January 2022 Course Termination Date | January 2024 Contact Information | Center for Continuing Medical, Provider and Nursing Education; (502) 446-5955 or cme@nortonhealthcare.org
Understanding Unconscious Bias in Healthcare
Evaluation and Credit: https://www.surveymonkey.com/r/MedChat34
Target Audience This activity is targeted toward all physician specialties. Statement of Need Providers are not consistently aware of the impact of unconscious bias as it contributes to health disparities in patient care that can affect overall patient care and outcomes. For providers to understand how to address unconscious bias, they need an understanding of the role of implicit biases in disparities in healthcare. Objectives At the conclusion of this offering, the participant will be able to: 1. Define conscious and unconscious bias in healthcare. 2. Discuss how unconscious bias affects patient diagnostics and outcomes. 3. Identify barriers that diverse patient populations may encounter in the healthcare setting. 4. Outline strategies to create an accountable and open space in the healthcare setting.
Moderator Monalisa Tailor, M.D. Internal Medicine Norton Community Medical Associates Speaker Jessica Isom, M.D., M.P.H. Attending Psychiatrist Codman Square Health Center Boston, MA Clinical Instructor and Faculty Leader Social Justice and Health Equity Yale University School of Medicine New Haven, CT Moderator and Planner Disclosures The moderator, speakers and planners for this activity have no relevant relationships to disclose.
Commercial Support There was no commercial support for this activity. Physician Credits American Medical Association Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. Designation Norton Healthcare designates this enduring material for a maximum of 0.50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Resources for Additional Study
https://www.ucpress.edu/book/9780520274013/black-and-blue Unconscious Race and Social Class Bias among Acute Care Surgical Clinicians and Clinical Treatment Decisions https://pubmed.ncbi.nlm.nih.gov/25786199/ Unconscious bias and how clinicians can address racial inequities in medicine https://pubmed.ncbi.nlm.nih.gov/34031316/ How Assumptions and Preferences Can Affect Patient Care: An Introduction to Implicit Bias for First-Year Medical Students https://pubmed.ncbi.nlm.nih.gov/34263027/ Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. Five Louisville hospitals provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women’s and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com.
Date of Original Release |December 2021 Course Termination Date | December 2023 Contact Information | Center for Continuing Medical, Provider and Nursing Education; (502) 446-5955 or cme@nortonhealthcare.org
Podcast: Understanding Dementia and Delirium Evaluation and Credit: https://www.surveymonkey.com/r/MedChat33 Target Audience This activity is targeted toward primary care and geriatric specialties. Statement of Need According to WHO, approximately 5-8% of the general population over the age of 60 at a given time will have dementia. The Institute of Aging has projected that those aged 60 and over will increase to 25.6% of Kentucky's population by 2030. Due to the aging population in Kentucky and the increasing prevalence of dementia it is important for providers to be able to recognize the symptoms of dementia as well as to be able to differentiate clinical characteristics with delirium. Objectives At the conclusion of this offering, the participant will be able to: 1. Discuss the differences and similarities between dementia and delirium. 2. Identify the symptoms and characteristics of dementia and delirium. 3. Define the different types of dementia. 4. Review the initial treatment options for dementia.
Moderator Carmel Person M.D. Geriatric Medicine Norton Healthcare Speakers Rachel Hart, D.O. Geriatric Medicine Specialist Norton Neuroscience Institute John J. Wernert, M.D., MHA, DLFAPA Executive Medical Director Norton Behavioral Medicine Moderator and Planner Disclosures The moderator, speakers and planners for this activity have no relevant relationships to disclose. Commercial Support There was no commercial support for this activity. Physician Credits American Medical Association Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. Designation Norton Healthcare designates this enduring material for a maximum of 0.50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Resources for Additional Study Differentiating Between Dementia, Delirium and Depression in Older People https://pubmed.ncbi.nlm.nih.gov/31762251/ Neuropsychological Measures that Predict Progression from Mild Cognitive Impairment to Alzheimer's type dementia in Older Adults: a Systematic Review and Meta-Analysis https://pubmed.ncbi.nlm.nih.gov/29019061/ Patient Health Questionnaire-9 (PHQ-9) Confusion Assessment Method (CAM) St. Louis University Mental Status Exam (SLUMs) The Mini-Cog Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. Five Louisville hospitals provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women’s and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com. Date of Original Release |November 2021 Course Termination Date | November 2023 Contact Information | Center for Continuing Medical, Provider and Nursing Education; (502) 446-5955 or cme@nortonhealthcare.org
Evaluation and Credit: https://www.surveymonkey.com/r/MedChat32 Target Audience This activity is targeted toward primary care and oncology specialties. Statement of Need According the National Human Genome Research Institute, genomic factors play a role in nine of the ten leading causes of death in the U.S.; e.g. heart disease, cancer and diabetes. If providers have a better understanding of genomic testing and applications, it can result in earlier diagnosis, interventions and targeted treatments for specific diseases, improving overall patient outcomes. Objectives At the conclusion of this offering, the participant will be able to: 1. Differentiate between genetic and genomic testing. 2. Describe the essentials of genomic testing. 3. Define key applications in clinical medicine where genomic testing is utilized: constitutional, oncology and microbiological.
Moderator Steve Patton, D.O. Family Medicine Norton Community Medical Associates Speaker Charles Myers, D.O. Clinical and Laboratory Pathology Norton Medical Group Moderator and Planner Disclosures The moderator, speakers and planners for this activity have no relevant relationships to disclose. Commercial Support There was no commercial support for this activity. Physician Credits American Medical Association Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. Designation Norton Healthcare designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Resources for Additional Study Candida auris: Diagnostic Challenges and Emerging Opportunities for the Clinical Microbiology Laboratory https://pubmed.ncbi.nlm.nih.gov/34178208/ Chromosomal microarray analysis, including constitutional and neoplastic disease applications, 2021 revision: a technical standard of the American College of Medical Genetics and Genomics (ACMG) https://pubmed.ncbi.nlm.nih.gov/34131312/ Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond.. Five Louisville hospitals provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women’s and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com. Date of Original Release |October 2021 Course Termination Date | October 2023 Contact Information | Center for Continuing Medical, Provider and Nursing Education; (502) 446-5955 or cme@nortonhealthcare.org
Podcast: Challenges in Aging
Evaluation and Credit: https://www.surveymonkey.com/r/MedChat31
Target Audience
This activity is targeted toward primary care, neurology and other specialties caring for geriatric patients.
Statement of Need
With the aging population it is imperative that providers routinely assess older adult patients, not just the frail elderly, for the presence of geriatric syndromes. In some cases, early identification may lead to intervention strategies that will improve patient outcomes.
Objectives At the conclusion of this offering, the participant will be able to: 1. Define the scope of geriatrics. 2. Distinguish between geriatric depression and dementia. 3. Describe diagnostic guidelines for geriatric depression. 4. Discuss treatment options for geriatric depression. 5. Recognize earlier signs and symptoms suggestive of decline in function.
Moderator Carmel Person M.D. Geriatric Medicine Norton Healthcare Speakers
Rachel Hart, D.O. Geriatric Medicine Specialist Norton Neuroscience Institute John J. Wernert, M.D., MHA, DLFAPA Executive Medical Director Norton Behavioral Medicine Moderator and Planner Disclosures
The moderator, speakers and planners for this activity have no relevant relationships to disclose.
Commercial Support
There was no commercial support for this activity.
Physician Credits
American Medical Association
Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. Designation Norton Healthcare designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Resources for Additional Study
A Practical Guide to Geriatric Syndromes in Older Adults with Cancer: A Focus on Falls, Cognition, Polypharmacy, and Depression
https://pubmed.ncbi.nlm.nih.gov/31099668/
Decline in Emotional Face Recognition Among Elderly People May Reflect Mild Cognitive Impairment.
https://pubmed.ncbi.nlm.nih.gov/34163407/
Resources
Depression Screening - Patient Health Questionniare-9 (PHQ-9)
Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond.. Five Louisville hospitals provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women’s and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com.
Date of Original Release |September 2021 Course Termination Date | September 2023 Contact Information | Center for Continuing Medical, Provider and Nursing Education; (502) 446-5955 or cme@nortonhealthcare.org Stock music provided by interstudio, from Pond5 Stock Music provided by SkibkaMusic from Freesounds.org
Podcast: Current Opioid Minimization in Spine Surgery
Evaluation and Credit: https://www.surveymonkey.com/r/MedChat30
Target Audience
This activity is targeted toward primary care pediatric specialties.
Statement of Need
Approximately 38% of patients are still using opioids one year post-surgery for elective spine procedures.* This rate can be affected by interventions prior to surgery to decrease in-hospital and post-surgery opioid consumption. The goal with new protocols is to either reduce or completely eliminate the opioid prescribing following surgery therefore decreasing the risk of patient abuse and addiction. This program will discuss research being conducted that will highlight effective alternatives to opioids for the management of post-surgical pain, as well as patient characteristics that can lead to opioid use.
Objectives
At the conclusion of this offering, the participant will be able to:
- Discuss nonopioid modalities for pain management.
- Discuss research protocols employed to minimize the prescribing of opioids post-spine surgery.
- Describe the clinical modalities for nonopioid pain control: pre-surgical, intra-operatively and post-surgery.
- List patient characteristics and modifiable risk factors that contribute to opioid use.
Moderator Joe Flynn, D.O. MPH, FACP Chief Administrative Officer, Norton Medical Group Physician-in-Chief, Norton Cancer Institute Speaker
Jeffrey Gum, M.D. Spine Surgeon Norton Leatherman Spine Center Moderator and Planner Disclosures
The moderator and planners for this activity have no relevant relationships to disclose.
Speaker Disclosure
The speaker reports relationships with Medtronic, Acuity, Stryker, NuVasive, and Mazor for his role as consultant; Acuity and NuVasive for royalties; Medtronic and Stryker for Advisory/Editorial; Baxter, Broadwater, and Pacira Pharmaceuticals for honorarium; Cingulate Therapeutics for stock; Intellirod Spine Inc., Pfizer, and Carapedics for research support. All relevant financial relationships have been mitigated.
Commercial Support
There was no commercial support for this activity.
Physician Credits
American Medical Association
Accreditation
Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. Designation
Norton Healthcare designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. HB1 / Prescribing Controlled Substances
The Kentucky Board of Medical Licensure has approved the podcast Current Opioid Minimization in Spine Surgery for .75 HB1 credit hours. ID# 0721-H.50-NHC4f.
Resources for Additional Study
Drivers of in-hospital opioid consumption in patients undergoing lumbar fusion surgery https://pubmed.ncbi.nlm.nih.gov/33834124/
Duration and Dosage of Opioids after Spine Surgery: Implications on Outcomes at 1 Year
https://pubmed.ncbi.nlm.nih.gov/32675616/
Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond.. Five Louisville hospitals provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women’s and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com.
Date of Original Release |August 2021
Course Termination Date | August 2023
Contact Information | Center for Continuing Medical, Provider and Nursing Education; (502) 446-5955 or cme@nortonhealthcare.org
Podcast: Updates in the Management of Asthma in the Pediatric Patient
Evaluation and Credit: https://www.surveymonkey.com/r/MedChat29
Target Audience This activity is targeted toward primary care pediatric specialties.
Statement of Need
Asthma is one of the most common chronic illnesses in children and in Kentucky approximately 10 - 12% of children have been diagnosed with asthma therefore it is critical for practitioners to understand the latest recommendations in the treatment of patients with asthma. In Dec. 2020, updated treatment guidelines were released for the management of patients with asthma. This program will highlight these updates to the NHLBI asthma treatment guidelines as the standard of care for the treatment of pediatric asthma.
Objectives At the conclusion of this offering, the participant will be able to:
- Review the common types of asthma in the pediatric patient.
- Discuss the new asthma treatment/management guidelines; highlighting the six focus areas.
- List the new recommendations for the diagnosis / screening of pediatric asthma.
Moderator Mark McDonald, MD, FAAP Pediatric Critical Care Specialist
Medical Director, Norton Children’s Hospital and Norton Children’s Medical Center
Professor
Norton Children’s Critical Care
Affiliated with the UofL School of Medicine Speakers
Scott Bickel, M.D. Pediatric Pulmonologist Assistant Professor, Pediatrics Medical Director, Respiratory Therapy Norton Children’s Pulmonology Affiliated with the UofL School of Medicine Michael Orangias, M.D. Pediatric Pulmonologist Norton Children’s Pulmonology Affiliated with the UofL School of Medicine Moderator, Speaker and Planner Disclosures
The speakers, moderator and planners for this activity have no potential or actual conflicts of interest to disclose.
Commercial Support
There was no commercial support for this activity.
Physician Credits
American Medical Association
Accreditation
Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. Designation
Norton Healthcare designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Date of Original Release |July 2021
Course Termination Date | July 2023 Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org
Resources for Additional Study
Asthma Management Guidelines: Focused Updates 2020
https://www.nhlbi.nih.gov/health-topics/asthma-management-guidelines-2020-updates
2020 Focused Updates to the Asthma Management Guidelines: Clinician's Guide
https://www.nhlbi.nih.gov/health-topics/all-publications-and-resources/clinician-guide-2020-focused-updates-asthma-management-guidelines
Updates to the Pediatrics Asthma Management Guidelines
https://pubmed.ncbi.nlm.nih.gov/34096987/
Podcast: Not Just for Kids: Management of the Adult Congenital Disease Population
Evaluation and Credit: https://www.surveymonkey.com/r/MedChat28
Target Audience
This activity is targeted toward primary care adult and pediatric specialties.
Statement of Need
As patients with congenital heart disease are living longer into adulthood, ongoing management of the CHD is critical. Patients with complex CHD are at greater risk for premature death and therefore management of these patients is critical to help improve patient outcomes.
Objectives At the conclusion of this offering, the participant will be able to:
- Define the epidemiology of adult congenital heart disease (ACHD) within the United States.
- Describe common medical complications in ACHD and the multidisciplinary care required to manage those complications.
- Discuss how changes in pediatric cardiology and adult congenital care have shifted the mortality outcomes in ACHD.
Moderator Erin Frazier, M.D. Pediatrician Norton Children's Medical Group – Broadway Speaker
Melissa L. Perrotta, MD, FAAP Co-Medical Director of Adult Congenital Heart Disease Assistant Professor of Pediatrics The University of Louisville School of Medicine Division of Pediatric Cardiology Moderator, Speaker and Planner Disclosures
The speaker, moderator and planners for this activity have no potential or actual conflicts of interest to disclose.
Commercial Support
There was no commercial support for this activity.
Physician Credits
American Medical Association
Accreditation
Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. Designation
Norton Healthcare designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Date of Original Release |June 2021
Course Termination Date | June 2023 Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org
Resources for Additional Study
2018 AHA/ACC Guideline for the Management of Adults With Congenital Heart Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines
https://pubmed.ncbi.nlm.nih.gov/30586767/
General principles of heart failure management in adult congenital heart disease
https://pubmed.ncbi.nlm.nih.gov/31788738/
Changing mortality in congenital heart disease
https://pubmed.ncbi.nlm.nih.gov/20863956/
Podcast: Addressing the LGBTQ Pediatric Patient
Evaluation and Credit: https://www.surveymonkey.com/r/MedChat26
Target Audience
This activity is targeted toward primary care adult and pediatric specialties.
Statement of Need
For pediatricians to be able to provide quality care with optimal patient outcomes, it is important that they provide inclusive care to all patients. This also includes an understanding of how to create an inclusive environment for the LGBTQ patient as well as recognizing the health disparities that are unique to the LGBTQ patient.
Objectives
At the conclusion of this offering, the participant will be able to:
- Define key terms; including gender identity, gender expression, and sexual orientation
- Discuss the characteristics of an inclusive office environment
- Review the American Academy of Pediatrics approach of the Gender Affirming Care Model
- Describe the clinical and psychological comorbidities that LBGTQ youth are at higher risk for.
Moderator
Erin Frazier, M.D. Pediatrician Norton Children's Medical Group – Broadway Speaker
Suzanne Kingery, M.D. Pediatric Endocrinology Norton Children's Endocrinology Moderator, Speaker and Planner Disclosures
The speaker, moderator and planners for this activity have no potential or actual conflicts of interest to disclose.
Commercial Support
There was no commercial support for this activity.
Physician Credits
American Medical Association
Accreditation
Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.
Designation
Norton Healthcare designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Date of Original Release | May 2021
Course Termination Date | May 2023
Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org
Resources for Additional Study
A Call to Improve Guidelines for Transgender Health and Well-being: Promoting Youth-Centered and Gender-Inclusive Care
https://pubmed.ncbi.nlm.nih.gov/31542110/
Guidelines on Multicultural Education, Training, Research, Practice, and Organizational Change for Psychologists
https://pubmed.ncbi.nlm.nih.gov/12971086/
Ensuring Comprehensive Care and Support for Transgender and Gender- Diverse Children and Adolescents
https://pubmed.ncbi.nlm.nih.gov/30224363/
Websites:
Family Acceptance Project,
https://louisvilleyouthgroup.org/
Greater Louisville Medical Society, www.glma.org
GLMA is an organization that works to ensure health equity for the LGBTQ community.
Human Rights Campaign-Advocacy for the LGBTQ population, https://www.hrc.org/
Louisville Youth Group, https://louisvilleyouthgroup.org/
Louisville Youth Group (LYG) is the primary LGBTQIA+ nonprofit community serving LGBTQIA+ youth in Kentuckiana. We provide a safe space for gender and sexuality diverse young adults to grow their identities, learn leadership skills, and develop the tools needed to both thrive personally and to act as agents of change in their communities.
PAGE
https://nortonchildrens.com/services/endocrinology/services/page/
The Norton Children’s Pediatric and Adolescent Gender Education (PAGE) program provides gender-affirming care for children, teens and young adults whose gender identity is different from their sex at birth (transgender) and those who don’t identify with the traditional definitions of male or female (gender diverse).
PFlag, https://pflag.org/
PFLAG is the first and largest organization for lesbian, gay, bisexual, transgender, and queer (LGBTQ+) people, their parents and families, and allies.
The Trevor Project,
https://www.thetrevorproject.org/
The Trevor Project is the leading national organization providing crisis intervention and suicide prevention services to lesbian, gay, bisexual, transgender, queer & questioning youth.
Articles
“Ensuring Comprehensive Care and Support for Transgender and Gender- Diverse Children and Adolescents.” by Rafferty J. MD, et al. Pediatrics
https://pediatrics.aappublications.org/content/142/4/e20182162
“Office-Based Care for Lesbian, Gay, Bisexual, Transgender, and Questioning Youth”. by Levine, D.A MD, and the COMMITTEE ON ADOLESCENCE. Pediatrics
www.pediatrics.org/cgi/doi/10.1542/peds.2013-1283
“Caring for Lesbian, Gay, Bisexual, Transgender, and Questioning Youth in Inclusive and Affirmative Environments” by Hadland, S. MD, MPH, MS, Yehia, B. MD, MPP, MSc, Makadon, H.J., MD, Pediatric Clinics of North America
https://doi.org/10.1016/J.PCL.2016.07.001.
“Health and Wellness for LGBTQ” by Hunt, L. MD, Vennat, M. BS, MD, Waters, J. MD. Advances in Pediatrics.
https://doi.org/10.1016/j.yapd.2018.04.002
“Healthcare Preferences of Lesbian, Gay, Bisexual, Transgender and Questioning Youth” by Hoffman, N. M.D., Freeman, K. Ph.D., and Swann, S. Ph.D. Journal of Adolescent Health
https://www.clinicalkey.com/#!/content/journal/1-s2.0-S1054139X09000962
Podcast: Psychological Effects of COVID-19
Evaluation and Credit: https://www.surveymonkey.com/r/MedChat25Part1
Target Audience
This activity is targeted toward primary care specialties.
Statement of Need
It is estimated that approximately 7-8% of the population suffers from PTSD at some point in their lives. Research shows that patients with PTSD symptoms are often undiagnosed in primary care, which is typically where these patients see health care providers for either co-morbidities or complaints that are manifested as a result of PTSD (anxiety, trouble sleeping, etc.). Research indicates that PCPs may lack the knowledge of common risk factors that indicate screening for PTSD; therefore this condition often goes undiagnosed and managed. (Harvard Review of Psychiatry, Journal of Psychosocial Nursing, etc.)
Objectives At the conclusion of this offering, the participant will be able to:
- Discuss the impact of the global pandemic on behavioral health.
- Review the biological responses of trauma.
Moderator John J. Wernert, M.D., MHA, DLFAPA Executive Medical Director Norton Behavioral Medicine Speaker
Mark Schirmer, Psy.D., HSP Psychologist Norton Behavioral Health Moderator, Speaker and Planner Disclosures
The speaker, moderator and planners for this activity have no potential or actual conflicts of interest to disclose.
Commercial Support
There was no commercial support for this activity.
Physician Credits
American Medical Association
Accreditation
Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.
Designation
Norton Healthcare designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Date of Original Release |April 2021
Course Termination Date | April 2023 Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org
Resources for Additional Study
Prevalence and risk factors for acute posttraumatic stress disorder during the COVID-19 outbreak
https://pubmed.ncbi.nlm.nih.gov/33548905/
Factors associated with depression, anxiety, and PTSD symptomatology during the COVID-19 pandemic: Clinical implications for U.S. young adult mental health
https://pubmed.ncbi.nlm.nih.gov/32512357/
Anxiety and depression in COVID-19 survivors: Role of inflammatory and clinical predictors
https://pubmed.ncbi.nlm.nih.gov/32738287/
Podcast: Addressing PTSD in the Primary Care Setting
Evaluation and Credit: https://www.surveymonkey.com/r/MedChat25Part1
Target Audience
This activity is targeted toward primary care specialties.
Statement of Need
It is estimated that approximately 7-8% of the population suffers from PTSD at some point in their lives. Research shows that patients with PTSD symptoms are often undiagnosed in primary care, which is typically where these patients see health care providers for either co-morbidities or complaints that are manifested as a result of PTSD (anxiety, trouble sleeping, etc.). Research indicates that PCPs may lack the knowledge of common risk factors that indicate screening for PTSD; therefore this condition often goes undiagnosed and managed. (Harvard Review of Psychiatry, Journal of Psychosocial Nursing, etc.)
Objectives
At the conclusion of this offering, the participant will be able to:
- Differentiate between post-traumatic stress disorder (PTSD) and acute stress disorder (ASD).
- List the risk factors for PTSD.
- Define the types of trauma.
- Discuss the symptoms and comorbid conditions that result from PTSD.
Moderator John J. Wernert, M.D., MHA, DLFAPA
Executive Medical Director
Norton Behavioral Medicine Speaker
Mark Schirmer, Psy.D., HSP Psychologist Norton Behavioral Health Moderator, Speaker and Planner Disclosures
The speaker, moderator and planners for this activity have no potential or actual conflicts of interest to disclose.
Commercial Support
There was no commercial support for this activity.
Physician Credits
American Medical Association
Accreditation
Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.
Designation
Norton Healthcare designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Date of Original Release |April 2021
Course Termination Date | April 2023 Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org
Resources for Additional Study
Prevalence, Detection and Correlates of PTSD in the Primary Care Setting: A Systematic Review
https://pubmed.ncbi.nlm.nih.gov/26868222/
Posttraumatic Stress Disorder in the Primary Care Setting: Summary of Recommended Care
https://pubmed.ncbi.nlm.nih.gov/30614927/
Recognizing the hurt: Prevalence and correlates of elevated PTSD symptoms among adolescents receiving mental/behavioral health services in primary care
https://pubmed.ncbi.nlm.nih.gov/30714808/
Pharmacological prevention and early treatment of post-traumatic stress disorder and acute stress disorder: a systematic review and meta-analysis
https://pubmed.ncbi.nlm.nih.gov/31819037/
Podcast: Substance Use Disorders: Recognition and Treatment
Evaluation and Credit: https://www.surveymonkey.com/r/MedChat24
Target Audience
This activity is targeted toward primary care specialties.
Statement of Need
It has been estimated that 29% if people misuse prescription pain relievers for chronic pain; and between 8-12% develop a use disorder. In 2017 the Department of Human and Health Services declared opioid crisis a public emergency and Kentucky is one of the leading states in abuse in the US. Based on these statistics most providers have or will encounter a patient in their practice with SUD and therefore recognition and management is key for optimal patient outcomes.
Objectives At the conclusion of this offering, the participant will be able to:
- Define substance use disorders (SUD) and including the biology of SUD.
- Discuss the risk factors and red flags of SUD.
- Describe treatment options for SUD.
Moderator John J. Wernert, M.D., MHA, DLFAPA
Executive Medical Director
Norton Behavioral Medicine
Speaker
Kelly Cooper, M.D.
Medical Director, Addiction Services
Norton Behavioral Medicine
Moderator, Speaker and Planner Disclosures
The speaker, moderator and planners for this activity have no potential or actual conflicts of interest to disclose.
Commercial Support
There was no commercial support for this activity.
Physician Credits
American Medical Association
Accreditation
Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.
Designation
Norton Healthcare designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
HB1 / Prescribing Controlled Substances
The Kentucky Board of Medical Licensure has approved the podcast Substance Use Disorders: Recognition and Treatment for .75 HB1 credit hours. ID# 0221-H.75-NHC1f
Date of Original Release |March 2021
Course Termination Date | March 31, 2023
Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org
Resources for Additional Study
National Institute on Drug Abuse
https://www.drugabuse.gov/nidamed-medical-health-professionals/screening-tools-resources/chart-screening-tools
Beyond Buprenorphine: Models of Follow-up Care for Opioid Use Disorder in the Emergency Department
https://pubmed.ncbi.nlm.nih.gov/33207174/
A comprehensive multivariate model of biopsychosocial factors associated with opioid misuse and use disorder in a 2017-2018 United States national survey
https://pubmed.ncbi.nlm.nih.gov/33208132/
Converging Crises: Caring for Hospitalized Adults With Substance Use Disorder in the Time of COVID-19
https://pubmed.ncbi.nlm.nih.gov/32966196/
Treatment for Anxiety and Substance Use Disorders During the COVID-19 Pandemic: Challenges and Strategies
https://pubmed.ncbi.nlm.nih.gov/33156267/
There are also 1 question screens that are validated.
- How many times in the past year have you used an illicit/illegal drug or used a prescription medication for non-medical reasons?
- How many times in the past year have you had 5 (for male) / 4 (for female) or more drinks in a day?
If the response to either are positive, then the screen is positive and further evaluation is needed.
Women's Health: Updates in Preventative Health and Screenings Evaluation and Credit: https://www.surveymonkey.com/r/MedChat23 Target Audience This activity is targeted toward primary care specialties. Statement of Need Providers may not be aware of the latest recommendations regarding screenings and preventative measures for female patients. The Women's Preventative Services Initiative, has created a Well-Women Chart that summaries preventative health services for women from adolescence across the life-span. Providers may be unaware of this resource. This task force has concluded that clinical preventative services are generally underused. Objectives At the conclusion of this offering, the participant will be able to: * Identify the latest preventative care and screening guidelines in women's health. * Review updates in cancer screenings and prevention. * Discuss the importance of patient education and the patients’ role in their overall wellness.
Moderator Carmel Person, M.D. Geriatric Medicine Norton Healthcare Speaker Tamara Callahan, M.D. Gynecology Norton Women's Health Moderator, Speaker and Planner Disclosures The speaker, moderator and planners for this activity have no potential or actual conflicts of interest to disclose. Commercial Support There was no commercial support for this activity. Physician Credits American Medical Association Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. Designation Norton Healthcare designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Date of Original Release |February 2021 Course Termination Date | February 28, 2023 Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org Resources for Additional Study Women’s Preventive Services Initiative https://www.womenspreventivehealth.org/wellwomanchart/ Women's Preventive Services Initiative's Well-Woman Chart: A Summary of Preventive Health Recommendations for Women https://pubmed.ncbi.nlm.nih.gov/31403594/ Preventive Care in Women's Health https://pubmed.ncbi.nlm.nih.gov/27212087/
Surgical Options for Weight Management
Evaluation and Credit: https://www.surveymonkey.com/r/MedChat22
Target Audience
This activity is targeted toward primary care specialties.
Statement of Need
A recent study released indicated that approximately 35% of the population is Kentucky is obese; putting Kentucky in the top 10 list for obesity in the US. The negative effects of obesity on a patient's health increases decreases their quality of life, increases co-morbidities and risk of early death; therefore it is important for providers to be knowledgeable about viable surgical treatment options so that these can be discussed with patients.
This program will provide those that listen an overview of the different bariatric surgical procedures. This will include the indications, contraindications as well as patient outcomes. This information will give providers information necessary to advice patients on viable surgical options for weight management.
Objectives At the conclusion of this offering, the participant will be able to:
- Discuss the patient selection process / criteria for bariatric surgery.
- Describe different surgical options for weight management; including criteria, indications, contraindications and outcomes.
- Review appropriate pre- and post-operative management following bariatric surgery.
Moderator Ryan G. Nazar, M.D., EMHA Clinical Effectiveness Director, Quality Management Norton Medical Group Speaker
Jeffrey Allen, M.D. Bariatric Surgery Director of Bariatric Surgery for Norton Weight Management Services. Moderator, Speaker and Planner Disclosures
The speaker, moderator and planners for this activity have no potential or actual conflicts of interest to disclose.
Commercial Support
There was no commercial support for this activity.
Physician Credits
American Medical Association
Accreditation
Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. Designation
Norton Healthcare designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Date of Original Release |January 2021
Course Termination Date | January 31, 2023 Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org
Resources for Additional Study
Jalal, Asif, Systematic Review and Meta-Analysis of Endoscopic Sleeve Gastroplasty with Comparison to Laparoscopic Sleeve Gastroectomy; Obesity Surgery (2020) 30:2754-2762.
https://pubmed.ncbi.nlm.nih.gov/32304011/
Novikov, Aleksey, et. al.; Endoscopic Sleeve Gastroplasty, Laparoscopic Sleeve Gastrectomy, ad Laparoscopic Band for Weight Loss: How Do They Compare? J. Gastroninest. Surg. (201) 22:267-273.
https://pubmed.ncbi.nlm.nih.gov/29110192/
Schroeder, Robin, M.D., et. al.; Treatment of Adult Obesity with Bariatric Surgery, American Academy of Family Physicians, 2016.
Sharaiha, Reem Z., et. al.; Five-Year Outcomes of Endoscopic Sleeve Gastroplasty for the Treatment of Obesity;Clinical Gastroenteroloy and Hepatology, Nov. 2020.
Sherf-Dagan, Shiri, et. al.; Nutritional Assessment and Preparation for Adult Bariatric Surgery Candidates: Clinical Practice; Advances in Nutrition, 10 October 2020. https://academic.oup.com/advances/advance-article/doi/10.1093/advances/nmaa121/5920778
Podcast: Common Diagnosis and Treatments in Women's Health
Evaluation and Credit: https://www.surveymonkey.com/r/MedChat22
Target Audience
This activity is targeted toward primary care specialists.
Statement of Need
Often times, when female patients seek medical attention it is either for a specific complaint or their annual wellness exam. It is recognized that there are key issues affecting women's health that can be overlooked if practitioners do not evaluate or address at this time; including heart disease, mental/emotional distress, etc.
Objectives At the conclusion of this offering, the participant will be able to:
- Discuss the role of the Women's Wellchart in the annual exam.
- Describe common causes of pelvic pain, evaluation and management of pelvic pain; e.g. endometriosis, PCOS, fibroids.
- Discuss the latest recommendations for the treatment of menopausal symptoms.
Moderator Carmel Person, M.D.
Geriatric Medicine
Norton Healthcare Speaker
Tamara Callahan, M.D. Gynecologist Norton Medical Group Moderator, Speaker and Planner Disclosures
The moderator, speaker and planners for this activity have no potential or actual conflicts of interest to disclose.
Commercial Support
There was no commercial support for this activity.
Physician Credits
American Medical Association
Accreditation
Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.
Designation
Norton Healthcare designates this enduring material for a maximum of .75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Date of Original Release |December 2020
Course Termination Date | December, 31 2022 Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org
Resources for Additional Study
Is urinary incontinence associated with sedentary behaviour in older women? Analysis of data from the National Health and Nutrition Examination Survey
https://pubmed.ncbi.nlm.nih.gov/32017767/
Long-acting reversible contraceptive (LARCs) methods
https://pubmed.ncbi.nlm.nih.gov/32014434/
Effect of hormone replacement therapy on atherogenic lipid profile in postmenopausal women
https://pubmed.ncbi.nlm.nih.gov/31677448/
Integrative Treatments for Psychiatric Conditions in Primary Care
Evaluation and Credit: https://www.surveymonkey.com/r/MedChat20
Target Audience
Behavioral and mental health providers, primary care physicians, advanced providers and psychiatrists.
Statement of Need
Mental health issues including anxiety/depression and chronic stress are becoming a serious health issues and not treated can lead to more serious health problems. The most conventional treatment for these diagnoses and other behavioral health diagnoses is allopathic therapies and counseling. As more patients are wanting complementary and alternative medicine (CAM) for medical issues as well as behavioral health issues it is important for providers to have the latest information CAM treatments - applications and effectiveness.
Objectives At the conclusion of this offering, the participant will be able to: * Define complementary and alternative medicine (CAM) * List complementary and alternative medicine (CAM) therapies used in behavioral medicine. * Describe the application and effectiveness of CAM in behavioral medicine.
Moderator John J. Wernert, M.D., MHA, DLFAPA Executive Medical Norton Behavioral Medicine Speaker
Christopher D. Bojrab, M.D., DFAPA President Indiana Health Group Carmel, Indiana Speaker Disclosure
The speaker has the following conflicts of interest to disclose: Consultant and Speakers Bureau – Allergan, Assures/Myriad, Neurocrine, Otsuka, Sunovion, Takeda and Teva.
Moderator and Planner Disclosures
The moderator and planners for this activity have no potential or actual conflicts of interest to disclose.
Commercial Support
This activity has not received commercial support.
Continuing Education Credits
American Medical Association
Accreditation
Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. Designation
Norton Healthcare designates this enduring material for a maximum of .50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Date of Original Release | November 2020
Course Termination Date | November 30, 2022 Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org
Resources for Additional Study
Anxiety and Depression Association of America; https://adaa.org/finding-help/treatment/complementary-alternative-treatment.
National Alliance on Mental Illness, https://www.nami.org/About-Mental-Illness/Treatments/Complementary-Health-Approaches.
Wang, Claudia, et. al., Complementary and alternative medicine use among children with mental health issues: results from the National Health Interview Survey, Complementary and Alternative Medicine (2018) 18:241.
https://bmccomplementmedtherapies.biomedcentral.com/articles/10.1186/s12906-018-2307-5
Evaluation and Credit: https://www.surveymonkey.com/r/MedChat19
Target Audience This activity is targeted toward Primary care specialties.
Statement of Need
Abnormal liver biochemical and function tests are frequently detected in asymptomatic patients since many screening blood test panels routinely include them. A population-based survey in the United States conducted between 1999 and 2002 estimated that an abnormal alanine aminotransferase (ALT) was present in 8.9 percent of respondents. (2017 article indicated 10% of population have elevated transaminase levels). This podcast will educate providers on preferred approaches to the diagnosis and evaluation of those with abnormal liver tests.
Objectives At the conclusion of this offering, the participant will be able to:
- Discuss liver enzyme testing; screen and diagnostic.
- Describe diagnostic algorithms for patients with abnormal liver enzyme values.
- Identify the root causes and underlying conditions of enzyme abnormalities.
- Discuss the role of O-T-C pain medications and statins on liver enzymes.
Moderator Ryan Nazar, M.D., EMHA
Clinical Effectiveness Director, Quality Management Norton Medical Group Speaker
Ross Deppe, M.D.
Gastroenterologist Norton Gastroenterology Consultants of Louisville Speaker Disclosure
The speaker for this activity has no conflicts of interest to disclose.
Moderator and Planner Disclosures
The moderator and planners for this activity have no potential or actual conflicts of interest to disclose.
Commercial Support
This activity has not received commercial support.
Continuing Education Credits
American Medical Association
Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.
Designation
Norton Healthcare designates this enduring material for a maximum of .75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Kentucky Board of Nursing
Kentucky Board of Nursing (KBN) Approved Provider: Norton Healthcare, provider number 4-0002-12-20-283. The program has been approved by Norton Healthcare for 0.8 contact hours which expires 12/31/2020. KBN approval of a continuing education provider does not constitute endorsement of program content. Nursing participants must attest to the number of hours of attendance and complete the evaluation to receive contact hours.
For more information related to nursing credits, contact Sally Sturgeon DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org
Date of Original Release | October 2020
Course Termination Date | October 31, 2022 Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org
Resources for Additional Study
Circulating Markers of Liver Function and Cardiovascular Disease Risk
https://pubmed.ncbi.nlm.nih.gov/25977566/
Exploring the mechanism of liver enzyme abnormalities in patients with novel coronavirus-infected pneumonia
https://pubmed.ncbi.nlm.nih.gov/32077659/
Prevalence of Liver Function Test Abnormality and Associated Factors in Type 2 Diabetes Mellitus: A Comparative Cross-Sectional Study
https://pubmed.ncbi.nlm.nih.gov/31695587/
Evaluation and Credit: https://www.surveymonkey.com/r/MedChat18
Target Audience
This activity is targeted toward Primary care specialties and psychiatrists.
Statement of Need
Promising research is being conducted on psychedelics for the treatment of psychiatric disorders. Providers should be aware of emerging treatments. This podcast will address the research base and clinical use of psychedelics in the United States. Providers will be informed on the potential for use in practice in the future.
Objectives
At the conclusion of this offering, the participant will be able to:
- Review the history of psychedelics.
- Discuss the chemical and pharmacological properties of psychedelics.
- Describe the clinical use of psychedelics in the United States, including clinical trials.
Moderator
John J. Wernert, M.D., MHA, DLFAPA
Executive Medical
Norton Behavioral Medicine Speaker
Christopher D. Bojrab, M.D., DFAPA President Indiana Health Group Carmel, Indiana Speaker Disclosure
The speaker has the following conflicts of interest to disclose: Consultant and Speakers Bureau – Allergan, Assures/Myriad, Neurocrine, Otsuka, Sunovion, Takeda and Teva. All relevant relationships have been successfully resolved.
Moderator and Planner Disclosures
The moderator and planners for this activity have no potential or actual conflicts of interest to disclose.
Commercial Support
This activity has not received commercial support.
Continuing Education Credits
American Medical Association
Accreditation
Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.
Designation
Norton Healthcare designates this enduring material for a maximum of .50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Kentucky Board of Nursing
Kentucky Board of Nursing (KBN) Approved Provider: Norton Healthcare, provider number 4-0002-12-20-245. The program has been approved by Norton Healthcare for 0.6 contact hours which expires 12/31/2020. KBN approval of a continuing education provider does not constitute endorsement of program content. Nursing participants must attest to the number of hours of attendance and complete the evaluation to receive contact hours.
For more information related to nursing credits, contact Sally Sturgeon DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org
Date of Original Release | September 2020
Course Termination Date | September 30, 2022
Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org
Resources for Additional Study
Chi, Tingying and Gold Jessica A., A review of emerging therapeutic potential of psychedelic drugs in the treatment of psychiatric illnesses, Journal of the Neurological Sciences, Volume 411, 15, April 2020. https://www.sciencedirect.com/science/article/pii/S0022510X20300514?via%3Dihub
Krediet, Erwin, et.al., Reviewing the Potential of Psychedelics for the Treatment of PTSD, International Journal of Neuropsychopharmacology, March 20, 2020. https://academic.oup.com/ijnp/article/23/6/385/5805249
Romeo, Bruno, et. al, Efficacy of psychedelic treatments on depressive syndromes: A meta-analysis, Journal of Psychopharmacology, May 25, 2020. https://journals.sagepub.com/doi/10.1177/0269881120919957
Evaluation and Credit: https://www.surveymonkey.com/r/MedChat17
Target Audience
This activity is targeted towards primary care practitioners.
Statement of Need
In the United States, vector-borne diseases, including those transmitted by ticks, are occurring more frequently and represent a significant public health concern. The CDC reported the number of disease cases in the US and its territories caused by mosquito, tick, and flea bites grew more than threefold from 2004 to 2016. Tickborne diseases can be very serious and sometimes fatal, providers need to be aware of common symptoms. Because of the inherent delay in obtaining laboratory confirmation, early implementation of evidence-based treatment based on the patient’s clinical presentation is extremely important.
Objectives
At the conclusion of this offering, the participant will be able to:
- Discuss common diseases related to tick bites.
- Summarize the clinical symptoms of tickborne diseases.
- Discuss diagnostic testing to confirm a tickborne disease.
- Define evidence-based treatment for tick-related diseases.
Moderator
Mark J. McDonald, MD, CPE, FAAP
Medical Director, Norton Children’s Hospital & Norton Children’s Medical Center
Professor, Department of Pediatrics
Division of Pediatric Critical Care
University of Louisville School of Medicine
Speaker
Victoria Statler, M.D. M.Sc
Pediatric Infectious Disease Specialist
Associate Professor of Pediatrics
Pediatric Infectious Diseases at the University of Louisville
Attending Physician
Pediatric Transplant Infectious Diseases Service at Norton Children’s Hospital
Norton Children’s Hospital
Speaker, Moderator and Planner Disclosures
The speaker, moderator and planners for this activity have no potential or actual conflicts of interest to disclose.
Commercial Support
This activity has not received commercial support.
Physician Credits
American Medical Association
Accreditation
Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.
Designation
Norton Healthcare designates this enduring material for a maximum of .50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Nursing Credits
Kentucky Board of Nursing
Kentucky Board of Nursing (KBN) Approved Provider: Norton Healthcare, provider number 4-0002-12-20-224. The program has been approved by Norton Healthcare for .60 contact hours which expires 12/31/2020. KBN approval of a continuing education provider does not constitute endorsement of program content. Nursing participants must attest to the number of hours of attendance and complete the evaluation to receive contact hours. For more information related to nursing credits, contact Sally Sturgeon DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org.”
Date of Original Release | August 2020
Course Termination Date | August 31, 2022
Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org
Resources for Additional Study
John, M.D., Teny and Taege, M.D., Alan; Appropriate laboratory testing in Lyme Disease; Cleveland Clinic Journal of Medicine, Volume 86, Number 11, November 2019, pages 751 - 759.
Tickborne Diseases of the United States: A Reference Manual for Healthcare Providers, Fifth Edition, 2018. U.S. Department of Health and Humana Services, Centers for Disease Control and Prevention.
https://www.cdc.gov/ticks/tickbornediseases/TickborneDiseases-P.pdf
Xiaojing Chen, et.al; Epidemiology of tick-borne encephalitis in China, 2007-2018; PLoS ONE 14(12):
e0226712.; https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0226712 .
Podcast: Identification and Management of Sports Related Concussions Evaluation and Credit: https://www.surveymonkey.com/r/MedChat16
Target Audience
This activity is targeted toward primary care specialties.
Statement of Need
It is estimated that 1.6 to 3.8 million sports-related concussions occur annually, which represents 5-9% of all sports injuries. Additionally, it is recognized that sports-related concussions are under reported in that they are not always recognized due to the difficulty of diagnosis. Literature reports that there is lack of awareness of published guidelines for concussion diagnosis and management. Providers should be aware of and utilize the latest guidelines and recommendations for the identification and/or management of sports-related concussions.
Objectives
At the conclusion of this offering, the participant will be able to:
- Define sports related concussion.
- Describe the symptoms of a concussion; physical, cognitive and affective.
- Identify sideline assessment tools for a sports related concussion.
- Discuss the management and treatment of sports related concussions.
Moderator
Ryan Nazar, M.D.
Clinical Effectiveness Director, Quality Management Norton Medical Group
Speakers
Tad D. Seifert, M.D.
Neurology
Norton Sports Neurology
Moderator, Speaker and Planner Disclosures
The moderator and planners for this activity have no potential or actual conflicts of interest to disclose. The speaker, Tad Seifert, M.D. has the following relationships: Eli Lily Pharmaceuticals (advisory board and speaker’s bureau), Amgen Pharmaceuticals (consultant and speaker’s bureau) and Allergan Pharmaceuticals (speaker’s bureau)
Commercial Support
There was no commercial support for this activity.
Physician Credits
American Medical Association
Accreditation
Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.
Designation
Norton Healthcare designates this enduring material for a maximum of 1 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Nurse Credits
Kentucky Board of Nursing (KBN) Approved Provider: Norton Healthcare, provider number 4-0002-12-20-208. The program has been approved by Norton Healthcare for 1.2 contact hours which expires 12/31/2020. KBN approval of a continuing education provider does not constitute endorsement of program content. Nursing participants must attest to the number of hours of attendance and complete the evaluation to receive contact hours.
For more information related to nursing credits, contact Sally Sturgeon DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or
sally.sturgeon@nortonhealthcare.org.
Date of Original Release |July 2020
Course Termination Date | July 31, 2022
Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org
Resources for Additional Study
Evaluation and Management of Concussion in Young Athletes
https://www.ncbi.nlm.nih.gov/pubmed/30017603
Sports-Related Concussion: Acute Management and Chronic Postconcussive Issues
https://www.ncbi.nlm.nih.gov/pubmed/29157505
Summary of Evidence-Based Guideline Update: Evaluation and Management of Concussion in Sports: Report of the Guideline Development Subcommittee of the American Academy of Neurology https://www.ncbi.nlm.nih.gov/pubmed/23508730
Current Recommendations for the Diagnosis and Treatment of Concussion in Sport: A Comparison of Three New Guidelineshttps://www.ncbi.nlm.nih.gov/pubmed/23879529
Podcast: Colon Cancer: Updates in Screening Guidelines
Evaluation and Credit: https://www.surveymonkey.com/r/MedChat15
Target Audience
This activity is targeted toward internal medicine, family medicine and primary care specialties that provide primary care to patients with seizures and/or epilepsy.
Statement of Need
Colorectal cancer (CRC) is one of the top cancer-related deaths in the US, yet it is has been documented that implementing the latest screening protocols can reduce the incidence and mortality of CRC. In that most colon tumors develop in stages, screening can detect early-stage precancerous polyps before they become cancerous. Therefore it is critical for physicians to understand the latest screening protocols and recommendations for CRC.
Objectives
At the conclusion of this offering, the participant will be able to:
- List the risk factors for colorectal cancer.
- Understand the stages of colorectal disease development.
- Discuss the latest screening guidelines for colorectal cancer.
- Describe the different colorectal screening / diagnostic tools and indications.
Moderator
Ryan Nazar, M.D.
Clinical Effectiveness Director, Quality Management
Norton Medical Group
Speakers
Ryan Jones, M.D.
Colon and Rectal Surgery
Norton Surgical Specialists
Michelle Julien, M.D.
Colon and Rectal Surgery
Norton Surgical Specialists
Moderator, Speaker and Planner Disclosures
The moderator, speaker and planners for this activity have no potential or actual conflicts of interest to disclose.
Commercial Support
There was no commercial support for this activity.
Physician Credits
American Medical Association
Accreditation
Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.
Designation
Norton Healthcare designates this enduring material for a maximum of .75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Nurse Credits
Kentucky Board of Nursing (KBN) Approved Provider: Norton Healthcare, provider number 4-0002-12-20-198. The program has been approved by Norton Healthcare for 0.9 contact hours which expires 12/31/2020. KBN approval of a continuing education provider does not constitute endorsement of program content. Nursing participants must attest to the number of hours of attendance and complete the evaluation to receive contact hours.
For more information related to nursing credits, contact Sally Sturgeon DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org.
Date of Original Release |June 2020
Course Termination Date | June 30, 2022
Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org
Resources for Additional Study
Cancer screening in the United States, 2019: A review of current American Cancer Society guidelines and current issues in cancer screening.
https://www.ncbi.nlm.nih.gov/pubmed/30875085
Chapkin, Robert, et. al. Diet and Gut Microbes Act Cooridnately to Enhance Programmed Cell Death and Reduce Colorectal Cancer Risk. Digestive Diseases and Sciences (2020) 65: 840 – 851.
Issa, Iyad, and Noureddine, Malak. Colorectal cancer screening: An updated review of the available options. World Journal of Gastroenterology; 2017 July 28: 23(28): 5086 – 5096.
Primary tumor location and survival in colorectal cancer: A retrospective cohort study.
https://www.ncbi.nlm.nih.gov/pubmed/32368319
Stoffel, Elena, and Murphy Caitlin. Epidemiology and Mechanisms of the Increasing Incidence of Colon and Rectal Cancers in Young Adults. Gastroenterology, 2020 (158:341 – 353.
Primary tumor location and survival in colorectal cancer: A retrospective cohort study.
https://www.ncbi.nlm.nih.gov/pubmed/32368319
Xyu, M.D., Zhaomin, et. al. Treatments for Stage IV Colon Cancer and Overall Survival. Journal of Surgical Research, October 2019 (242) 47 – 56.
Treating Challenging Personalities in Primary Care
Evaluation and Credit: https://www.surveymonkey.com/r/MedChat14
Target Audience
This activity is targeted towards all physician specialties.
Statement of Need
In the United States, approximately 9% of adult patients have a personality disorder. In the primary care setting approximately 18% of patients that are treated have some type of personality disorder. Primary care practitioners do not consistently recognize or manage personality disorders when treating patients for medical related illnesses.
Clinicians should be aware of patient characteristics and symptoms that are related to personality disorders and effectively address and manage when providing primary care.
Objectives
At the conclusion of this offering, the participant will be able to:
- Discuss basic personality traits.
- Define different personality disorders.
- List the risk factors for personality disorders.
- Explain the distinct diagnostic criteria of personality disorders.
- Discuss effective management strategies and treatment of patients with personality disorders.
Moderator
Joseph M. Flynn, D.O, MPH, FACP
Chief Administrative Officer
Norton Medical Group
Physician-in-Chief
Norton Cancer Institute
Speaker
John J. Wernert, M.D., MHA, DLFAPA
Executive Medical Director, Behavioral Health Services
Norton Medical Group
Speaker Disclosure
The speaker for this activity has no potential or actual conflicts of interest to disclose.
Moderator and Planner Disclosures
The moderator and planners for this activity have no potential or actual conflicts of interest to disclose.
Commercial Support
This activity has not received commercial support.
Physician Credits
American Medical Association
Accreditation
Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.
Designation
Norton Healthcare designates this enduring material for a maximum of .50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Date of Original Release | April 2020
Course Termination Date | May 31, 2022
Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org
Resources for Additional Study
The State Of Mental Health In America
https://www.mhanational.org/issues/state-mental-health-america
CDC Mental Health Website
https://www.cdc.gov/mentalhealth/index.htm
Dos and Don'ts in Treatments of Patients With Narcissistic Personality Disorder
https://www.ncbi.nlm.nih.gov/pubmed/32186986
Evaluation and Credit: https://www.surveymonkey.com/r/MedChat13
Target Audience
This activity is targeted towards all physician specialties.
Statement of Need
Mental health disorders are prevalent among the United States population and can cause serious harm to patients if left untreated. Among U.S. adults 18 and older, around 9.7% had a mood disorder in the past year. Between 2014 and 2016, an annual average of 65.9 million visits were made to physician offices with mental disorders as the primary diagnosis. Mood disorders, including major depression, dysthymic disorder, and bipolar disorder, are the third most common cause of hospitalization in the United States for both youth and adults aged 18 to 44. Individuals living with serious mental illness face an increased risk of physical health problems, such as heart disease, diabetes, and HIV and die on average 25 years earlier than others.
Mental illness is caused by a number of factors including biological factors, stressful or traumatic life events, and long-lasting health conditions such as heart disease or cancer. Half of all mental illness occurs before a person turns 14 years old, and three-quarters of mental illness begin before age 24. Physicians should be aware of current trends in mental health diagnosis and treatment.
Objectives
At the conclusion of this offering, the participant will be able to:
- Define affective disorders.
- Describe how affective disorders are diagnosed.
- Discuss the role of genetic testing in the treatment of affective disorders.
- List effective strategies to treat affective disorders.
- Describe the model of telepsychiatry “virtual therapy” for behavioral care services.
Moderator
Joseph M. Flynn, D.O, MPH, FACP Chief Administrative Officer Norton Medical Group Physician-in-Chief Norton Cancer Institute
Speaker
John J. Wernert, MD, MHA Executive Medical Director -- Norton Medical Group Behavioral Health Services
Speaker Disclosure
The speaker for this activity has no potential or actual conflicts of interest to disclose.
Moderator and Planner Disclosures
The moderator and planners for this activity have no potential or actual conflicts of interest to disclose.
Commercial Support
This activity has not received commercial support.
Physician Credits
American Medical Association
Accreditation
Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.
Designation
Norton Healthcare designates this enduring material for a maximum of .50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Date of Original Release | April 2020
Course Termination Date | April 30, 2022 Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org
Resources for Additional Study
The State Of Mental Health In America
https://www.mhanational.org/issues/state-mental-health-america
CDC Mental Health Website
https://www.cdc.gov/mentalhealth/index.htm
Physician Office Visits at Which Benzodiazepines Were Prescribed: Findings From 2014–2016 National Ambulatory Medical Care Survey
https://www.cdc.gov/nchs/data/nhsr/nhsr137-508.pdf
Sex differences and the neurobiology of affective disorders
https://www.nature.com/articles/s41386-018-0148-z
Perspectives in affective disorders: Clocks and sleep
https://onlinelibrary.wiley.com/doi/full/10.1111/ejn.14362
Affective disorders and anxiety disorders predict the risk of drug harmful use and dependence
https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1360-0443.2011.03362.x
The Hidden Dangers of Vaping and the Pediatric Patient Evaluation and Credit: https://www.surveymonkey.com/r/MedChat12 Target Audience This activity is targeted towards all physician specialties. Statement of Need Introduced in 2007, vaping has been promoted as a safe alternative to smoking. Research shows in 2017 vaping was the most common use of any tobacco-like product in adolescents, with an estimated 1.3 million new adolescents using electronic cigarettes in 2018. In December of 2018, the US Surgeon General declared electronic cigarettes (EC) as an epidemic among youth. Evidence has linked vaping to an increase in acute lung injuries referred to as vaping-related acute lung injury (VpALI) and addiction in the adolescent/young adult population. Objectives At the conclusion of this offering, the participant will be able to: * Define vaping-related acute lung injury (VpALI). * Describe the contributing factors of vaping to acute lung injury. * Discuss the symptoms, diagnostic guidelines and treatment protocols for VpALI. * Implement an inclusive social history in determining patients utilizing electronic cigarettes / vaping and associated risks.
Moderator Mark J. McDonald, MD, CPE, FAAP Medical Director, Norton Children’s Hospital & Norton Children’s Medical Center Professor, Department of Pediatrics Division of Pediatric Critical Care University of Louisville School of Medicine Speaker Scott G. Bickel, M.D. Assistant professor Division of pediatric pulmonology Department of pediatrics University of Louisville School of Medicine Disclosures The speaker, planners and moderator of this activity have no potential or actual conflicts of interest to disclose. Commercial Support This activity has not received commercial support. Physician Credits American Medical Association Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. Designation Norton Healthcare designates this enduring material for a maximum of .50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Date of Original Release | March 2020 Course Termination Date | March 2022; Updated to March 2023 Content Review |This podcast was reviewed March 2022 by Scott Bickel, M.D. It was determined that the information is still relevant and appropriate. Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org Resources for Additional Study Abeles, M.D., Michael, et.al., “Vaping-associated lung injury caused by inhalation of cannabis oil”, Pediatric Pulmonology, 2019; 1-3. Al-Hamdani, Mohammed, et. al., “Vaping among youth and young adults: a “red alert” state”, Journal of Public Health Policy, October 2019. Blagev, Denitza, P., Harris, Dixie, et. al., “Clinical presentation, treatment, and short-term outcomes of lung injury associated with e-cigarettes or vaping: a prospective observational cohort study”, The Lancet, Vol 394, December 7, 2019, pages 2073 – 2083. Bozier, Jack, et. al., “How harmless are E-cigarettes? Effects in the pulmonary system”, Current Opinion Pulmonary Medicine, 2020, 26:97-102. Fonesca Fuentes, Xavier, et. al., “VpALI-Vaping-related Acute Lunch Injury: A New Killer Around the Block”, Mayo Clinic Proceedings, December 2019; 94)12): 2534-2545. Gray, Naudia, Halstead, Mary, et. al., “Analysis of Toxic Materials in Liquid From Electronic Cigarettes”. International Journal of Environmental Research and Public Health, 2019, 16, 4450.
DEA Provider Compliance and Safe Guards: Part 2
Evaluation and Credit: https://www.surveymonkey.com/r/MedChat11part2
Target Audience
This activity is targeted toward all physician specialties.
Statement of Need
Providers should be aware of the latest guidelines related to the prescribing of controlled substances as related to the administrative aspect of their practice to avoid any compliance issues.
Objectives
At the conclusion of this offering, the participant will be able to:
- Address common concerns for DEA compliance in practice.
- Identify red flags for a DEA investigation.
Moderator Stephen Wright, M.D. Medical Director, Pediatrics Norton Medical Group
Speaker Dennis WichernManaging Partner Prescription Drug Consulting LLC Former Special Agent-in-Charge (SAC) Drug Enforcement Administration (DEA)
Speaker Disclosure
The speaker has no potential or actual conflicts of interest to disclose.
Moderator and Planner Disclosures
The moderator and planners for this activity have no potential or actual conflicts of interest to disclose.
Commercial Support
This activity has received financial support from Cardinal Health.
Physician Credits American Medical Association
Accreditation
Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.
DesignationNorton Healthcare designates this enduring material for a maximum of .50 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Date of Original Release | February 2020 Course Termination Date | February 28, 2022 Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org
Resources for Additional Study
How To Avoid Negative Press and Fines During the Opioid Crisis
https://www.prescriptiondrugconsulting.com/articles/how-to-avoid-negative-press-and-fines-during-the-opioid-crisis
U.S. Department of Justice Drug Enforcement Administration Diversion Control Division
https://www.deadiversion.usdoj.gov/index.html
Don't Be Scammed By A Drug Abuser
https://www.deadiversion.usdoj.gov/pubs/brochures/drugabuser.htm
Reframing the Prevention Strategies of the Opioid Crisis: Focusing on Prescription Opioids, Fentanyl, and Heroin Epidemic. https://www.ncbi.nlm.nih.gov/pubmed/30045589
Responsible, Safe, and Effective Prescription of Opioids for Chronic Non-Cancer Pain: American Society of Interventional Pain Physicians (ASIPP) Guidelines
https://www.ncbi.nlm.nih.gov/pubmed/28226332
DEA Provider Compliance and Safe Guards: Part One
Evaluation and Credit: https://www.surveymonkey.com/r/MedChat11part1
Target Audience
This activity is targeted toward all physician specialties.
Statement of Need
Providers should be aware of the latest guidelines related to the prescribing of controlled substances as related to the administrative aspect of their practice to avoid any compliance issues.
Objectives
At the conclusion of this offering, the participant will be able to:
- Define the role of the Drug Enforcement Agency (DEA).
- Discuss key aspects of compliance relative to the practice setting in the prescribing of controlled substances.
- Recognize important and recurring opioid risk areas.
- List practical strategies and tips to reduce opioid risks.
Moderator Stephen Wright, M.D. Medical Director, Pediatrics Norton Medical Group
Speaker Dennis WichernManaging Partner Prescription Drug Consulting LLC Former Special Agent-in-Charge (SAC) Drug Enforcement Administration (DEA)
Speaker Disclosure
The speaker has no potential or actual conflicts of interest to disclose.
Moderator and Planner Disclosures
The moderator and planners for this activity have no potential or actual conflicts of interest to disclose.
Commercial Support
This activity has received financial support from Cardinal Health.
Physician Credits American Medical Association
Accreditation
Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.
DesignationNorton Healthcare designates this enduring material for a maximum of .50 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
HB1 / Prescribing Controlled SubstancesThe Kentucky Board of Medical Licensure has approved the podcast DEA Provider Compliance and Safe Guards:
Part One for .50 HB1 credit hours. ID# 0120-H.50-NHC1d.
Date of Original Release | February 2020 Course Termination Date | February 28, 2022 Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org
Resources for Additional Study
How To Avoid Negative Press and Fines During the Opioid Crisis
https://www.prescriptiondrugconsulting.com/articles/how-to-avoid-negative-press-and-fines-during-the-opioid-crisis
U.S. Department of Justice Drug Enforcement Administration Diversion Control Division
https://www.deadiversion.usdoj.gov/index.html
Don't Be Scammed By A Drug Abuser
https://www.deadiversion.usdoj.gov/pubs/brochures/drugabuser.htm
Reframing the Prevention Strategies of the Opioid Crisis: Focusing on Prescription Opioids, Fentanyl, and Heroin Epidemic. https://www.ncbi.nlm.nih.gov/pubmed/30045589
Responsible, Safe, and Effective Prescription of Opioids for Chronic Non-Cancer Pain: American Society of Interventional Pain Physicians (ASIPP) Guidelines
https://www.ncbi.nlm.nih.gov/pubmed/28226332
Vaccine Hesitancy: Scope and Solutions
Evaluation and Credit: https://www.surveymonkey.com/r/MedChat10
Target Audience
This activity is targeted towards internal medicine, family medicine, pediatrics, and urgent care.
Statement of Need
In January 2019, the World Health Organization included ‘vaccine hesitancy’ as one of the top 10 threats to global health. Providers should be aware of current philosophies towards vaccine hesitancy, be current on the AAP vaccination schedule, and be knowledgeable in techniques to talk with families that are vaccine hesitant.
Objectives
At the conclusion of this offering, the participant will be able to:
- Define vaccine hesitancy.
- Describe factors that influence a family's tendency to be vaccine hesitant.
- Discuss effective strategies to address vaccine hesitancy with parents.
- Understand the scientific data about the safety and efficacy of vaccines and risks of non-vaccination.
Moderator Mark J. McDonald, MD, CPE, FAAP
Medical Director, Norton Children’s Hospital & Norton Children’s Medical Center
Professor, Department of Pediatrics
Division of Pediatric Critical Care
University of Louisville School of Medicine
Speaker
Gary S. Marshall, MD
Professor of Pediatrics
Chief, Division of Pediatric Infectious Diseases
University of Louisville School of Medicine
Speaker Disclosure
The speaker has the following conflicts of interest to disclose: Advisory Board, Consultant, Grant Recipient, Honoraria and Research – GSK, Merck, Pfizer, Sanofi, and Seqirus.
Moderator and Planner Disclosures
The moderator and planners for this activity have no potential or actual conflicts of interest to disclose.
Commercial Support
This activity has not received commercial support.
Physician Credits American Medical Association Accreditation
Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.
Designation
Norton Healthcare designates this enduring material for a maximum of .75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Date of Original Release | December 2019 Course Termination Date | January, 2022; Updated to January 2024 Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org
Resources for Additional Study
Vaccine Hesitancy, History, and Human Nature: The 2018 Stanley A. Plotkin Lecture https://academic.oup.com/jpids/article-abstract/8/1/1/5099088?redirectedFrom=fulltext The Vaccine Handbook: A Practical Guide for Clinicians, 8E "The Purple Book" https://pcibooks.com/books/view/49 Vaccine Hesitancy: Where We Are and Where We Are Going https://www.ncbi.nlm.nih.gov/pubmed/28774498 Vaccine Hesitancy in Pediatric Primary Care Practices https://www.ncbi.nlm.nih.gov/pubmed/29947574 Vaccine Hesitancy: Causes, Consequences, and a Call to Action https://www.ncbi.nlm.nih.gov/pubmed/26337116
Addressing Provider Wellness and Resilience
Evaluation and Credit: https://www.surveymonkey.com/r/MedChat8
Target Audience
This activity is targeted toward internal medicine, family medicine and all specialties.
Statement of Need
A 2015 Mayo Clinic study found that more than half of U.S. doctors experience at least one symptom of burnout, and dissatisfaction has significantly worsened in recent years. Physician stress and burnout can impact the quality of patient care as well as a physicians' own health and well-being. It is important for physicians to recognize the symptoms of burnout and to identify strategies/habits to promote resilience and work-life balance.
Objectives
At the conclusion of this offering, the participant will be able to:
- Discuss the contributing factors and symptoms of burnout.
- Describe strategies / resources to address clinician burnout and resilience.
Moderator
James Jennings, M.D.
Executive Medical Director, Adult Primary Care
Director, Provider Wellbeing
Norton Healthcare
Speaker
Paul F. DeChant, M.D., MBA, FAAFP
Deputy Chief Health Officer
IBM Watson Health
Moderator, Speaker and Planner Disclosures
The moderator, speaker and planners for this activity have no potential or actual conflicts of interest to disclose.
Commercial Support
This activity has not received commercial support.
Physician Credits
American Medical Association
Accreditation
Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.
Designation
Norton Healthcare designates this enduring material for a maximum of .50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Date of Original Release | November 2019
Course Termination Date | July 2021; Updated to July 2023
Content Review | This podcast was reviewed July 2021 by Paul DeChant, M.D. It was determined that the information is still relevant and appropriate.
Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org
Resources for Additional Study
Paul DeChant, Diane W. Shannon, Preventing Physician Burnout: Curing the Chaos and Returning Joy to the Practice of Medicine, CreateSpace Indepdent Publishing Platform, 2016, http://www.pauldechantmd.com/preventing-physician-burnout/
Bob Chapman and Raj Sisodia, Everybody Matters: The Extraordinary Power of Caring for Your People Like Family, Penguin Random House LLC, 2015, https://www.everybodymattersbook.com/
Brenda K. Wiederhold, et. al., Intervention for Physician Burnout: A Systematic Review, De Gruyter, Open Med. 2018; 13: 253-263
Hilary McClaffety, M.D., FAAO, et. al. Physician Health and Wellness, American Academy of Pediatrics, Volume 134, Number 4, October 2014, pp. 830-835
Mark Linzer, M.D., et. al., 10 Bold Steps to Prevent Burnout in General Internal Medicine, J Gen Intern Med 29(1):18–20, DOI: 10.1007/s11606-013-2597-8
C. P. West, et. al., Physician Burnout: Contributors, Consequences and Solutions, Journal of Internal Medicine,
Journal of Internal Medicine, 2018, 283; 516–529
Podcast: Use and Abuse – Opioid Addiction
Evaluation and Credit: https://www.surveymonkey.com/r/MedChat7
Target Audience
This activity is targeted toward internal medicine, family medicine and all specialties.
Statement of Need
In 2017, overdose fatalities in Kentucky rose by 11% and Jefferson County had the most overdose deaths. It is critical for physicians and providers to be aware of the prevalence of illegal drugs and understand this culture - as legal prescribing guidelines / availability continues to be more restrictive and addicted patients may seek their "high" from illegal sources.
Objectives
At the conclusion of this offering, the participant will be able to:
- Describe the current trends in the emergency department as related to addicts seeking care.
- List the characteristics of opioid addiction and pill seeking behavior.
- Discuss non-opioid alternatives for the treatment of acute pain.
Moderator
William R. Bradford, M.D., MMM Medical Director Norton Audubon Hospital Speaker
Robert H. Couch, M.D. Medical Director, Emergency Department Norton Audubon Hospital Moderator, Speaker and Planner Disclosures
The moderator, speaker and planners for this activity have no potential or actual conflicts of interest to disclose.
Commercial Support
This activity is supported in part with a grant from Cardinal Health.
Physician Credits
American Medical Association
Accreditation
Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.
Designation
Norton Healthcare designates this enduring material for a maximum of .50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
HB1 / Prescribing Controlled Substances
The Kentucky Board of Medical Licensure has approved the podcast Use and Abuse – Opioid Addiction for .50 HB1 credit hours ID# 1019-H.50-NHC4c.
Date of Original Release | October 2019
Course Termination Date | October 2021; Updated to October 2022
Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org
State Resources
Listing of treatment centers / resources – FindHelpNowKY
Kentucky State Police assistance in finding a treatment center – Angel Initiative
Resources for Additional Study
Matthew Webster, et. al., “Drug Use and Criminal Activity Among Rural Probationers with DUI Histories”, International Journal of Offender Therapy and Comparative Criminology 53:6, December 2009, pages 717-730.
Jean Bonhomme, M.D., MPH, et. al., “Opioid Addiction and Abuse in Primary Care Practice: A Comparison of Methadone and Buprenorphine as Treatment Options”, Journal of the National Medical Association, 10:7&8, July/August 2012, 384-350.
Thomas F. Garrity, PhD, et. al., “Physical Health, Illicit Drug Use, and Demographic Characteristics in Rural Stimulant Users”, National Rural Health Association, Spring 2007, Vol. 23, No. 2, pages 99–107.
April M. Young, MPH, and Jennifer R.Havens, PhD, MPH, “Transition from first illicit drug use to first injection drug use among rural Appalachian drug users: A cross-sectional comparison and retrospective survival analysis” National Institutes of Health, March 2012, 107(3), 587-596
Podcast: Epilepsy for the Primary Care Provider
Evaluation and Credit: https://www.surveymonkey.com/r/MedChat6
Target Audience
This activity is targeted toward internal medicine, family medicine and primary care specialties that provide primary care to patients with seizures and/or epilepsy.
Statement of Need
According to the CDC approximately 40 - 50k of adults in Kentucky have epilepsy (2015 data). Prior to a diagnosis of epilepsy, a primary care practitioner may be the first provider to see a patient suspected of having had a seizure. Additionally, they may be responsible for initial diagnosis and treatment as well as referral to a specialist.
Objectives
At the conclusion of this offering, the participant will be able to:
- Discuss differential diagnosis of seizures.
- Describe epilepsy syndromes and seizure classifications.
- Discuss common treatments for epilepsy as well as required monitoring by the primary care provider.
- Understand the relationship of epilepsy with co-existing disorders.
Moderator
Stephen Wright, M.D.
Medical Director
Norton Medical Group
Speakers
Ambica Tumkur, M.D.
Neurologist
Norton Neurology Services
Rebekah Woods, D.O.
Neurologist
Norton Neurology Services
Moderator, Speaker and Planner Disclosures
The moderator, speaker and planners for this activity have no potential or actual conflicts of interest to disclose.
Commercial Support
There was no commercial support for this activity.
Physician Credits
American Medical Association
Accreditation
Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.
Designation
Norton Healthcare designates this enduring material for a maximum of .50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Date of Original Release |September 2019
Course Termination Date | September 2021; Updated to September 2023
Content Review | This podcast was reviewed July 2021 by Ambica Tumkur, M.D. It was determined that the information is still relevant and appropriate.
Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org
Resources for Additional Study
Bates, M.D., Kimberly, “Epilepsy, Current Evidence-Based Paradigms for Diagnosis and Treatment”, Primary Care Clinic Office Practice, 42 (2015) 217 – 232.
Bosak, Magdalena, et. al. Implementation of the new ILAE classification of epilepsies into clinical practice – A cohort study”, Epilepsy & Behavior, 96 (2019) 28 – 32.
Bruun, Emmi, et. al. “Co-morbidity and clinically significant interactions between antiepileptic drugs and other drugs in elderly patients with newly diagnosed epilepsy”, Epilepsy & Behavior 73 (2017) 71 – 76.
Pack, Allison, M.D., MPH, “Epilepsy Overview and Revised Classification of Seizures and Epilepsies”, Continuum (Minneap Minn) 2019; 25 (2. EPILEPSY): 306-321.
Schachter, M.D., Steven C., “Comorbidities and complications of epilepsy in adults”, UpToDate, 2019.
Schachter, M.D., Steven C., “Evaluation and management of the first seizure in adults”, UpToDate, 2019.
St. Louis, M.D., MS, FAAN Erik K., and Cascino, M.D., FAAN, Gregory. “Diagnosis of Epilepsy and Related Episodic Disorders”, Continuum (Minneap Minn), 2016; 22(1): 15 – 37.
Yoo, M.D., Ji Yeoun, and Panov, M.D., Fedor, “Identification and Treatment of Drug-Resistant Epilepsy”, Continuum (Minneap Minn), 2019:25 (2, EPILEPSY): 362 – 380.