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

Podcast: Podcast: Recognition and Management of Trigeminal Neuralgia    Evaluation and Credit: <a href="https://www.surveymonkey.com/r/MedChat55" rel="nofollow" target="_blank">https://www.surveymonkey.com/r/MedChat55</a>    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 <a href="mailto:sally.sturgeon@nortonhealthcare.org">sally.sturgeon@nortonhealthcare.org</a>.    Resources for Additional Study:  The changing face of trigeminal neuralgia-A narrative review  <a href="https://pubmed.ncbi.nlm.nih.gov/34214179/" rel="nofollow" target="_blank">https://pubmed.ncbi.nlm.nih.gov/34214179/</a>    Trigeminal Neuralgia  <a href="https://pubmed.ncbi.nlm.nih.gov/36404084/" rel="nofollow" target="_blank">https://pubmed.ncbi.nlm.nih.gov/36404084/</a>      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 <a href="http://NortonHealthcare.com" rel="nofollow" target="_blank">NortonHealthcare.com</a>.    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 <a href="mailto:cme@nortonhealthcare.org">cme@nortonhealthcare.org</a>

Recognition and Management of Trigeminal Neuralgia 

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:    Review the indications for total hip arthroplasty. Differentiate between the direct anterior approach and posterior approach for total hip arthroplasty. 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

A Review of Total Hip Arthroplasty   Evaluation and Credit:  <a href="https://www.surveymonkey.com/r/MedChat54" rel="nofollow" target="_blank">https://www.surveymonkey.com/r/MedChat54</a>   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:  <ol> <li>Review the indications for total hip arthroplasty.</li> <li>Differentiate between the direct anterior approach and posterior approach for total hip arthroplasty.</li> <li>Identify red flags during routine medical care of patients that have undergone total hip arthroplasty.</li> </ol>   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 <a href="https://pubmed.ncbi.nlm.nih.gov/31276006/" rel="nofollow" target="_blank">https://pubmed.ncbi.nlm.nih.gov/31276006/</a>   Consensus statement for perioperative care in total hip replacement and total knee replacement surgery: Enhanced Recovery After Surgery (ERAS®) Society recommendations <a href="https://pubmed.ncbi.nlm.nih.gov/31663402/" rel="nofollow" target="_blank">https://pubmed.ncbi.nlm.nih.gov/31663402/</a>   Physical Examination of the Hip <a href="https://pubmed.ncbi.nlm.nih.gov/33217250/" rel="nofollow" target="_blank">https://pubmed.ncbi.nlm.nih.gov/33217250/</a>     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 <a href="http://NortonHealthcare.com" rel="nofollow" target="_blank">NortonHealthcare.com</a>.     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 <a href="mailto:cme@nortonhealthcare.org">cme@nortonhealthcare.org</a>

A Review of Total Hip Arthroplasty

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:    Define perimenopause and menopause. List the symptoms associated with perimenopause and menopause. 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 Perimenopause and Menopause   Evaluation and Credit:  <a href="https://www.surveymonkey.com/r/MedChat53" rel="nofollow" target="_blank">https://www.surveymonkey.com/r/MedChat53</a>   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:  <ol> <li>Define perimenopause and menopause.</li> <li>List the symptoms associated with perimenopause and menopause.</li> <li>Discuss strategies and considerations for the effective management of menopausal symptoms.</li> </ol>   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 <a href="https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2013/04/postmenopausal-estrogen-therapy-route-of-administration-and-risk-of-venous-thromboembolism" rel="nofollow" target="_blank"> https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2013/04/postmenopausal-estrogen-therapy-route-of-administration-and-risk-of-venous-thromboembolism</a>   Should we be prescribing testosterone to perimenopausal and menopausal women? A guide to prescribing testosterone for women in primary care <a href="https://pubmed.ncbi.nlm.nih.gov/32217602/" rel="nofollow" target="_blank">https://pubmed.ncbi.nlm.nih.gov/32217602/</a>   Treatment and resource utilization for menopausal symptoms in the United States: a retrospective review of real-world evidence from US electronic health records  <a href="https://pubmed.ncbi.nlm.nih.gov/36576444/" rel="nofollow" target="_blank">https://pubmed.ncbi.nlm.nih.gov/36576444/</a>     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 <a href="http://NortonHealthcare.com" rel="nofollow" target="_blank">NortonHealthcare.com</a>.     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 <a href="mailto:cme@nortonhealthcare.org">cme@nortonhealthcare.org</a>

Management of Perimenopause and Menopause

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:    Discuss the prevalence of atrial fibrillation. List the risk factors of atrial fibrillation and monosymptomatic atrial fibrillation. Describe management strategies of atrial fibrillation. 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

Management of Atrial Fibrillation in Primary Care   Evaluation and Credit:  <a href="https://www.surveymonkey.com/r/MedChat52" rel="nofollow" target="_blank">https://www.surveymonkey.com/r/MedChat52</a>   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:  <ol> <li>Discuss the prevalence of atrial fibrillation.</li> <li>List the risk factors of atrial fibrillation and monosymptomatic atrial fibrillation.</li> <li>Describe management strategies of atrial fibrillation.</li> <li>Identify when specialty care is needed for the management of atrial fibrillation.</li> </ol>   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 <a href="https://pubmed.ncbi.nlm.nih.gov/33846159/" rel="nofollow" target="_blank">https://pubmed.ncbi.nlm.nih.gov/33846159/</a>   Atrial Fibrillation: Pathogenesis, Predisposing Factors, and Genetics <a href="https://pubmed.ncbi.nlm.nih.gov/35008432/" rel="nofollow" target="_blank">https://pubmed.ncbi.nlm.nih.gov/35008432/</a>     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 <a href="http://NortonHealthcare.com" rel="nofollow" target="_blank">NortonHealthcare.com</a>.     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 <a href="mailto:cme@nortonhealthcare.org">cme@nortonhealthcare.org</a>

Management of Atrial Fibrillation in Primary Care

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:    Discuss the epidemiology of firearm injuries in children. Discuss the current trends in intentional and unintentional firearm injuries in children. Describe effective strategies to discuss firearm safety with families. 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

Addressing Firearm Injuries in Children and Teens   Evaluation and Credit:  <a href="https://www.surveymonkey.com/r/MedChat51" rel="nofollow" target="_blank">https://www.surveymonkey.com/r/MedChat51</a>   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:  <ol> <li>Discuss the epidemiology of firearm injuries in children.</li> <li>Discuss the current trends in intentional and unintentional firearm injuries in children.</li> <li>Describe effective strategies to discuss firearm safety with families.</li> <li>Review the evidence-based practices to reduce the risks of gun-related injuries to children and teens; including screening recommendations and firearm storage/safety.</li> </ol> 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 <a href="https://publications.aap.org/pediatrics/article/130/5/e1416/32375/Firearm-Related-Injuries-Affecting-the-Pediatric?_ga=2.54893036.695098718.1679324551-629979946.1679324551" rel="nofollow" target="_blank"> https://publications.aap.org/pediatrics/article/130/5/e1416/32375/Firearm-Related-Injuries-Affecting-the-Pediatric?_ga=2.54893036.695098718.1679324551-629979946.1679324551</a>   Firearm-Related Injuries and Deaths in Children and Youth: Injury Prevention and Harm Reduction <a href="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" rel="nofollow" target="_blank"> 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</a>   Safe Storage for Firearms <a href="https://www.aap.org/en/patient-care/gun-safety-and-injury-prevention/safe-storage-of-firearms/" rel="nofollow" target="_blank"> https://www.aap.org/en/patient-care/gun-safety-and-injury-prevention/safe-storage-of-firearms/</a>   Gun Safety Campaign Tool Kit <a href="https://www.aap.org/en/news-room/campaigns-and-toolkits/gun-safety/" rel="nofollow" target="_blank"> Gun Safety Campaign Toolkit (aap.org)</a>   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 <a href="http://NortonHealthcare.com" rel="nofollow" target="_blank">NortonHealthcare.com</a>.     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 <a href="mailto:cme@nortonhealthcare.org">cme@nortonhealthcare.org</a>

Addressing Firearm Injuries in Children and Teens

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

Strategies to DePrescribe in the Geriatric Population   Evaluation and Credit:  <a href="https://www.surveymonkey.com/r/MedChat50" rel="nofollow" target="_blank">https://www.surveymonkey.com/r/MedChat50</a>   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 <a href="https://www.tandfonline.com/doi/full/10.1080/17512433.2020.1697676" rel="nofollow" target="_blank"> https://www.tandfonline.com/doi/full/10.1080/17512433.2020.1697676</a>   American Geriatrics Society 2019 Updated AGS Beers Criteria® for Potentially Inappropriate Medication Use in Older Adults <a href="https://pubmed.ncbi.nlm.nih.gov/30693946/" rel="nofollow" target="_blank">https://pubmed.ncbi.nlm.nih.gov/30693946/</a>     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 <a href="http://NortonHealthcare.com" rel="nofollow" target="_blank">NortonHealthcare.com</a>.     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 <a href="mailto:cme@nortonhealthcare.org">cme@nortonhealthcare.org</a>

Strategies to De-prescribe in the Geriatric Population

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

Podcast:  Women's Health: Surgical Options for Weight Management    Evaluation and Credit:  <a href="https://www.surveymonkey.com/r/MedChat22" rel="nofollow" target="_blank">https://www.surveymonkey.com/r/MedChat22</a>    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 <a href="mailto:cme@nortonhealthcare.org">cme@nortonhealthcare.org</a>     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. <a href="https://pubmed.ncbi.nlm.nih.gov/32304011/" rel="nofollow" target="_blank">https://pubmed.ncbi.nlm.nih.gov/32304011/</a>     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.  <a href="https://pubmed.ncbi.nlm.nih.gov/29110192/" rel="nofollow" target="_blank">https://pubmed.ncbi.nlm.nih.gov/29110192/</a>     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. <a href="https://academic.oup.com/advances/advance-article/doi/10.1093/advances/nmaa121/5920778" rel="nofollow" target="_blank"> https://academic.oup.com/advances/advance-article/doi/10.1093/advances/nmaa121/5920778</a>

Women's Health: Surgical Options for Weight Management

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

Recognizing and ManagingPediatric Suicidality   Evaluation and Credit:  <a href="https://www.surveymonkey.com/r/MedChat49" rel="nofollow" target="_blank">https://www.surveymonkey.com/r/MedChat49</a>   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 <a href="https://www.nimh.nih.gov/research/research-conducted-at-nimh/asq-toolkit-materials" rel="nofollow" target="_blank"> https://www.nimh.nih.gov/research/research-conducted-at-nimh/asq-toolkit-materials</a>   American Psychological Association – Patient Health Questionnaire – 9 (PHQ-9) <a href="https://www.apa.org/depression-guideline/patient-health-questionnaire.pdf" rel="nofollow" target="_blank"> https://www.apa.org/depression-guideline/patient-health-questionnaire.pdf</a>   Assessment and Management of Depression and Suicidality: Pediatric Resident Perspectives on Training and Practice <a href="https://pubmed.ncbi.nlm.nih.gov/32525351/" rel="nofollow" target="_blank">https://pubmed.ncbi.nlm.nih.gov/32525351/</a>   Pediatric Suicide Screening: A Review of the Evidence <a href="https://pubmed.ncbi.nlm.nih.gov/33387798/" rel="nofollow" target="_blank">https://pubmed.ncbi.nlm.nih.gov/33387798/</a>     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 <a href="http://NortonHealthcare.com" rel="nofollow" target="_blank">NortonHealthcare.com</a>.     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 <a href="mailto:cme@nortonhealthcare.org">cme@nortonhealthcare.org</a>

Recognizing and Managing Pediatric Suicidality

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

Podcast: Updates in Chronic Pain Management   Evaluation and Credit:  https://<a href="http://www.surveymonkey.com/r/MedChat48" rel="nofollow" target="_blank">www.surveymonkey.com/r/MedChat48</a>   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 <a href="mailto:sally.sturgeon@nortonhealthcare.org">sally.sturgeon@nortonhealthcare.org.</a> 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 <a href="http://NortonHealthcare.com" rel="nofollow" target="_blank">NortonHealthcare.com</a>.   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 <a href="mailto:cme@nortonhealthcare.org">cme@nortonhealthcare.org</a>

Updates in Chronic Pain Management

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:   Summarize the prevalence of endocrine conditions, including the most common conditions. Discuss the latest screening and diagnostic guidelines for frequently treated endocrine conditions seen in the primary care setting. Distinguish between primary and secondary endocrine disorders. 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 Lisal 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

Endocrine Pearls   Evaluation and Credit: <a href="https://www.surveymonkey.com/r/MedChat47" rel="nofollow" target="_blank">https://www.surveymonkey.com/r/MedChat47</a>   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:  <ol> <li>Summarize the prevalence of endocrine conditions, including the most common conditions.</li> <li>Discuss the latest screening and diagnostic guidelines for frequently treated endocrine conditions seen in the primary care setting.</li> <li>Distinguish between primary and secondary endocrine disorders.</li> <li>Describe updated treatment options for common endocrine conditions seen in the primary care setting.</li> </ol> Moderator Monalisa Tailor, M.D. Internal Medicine Norton Community Medical Associates   Speaker Lisal 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 <a href="https://pubmed.ncbi.nlm.nih.gov/34964856/" rel="nofollow" target="_blank">https://pubmed.ncbi.nlm.nih.gov/34964856/</a>   Endocrine Causes of Hypertension <a href="https://pubmed.ncbi.nlm.nih.gov/33079272/" rel="nofollow" target="_blank">https://pubmed.ncbi.nlm.nih.gov/33079272/</a>     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 <a href="http://NortonHealthcare.com" rel="nofollow" target="_blank">NortonHealthcare.com</a>.     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 <a href="mailto:cme@nortonhealthcare.org">cme@nortonhealthcare.org</a>

Endocrine Pearls

MedChat is Norton Healthcare's podcast that provides evidence-based continuing medical education (CME) for physicians and other providers on the go!

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:   Discuss the basics of clinical research including the types of research and phases of trials addressing both adult and pediatric research.  Describe the importance of patient selection and characteristics in clinical research.  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: The Essentials of Clinical Trials   Evaluation and Credit:  <a href="https://www.surveymonkey.com/r/MedChat46" rel="nofollow" target="_blank">https://www.surveymonkey.com/r/MedChat46</a>   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:  <ol> <li>Discuss the basics of clinical research including the types of research and phases of trials addressing both adult and pediatric research. </li> <li>Describe the importance of patient selection and characteristics in clinical research. </li> <li>List the limitations of clinical research.</li> </ol>   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 <a href="https://www.nih.gov/health-information/nih-clinical-research-trials-you/finding-clinical-trial" rel="nofollow" target="_blank"> https://www.nih.gov/health-information/nih-clinical-research-trials-you/finding-clinical-trial</a>    Clinical Trials 2021 <a href="https://pubmed.ncbi.nlm.nih.gov/33795058/" rel="nofollow" target="_blank">https://pubmed.ncbi.nlm.nih.gov/33795058/</a>     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 <a href="http://NortonHealthcare.com" rel="nofollow" target="_blank">NortonHealthcare.com</a>.     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 <a href="mailto:cme@nortonhealthcare.org">cme@nortonhealthcare.org</a>

The Essentials of Clinical Trials

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:   Differentiate the clinical manifestations of cognitive impairment of normal aging versus Alzheimer Disease.  Identify the screening and diagnostic tools for patients with cognitive impairment.  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: Cognition and the Aging Brain   Evaluation and Credit:  <a href="https://www.surveymonkey.com/r/MedChat45" rel="nofollow" target="_blank">https://www.surveymonkey.com/r/MedChat44</a>   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:  <ol> <li>Differentiate the clinical manifestations of cognitive impairment of normal aging versus Alzheimer Disease. </li> <li>Identify the screening and diagnostic tools for patients with cognitive impairment. </li> <li>Discuss appropriate management of normal cognitive impairment as a result of aging.</li> </ol>   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 <a href="https://pubmed.ncbi.nlm.nih.gov/14732621/" rel="nofollow" target="_blank">https://pubmed.ncbi.nlm.nih.gov/14732621/</a>   Distinguishing normal brain aging from the development of Alzheimer’s disease: inflammation, insulin signaling and cognition <a href="https://pubmed.ncbi.nlm.nih.gov/30136683/" rel="nofollow" target="_blank">https://pubmed.ncbi.nlm.nih.gov/30136683/</a>   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 <a href="http://NortonHealthcare.com" rel="nofollow" target="_blank">NortonHealthcare.com</a>.     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 <a href="mailto:cme@nortonhealthcare.org">cme@nortonhealthcare.org</a>

Cognition and the Aging Brain

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:   Discuss the prevalence of headaches in the pediatric population. Discuss the symptoms and clinical characteristics of headaches including the distinction of symptoms between adults and teens.  Describe the diagnostic process for headaches in teens including red flags.  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:  <a href="https://www.surveymonkey.com/r/MedChat44" rel="nofollow" target="_blank">https://www.surveymonkey.com/r/MedChat43</a>   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:  <ol> <li>Discuss the prevalence of headaches in the pediatric population.</li> <li>Discuss the symptoms and clinical characteristics of headaches including the distinction of symptoms between adults and teens. </li> <li>Describe the diagnostic process for headaches in teens including red flags. </li> <li>Identify effective management strategies for primary headaches including migraines in the teen patient.</li> </ol>   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 <a href="https://pubmed.ncbi.nlm.nih.gov/29476266/" rel="nofollow" target="_blank">https://pubmed.ncbi.nlm.nih.gov/29476266/</a>   Practice guideline update summary: Acute treatment of migraine in children and adolescents: Report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American <a href="https://pubmed.ncbi.nlm.nih.gov/31413171/" rel="nofollow" target="_blank">https://pubmed.ncbi.nlm.nih.gov/31413171/</a>   American Headache Society <a href="https://americanheadachesociety.org/" rel="nofollow" target="_blank">https://americanheadachesociety.org/</a>     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 <a href="http://NortonHealthcare.com" rel="nofollow" target="_blank">NortonHealthcare.com</a>.     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 <a href="mailto:cme@nortonhealthcare.org">cme@nortonhealthcare.org</a>

Teens and Headaches

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

Long COVID and the Pediatric Patient (Part 2)    Evaluation and Credit:  <a href="https://www.surveymonkey.com/r/MedChat43" rel="nofollow" target="_blank">https://www.surveymonkey.com/r/MedChat42b</a>   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:  <ul> <li>Define the parameters of Long COVID for the pediatric patient.</li> <li>Discuss the prevalence of Long COVID associated risk factors.</li> <li>Describe symptoms and management of post-COVID syndrome for pediatric patients.</li> </ul>   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? <a href="https://pubmed.ncbi.nlm.nih.gov/34870392/" rel="nofollow" target="_blank">https://pubmed.ncbi.nlm.nih.gov/34870392/</a>   Long COVID in children and adolescents <a href="https://pubmed.ncbi.nlm.nih.gov/34478045/" rel="nofollow" target="_blank">https://pubmed.ncbi.nlm.nih.gov/34478045/</a>   Preliminary evidence on long COVID in children <a href="https://pubmed.ncbi.nlm.nih.gov/33835507/" rel="nofollow" target="_blank">https://pubmed.ncbi.nlm.nih.gov/33835507/</a>     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 <a href="http://NortonHealthcare.com" rel="nofollow" target="_blank">NortonHealthcare.com</a>.     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 <a href="mailto:cme@nortonhealthcare.org">cme@nortonhealthcare.org</a>

Long COVID and the Pediatric Patient (Part 2) 

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 Adult Patient (Part 1)    Evaluation and Credit:  <a href="https://www.surveymonkey.com/r/MedChat42" rel="nofollow" target="_blank">https://www.surveymonkey.com/r/MedChat42a</a>   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:  <ul> <li>Define the parameters of Long COVID for the adult patient.</li> <li>Discuss the prevalence of Long COVID associated risk factors.</li> <li>Describe symptoms and management of post-COVID syndrome for adult patients.</li> </ul>   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 <a href="https://pubmed.ncbi.nlm.nih.gov/34311812/" rel="nofollow" target="_blank">https://pubmed.ncbi.nlm.nih.gov/34311812/</a>   COVID-19 long haulers <a href="https://pubmed.ncbi.nlm.nih.gov/34257426/" rel="nofollow" target="_blank">https://pubmed.ncbi.nlm.nih.gov/34257426/</a>   Chronotropic Incompetence in Non-Hospitalized Patients with Post-COVID-19 Syndrome <a href="https://pubmed.ncbi.nlm.nih.gov/34830716/" rel="nofollow" target="_blank">https://pubmed.ncbi.nlm.nih.gov/34830716/</a>     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 <a href="http://NortonHealthcare.com" rel="nofollow" target="_blank">NortonHealthcare.com</a>.     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 <a href="mailto:cme@nortonhealthcare.org">cme@nortonhealthcare.org</a>

Long COVID and the Adult Patient (Part 1) 

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

Dual Diagnosis: Identification and Management  Evaluation and Credit:  <a href="https://www.surveymonkey.com/r/MedChat41" rel="nofollow" target="_blank">https://www.surveymonkey.com/r/MedChat41</a>   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:  <ul> <li>Define dual diagnosis and the incidence.</li> <li>Discuss assessment strategies and indications for dual diagnosis.</li> <li>Describe integrated treatment strategies for dual diagnosis. </li> </ul>   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 <a href="https://pubmed.ncbi.nlm.nih.gov/31957528/" rel="nofollow" target="_blank">https://pubmed.ncbi.nlm.nih.gov/31957528/</a>   Chicken or egg: A dual diagnosis narrative <a href="https://pubmed.ncbi.nlm.nih.gov/34623010/" rel="nofollow" target="_blank">https://pubmed.ncbi.nlm.nih.gov/34623010/</a>     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 <a href="http://www.NortonHealthcare.com" rel="nofollow" target="_blank">NortonHealthcare.com</a>.     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 <a href="mailto:cme@nortonhealthcare.org">cme@nortonhealthcare.org</a>

Dual Diagnosis: Identification and Management

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: COVID-19 and Pregnancy Evaluation and Credit:  <a href="https://www.surveymonkey.com/r/MedChat40" rel="nofollow" target="_blank">https://www.surveymonkey.com/r/MedChat40</a> 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:  <ul> <li>Describe the increased risks and consideration of pregnant patients of COVID-19.</li> <li>Discuss the latest COVID-19 vaccination recommendations and effectiveness during pre-pregnancy and pregnancy. </li> <li>Describe the standard of care and treatment protocols for pregnant patients with COVID-19.</li> <li>Review the latest research on the effects of COVID-19 and pregnancy. </li> </ul>   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 <a href="https://www.acog.org/" rel="nofollow" target="_blank">https://www.acog.org/</a> Centers for Disease Control and Prevention <a href="https://www.cdc.gov/" rel="nofollow" target="_blank">https://www.cdc.gov/</a> 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 <a href="http://NortonHealthcare.com" rel="nofollow" target="_blank">NortonHealthcare.com</a>. 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 <a href="mailto:cme@nortonhealthcare.org">cme@nortonhealthcare.org</a>

Covid-19 and Pregnancy

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: A Review of GI Malignancies   Evaluation and Credit:  <a href="https://www.surveymonkey.com/r/MedChat39" rel="nofollow" target="_blank">https://www.surveymonkey.com/r/MedChat39</a>   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: <ul> <li>Define the scope of gastric intestinal (GI) cancers.</li> <li>List the risks, red flags and symptoms of GI problems that are associated with GI malignancies.</li> <li>Describe the applicable screenings and diagnostic guidelines.</li> <li>Discuss the role of the multidisciplinary team in the treatment of GI cancers.</li> </ul>   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 <a href="https://pubmed.ncbi.nlm.nih.gov/24648750/" rel="nofollow" target="_blank">https://pubmed.ncbi.nlm.nih.gov/24648750/</a>   Primary Care Provider Beliefs and Recommendations About Colorectal Cancer Screening in Four Healthcare Systems <a href="https://pubmed.ncbi.nlm.nih.gov/32669318/" rel="nofollow" target="_blank">https://pubmed.ncbi.nlm.nih.gov/32669318/</a>   Cancer risk perception and physician communication behaviors on cervical cancer and colorectal cancer screening <a href="https://pubmed.ncbi.nlm.nih.gov/34427182/" rel="nofollow" target="_blank">https://pubmed.ncbi.nlm.nih.gov/34427182/</a>     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 <a href="http://NortonHealthcare.com" rel="nofollow" target="_blank">NortonHealthcare.com</a>.     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 <a href="mailto:cme@nortonhealthcare.org">cme@nortonhealthcare.org</a>

Review of GI Malignancies

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:   Define the eating disorders that are most common in pediatric patients. Identify symptoms and red flags of eating disorders, including co-morbidities. Discuss the common diagnostic criteria, screening tools and components of the medical evaluation for eating disorders. 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

Podcast: Eating Disorders – Diagnosis and Management in the Pediatric Patient   Evaluation and Credit:  <a href="https://www.surveymonkey.com/r/MedChat38" rel="nofollow" target="_blank">https://www.surveymonkey.com/r/MedChat38</a>   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: <ol> <li>Define the eating disorders that are most common in pediatric patients.</li> <li>Identify symptoms and red flags of eating disorders, including co-morbidities.</li> <li>Discuss the common diagnostic criteria, screening tools and components of the medical evaluation for eating disorders.</li> <li>Describe treatment strategies and protocols for eating disorders; as well as the components for successful medical supervision.</li> </ol>   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 <a href="https://pubmed.ncbi.nlm.nih.gov/33386343/" rel="nofollow" target="_blank">https://pubmed.ncbi.nlm.nih.gov/33386343/</a>   Eating Disorders in Children and Adolescents: A Practical Review and Update for Pediatric Gynecologists <a href="https://pubmed.ncbi.nlm.nih.gov/33486085/" rel="nofollow" target="_blank">https://pubmed.ncbi.nlm.nih.gov/33486085/</a>     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 <a href="http://NortonHealthcare.com" rel="nofollow" target="_blank">NortonHealthcare.com</a>.     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 <a href="mailto:cme@nortonhealthcare.org">cme@nortonhealthcare.org</a>

Eating Disorders -- Diagnosis and Management in the Pediatric Patient

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 Foundationhttps://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 1: Overview and Diagnosis Evaluation and Credit:  <a href="https://www.surveymonkey.com/r/MedChat37" rel="nofollow" target="_blank">https://www.surveymonkey.com/r/MedChat37</a> 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: <ol> <li>Define headache disorders and migraines</li> <li>Identify the steps to effectively diagnose migraines</li> <li>Describe the red flags in the evaluation of headaches</li> </ol> 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:<a href="https://pubmed.ncbi.nlm.nih.gov/33773610/" rel="nofollow" target="_blank">https://pubmed.ncbi.nlm.nih.gov/33773610/</a> A rational approach to migraine diagnosis and management in primary care:<a href="https://pubmed.ncbi.nlm.nih.gov/34714201/" rel="nofollow" target="_blank">https://pubmed.ncbi.nlm.nih.gov/34714201/</a> National Headaches Foundation<a href="https://pubmed.ncbi.nlm.nih.gov/34418610/" rel="nofollow" target="_blank">https://headaches.org/</a> 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 <a href="http://NortonHealthcare.com" rel="nofollow" target="_blank">NortonHealthcare.com</a>. 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 <a href="mailto:cme@nortonhealthcare.org">cme@nortonhealthcare.org</a>

Migraines, Part 1, Overview and Diagnosis

Medchat is an entertaining and informative podcast that provides CME credit. It&#39;s a great learning tool!

Informative!

MedChat

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&amp;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:  Use and Abuse – Opioid Addiction Evaluation and Credit: <a href="https://www.surveymonkey.com/r/MedChat7" rel="nofollow" target="_blank">https://www.surveymonkey.com/r/MedChat7</a> 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: <ul> <li>Describe the current trends in the emergency department as related to addicts seeking care.</li> <li>List the characteristics of opioid addiction and pill seeking behavior.</li> <li>Discuss non-opioid alternatives for the treatment of acute pain.</li> </ul> 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 – <a href="https://findhelpnowky.org/" rel="nofollow" target="_blank">FindHelpNowKY</a> Kentucky State Police assistance in finding a treatment center – <a href="http://kentuckystatepolice.org/angel-initiative/" rel="nofollow" target="_blank">Angel Initiative</a> 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&amp;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

Use and Abuse -- Opioid Addiction

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 &amp; 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 &amp; 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. 

Podcast: Epilepsy for the Primary Care Provider  Evaluation and Credit: <a href="https://www.surveymonkey.com/r/MedChat6" rel="nofollow" target="_blank">https://www.surveymonkey.com/r/MedChat6 </a> 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:  <ul> <li>Discuss differential diagnosis of seizures. </li> <li>Describe epilepsy syndromes and seizure classifications. </li> <li>Discuss common treatments for epilepsy as well as required monitoring by the primary care provider. </li> <li>Understand the relationship of epilepsy with co-existing disorders. </li> </ul> 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 &amp; 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 &amp; 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.

Epilepsy for Primary Care Providers

Resilience

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 

Addressing Provider Wellness and Resilience  Evaluation and Credit: <a href="https://www.surveymonkey.com/r/MedChat8" rel="nofollow" target="_blank">https://www.surveymonkey.com/r/MedChat8 </a> 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:  <ul> <li>Discuss the contributing factors and symptoms of burnout. </li> <li>Describe strategies / resources to address clinician burnout and resilience. </li> </ul> 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, <a href="http://www.pauldechantmd.com/preventing-physician-burnout/" rel="nofollow" target="_blank">http://www.pauldechantmd.com/preventing-physician-burnout/</a> Bob Chapman and Raj Sisodia, Everybody Matters: The Extraordinary Power of Caring for Your People Like Family, Penguin Random House LLC, 2015, <a href="https://www.everybodymattersbook.com/" rel="nofollow" target="_blank">https://www.everybodymattersbook.com/ </a> 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

Provider Wellness and Resilience

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

Treating Challenging Personalities in Primary Care Evaluation and Credit: <a href="https://www.surveymonkey.com/r/MedChat14" rel="nofollow" target="_blank">https://www.surveymonkey.com/r/MedChat14</a> 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: <ul> <li>Discuss basic personality traits.</li> <li>Define different personality disorders.</li> <li>List the risk factors for personality disorders.</li> <li>Explain the distinct diagnostic criteria of personality disorders.</li> <li>Discuss effective management strategies and treatment of patients with personality disorders.</li> </ul> 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 <a href="https://www.mhanational.org/issues/state-mental-health-america" rel="nofollow" target="_blank">https://www.mhanational.org/issues/state-mental-health-america</a> CDC Mental Health Website <a href="https://www.cdc.gov/mentalhealth/index.htm" rel="nofollow" target="_blank">https://www.cdc.gov/mentalhealth/index.htm</a> Dos and Don'ts in Treatments of Patients With Narcissistic Personality Disorder <a href="https://www.ncbi.nlm.nih.gov/pubmed/32186986" rel="nofollow" target="_blank">https://www.ncbi.nlm.nih.gov/pubmed/32186986</a>

Treating Challenging Personalities in Primary Care

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