MedChat

Wellness in Practice: Small Steps with Big Impacts  Evaluation and Credit:  https://www.surveymonkey.com/r/medchat79 Target AudienceThis activity is targeted toward primary care physicians and advanced providers. Statement of Need Physicians often face challenges in effectively counseling patients on lifestyle changes due to time constraints and lack of training in behavior change techniques. Addressing these gaps is crucial for improving patient outcomes and overall health. By focusing on small, manageable steps, physicians can make a significant difference in their patients' lives without overwhelming them. This podcast will highlight the importance of how providers can recommend manageable changes to their daily habits that can lead to significant long-term health improvements. Objectives Identify small, evidence-based lifestyle changes that can significantly impact patient health outcomes. Describe strategies to incorporate wellness advice into routine clinical visits efficiently, even within time constraints. Recognize common barriers patients face when making lifestyle changes and develop strategies to address these challenges. List actionable steps that providers can take in their own lives to improve their wellness. Moderator James Jennings, M.D., MBA Executive Medical Director Norton Medical Group Louisville, Kentucky SpeakerEvelyn Montgomery Jones, M.D., FAADDermatologistWellSprings DermatologyPaducah, Kentucky2025 PresidentKentucky Medical Association Moderator, Speaker and Planner Disclosures  The planners, moderator and speaker of this activity do not have any relevant financial relationships with ineligible companies to disclose.  Commercial Support  There was no commercial support for this activity. GrantThis episode is supported by a grant from the Kentucky Medical Association's ‘Small STEPS, Big Impact' campaign, a two-year initiative that encourages patients to achieve long-term success through taking simple steps that can add up to make a big impact on their health. The campaign focuses on five key areas (screenings, tobacco use, exercise & nutrition, physician visits and stress) and offers straightforward strategies and support for patients. It is a partnership between the KMA and its charitable arm, the Kentucky Foundation for Medical, made possible by a grant from the Kentucky Department for Public Health. For more information, visit SmallSTEPSKy.org.   Physician CreditsAccreditationNorton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. DesignationNorton Healthcare designates this enduring material for a maximum of .75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Nursing CreditsNorton Healthcare Institute for Education and Development is approved as a provider of nursing continuing professional development by the South Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation. This continuing professional development activity has been approved for 0.75 ANCC CE contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance.  For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889or sally.sturgeon@nortonhealthcare.org. Resources for Additional Study/Referenceshttps://lifestylemedicine.org/ SmallSTEPSKy.org Supporting Professionals in Critical Care Medicine: Burnout, Resiliency, and System-Level Changehttps://pubmed.ncbi.nlm.nih.gov/36116823/ Battling Burnout: Strategies for Promoting Physician Wellnesshttps://pubmed.ncbi.nlm.nih.gov/30053918/   Date of Original Release | June 2025; Information is current as of the time of recording.Course Termination Date | June 2028Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org This episode is supported by a grant from the Kentucky Medical Association's ‘Small STEPS, Big Impact' campaign, a two-year initiative that encourages patients to achieve long-term success through taking simple steps that can add up to a big impact on their health. The campaign focuses on five key areas (Screenings, Tobacco use, Exercise & Nutrition, Physician visits, and Stress) and offers straightforward strategies and support for patients. It is a partnership between the KMA and its charitable arm, the Kentucky Foundation for Medical, made possible by a grant from the Kentucky Department for Public Health. For more information, visit SmallSTEPSKy.org.  Also listen to Norton Healthcare's podcast Stronger After Stroke. This podcast, produced by the Norton Neuroscience Institute, discusses difficult topics, answers frequently asked questions and provides survivor stories that provide hope. Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. More information about Norton Healthcare is available at NortonHealthcare.com.  

Parkinson's: Diagnosis and Treatment Evaluation and Credit:  https://www.surveymonkey.com/r/medchat78 Target Audience             This activity is targeted toward primary care physicians and advanced providers. Statement of Need This podcast will provide an overview of the diagnosis and management of Parkinson's disease including screening guidelines to improve early recognition. In that early symptoms of Parkinson's disease can mimic other conditions, for early recognition a review of this will be highlighted. The goal of this podcast is to provide tools for early recognition and management to maintain a patient's quality of life. According to the Parkinson's Foundation, there are approximately 90,000 people in the U.S. diagnosed with Parkinson's each year, which represents significant increase.  Objectives  Define Parkinson's disease and highlight its prevalence. Explain the signs and symptoms of Parkinson's disease, including the moto and non-motor manifestations. Outline the diagnostic criteria for Parkinson's disease, including clinical evaluations, neurological exams and applicable testing. Discuss the management of Parkinson's disease symptoms, addressing pharmacological treatments, surgical options and multidisciplinary team strategies to optimize patient care. ModeratorGregory E. Cooper, M.D., Ph.D. Neurologist Chief of Adult Neurology and Director of the Memory Center Norton Neuroscience Institute Louisville, Kentucky SpeakerJason L. Crowell, M.D. Neurologist and Movement Disorders Specialist Norton Neuroscience Institute Louisville, Kentucky  Moderator and Planner Disclosures  The moderator, Gregory E. Cooper, M.D., Ph.D, discloses relevant financial relationships with Eli Lilly and Eisai as a principal investigator. The planners of this activity do not have any relevant financial relationships with ineligible companies to disclose.   Speaker DisclosureThe speaker, Jason L. Cromwell, M.D. discloses a relevant financial relationship with the ineligible company AbbVie as a consultant and CND Life Services in research.  All relevant financial relationships have been successfully mitigated. Commercial Support There was no commercial support for this activity.    Physician Credits Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. Designation Norton Healthcare designates this enduring material for a maximum of .50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Nursing CreditsNorton Healthcare Institute for Education and Development is approved as a provider of nursing continuing professional development by the South Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation. This continuing professional development activity has been approved for 0.50 ANCC CE contact hours.  In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance.  For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org. Resources for Additional Study/References  Perspectives of People At-Risk on Parkinson's Prevention Research https://pubmed.ncbi.nlm.nih.gov/38489198/ Risk of Parkinson Disease Among Adults With vs Without Posttraumatic Stress Disorder https://pubmed.ncbi.nlm.nih.gov/35925604/ Date of Original Release | May 2025; Information is current as of the time of recording.  Course Termination Date | May 2028 Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org Also listen to Norton Healthcare's podcast Stronger After Stroke. This podcast, produced by the Norton Neuroscience Institute, discusses difficult topics, answers frequently asked questions and provides survivor stories that provide hope. Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. More information about Norton Healthcare is available at NortonHealthcare.com.  

Episode 77: Pediatric Obesity: The Role of GLP – 1 Receptors Evaluation and Credit:  https://www.surveymonkey.com/r/medchat77 Target Audience            This activity is targeted toward primary care physicians and advanced providers. Statement of Need This podcast will address the role of GLP – receptors in the treatment of pediatric obesity. As the prevalence of pediatric obesity is on the rise, the need for effective, evidence-based treatments is essential. This increase in pediatric obesity is associated with numerous health complications for the pediatric patient including type 2 diabetes, hypertension and cardiovascular diseases. Early intervention in the pediatric patient and management can prevent the progression of obesity with the goal of improving the long-term health of these individuals. Objectives  Define pediatric obesity. Discuss the key aspects of GLP – 1 receptors and their use of treatment of the pediatric patient. Explain the mechanisms and criteria for patient selection for GLP – 1 as a treatment option for obesity. Describe best practices integrating GLP-1 receptor agnostic into a broader treatment plan and appropriate monitoring and follow-up.   ModeratorMark McDonald, M.D., MHA, CPE System Vice President Pediatric Medical Affairs Medical Director, Norton Children's Louisville, Kentucky  Professor Department of Pediatrics Division of Critical Care UofL School of Medicine Louisville, Kentucky SpeakerSara Watson, M.D. Pediatric Endocrinologist Medical Director of the Type 2 Diabetes Program and the Health Weight Program Norton Children's Endocrinology Louisville, Kentucky Moderator and Planner Disclosures  The planners, moderator and speaker of this activity do not have any relevant financial relationships with ineligible companies to disclose.   Speaker DisclosureThe speaker, Sara Watson, M.D. discloses a relevant financial relationship with the ineligible company Lilly as a principal investigator. All relevant financial relationships have been mitigated. Commercial Support  There was no commercial support for this activity.    Physician Credits Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. Designation Norton Healthcare designates this enduring material for a maximum of .75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Nursing CreditsNorton Healthcare Institute for Education and Development is approved as a provider of nursing continuing professional development by the South Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation. This continuing professional development activity has been approved for 0.75 ANCC CE contact hours.  In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance.  For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org.   Resources for Additional Study/References  Characterizing GLP-1 Receptor Agonist Use in Preadolescent and Adolescent Populations https://pubmed.ncbi.nlm.nih.gov/39412809/ Role of GLP-1 Receptor Agonists in Pediatric Obesity: Benefits, Risks, and Approaches to Patient Selection https://pubmed.ncbi.nlm.nih.gov/33085056/   Date of Original Release | April 2025; Information is current as of the time of recording. Course Termination Date | April 2028 Contact Information | Center for Continuing Medical Education (502) 446-5955 or cme@nortonhealthcare.org   Also listen to Norton Healthcare's podcast Stronger After Stroke. This podcast, produced by the Norton Neuroscience Institute, discusses difficult topics, answers frequently asked questions and provides survivor stories that provide hope. Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. More information about Norton Healthcare is available at NortonHealthcare.com.  

Colon Cancer Insights: Screenings and Risk Factors Evaluation and Credit:  https://www.surveymonkey.com/r/medchat76 Target Audience             This activity is targeted toward primary care physicians and advanced providers. Statement of Need This podcast will discuss the latest guidelines as related to the screening for colorectal cancer (CRC); it will address the types of screenings and indications. Additionally, the progression of CRC will be discussed as well as risk factors. In that CRC is the third most common cancer (not including skin cancer), it is important for providers to be aware of the latest screening guidelines and recommendations for optimal patient care. Objectives  Review the latest colorectal cancer screening guidelines. Describe the different colorectal screening tools and their indications. Discuss the risk factors for colorectal cancer and strategies to assess high-risk and average risk patients. Examine the incidence, risk factors and genetic predispositions of early-onset colorectal cancer. ModeratorJoseph Flynn, D.O., MGP, FACP Chief Administrative Officer Norton Medical Group Louisville, Kentucky Physician-in-chief Norton Cancer Institute Louisville, Kentucky SpeakerW. Ben Evans, II, M.D. Gastroenterologist Norton Gastroenterology Consultants Louisville, Kentucky Moderator, Speaker and Planner Disclosures  The planners, moderator and speaker of this activity do not have any relevant financial relationships with ineligible companies to disclose.   Commercial Support There was no commercial support for this activity.  Physician Credits Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. Designation Norton Healthcare designates this enduring material for a maximum of .75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Nursing CreditsNorton Healthcare Institute for Education and Development is approved as a provider of nursing continuing professional development by the South Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation. This continuing professional development activity has been approved for 0.75 ANCC CE contact hours.  In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance.  For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org.   Resources for Additional Study/References Changing colon cancer screening guidelines to age 45: Has it made a difference? https://pubmed.ncbi.nlm.nih.gov/38981796/ Colon Cancer Screening https://pubmed.ncbi.nlm.nih.gov/32644490/   Date of Original Release | March 2025; Information is current as of the time of recording. Course Termination Date | March 2028 Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org Also listen to Norton Healthcare's podcast Stronger After Stroke. This podcast, produced by the Norton Neuroscience Institute, discusses difficult topics, answers frequently asked questions and provides survivor stories that provide hope. Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. More information about Norton Healthcare is available at NortonHealthcare.com.    

Primary Care and GLP-1: Navigating Weight Management Evaluation and Credit:  https://www.surveymonkey.com/r/medchat75   Target Audience             This activity is targeted toward primary care physicians and advanced providers. Statement of Need As GLP-1's are becoming more prevalent in the treatment of obesity, primary care providers should have the latest information to effectively and safely utilize this option in the care of their patients. In that GLP-1 are relatively new as a treatment for obesity, providers may not be aware of the latest treatment recommendations as well as management strategies to effectively manage their patients on these medications. Objectives Explain the mechanism of how GLP-1 receptor agonists work in the treatment of obesity. Describe the indications and strategies to select appropriate patients for GLP-1 as a treatment modality for obesity. Discuss best practices for initiation and titrating GLP-1 receptor agonists as well as ongoing patient management/monitoring. ModeratorJames T. Jennings, M.D., MBA Executive Medical Director Norton Medical Group Norton Healthcare Louisville, Kentucky SpeakerSteven Patton, D.O. Family Medicine Norton Community Medical Associates - Preston Louisville, Kentucky  Moderator, Speaker and Planner Disclosures  The planners, moderator and speaker of this activity do not have any relevant financial relationships with ineligible companies to disclose.   Commercial Support  There was no commercial support for this activity.  Physician Credits Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. Designation Norton Healthcare designates this enduring material for a maximum of .75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Nursing CreditsNorton Healthcare Institute for Education and Development is approved as a provider of nursing continuing professional development by the South Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation. This continuing professional development activity has been approved for 0.75 ANCC CE contact hours. Norton Healthcare is also a Kentucky Board of Nursing (KBN) approved provider. This activity has also been approved by Norton Healthcare for 0.75 KBN Pharmacology contact hour, which expires 12/31/2026. KBN approval of a continuing education provider does not constitute endorsement of program content.  This activity/session meets 0.75 CE contact hour (of the 3.0 contact hour annual requirement) of approved pain management and addiction disorder CE required by the Kentucky Board of Nursing (KBN) for annual license renewal for APRNs that are registered with the DEA and have a Prescription Drug Monitoring Program (PDMP) account– 201 KAR 20:215.” – 4-0002-12-26-004. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance.  For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org.   Resources for Additional Study/ReferencesImpact of a clinical pharmacist on provider prescribing patterns in a primary care clinic https://pubmed.ncbi.nlm.nih.gov/34756524/   Role of GLP-1 Receptor Agonists in Pediatric Obesity: Benefits, Risks, and Approaches to Patient Selection https://pubmed.ncbi.nlm.nih.gov/33085056/   Date of Original Release | Feb. 2025; Information is current as of the time of recording. Course Termination Date | Feb. 2028 Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org   Also listen to Norton Healthcare's podcast Stronger After Stroke. This podcast, produced by the Norton Neuroscience Institute, discusses difficult topics, answers frequently asked questions and provides survivor stories that provide hope. Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. More information about Norton Healthcare is available at NortonHealthcare.com.

  Evaluation and Credit:  https://www.surveymonkey.com/r/medchat74 Target Audience This activity is targeted toward primary care physicians and advanced providers. Statement of Need With the 2023 DEA regulation changes, physicians can now treat patients with Opioid Use Disorder (OUD) without requiring an X waiver. As the demand for treatment providers rises, primary care providers are pivotal in addressing this gap by initiating OUD treatments. Given that primary care often serves as the first point of contact within the healthcare system, it's crucial for providers to identify patients who could benefit from OUD treatment. However, many providers fail to recognize these patients and may refer them elsewhere, missing opportunities for immediate care. Objectives Describe screening guidelines and key diagnostic criteria for Opioid Use Disorder (OUD) Discuss effective medications for the treatment of opioid use disorder (MOUD). Review treatment strategies for MOUD treatment including guidelines for detox in the primary care setting. ModeratorJames T. Jennings, M.D., MBA Executive Medical Director Norton Medical Group Norton Healthcare Louisville, Kentucky SpeakerKelly Cooper, M.D., MPH, FASAM Medical Director Addiction Services Norton Behavioral Medicine Norton Healthcare Louisville, Kentucky  Moderator, Speaker and Planner Disclosures  The planners, moderator and speaker of this activity do not have any relevant financial relationships with ineligible companies to disclose.   Commercial Support  There was no commercial support for this activity.  Physician Credits Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. Designation Norton Healthcare designates this enduring material for a maximum of .75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. HB1This program has been approved for .75 HB1 credit hours by the Kentucky Board of Medical Licensure, ID# 1124-H.75-NHC11a.  For more information about continuing medical education, please send an email to cme@nortonhealthcare.org.  Nursing CreditsNorton Healthcare Institute for Education and Development is approved with distinction as a provider of nursing continuing professional development by the South Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation. This continuing professional development activity has been approved for 0.75 ANCC CE contact hours. Norton Healthcare is also a Kentucky Board of Nursing (KBN) approved provider. This activity has also been approved by Norton Healthcare for 0.75 KBN Pharmacology contact hour, which expires 12/31/2026. KBN approval of a continuing education provider does not constitute endorsement of program content.  This activity/session meets 0.75 CE contact hour (of the 3.0 contact hour annual requirement) of approved pain management and addiction disorder CE required by the Kentucky Board of Nursing (KBN) for annual license renewal for APRNs that are registered with the DEA and have a Prescription Drug Monitoring Program (PDMP) account– 201 KAR 20:215.” – 4-0002-12-26-004. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance.  For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org. Resources for Additional Study/References Reframing conceptualizations of primary care involvement in opioid use disorder treatment; Chiu and Sud BMC Primary Care (2024) 25:356. Integrating Routine Screening for Opioid Use Disorder into Primary Care Settings: Experiences from a National Cohort of Clinics; J Gen Intern Med 38(2):332–40; DOI: 10.1007/s11606-022-07675-2.   Resources American Society of Addiction Medicine Provider Clinical Support System U.S. Centers for Disease Control and Prevention    Date of Original Release | Jan. 2025; Information is current as of the time of recording. Course Termination Date | Jan. 2028 Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. More information about Norton Healthcare is available at NortonHealthcare.com.

Evaluation and Credit:  https://www.surveymonkey.com/r/Medchat73 Target Audience   This activity is targeted toward primary care physicians and advanced providers.  Statement of Need The relationship between female hormones and migraines is complex and primary care providers may not be aware of the latest research regarding the role of hormonal changes during different life stages (e.g., menarche, pregnancy, and menopause) and their impact on migraine patterns or the latest management guidelines. By addressing these needs, the podcast will equip clinicians with the tools to better diagnose, treat, and prevent hormonal migraines, ultimately improving patient care and outcomes. Objectives At the conclusion of this offering, the participant will be able to:  Review the diagnostic criteria of migraines and characteristics of hormonal migraines. Discuss treatment and prevention strategies for hormonal migraines, including during pregnancy. Describe the role hormones in the treatment of migraines.   ModeratorBrian Plato, D.O., FAHS Neurologist Medical Director Headache Medicine, Neurology Norton Neuroscience Institute Norton Healthcare Louisville, Kentucky  SpeakersKris Barnsfather, M.D. Obstetrician Gynecologist Women's Care Physicians of Louisville Norton Healthcare Louisville, Kentucky Christopher Rhyne, M.D. Neurologist Headache Medicine, Neurology Norton Neuroscience Institute Norton Healthcare Louisville, Kentucky Moderator and Planner Disclosures  The planners and moderator of this activity do not have any relevant financial relationships with ineligible companies to disclose.   Speaker DisclosureThe speaker Kris Barnsfather, M.D. does not have any relevant financial relationships with ineligible companies to disclose.  The speaker Christopher Rhynes, M.D., has relevant financial relationships with ineligible companies Lundbeck and Abbvie as a speaker/consultant. Relevant financial relationships with ineligible companies Pfizer and Lilly as a speaker/consultant; and Amgen, Teva and Impel as a speaker have ended. All relevant financial relationships have been mitigated. Commercial Support  There was no commercial support for this activity.  Physician Credits Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. Designation Norton Healthcare designates this enduring material for a maximum of .75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. For more information about continuing medical education, please send an email to cme@nortonhealthcare.org.  Nursing CreditsNorton Healthcare Institute for Education and Development is approved with distinction as a provider of nursing continuing professional development by the South Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation. This continuing professional development activity has been approved for .75 contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance.   For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org. Resources for Additional Study/References Migraine: navigating the hormonal minefield https://pubmed.ncbi.nlm.nih.gov/31753858/ Role of Estrogens in Menstrual Migraine https://pubmed.ncbi.nlm.nih.gov/35456034/ Date of Original Release | Dec. 2024; Information is current as of the time of recording. Course Termination Date | Dec. 2027 Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. More information about Norton Healthcare is available at NortonHealthcare.com.

Evaluation and Credit:  https://www.surveymonkey.com/r/Medchat72 Target Audience This activity is targeted toward primary care physicians and advanced providers. Statement of NeedAdolescents with Type 1 diabetes mellitus (T1DM) face a significantly higher risk of developing cardiovascular disease (CVD) compared to their peers without diabetes. Regular physical activity is crucial for these young individuals, as it helps mitigate CVD risk and improves cardiorespiratory fitness (CRF). Therefore, promoting lifelong physical activity, with appropriate insulin and dietary adjustments, is essential for managing T1DM and preventing CVD. This podcast will highlight the benefits of exercise in preventing cardiovascular disease, describe the advantages of sports activities, and outline clinical guidelines for safe exercise practices in adolescents with T1DM. Objectives At the conclusion of this offering, the participant will be able to:  Discuss the benefits of exercise in the management of adolescent patients with Type 1 diabetes.  Describe potential glycemic management strategies during times of sport/activity in adolescents with Type 1 diabetes. Review the role of technology and future advancements in the management of diabetes.  Moderator Mark McDonald, M.D., MHA, CPE System Vice President Pediatric Medical Affairs Medical Director, Norton Children's Louisville, Kentucky  Professor Department of Pediatrics Division of Critical Care UofL School of Medicine Louisville, Kentucky Speaker Brad Thrasher, D.O., MBAPediatric Endocrinologist Medical Director, Pediatric Diabetes Medical Director, Sport & Activity Wendy Novak Diabetes Institute Norton Children's Endocrinology Louisville, Kentucky Associate Professor UofL School of Medicine Louisville, Kentucky    Moderator, Speaker and Planner Disclosures  The planners, moderator and speaker of this activity do not have any relevant financial relationships with ineligible companies to disclose.   Commercial Support  There was no commercial support for this activity.  Physician Credits Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. Designation Norton Healthcare designates this enduring material for a maximum of .50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.   For more information about continuing medical education, please send an email to cme@nortonhealthcare.org.  Nursing CreditaNorton Healthcare Institute for Education and Development is approved with distinction as a provider of nursing continuing professional development by the South Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation. This continuing professional development activity has been approved for .50 contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance.   For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org. Resources for Additional Study/References Chang, Xinyi, et. Al.  “Effect of Physician Activity/Exercise on Cardiorespiratory Fitness in Children and Adolescents with Type I Diabetes: A Scoping Review”; International Journal of Environmental Research and Public Health, Jan. 12, 2023; https://doi.org/10.3390/ijerph20021407 Cockcroft et al. “Factors affecting the support for physical activity in children and adolescents with type 1 diabetes mellitus: a national survey of health care professionals' perceptions”; BMC Pediatrics (2023) 23:131. https://doi.org/10.1186/s12887-023-03940-3   Date of Original Release | Nov. 2024; Information is current as of the time of recording. Course Termination Date | Nov. 2026 Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org Also listen to Norton Healthcare's podcast Stronger After Stroke. This podcast, produced by the Norton Neuroscience Institute, discusses difficult topics, answers frequently asked questions and provides survivor stories that provide hope. Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. More information about Norton Healthcare is available at NortonHealthcare.com.

Pediatric Hypertension: Clinical Approaches to Management Evaluation and Credit:  https://www.surveymonkey.com/r/MedChat71   Target Audience             This activity is targeted toward primary care physicians and advanced providers. Statement of Need This program will be a continuation of the discussion on pediatric hypertension. A prior podcast discussed the symptoms and diagnosis. This podcast will focus on effective treatment strategies. With the increase of childhood obesity and other risk factors, research has concluded a direct correlation to an increase in high blood pressure. According to the CDC, approximately 20% of children less than 19 are considered obese. https://www.cdc.gov/obesity/data/childhood.html Objectives At the conclusion of this offering, the participant will be able to:  Define Stages 1 and 2 of hypertension for adolescent patients. Discuss strategies to effectively manage pediatric hypertension; including lifestyle management and pharmacological.  Describe the long-term implications on patient's health if pediatric hypertension is untreated. ModeratorMark McDonald, M.D., FAAP Medical Director Norton Children's Hospital and Norton Children's Medical Center Professor Department of Pediatrics, Critical Care UofL School of Medicine Louisville, Kentucky SpeakerMalavika Prasad, M.D. Pediatric Nephrologist Norton Children's Nephrology Affiliated with UofL School of Medicine Louisville, Kentucky Moderator, Speaker and Planner Disclosures  The planners, moderator and speaker of this activity do not have any relevant financial relationships with ineligible companies to disclose.   Commercial Support  There was no commercial support for this activity.  Physician Credits Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. Designation Norton Healthcare designates this enduring material for a maximum of .75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. For more information about continuing medical education, please send an email to cme@nortonhealthcare.org.  Nursing CreditsNorton Healthcare Institute for Education and Development is approved with distinction as a provider of nursing continuing professional development by the South Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation. This continuing professional development activity has been approved for .75 contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance.   For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org. Resources for Additional Study/References: Pediatric Hypertension https://pubmed.ncbi.nlm.nih.gov/34311845/ Updates on Hypertension and New Guidelines https://pubmed.ncbi.nlm.nih.gov/31230693/   Date of Original Release | Oct. 2024; Information is current as of the time of recording.  Course Termination Date | Oct. 2026 Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org   Also listen to Norton Healthcare's podcast Stronger After Stroke. This podcast, produced by the Norton Neuroscience Institute, discusses difficult topics, answers frequently asked questions and provides survivor stories that provide hope. Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. More information about Norton Healthcare is available at NortonHealthcare.com.   Podcast Editing and Post Production by www.unmuteaudio.com  

Navigating Chronic Pelvic Pain Evaluation and Credit:  https://www.surveymonkey.com/r/MedChat70 Target Audience             This activity is targeted toward primary care physicians and advanced providers. Statement of Need Chronic pelvic pain is a common condition that can negatively impact an individual's quality of life. Providers should be aware how to effectively diagnosis and manage chronic pelvic pain. This podcast will be a discussion that will review key aspects of the management of chronic pelvic pain and include diagnosis and treatment. There will be a focus on surgical indications for treatment of chronic pelvic pain and the applications. Objectives At the conclusion of this offering, the participant will be able to:  Define chronic pelvic pain.  Discuss the differential causes and diagnoses of acute and chronic pelvic pain.  Review the latest evidence-based recommendations in the assessment and management of chronic pelvic pain. ModeratorKris Barnsfather, M.D. Obstetrician Gynecologist Women's Care Physicians of Louisville Norton Healthcare Louisville, Kentucky SpeakerSteven J Radtke, MD, FACOG, FMIGS Minimally Invasive Gynecology Surgeon Norton Urogynecology Center Louisville, Kentucky Moderator, Speaker and Planner Disclosures  The planners, moderator and speaker of this activity do not have any relevant financial relationships with ineligible companies to disclose.  Commercial Support  There was no commercial support for this activity.  Physician Credits Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. Designation Norton Healthcare designates this enduring material for a maximum of .75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. For more information about continuing medical education, please send an email to cme@nortonhealthcare.org.  Nursing CreditsNorton Healthcare Institute for Education and Development is approved with distinction as a provider of nursing continuing professional development by the South Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation. This continuing professional development activity has been approved for .75 contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance.   For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org. Resources for Additional Study: Female Pelvic Conditions: Chronic Pelvic Pain https://pubmed.ncbi.nlm.nih.gov/35420402/ Do we want to know the enormity of women's severe menstrual disorders and chronic pelvic pain? https://pubmed.ncbi.nlm.nih.gov/38570116/ Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. Five Louisville-based hospitals and three hospitals in Southern Indiana, provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women's and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com. Date of Original Release | Sept. 2024; Information is current as of the time of recording. Course Termination Date | Sept. 2026 Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org     Podcast Production and Editing: www.unmuteaudio.com

Genectic Innovations: From Gene Therapy to Germline Genome Editing Evaluation and Credit:  https://www.surveymonkey.com/r/MedChat69 Target Audience             This activity is targeted toward primary care physicians and advanced providers. Statement of Need This program will provide an overview of recent innovations in genetics, highlighting gene therapy and germline genome editing. The discussion will include a review of what it is as well as applications andfuture trends in gene therapy.  Objectives At the conclusion of this offering, the participant will be able to:  Define gene therapy, germline genome editing and precision medicine. Review the applications of gene therapy and germline genome editing. Explain the differences and clinical implications of whole genome sequencing and whole exome sequencing. Discuss future trends of gene therapy and germline genome editing. ModeratorMark McDonald, M.D., FAAP Medical Director Norton Children's Hospital and Norton Children's Medical Center Professor Department of Pediatrics, Critical Care UofL School of Medicine Louisville, Kentucky SpeakerKyle B. Brothers, M.D., Ph.D. Pediatrician and Bioethicist Chief Scientific Officer Norton Children's Research Institute affiliated with the UofL School of Medicine Louisville, Kentucky Moderator, Speaker and Planner Disclosures  The planners and moderator of this activity do not have any relevant financial relationships with ineligible companies to disclose. The speaker Kyle Brothers, M.D., Ph.D., discloses a relevant financial relationship with Invitae in research. This relationship has been mitigated.  Commercial Support  There was no commercial support for this activity.  Physician Credits Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. Designation Norton Healthcare designates this enduring material for a maximum of .50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. For more information about continuing medical education, please send an email to cme@nortonhealthcare.org.  Nursing CreditsNorton Healthcare Institute for Education and Development is approved with distinction as a provider of nursing continuing professional development by the South Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation. This continuing professional development activity has been approved for .50 contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance.   For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org. Resources for Additional Study: Changes in opinions about human germline gene editing as a result of the Dutch DNA-dialogue project https://pubmed.ncbi.nlm.nih.gov/35551502/ Altered lipid metabolism and the development of metabolic-associated fatty liver disease https://pubmed.ncbi.nlm.nih.gov/38484227/   Also listen to Norton Healthcare's podcast Stronger After Stroke. This podcast, produced by the Norton Neuroscience Institute, discusses difficult topics, answers frequently asked questions and provides survivor stories that provide hope. Hear from stroke survivors and medical specialists about being stronger after stroke. Listen on your favorite podcast platform.   Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. Five Louisville-based hospitals and three hospitals in Southern Indiana, provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women's and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com.   Date of Original Release | Aug. 2024; Information is current as of the time of recording.  Course Termination Date | Aug. 2026 Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org     Podcast editing and production by: www.unmuteaudio.com

Navigating Substance Use Disorders in Adolescents Evaluation and Credit:  https://www.surveymonkey.com/r/MedChat68 Target Audience This activity is targeted toward primary care and advanced providers. Statement of Need Adolescent substance abuse is a critical public health issue in the United States, with drug misuse often starting during adolescence and young adulthood. Physicians play a crucial role in identifying and addressing this problem. By incorporating validated screening tools and communicating with patients, providers can assist in early detection. This podcast will educate providers about the trends in substance use disorders and review effective interventions essential to combat adolescent substance abuse. Objectives At the conclusion of this offering, the participant will be able to:  Describe trends in substance use disorders among adolescents. Discuss effects of cannabis on development.  Review screening guidelines and tools for substance use disorders. Identify strategies for effective communication with adolescent patients and parents.  Moderator Erin Frazier, M.D. Pediatrician Norton Children's Medical Group Norton Healthcare Louisville, Kentucky Speaker Brittany Badal, M.D. Adolescent Medicine Norton Children's Medical Group – Novak Center Norton Healthcare Louisville, Kentucky Moderator, Speaker and Planner Disclosures  The planners, moderators and speakers of this activity do not have any financial relationships with ineligible companies to disclose.  Commercial Support  There was no commercial support for this activity.  Physician Credits Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. Designation Norton Healthcare designates this enduring material for a maximum of .75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. For more information about continuing medical education, please send an email to cme@nortonhealthcare.org.  Nursing CreditsNorton Healthcare Institute for Education and Development is approved with distinction as a provider of nursing continuing professional development by the South Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation. This continuing professional development activity has been approved for .75 contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance.   For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org.  HB1 / Prescribing Controlled Substances The Kentucky Board of Medical Licensure has approved the podcast Navigating Substance Use Disorders in Adolescents for .75 HB1 credit hours. ID# 0724-H.75-NHC1b. Resources for Additional Study: SBIRT Screening Tool https://www.sbirt.care/tools.aspx CRAFFT Screening Tool https://njaap.org/wp-content/uploads/2018/03/COMBINED-CRAFFT-2.1-Self-Admin_Clinician-Interview_Risk-Assess-Guide.pdf   Also listen to Norton Healthcare's podcast Stronger After Stroke. This podcast, produced by the Norton Neuroscience Institute, discusses difficult topics, answers frequently asked questions and provides survivor stories that provide hope. Hear from stroke survivors and medical specialists about being stronger after stroke. Listen on your favorite podcast platform. Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. Five Louisville-based hospitals and three hospitals in Southern Indiana, provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women's and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com.   Date of Original Release | July 2024; Information is current as of the time of recording.  Course Termination Date | July 2027 Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org     Podcast Editing and Production by www.unmuteaudio.com

Episode 67: The Essentials of Functional Medicine Evaluation and Credit:  https://www.surveymonkey.com/r/MedChat67   Target Audience This activity is targeted toward primary care and advanced providers. Statement of Need This program will highlight the essentials of functional medicine; defining how it addresses illness in respect to looking at the underlying cause of the disease. According to the CDC, 6 out of 10 Americans have at least one form of chronic disease that could be modified by lifestyle. This podcast will highlight key aspects of functional medicine and its role in lifestyle modification with tips on how providers can incorporate key principles into practice. Objectives At the conclusion of this offering, the participant will be able to:  Define functional medicine. Discuss the benefits of functional medicine.  Discuss key principles of functional medicine that can be incorporated into practice. Moderator Elizabeth Archer-Nanda, DNP, APRN, PMHCNS-BC Clinical Director Norton Healthcare Office of Advanced Practice Manager, Norton Cancer Institute Behavioral Oncology Program Norton Healthcare Louisville, Kentucky Speaker Carl Paige, M.D., FAARM, FSSRP Chief Medical Officer and Co-founder Medical Transformation Center Louisville, Kentucky Moderator, Speaker and Planner Disclosures  The planners and speakers of this activity do not have any relevant relationships to disclose. The moderator, Elizabeth Archer-Nanda, DNP, APRN, PMHSNC-BC discloses a relevant relationship with BeiGene as a consultant. This relationship has been successfully mitigated. Commercial Support  There was no commercial support for this activity.  Physician Credits Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. Designation Norton Healthcare designates this enduring material for a maximum of .50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Nursing Credits Norton Healthcare Institute for Education and Development is approved with distinction as a provider of nursing continuing professional development by the South Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation. This continuing professional development activity has been approved for 1.0 contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance.   For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org.   Resources for Additional Study: Exercise as medicine: Providing practitioner guidance on exercise prescription https://pubmed.ncbi.nlm.nih.gov/33659155/ The impact of functional medicine on patient-reported outcomes in inflammatory arthritis: A retrospective study https://pubmed.ncbi.nlm.nih.gov/33031458/   Also listen to Norton Healthcare's podcast Stronger After Stroke. This podcast, produced by the Norton Neuroscience Institute, discusses difficult topics, answers frequently asked questions and provides survivor stories that provide hope. Hear from stroke survivors and medical specialists about being stronger after stroke. Listen on your favorite podcast platform.   Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. Five Louisville-based hospitals and three hospitals in Southern Indiana, provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women's and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com.   Date of Original Release | June 2024; Information is current as of the time of recording.  Course Termination Date | June 2027 Contact Information | Center for Continuing Medical, Provider and Nursing Education; (502) 446-5955 or cme@nortonhealthcare.org     Editing and Production: www.unmuteaudio.com

Episode 66: Pediatric Hypertension: A Comprehensive Guide to Screening and Diagnosis Evaluation and Credit:  https://www.surveymonkey.com/r/MedChat66 Target AudienceThis activity is targeted toward primary care and pediatric healthcare providers and advanced providers. Statement of NeedThis program will provide the latest information on the diagnosis and treatment of pediatric hypertension. Additionally, risk factors and etiology will be reviewed. Hypertension in the pediatric population continues to rise; and rates have shown an increasing linear relationship to increasing adiposity. According to the CDC, approximately 20% of children less than 19 are considered obese. Objectives  At the conclusion of this offering, the participant will be able to:  Define pediatric hypertension. List the diagnostic guidelines for pediatric hypertension. Review the proper technique for taking blood pressure in pediatric patients to ensure accuracy. Describe the etiology and risk factors for pediatric hypertension. ModeratorMark McDonald, M.D., FAAP Medical Director Norton Children's Hospital and Norton Children's Medical Center Professor, Department of Pediatrics, Critical Care UofL School of Medicine Louisville, Kentucky SpeakerMalavika Prasad, M.D. Pediatric Nephrologist Norton Children's Nephrology Affiliated with UofL School of Medicine Louisville, Kentucky Moderator, Speaker and Planner Disclosures  The planners, moderators and speakers of this activity do not have any relevant financial relationships to disclose.  Commercial Support  There was no commercial support for this activity.  Physician Credits Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. Designation Norton Healthcare designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Nursing CreditsNorton Healthcare Institute for Education and Development is approved with distinction as a provider of nursing continuing professional development by the South Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation. This continuing professional development activity has been approved for 1.0 contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance.   For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org.   Resources for Additional Study: Updates on Hypertension and New Guidelines https://pubmed.ncbi.nlm.nih.gov/31230693/ Pediatric Hypertension https://pubmed.ncbi.nlm.nih.gov/34311845/   Also listen to Norton Healthcare's podcast Stronger After Stroke. This podcast, produced by the Norton Neuroscience Institute, discusses difficult topics, answers frequently asked questions and provides survivor stories that provide hope. Hear from stroke survivors and medical specialists about being stronger after stroke. Listen on your favorite podcast platform. Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. Five Louisville-based hospitals and three hospitals in Southern Indiana, provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women's and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com. Date of Original Release | May 2024; Information is current as of the time of recording. Course Termination Date | May 2027 Contact Information | Center for Continuing Medical, Provider and Nursing Education; (502) 446-5955 or cme@nortonhealthcare.org     Audio Editing and Production:  www.unmuteaudio.com

Episode 65: Guidelines for Safe Prescribing of Controlled Substances Evaluation and Credit:  https://www.surveymonkey.com/r/MedChat65   Target AudienceThis activity is targeted toward primary care and geriatric healthcare providers and advanced providers. Statement of Need This activity will discuss the steps to safe prescribing of opioids for providers. In that chronic pain is commonly treated in the primary care office and back pain is one of top ten reasons patients visit health care providers, providers should be aware of how to safely prescribe controlled substances if selected as the treatment for these patients. Objectives At the conclusion of this offering, the participant will be able to: Describe the risks and benefits of prescribing and tapering controlled substances. Identify the key components of safe prescribing of controlled substances. ModeratorGregory E. Cooper, M.D., Ph.D. Chief of Adult Neurology Medical Director, Memory Center Norton Neuroscience Institute Norton Healthcare Louisville, Kentucky SpeakerKelly C. Cooper, M.D., MPH, FASAM Addiction Specialist Norton Behavioral Health Louisville, Kentucky Moderator, Speaker and Planner Disclosures  The planners, moderators and speakers of this activity do not have any relevant financial relationships to disclose.  Commercial Support  There was no commercial support for this activity.  Physician Credits Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. Designation Norton Healthcare designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Nursing CreditsNorton Healthcare Institute for Education and Development is approved with distinction as a provider of nursing continuing professional development by the South Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation. This continuing professional development activity has been approved for 0.75 contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance.   For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org. HB1 / Prescribing Controlled SubstancesThe Kentucky Board of Medical Licensure has approved the podcast Guidelines for Safe Prescribing of Controlled Substances for .75 HB1 credit hours. ID# 0723-H.75-NHC2i Resources for Additional Study: The Impact of Increased Hydrocodone Regulation on Opioid Prescribing in an Urban Safety-Net Health Care System    https://pubmed.ncbi.nlm.nih.gov/31068400/ CDC Clinical Practice Guideline for Prescribing Opioids for Pain - United States, 2022 https://pubmed.ncbi.nlm.nih.gov/36327391/   Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. Five Louisville hospitals provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women's and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com.   Date of Original Release | March 2024; Information is current as of the time of recording. Course Termination Date | March 2027 Contact Information | Center for Continuing Medical, Provider and Nursing Education; (502) 446-5955 or cme@nortonhealthcare.org      

Management of Insomnia   Evaluation and Credit:  https://www.surveymonkey.com/r/MedChat64   Target Audience             This activity is targeted toward primary care and geriatric healthcare providers and advanced providers.   Statement of Need  The program is a podcast discussion that will address the diagnosis and treatment of insomnia in adults. Insomnia is a common problem seen in the primary care setting and this podcast will address common issues/questions of providers helping them to improve patient care as related to insomnia.   Objectives  At the conclusion of this offering, the participant will be able to:  1.     Define acute and chronic insomnia. 2.     Discuss the diagnostic criteria for insomnia.        3.     Identify strategies for the management of insomnia.   Moderator Gregory E. Cooper, M.D., Ph.D. Chief of Adult Neurology Medical Director, Memory Center Norton Neuroscience Institute Norton Healthcare Louisville, Kentucky   Speaker Kevin K. Trice, M.D., MBA Sleep Medicine Physician Norton Pulmonary Specialists Louisville, Kentucky   Moderator, Speaker and Planner Disclosures   The planners and moderators of this activity do not have any relevant financial relationships to disclose. Kevin Trice, M.D. has relationships with Jazz Pharma, Harmony Biosciences, Axsome Therapeutics, Avadel and Idorsia as a consultant. These relationships have been mitigated.    Commercial Support   There was no commercial support for this activity.    Physician Credits Accreditation  Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.   Designation  Norton Healthcare designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.   Nursing Credits Norton Healthcare Institute for Education and Development is approved with distinction as a provider of nursing continuing professional development by the South Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation. This continuing professional development activity has been approved for 0.75 contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance.     For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org.   Resources for Additional Study: Insomnia https://pubmed.ncbi.nlm.nih.gov/36115372/   Waking up to the importance of sleep https://pubmed.ncbi.nlm.nih.gov/36115369/     Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. Five Louisville hospitals provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women's and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com.     Date of Original Release | March 2024; Information is current as of the time of recording.  Course Termination Date | March 2027 Contact Information | Center for Continuing Medical, Provider and Nursing Education; (502) 446-5955 or cme@nortonhealthcare.org    

Female Patterned Heart Disease   Evaluation and Credit:  https://www.surveymonkey.com/r/MedChat63   Target Audience             This activity is targeted toward primary care providers and advanced providers.   Statement of Need  This podcast will discuss female-patterned heart disease. Cardiovascular disease continues to be one of the leading causes of mortality for women. Research indicates that there continues to be disparities in the diagnosis and treatment of cardiovascular disease for women, resulting in greater mortality rate. (American Journal of Preventive Cardiology). The goal of this program is to highlight risks, symptoms and diagnostic characteristics specific to female patients with the goal of earlier intervention and improved patient outcomes.   Objectives At the conclusion of this offering, the participant will be able to: Define female-patterned heart disease and presenting symptoms unique to females. Discuss the latest diagnostic guidelines for female-patterned heart disease. Describe female specific risk factors of cardiovascular disease.    Moderator Mona Lisa Tailor, M.D. Internal Medicine Norton Community Medical Associates - Barrett Louisville, Kentucky   Speaker Li Zhou, M.D., Ph.D. Medical Director Norton Heart and Vascular Institute Norton Healthcare Louisville, Kentucky   Moderator, Speaker and Planner Disclosures   The planners, moderator and speaker of this activity do not have any relevant financial relationships to disclose.    Commercial Support   There was no commercial support for this activity.    Physician Credits Accreditation  Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.     Designation  Norton Healthcare designates this enduring material for a maximum of .75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.   Nursing Credits Norton Healthcare Institute for Education and Development is approved with distinction as a provider of nursing continuing professional development by the South Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation. This continuing professional development activity has been approved for .75 contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance.     For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org.   Resources Cardiovascular disease in women https://pubmed.ncbi.nlm.nih.gov/17569469/   Beyond equality, women require extra care in cardiovascular imaging https://pubmed.ncbi.nlm.nih.gov/35962143/     Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. Five Louisville hospitals provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women's and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com.     Date of Original Release | Feb 2024; Information is current as of the time of recording.  Course Termination Date | Feb 2027 Contact Information | Center for Continuing Medical, Provider and Nursing Education; (502) 446-5955 or cme@nortonhealthcare.org      

Human Trafficking: A Survivor's Story Evaluation and Credit:  https://www.surveymonkey.com/r/MedChat62 Target Audience             This activity is targeted toward primary care providers, advanced providers and healthcare clinicians.  Statement of Need  According to the American Public Health Association, the health system plays an important role in identifying and treating victims of human trafficking. Estimates show that approximately 80 percent of human trafficking victims are women, and health care providers are often the first professionals to have contact with trafficked women and girls. One study found that close to 50 percent of trafficked individuals saw a health care professional during their exploitation. Clinicians need to be aware of red flags that their patient could be a victim of human trafficking, best practices for screening and assessing patients for trafficking, and their response as a health care professional, and resources for assisting the victims. Providers should know how to screen patients for human trafficking; and what to do if there are indicators of a potential victim of human trafficking.   Objectives  At the conclusion of this offering, the participant will be able to:  Identify red flags of human trafficking and opportunities for victim identification that can be missed by the healthcare provider. Highlight communication strategies for identifying potential human trafficking victims from the perspective of a victim. Discuss the significance and impact of compassion to the patient in the delivery of health care.   Moderator Naomi Warnick, M.D., J.D. Pediatric Emergency Medicine Fellow UofL School of Medicine Department of Pediatrics Louisville, Kentucky Pediatric Hospitalist Norton Children's Hospital Louisville Kentucky Guest Kathleen:  Human Traffic Survivor    Commercial Support   There was no commercial support for this activity.  Physician Credits Accreditation  Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. Designation  Norton Healthcare designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. For more information about continuing medical education credits, please send an email to cme@nortonhealthcare.org.   Nursing Credits Norton Healthcare Institute for Education and Development is approved with distinction as a provider of nursing continuing professional development by the South Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation. This continuing professional development activity has been approved for 1.0 contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance.   For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org.   Social Workers   The National Association of Social Workers, Kentucky Chapter (NASW-KY), is an approved provider for social work credits through the Kentucky Board of Social Work. This activity will provide 1.0 hours of required continuing education units. NASWKY#090123 For more information about social worker credits, contact the Norton Healthcare Center for Medical, Provider & Nursing Education at (502) 446-5955 or cme@nortonhealthcare.org.   Other attendees   Confirmed attendance hours will be recorded for all other attendees. Hours of confirmed attendance will be equivalent to the number of hours of one's attested attendance. For additional information related to confirmed attendance, contact the Norton Healthcare Center for Medical, Provider & Nursing Education at (502) 466-5955 or cme@nortonhealthcare.org.   Resources  National Human Trafficking Hotline      1-888-373-7888 or text 233733 Polaris Project – https://polarisproject.org HEAL Trafficking – Healtrafficking.org  Mental Health Lifeline - 988   Human Trafficking: Empowering Healthcare Providers and Community Partners as Advocates for Victims https://pubmed.ncbi.nlm.nih.gov/34569887/ Human Trafficking in the Emergency Department: Improving Our Response to a Vulnerable Population https://pubmed.ncbi.nlm.nih.gov/32421500/   Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. Five Louisville hospitals provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women's and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com.   Date of Original Release |Jan. 2024; Information is current as of the time of recording.  Course Termination Date | Jan 2026 Contact Information | Center for Continuing Medical, Provider and Nursing Education; (502) 446-5955 or cme@nortonhealthcare.org    

Part One: Hidden Victims: A Guide for Healthcare Providers in Identifying Human Trafficking Victims Evaluation and Credit:  https://www.surveymonkey.com/r/MedChat61 Target Audience             This activity is targeted toward primary care providers, advanced providers and healthcare clinicians.  Statement of Need  According to the American Public Health Association, the health system plays an important role in identifying and treating victims of human trafficking. Estimates show that approximately 80 percent of human trafficking victims are women, and health care providers are often the first professionals to have contact with trafficked women and girls. One study found that close to 50 percent of trafficked individuals saw a health care professional during their exploitation. Clinicians need to be aware of red flags that their patient could be a victim of human trafficking, best practices for screening and assessing patients for trafficking, and their response as a health care professional, and resources for assisting the victims. Providers should know how to screen patients for human trafficking; and what to do if there are indicators of a potential victim of human trafficking. Objectives  At the conclusion of this offering, the participant will be able to:  Discuss the scope of human trafficking locally and nationally. Identify the red flags of human trafficking and screening questions to ask, so that a potential victim can be identified when they are accessing the healthcare system. Review the reporting and documentation guidelines for when a patient is suspected of being a victim of human trafficking. Discuss appropriate communication strategies, including trauma-informed communication, to best facilitate trust between provider and patient.  Moderator Kim Boland, M.D., FAAP Professor and Chair of Pediatrics Billy F. Andrew's Endowed Chair UofL School of Medicine Department of Pediatrics Chief of Staff Norton Children's Hospital Louisville, Kentucky Speakers Olivia Mittel, M.D., M.S. Professor and Associate Dean for Student Affairs UofL School of Medicine Louisville, Kentucky Pediatric Hospitalist Norton Children's Hospital Louisville Kentucky Naomi Warnick, M.D., J.D. Pediatric Emergency Medicine Fellow UofL School of Medicine Department of Pediatrics Louisville, Kentucky Moderator, Speaker and Planner Disclosures   The planners, moderator and speaker of this activity do not have any relevant financial relationships to disclose.  Commercial Support   There was no commercial support for this activity.  Physician Credits Accreditation  Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. Designation  Norton Healthcare designates this enduring material for a maximum of .75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. For more information about continuing medical education credits, please send an email to cme@nortonhealthcare.org.   Nursing Credits Norton Healthcare Institute for Education and Development is approved with distinction as a provider of nursing continuing professional development by the South Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation. This continuing professional development activity has been approved for .75 contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance.   For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org. Social Workers  The National Association of Social Workers, Kentucky Chapter (NASW-KY), is an approved provider for social work credits through the Kentucky Board of Social Work. This activity will provide .75 hours of required continuing education units. NASWKY#090123 For more information about social worker credits, contact the Norton Healthcare Center for Medical, Provider & Nursing Education at (502) 446-5955 or cme@nortonhealthcare.org. Other attendees   Confirmed attendance hours will be recorded for all other attendees. Hours of confirmed attendance will be equivalent to the number of hours of one's attested attendance. For additional information related to confirmed attendance, contact the Norton Healthcare Center for Medical, Provider & Nursing Education at (502) 466-5955 or cme@nortonhealthcare.org.   Resources   National Human Trafficking Hotline      1-888-373-7888 or text 233733 Polaris Project – https://polarisproject.org HEAL Trafficking – Healtrafficking.org  Mental Health Lifeline – 988 Human Trafficking: Empowering Healthcare Providers and Community Partners as Advocates for Victims https://pubmed.ncbi.nlm.nih.gov/34569887/ Human Trafficking in the Emergency Department: Improving Our Response to a Vulnerable Population https://pubmed.ncbi.nlm.nih.gov/32421500/   Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. Five Louisville hospitals provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women's and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com.   Date of Original Release |Jan. 2024; Information is current as of the time of recording.  Course Termination Date | Jan 2026 Contact Information | Center for Continuing Medical, Provider and Nursing Education; (502) 446-5955 or cme@nortonhealthcare.org  

Podcast: Updates in Hyperthyroidism    Evaluation and Credit:  https://www.surveymonkey.com/r/MedChat60   Target Audience             This activity is targeted toward primary care providers and advanced providers.   Statement of Need  This podcast will discuss the diagnosis and management of hyperthyroidism in pediatric and adult patients. In that the clinical presentation of hyperthyroidism symptoms varies among adult and pediatric patients, it is important for providers to be aware of the latest diagnostic guidelines and latest updates in the treatment of hyperthyroidism.   Objectives  At the conclusion of this offering, the participant will be able to:  Define hyperthyroidism and causes of hyperthyroidism. Discuss symptoms and the latest diagnostic guidelines for hyperthyroidism in the adult and pediatric patient. Review the clinical components of a thyroid storm. Describe the management options for hyperthyroidism.   Moderator Mona Lisa Tailor, M.D. Internal Medicine Norton Community Medical Associates - Barrett Louisville, Kentucky   Speaker Lisal J. Folsom, M.D., M.S. Adult and Pediatric Endocrinologist Norton Community Healthcare Associates - Endocrinology Norton Children's Endocrinology Louisville, Kentucky   Moderator, Speaker and Planner Disclosures   The planners, moderator and speaker of this activity do not have any relevant financial relationships to disclose.    Commercial Support   There was no commercial support for this activity.    Physician Credits Accreditation  Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.   Designation  Norton Healthcare designates this enduring material for a maximum of .5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.   Nursing Credits Norton Healthcare Institute for Education and Development is approved with distinction as a provider of nursing continuing professional development by the South Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation. This continuing professional development activity has been approved for .5 contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance.     For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org.   Resources Burch-Wartofsky Point Scale (BWPS) https://www.mdcalc.com/calc/3816/burch-wartofsky-point-scale-bwps-thyrotoxicosis   Clinical Review and Update on the Management of Thyroid Storm https://pubmed.ncbi.nlm.nih.gov/36118802/     Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. Five Louisville hospitals provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women's and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com.     Date of Original Release |Dec 2023; Information is current as of the time of recording.  Course Termination Date | Dec 2026 Contact Information | Center for Continuing Medical, Provider and Nursing Education; (502) 446-5955 or cme@nortonhealthcare.org    

Bipolar Disease: Diagnosis and Management   Evaluation and Credit:  https://www.surveymonkey.com/r/MedChat59   Target Audience             This activity is targeted toward primary care providers and advanced providers.   Statement of Need  This podcast will discuss the diagnosis and management of bipolar disorders with a focus for the primary care setting. Patients with these disorders are often seen in the primary care setting, although diagnosis can be challenging in that the prevalence is low. Objectives  At the conclusion of this offering, the participant will be able to:  Define bipolar disorder, including characteristics and prevalence. Describe the distinction between Bipolar Type 1 and Type 2. Discuss combordities that exist with Bipolar Disorder. Review management strategies for patients diagnosed with Bipolar Disorder.   Moderator Jim Frazier, M.D. Pediatrician Chief Medical Officer Norton Healthcare Louisville, Kentucky   Speaker John J. Wernert, M.D., MHA, DLFAP Executive Medical Director Norton Behavioral Medicine Norton Healthcare Louisville, Kentucky     Moderator, Speaker and Planner Disclosures   The planners, moderator and speaker of this activity do not have any relevant financial relationships to disclose.    Commercial Support   There was no commercial support for this activity.      Physician Credits Accreditation  Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.   Designation  Norton Healthcare designates this enduring material for a maximum of .5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.   Nursing Credits Norton Healthcare Institute for Education and Development is approved with distinction as a provider of nursing continuing professional development by the South Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation. This continuing professional development activity has been approved for .5 contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance.     For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org.   Resources for Additional Study Screening for Bipolar I Disorder and the Rapid Mood Screener: Results of a Nationwide Health Care Provider Survey https://pubmed.ncbi.nlm.nih.gov/37115145/   Is it depression or is it bipolar depression? https://pubmed.ncbi.nlm.nih.gov/33017361/     Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. Five Louisville hospitals provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women's and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com.     Date of Original Release |Nov 2023; Information is current as of the time of recording.  Course Termination Date | Nov 2025 Contact Information | Center for Continuing Medical, Provider and Nursing Education; (502) 446-5955 or cme@nortonhealthcare.org    

Podcast: Screen Use and Mental Health   Evaluation and Credit:  https://www.surveymonkey.com/r/MedChat58   Target Audience             This activity is targeted toward primary care and geriatric healthcare providers and advanced providers.   Statement of Need  This program will review the negative impact of digital technology (screen use) on brain health and cognitive brain development. Recent research indicates that children in the US spend more than 4 - 6 hours a day watching/using screens, and teens up to 9 hours; adults approx. 10.5 hours per day. This podcast will discuss the negative impacts of screen use for adolescents as well as characteristics and management of screen addiction..   Objectives  At the conclusion of this offering, the participant will be able to:  Distinguish between passive and interactive screen use. Identify the current diagnostics and clinical presentations for screen addicted patients. Discuss the emotional and physiological underpinning of interactive screen use compulsivity. Review the overview treatment methodology and clinical interventions for screen addiction.   Moderator Erin Frazier, M.D. Pediatrician Norton Children's Medical Group – Broadway Norton Healthcare Louisville Kentucky   Speakers Michael Eiden, LCSW, LCADC, CSAT   Eiden Integrative Counseling Louisville, Kentucky   Moderator, Speaker and Planner Disclosures   The planners, moderator and speaker of this activity do not have any relevant financial relationships to disclose.    Commercial Support   There was no commercial support for this activity.    Physician Credits Accreditation  Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.     Designation  Norton Healthcare designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.   Nursing Credits Norton Healthcare Institute for Education and Development is approved with distinction as a provider of nursing continuing professional development by the South Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation. This continuing professional development activity has been approved for 1.0 contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance.     For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org.   Resources for Providers Healthy Children.org from the American Academy of Pediatrics   American Academy of Pediatrics Screen Time Guidelines   Resources for Additional Study Screen Time and Children Screen Time and Children (aacap.org)   Dunckley V. L. (2015). Reset your child's brain: a four-week plan to end meltdowns raise grades and boost social skills by reversing the effects of electronic screen-time. New World Library.   Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. Five Louisville hospitals provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women's and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com.     Date of Original Release |Oct 2023; Information is current as of the time of recording.  Course Termination Date | Oct 2025 Contact Information | Center for Continuing Medical, Provider and Nursing Education; (502) 446-5955 or cme@nortonhealthcare.org    

Podcast: Alzheimer's Disease: Part Two – Update in Treatment and Management   Evaluation and Credit:  https://www.surveymonkey.com/r/MedChat57   Target Audience             This activity is targeted toward primary care and geriatric healthcare providers and advanced providers.   Statement of Need  Implementation of the latest screening tools for the diagnosis of patients with AD. Utilization of the most appropriate treatment options in the management of patients with AD, with an understanding of the application and efficacy of the newly FDA-approved medication options.   Objectives  At the conclusion of this offering, the participant will be able to:  Describe effective management and treatment options for patients with Alzheimer's disease (AD). Review the classes and efficacy of the medications used to manage AD.   Moderator Greg Cooper, M.D., Ph.D Chief of Adult Neurology Medical Director, Memory Center Norton Neuroscience Institute Norton Healthcare  Louisville, Kentucky   Speaker K. Gregory Pugh, M.D., M.Sc. Geriatric Medicine Norton Neuroscience Institute Memory Center Norton Healthcare  Louisville, Kentucky   Moderator, Speaker and Planner Disclosures   The speaker, planners and moderator of this activity do not have any relevant relationships to disclose.    Commercial Support   There was no commercial support for this activity.    Physician Credits Accreditation  Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.   Designation  Norton Healthcare designates this enduring material for a maximum of 0.50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.     Nursing Credits Norton Healthcare Institute for Education and Development is approved with distinction as a provider of nursing continuing professional development by the South Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation. This continuing professional development activity has been approved for 0.50 contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance.     For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org.   Resources for Additional Study: Alzheimer's disease: Treatment Strategies and Their Limitations https://pubmed.ncbi.nlm.nih.gov/36430432/   Diet in the Prevention of Alzheimer's disease: Current Knowledge and Future Research Requirements https://pubmed.ncbi.nlm.nih.gov/36364826/     Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. Five Louisville hospitals provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women's and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com.     Date of Original Release |September 2023; Information is current as of the time of recording.  Course Termination Date | September 2025 Contact Information | Center for Continuing Medical, Provider, and Nursing Education; (502) 446-5955 or cme@nortonhealthcare.org  

Podcast: Alzheimer's Disease: Part One – A Review and Diagnosis   Evaluation and Credit:  https://www.surveymonkey.com/r/MedChat56   Target Audience             This activity is targeted toward primary care and geriatric healthcare providers and advanced providers.   Statement of Need  Implementation of the latest screening tools for the diagnosis of patients with AD. Utilization of the most appropriate treatment options in the management of patients with AD, with an understanding of the application and efficacy of the newly FDA-approved medication options.   Objectives  At the conclusion of this offering, the participant will be able to:  Discuss the underlying pathophysiology of Alzheimer's disease and the clinical manifestations. Review the symptoms and progression of AD. Outline the diagnostic tools for the identification of patients with AD.   Moderator Greg Cooper, M.D., Ph.D Chief of Adult Neurology Medical Director, Memory Center Norton Neuroscience Institute Norton Healthcare  Louisville, Kentucky   Speaker K. Gregory Pugh, M.D., M.Sc. Geriatric Medicine Norton Neuroscience Institute Memory Center Norton Healthcare  Louisville, Kentucky   Moderator, Speaker and Planner Disclosures   The speaker, planners and moderator of this activity do not have any relevant relationships to disclose.    Commercial Support   There was no commercial support for this activity.    Physician Credits Accreditation  Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.   Designation  Norton Healthcare designates this enduring material for a maximum of 0.50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.   Nursing Credits Norton Healthcare Institute for Education and Development is approved with distinction as a provider of nursing continuing professional development by the South Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation. This continuing professional development activity has been approved for 0.50 contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance.     For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org.   Resources for Additional Study: Alzheimer's disease https://pubmed.ncbi.nlm.nih.gov/33667416/   Biomarkers used in Alzheimer's disease diagnosis, treatment, and prevention https://pubmed.ncbi.nlm.nih.gov/34933129/     Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. Five Louisville hospitals provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women's and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com.     Date of Original Release |September 2023; Information is current as of the time of recording.  Course Termination Date | September 2025   Contact Information | Center for Continuing Medical, Provider and Nursing Education; (502) 446-5955 or cme@nortonhealthcare.org  

Podcast: Podcast: Recognition and Management of Trigeminal Neuralgia    Evaluation and Credit: https://www.surveymonkey.com/r/MedChat55    Target Audience  This activity is targeted toward primary care and geriatric healthcare providers and advanced providers.    Statement of Need  This podcast will provide an overview of the symptoms and diagnosis of trigeminal neuralgia (TN). Additionally, the medical and surgical treatment options will be discussed, including their indications and effectiveness. Providers may not be aware of the latest diagnostic and treatment guidelines. This podcast will provide the latest information related to TN for providers.    Objectives  At the conclusion of this offering, the participant will be able to:  1. Discuss and define trigeminal neuralgia and classifications  2. Describe the clinical manifestations and diagnosis for trigeminal neuralgia.  3. Review effective medical and surgical treatment options for trigeminal neuralgia; indications and effectiveness.    Moderator  Gregory E. Cooper, M.D., Ph.D.  Chief of Adult Neurology  Medical Director, Memory Center  Norton Neuroscience Institute  Norton Healthcare  Louisville, Kentucky    Speakers  Abigail Rao, M.D.  Neurosurgeon  Norton Neuroscience Institute  Norton Healthcare  Louisville, Kentucky    Brian Plato, D.O., FAHS  Neurologist  Medical Director  Headache Medicine, Neurology  Norton Neuroscience Institute  Norton Healthcare  Louisville, Kentucky    Moderator, Speaker and Planner Disclosures  The planners and moderators of this activity do not have any relevant financial relationships to disclose. Brian Plato, D.O., did have relationships with Pfizer and Biohaven as a speaker which have ended. Abigal Rao, M.D. did have a relationship with Medtronic as a consultant and speaker which has ended.    Commercial Support  There was no commercial support for this activity.    Physician Credits  Accreditation  Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.    Designation  Norton Healthcare designates this enduring material for a maximum of 0.50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.    Nursing Credits  Norton Healthcare Institute for Education and Development is approved with distinction as a provider of nursing continuing professional development by the South Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation. This continuing professional development activity has been approved for 0.50 contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance.    For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org.    Resources for Additional Study:  The changing face of trigeminal neuralgia-A narrative review  https://pubmed.ncbi.nlm.nih.gov/34214179/    Trigeminal Neuralgia  https://pubmed.ncbi.nlm.nih.gov/36404084/      Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. Five Louisville hospitals provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women's and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com.    Date of Original Release |Aug 2023; Information is current as of the time of recording.    Course Termination Date | Aug 2025    Contact Information | Center for Continuing Medical, Provider and Nursing Education; (502) 446-5955 or cme@nortonhealthcare.org   

A Review of Total Hip Arthroplasty   Evaluation and Credit:  https://www.surveymonkey.com/r/MedChat54   Target Audience             This activity is targeted toward primary care and geriatric healthcare providers and advanced providers.   Statement of Need  This program will discuss the indications for total hip arthroplasty and identify when patients may benefit from total hip arthroplasty and identify red flags during routine exams of patients that have had total hip arthroplasty.   Objectives  At the conclusion of this offering, the participant will be able to:  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  

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 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  

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  

Strategies to DePrescribe in the Geriatric Population   Evaluation and Credit:  https://www.surveymonkey.com/r/MedChat50   Target Audience             This activity is targeted toward primary care and geriatric healthcare providers and advanced providers.   Statement of Need  When patients are being treated by multiple providers and/or by a variety of physicians, The caregivers may not be aware of the complete prescription listing a patient has been prescribed. This is especially true if the patient sees providers in multiple healthcare systems, in that a centralized list may not be available in the electronic medical record. These circumstances may lead to potentially inappropriate prescribing (over-, mis- or underprescribing). Additionally, physicians/providers may not routinely do a medication review with patients that are at risk of polypharmacy.   Objectives  At the conclusion of this offering, the participant will be able to:  1.     Define polypharmacy; highlighting the prevalence. 2.     List the factors that contribute to polypharmacy.  3.     Describe the risk factors of polypharmacy.  4.     Review effective strategies for deprescribing of medications. 5.     Discuss key considerations for prescribing new medications.   Moderator Monalisa Tailor, M.D. Internal Medicine Norton Community Medical Associates Norton Healthcare Louisville, Kentucky   Speakers Steve Patton, D.O. Family Practitioner Norton Community Medical Associates - Preston Norton Healthcare Louisville, Kentucky   Amanda Thurman, PharmD Norton Audubon Hospital Norton Healthcare Louisville, Kentucky    Moderator, Speaker and Planner Disclosures   The planners and moderator of this activity do not have any relevant relationships to disclose. The speaker, Amanda Thurman, PharmD, has a relevant relationship with Novo Nordisk – Diabetes as a Speaker. This relationship has been successfully mitigated.   Commercial Support   There was no commercial support for this activity.    Physician Credits Accreditation  Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.   Designation  Norton Healthcare designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.   Nursing Credits Norton Healthcare Institute for Education and Development is approved with distinction as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation (ANCC). This continuing professional development activity has been approved for 1.0 contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance.    For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org.   Resources for Additional Study: STOPP/START criteria for potentially inappropriate medications/potential prescribing omissions in older people: origin and progress Denis O'Mahony (2020) STOPP/START criteria for potentially inappropriate medications/potential prescribing omissions in older people: origin and progress, Expert Review of Clinical Pharmacology, 13:1, 15-22, DOI: 10.1080/17512433.2020.1697676 https://www.tandfonline.com/doi/full/10.1080/17512433.2020.1697676   American Geriatrics Society 2019 Updated AGS Beers Criteria® for Potentially Inappropriate Medication Use in Older Adults https://pubmed.ncbi.nlm.nih.gov/30693946/     Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. Five Louisville hospitals provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women's and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com.     Date of Original Release |March 2023; Information is current as of the time of recording.  Course Termination Date | March 2025 Contact Information | Center for Continuing Medical, Provider and Nursing Education; (502) 446-5955 or cme@nortonhealthcare.org  

Podcast:  Women's Health: Surgical Options for Weight Management    Evaluation and Credit:  https://www.surveymonkey.com/r/MedChat22    Target Audience             This activity is targeted toward primary care specialties.    Statement of Need  A recent study released indicated that approximately 35% of the population is Kentucky is obese; putting Kentucky in the top 10 list for obesity in the US. The negative effects of obesity on a patient's health increases decreases their quality of life, increases co-morbidities and risk of early death; therefore it is important for providers to be knowledgeable about viable surgical treatment options so that these can be discussed with patients.      This program will provide those that listen an overview of the different bariatric surgical procedure.  This will include the indications, contraindications as well as patient outcomes. This information will give providers information necessary to advice patients on viable surgical options for weight management.   Objectives    At the conclusion of this offering, the participant will be able to:    1.     Discuss the patient selection process / criteria for bariatric surgery. 2.     Describe different surgical options for weight management; including criteria, indications, contraindications and outcomes.  3.     Review appropriate pre- and post-operative management following bariatric surgery.   Moderator Ryan G. Nazar, M.D., EMHA Clinical Effectiveness Director, Quality Management Norton Medical Group   Speaker Jeffrey Allen, M.D. Bariatric Surgery Director of Bariatric Surgery for Norton Weight Management Services.     Moderator, Speaker and Planner Disclosures   The speaker, moderator and planners for this activity have no potential or actual conflicts of interest to disclose.     Commercial Support   There was no commercial support for this activity.    Physician Credits   American Medical Association   Accreditation  Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.   Designation  Norton Healthcare designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.     Date of Original Release |January 2021  Course Termination Date | December 31, 2023 Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org     Resources for Additional Study     Jalal, Asif, Systematic Review and Meta-Analysis of Endoscopic Sleeve Gastroplasty with Comparison to Laparoscopic Sleeve Gastroectomy; Obesity Surgery (2020) 30:2754-2762. https://pubmed.ncbi.nlm.nih.gov/32304011/     Novikov, Aleksey, et. al.; Endoscopic Sleeve Gastroplasty, Laparoscopic Sleeve Gastrectomy, ad Laparoscopic Band for Weight Loss:  How Do They Compare? J. Gastroninest. Surg. (201) 22:267-273.  https://pubmed.ncbi.nlm.nih.gov/29110192/     Schroeder, Robin, M.D., et. al.; Treatment of Adult Obesity with Bariatric Surgery, American Academy of Family Physicians, 2016.   Sharaiha, Reem Z., et. al.; Five-Year Outcomes of Endoscopic Sleeve Gastroplasty for the Treatment of Obesity; Clinical Gastroenteroloy and Hepatology, Nov. 2020.     Sherf-Dagan, Shiri, et. al.; Nutritional Assessment and Preparation for Adult Bariatric Surgery Candidates: Clinical Practice; Advances in Nutrition, 10 October 2020. https://academic.oup.com/advances/advance-article/doi/10.1093/advances/nmaa121/5920778     

Recognizing and ManagingPediatric Suicidality   Evaluation and Credit:  https://www.surveymonkey.com/r/MedChat49   Target Audience             This activity is targeted toward primary care and pediatric healthcare providers and advanced providers.   Statement of Need  Suicide is a major public health concern and the second leading cause of death for adolescents. Research suggests that many patients that commit suicide had seen a health care provider within two months preceding the event; yet, research also indicates that pediatricians may not feel adequately trained to manage behavioral health complaints, including suicidality. These factors reinforce the need for practitioners to screen patients for imminent suicidal risk. However, even if a screening assessment is utilized routinely, providers may not be fully comfortable managing a patient presenting an identified risk.  (Adolescent suicide: what can pediatricians do? Current Opinion; 2020)   Objectives  1.  At the conclusion of this offering, the participant will be able to:  2.  Describe the risk factors for suicidal idealization in the pediatric population.Discuss effective screening tools and implementation recommendations for suicidality. 3.  List components of the patient safety plan for the at-risk patient.   Moderator Erin Frazier, M.D. Pediatrician Norton Children's Medical Group Norton Healthcare Louisville, Kentucky   Speakers Katy Hopkins, M.D. Pediatric Psychologist Norton Children's Behavioral Health – Hikes Point Norton Healthcare Louisville, Kentucky   Moderator, Speaker and Planner Disclosures   The planners, speaker and moderator of this activity do not have any relevant relationships to disclose.    Commercial Support   There was no commercial support for this activity.    The National Suicide and crisis Hotline number is 988, and is available 24 hours a day, 7 days a week.   Physician Credits   Accreditation  Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.   Designation  Norton Healthcare designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.   Nursing Credits Norton Healthcare Institute for Education and Development is approved with distinction as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation (ANCC). This continuing professional development activity has been approved for 1.0 contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance.    For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org.   Resources for Additional Study: National Institute for Mental Health – Ask Suicide-Screening Questions (ASQ) Toolkit https://www.nimh.nih.gov/research/research-conducted-at-nimh/asq-toolkit-materials   American Psychological Association – Patient Health Questionnaire – 9 (PHQ-9) https://www.apa.org/depression-guideline/patient-health-questionnaire.pdf   Assessment and Management of Depression and Suicidality: Pediatric Resident Perspectives on Training and Practice https://pubmed.ncbi.nlm.nih.gov/32525351/   Pediatric Suicide Screening: A Review of the Evidence https://pubmed.ncbi.nlm.nih.gov/33387798/     Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. Five Louisville hospitals provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women's and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com.     Date of Original Release |February 2023; Information is current as of the time of recording.  Course Termination Date | February 2025 Contact Information | Center for Continuing Medical, Provider and Nursing Education; (502) 446-5955 or cme@nortonhealthcare.org    

Podcast: Updates in Chronic Pain Management   Evaluation and Credit:  https://www.surveymonkey.com/r/MedChat48   Target Audience This activity is targeted toward all physician specialties and advanced providers.   Statement of Need Chronic pain is one of the most common reasons that patients see their physician. A report by the Institute of Medicine indicated that one in three Americans suffer from chronic pain. Therefore, it is important for providers to understand key factors in treating patients with pain that would affect diagnosis and treatment plans. Additionally, providers should be aware of effective nonpharmacological and pharmacology treatment options as well as the latest guidelines in the use of opioids for chronic pain management.   Objectives At the conclusion of this offering, the participant will be able to: 1.         Differentiate between acute and chronic pain. 2.         Describe the types and major drivers of chronic pain. 3.         Discuss effective treatment options in the management of patients with chronic pain; including identification of red flags. 4.         Highlight the latest CDC recommendations in the use of opioids for chronic pain management.   Moderator James Jennings, M.D., MBA Executive Medical Director of Quality, Provider Development and Innovation Norton Medical Group   Speakers Don Teater, M.D., MPH Pain and Addiction Specialist Southeast Alaska Regional Health Consortium Owner of Teater Health Solutions.   Moderator, Speaker and Planner Disclosures The planners, speaker and moderator of this activity do not have any relevant relationships to disclose.   Commercial Support There was no commercial support for this activity.   Physician Credits Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.   Designation Norton Healthcare designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.   House Bill 1 credits The podcast Updates in Chronic Pain Management has been approved for .75 HB1 credit hours by the Kentucky Board of Medical Licensure. ID# 1122-H.75-NHc5h   Nursing Credits Norton Healthcare Institute for Education and Development is approved with distinction as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation (ANCC). This continuing professional development activity has been approved for 0.75 contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance.   Norton Healthcare is also a Kentucky Board of Nursing (KBN) Approved Provider: Activity Number 4-0002-12-24- 012. The activity has also been approved by Norton Healthcare for 0.75 contact hours which expires 12/31/2024. KBN approval of a continuing education provider does not constitute endorsement of program content. This activity meets 0.75 contact hours of approved dual subjects of pharmacology and pain management CE required by the Kentucky Board of Nursing (KBN) for annual license renewal for APRNs with a Collaborative Agreement for Advanced Practice Registered Nurse's Prescriptive Authority for Controlled Substances (CAPA-CS) – 201 KAR 20:215(5)(1)(c).   For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org. Resources for Additional Study: Goldstick JE, Guy GP, Losby JL, Baldwin G, Myers M, Bohnert ASB. Changes in Initial Opioid Prescribing Practices After the 2016 Release of the CDC Guideline for Prescribing Opioids for Chronic Pain. JAMA Netw Open. 2021;4(7):   Rajput, K., Vadivelu, N. Acute Pain Management of Chronic Pain Patients in Ambulatory Surgery Centers. Curr Pain Headache Rep 25, 1 (2021)   Vargas-Schaffer G, Steverman A, Potvin V (December 12, 2021) Monitoring Pharmacological Treatment in Patients With Chronic Noncancer Pain. Cureus 13(12): e20358. DOI 10.7759/cureus.20358     Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. Five Louisville hospitals provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women's and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com.   Date of Original Release |January 2023; Information is current as of the time of recording.   Course Termination Date | January 2025 Contact Information | Center for Continuing Medical, Provider and Nursing Education; (502) 446-5955 or cme@nortonhealthcare.org

Endocrine Pearls   Evaluation and Credit: https://www.surveymonkey.com/r/MedChat47   Target Audience             This activity is targeted toward all physician specialties.   Statement of Need  Primary care providers may not be aware of the latest diagnosis guidelines in the assessment of patients with either primary or secondary endocrine disorders; additionally many symptoms common to endocrine disorders are experienced by patients without endocrine disorders.   Objectives  At the conclusion of this offering, the participant will be able to:  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 Lisa Folsom, M.D. Pediatric Endocrinologist Norton Community Medical Associates   Moderator, Speaker and Planner Disclosures   The planners, speaker and moderator of this activity do not have any relevant relationships to disclose.    Commercial Support   There was no commercial support for this activity.    Physician Credits Accreditation  Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.   Designation  Norton Healthcare designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.   Nursing Credits Norton Healthcare Institute for Education and Development is approved with distinction as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation (ANCC). This continuing professional development activity has been approved for .75 contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance. For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org.   Resources for Additional Study: Association Between Area-Level Socioeconomic Deprivation and Diabetes Care Quality in US Primary Care Practices https://pubmed.ncbi.nlm.nih.gov/34964856/   Endocrine Causes of Hypertension https://pubmed.ncbi.nlm.nih.gov/33079272/     Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. Five Louisville hospitals provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women's and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com.     Date of Original Release |December 2022; Information is current as of the time of recording.  Course Termination Date | December 2024 Contact Information | Center for Continuing Medical, Provider and Nursing Education; (502) 446-5955 or cme@nortonhealthcare.org  

Podcast: The Essentials of Clinical Trials   Evaluation and Credit:  https://www.surveymonkey.com/r/MedChat46   Target Audience             This activity is targeted toward all physician specialties.   Statement of Need  Clinical research is an integral component to the development of new treatments, drugs or medical drugs. Successful patient recruitment has been determined as a contributing factor to the success of clinical research studies. It has been identified that an obstacle in successful studies is the recruitment of sufficient number of patients to participate in research studies. One gap identified in this is the role that providers play in that they may be unaware of how patients can benefit from research studies or how to find applicable studies for their patients.   Objectives  At the conclusion of this offering, the participant will be able to:  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: 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: 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  

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 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      

Dual Diagnosis: Identification and Management  Evaluation and Credit:  https://www.surveymonkey.com/r/MedChat41   Target Audience This activity is targeted toward all physician specialties.   Statement of Need  In the diagnosis and treatment of patients with either SUD or SMI there is limited consistency for the screening of both conditions if one condition exists, even though statistics indicate that up to 75% with one of these conditions will have a dual diagnosis (approx. 75% of patients with SMI will have SUD; and approx. 60% of patients with SUD will have one type of SMI). Additionally, There may be a lack of consistent utilization of the latest clinical guidelines in the management of patients with dual diagnosis.   Objectives  At the conclusion of this offering, the participant will be able to:  Define dual diagnosis and the incidence. Discuss assessment strategies and indications for dual diagnosis. Describe integrated treatment strategies for dual diagnosis.    Moderator Elizabeth Archer-Nanda, APRN Norton Cancer Institute's Behavioral Oncology   Speaker John Wernert, M.D., MHA, DLFAP Executive Medical Director Norton Behavioral Medicine   Moderator and Planner Disclosures   The moderator, speakers and planners for this activity have no relevant relationships to disclose.    Commercial Support   There was no commercial support for this activity.    Physician Credits Accreditation  Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.   Designation  Norton Healthcare designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.   Nursing Credits Norton Healthcare Institute for Education and Development is approved with distinction as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation (ANCC). This continuing professional development activity has been approved for .5 contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance. For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org.   Resources for Additional Study:   Dual diagnosis: A systematic review of the organization of community health services https://pubmed.ncbi.nlm.nih.gov/31957528/   Chicken or egg: A dual diagnosis narrative https://pubmed.ncbi.nlm.nih.gov/34623010/     Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. Five Louisville hospitals provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women's and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com.     Date of Original Release |July 2022; Information is current as of the time of recording.    Course Termination Date | July 2024   Contact Information | Center for Continuing Medical, Provider and Nursing Education; (502) 446-5955 or cme@nortonhealthcare.org  

Podcast: COVID-19 and Pregnancy Evaluation and Credit:  https://www.surveymonkey.com/r/MedChat40   Target Audience             This activity is targeted toward all physician specialties. Statement of Need  The declaration of the COVID-19 global pandemic from the World Health Organization in March 2020, resulted in new concerns for pregnant women. Pregnant women have had increased risk of severe maternal and neonatal morbidity from similar viral diseases. As a result of the COVID-19 pandemic, it was unknown what the effects of COVID-19 would be on pregnancy. Additionally, with the launch of the COVID-19 vaccine, the effects of this on the mother and unborn child were unknown. Providers were unclear as to how to advise patients. This program will provide the latest recommendations and research highlights regarding prenatal care and the efficacy and risk of the COVID-19 vaccine; as well as updates in the treatment of pregnant patients with COVID-19.  Additionally, the risk factors for severe COVID-19 will be discussed. Following this program, providers should have the latest information on how to advise their pregnant patients as well as those who are considering pregnancy.  Objectives  At the conclusion of this offering, the participant will be able to:  Describe the increased risks and consideration of pregnant patients of COVID-19. Discuss the latest COVID-19 vaccination recommendations and effectiveness during pre-pregnancy and pregnancy.  Describe the standard of care and treatment protocols for pregnant patients with COVID-19. Review the latest research on the effects of COVID-19 and pregnancy.    Moderator Monalisa Tailor, M.D. Internal Medicine Norton Community Medical Associates   Speaker Kara Knapp, M.D. Obstetrician – Gynecologist Total Women, Norton Women's Care Moderator and Planner Disclosures   The moderator, speakers and planners for this activity have no relevant relationships to disclose.  Commercial Support   There was no commercial support for this activity.  Physician Credits American Medical Association Accreditation  Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. Designation  Norton Healthcare designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. For the latest recommendations visit:   The American College of Obstetricians and Gynecologists https://www.acog.org/ Centers for Disease Control and Prevention https://www.cdc.gov/   Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. Five Louisville hospitals provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women's and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com.   Date of Original Release | June 2022; Information is current as of the time of recording.  Course Termination Date | December 2023 Contact Information | Center for Continuing Medical, Provider and Nursing Education; (502) 446-5955 or cme@nortonhealthcare.org  

Podcast: A Review of GI Malignancies   Evaluation and Credit:  https://www.surveymonkey.com/r/MedChat39   Target Audience             This activity is targeted toward all physician specialties.     Statement of Need The prognosis of gastric cancer is closely related to the stage of diagnosis. Early gastric cancer (EGC) is limited to mucosa and submucosa and when found early it has a greater than 90% survival rate. Therefore practitioners should be aware of the risks of EGC and recognize the symptoms that are commonly associated with GI malignancies.   Objectives At the conclusion of this offering, the participant will be able to: Define the scope of gastric intestinal (GI) cancers. List the risks, red flags and symptoms of GI problems that are associated with GI malignancies. Describe the applicable screenings and diagnostic guidelines. Discuss the role of the multidisciplinary team in the treatment of GI cancers.   Moderator Joe Flynn, D.O. Chief Administrative Officer Norton Medical Group Physician-in-Chief Norton Cancer Institute   Speaker Douglas Nelson, M.D. Hematology Oncologist Norton Cancer Institute   Moderator and Planner Disclosures  The planners and moderator of this activity do not have any relevant relationships to disclose.  The speaker, Douglas Nelson, M.D. has relevant relationships with: Bristol Myers Squibb - Stock; Invitae – Stock; Mirati Therapeutics – Stock; Myriad – Stock; Natera – Stock; and Zymeworks - Stock. These relationships have been successfully mitigated.   Commercial Support  There was no commercial support for this activity.   Physician Credits American Medical Association   Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.   Designation Norton Healthcare designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.   Resources for Additional Study  The role of primary care physicians in early diagnosis and treatment of chronic gastrointestinal diseases https://pubmed.ncbi.nlm.nih.gov/24648750/   Primary Care Provider Beliefs and Recommendations About Colorectal Cancer Screening in Four Healthcare Systems https://pubmed.ncbi.nlm.nih.gov/32669318/   Cancer risk perception and physician communication behaviors on cervical cancer and colorectal cancer screening https://pubmed.ncbi.nlm.nih.gov/34427182/     Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. Five Louisville hospitals provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women's and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com.     Date of Original Release |May 2022 Course Termination Date | May 2024 Contact Information | Center for Continuing Medical, Provider and Nursing Education; (502) 446-5955 or cme@nortonhealthcare.org  

Podcast: Eating Disorders – Diagnosis and Management in the Pediatric Patient   Evaluation and Credit:  https://www.surveymonkey.com/r/MedChat38   Target Audience             This activity is targeted toward all physician providers.   Statement of Need Providers should carefully monitor patient's height, weight and body mass index for subtle changes as well as recognize characteristics for disordered eating with the goal of early intervention to maximize patient outcomes.   Objectives At the conclusion of this offering, the participant will be able to: 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  

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 2: What is New in Migraine Treatment?   Evaluation and Credit:  https://www.surveymonkey.com/r/MedChat37pt2   Target Audience             This activity is targeted toward all physician providers.   Statement of Need Data indicates that approximately 12 percent of Americans suffer from migraine headaches and migraines are more common in women than men, with a ratio of three to one.  Additionally, a migraine is one of the top reasons that patients visit their physician. Therefore, providers should be current on recognizing the symptoms of migraine as well as how to treat migraines or when to refer to a neurologist.   Objectives At the conclusion of this offering, the participant will be able to: List lifestyle modifications that can affect the incidence of migraines Describe the acute interventions for migraine, non-specific and migraine specific Discuss non-pharmacological, pharmacological and preventative treatments for migraines Moderator Joe Flynn, D.O. Chief Administrative Officer Norton Medical Group Physician-in-Chief Norton Cancer Institute   Speaker Brian Plato, D.O., FAHS Medical Director Headache Medicine, Neurology Norton Neuroscience Institute   Moderator, Speaker and Planner Disclosures  The planners and moderator of this activity do not have any relevant relationships to disclose.  The speaker, Brian Plato, D.O., FAHS has relevant relationships with: Allergan and Amgen - Advisory Board and Speakers Bureau; Biohaven - Speakers Bureau; and Teva - Advisory Board. These relationships have been successfully mitigated.   Commercial Support  There was no commercial support for this activity.    Physician Credits American Medical Association   Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.   Designation Norton Healthcare designates this enduring material for a maximum of 0.50 AMA PRA Category 1 Credits‚Ñ¢. Physicians should claim only the credit commensurate with the extent of their participation in the activity.   Resources for Additional Study    Interventional Procedures in Episodic Migraine https://pubmed.ncbi.nlm.nih.gov/33184708/   The Role of Diet and Nutrition in Migraine Triggers and Treatment: A Systematic Literature Review https://pubmed.ncbi.nlm.nih.gov/32449944/   Mindfulness Meditation has Benefits for Migraine Sufferers https://pubmed.ncbi.nlm.nih.gov/34009172/     Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. Five Louisville hospitals provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women's and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com.     Date of Original Release | March 2022 Course Termination Date | March 2024   Contact Information | Center for Continuing Medical, Provider and Nursing Education; (502) 446-5955 or cme@nortonhealthcare.org   

Podcast: Updates in Acute Stroke Management   Evaluation and Credit:  https://www.surveymonkey.com/r/MedChat36   Target Audience             This activity is targeted toward all physician providers.   Statement of Need Stroke is the fifth leading cause of death in the U.S. and Kentucky. Additionally, stroke is a leading cause of disability in the US. Kentucky residents exceed the national average for lifestyle habits that lead to stroke (smoking, obesity, etc.). Providers can benefit from understanding the latest treatment options in the acute management of strokes with the goal of maximizing patient outcomes.   Objectives At the conclusion of this offering, the participant will be able to: Define the types and causes of strokes. Describe the latest clinical protocols in the acute management of ischemic strokes.   Moderator Monalisa Tailor, M.D. Internal Medicine Norton Community Medical Associates   Speaker Danny Rose, M.D. Neurologist Norton Neurology Institute   Moderator and Planner Disclosures  The moderator, speakers and planners for this activity have no relevant relationships to disclose.   Commercial Support  There was no commercial support for this activity.   Physician Credits American Medical Association   Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.   Designation Norton Healthcare designates this enduring material for a maximum of 0.50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.   Resources for Additional Study  Acute Stroke Intervention: A Systematic Review https://pubmed.ncbi.nlm.nih.gov/25871671/   Acute Stroke Management: Overview and Recent Updates https://pubmed.ncbi.nlm.nih.gov/34221544/   Scoping Review of Clinical Practice Guidelines for the Early Management of Stroke with Focus on Endovascular Treatment https://pubmed.ncbi.nlm.nih.gov/34418610/     Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. Five Louisville hospitals provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women's and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com.     Date of Original Release |February 2022 Course Termination Date | February 2024 Contact Information | Center for Continuing Medical, Provider and Nursing Education; (502) 446-5955 or cme@nortonhealthcare.org  

Podcast: Obesity and Medical Weight Management   Evaluation and Credit:  https://www.surveymonkey.com/r/MedChat35   Target Audience             This activity is targeted toward all physician providers.   Statement of Need Kentucky consistently ranks in the top 10 in the United States for obesity. According to Kentucky Health Facts, 32% of adults in Jefferson County are classified as obese. Providers should treat patients for obesity similar to other chronic conditions, thereby implementing protocols for diagnosis and treatment of obesity.   Objectives At the conclusion of this offering, the participant will be able to: Define the diagnosis and classification of obesity. Describe effective weight management treatments for patients identified as overweight or obese.   Moderator Monalisa Tailor, M.D. Internal Medicine Norton Community Medical Associates   Speaker Kelley McIntyre, M.D. Internal Medicine Bariatric Medicine Specialist Norton Community Medical Associates   Moderator and Planner Disclosures  The moderator, speakers and planners for this activity have no relevant relationships to disclose.   Commercial Support  There was no commercial support for this activity.   Physician Credits American Medical Association   Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.   Designation Norton Healthcare designates this enduring material for a maximum of 0.50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.   Resources for Additional Study  Measuring What Matters: Beyond Quality Performance Measures in Caring for Adults with Obesity https://pubmed.ncbi.nlm.nih.gov/33180000/   The Most Undertreated Chronic Disease: Addressing Obesity in Primary Care Settings https://pubmed.ncbi.nlm.nih.gov/34297343/     Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. Five Louisville hospitals provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women's and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com.     Date of Original Release |January 2022 Course Termination Date | January 2024 Contact Information | Center for Continuing Medical, Provider and Nursing Education; (502) 446-5955 or cme@nortonhealthcare.org  

Understanding Unconscious Bias in Healthcare Evaluation and Credit:  https://www.surveymonkey.com/r/MedChat34 Target Audience This activity is targeted toward all physician specialties.   Statement of Need Providers are not consistently aware of the impact of unconscious bias as it contributes to health disparities in patient care that can affect overall patient care and outcomes. For providers to understand how to address unconscious bias, they need an understanding of the role of implicit biases in disparities in healthcare.   Objectives At the conclusion of this offering, the participant will be able to: Define conscious and unconscious bias in healthcare. Discuss how unconscious bias affects patient diagnostics and outcomes. Identify barriers that diverse patient populations may encounter in the healthcare setting. Outline strategies to create an accountable and open space in the healthcare setting. Moderator Monalisa Tailor, M.D. Internal Medicine Norton Community Medical Associates   Speaker Jessica Isom, M.D., M.P.H.   Attending Psychiatrist Codman Square Health Center Boston, MA   Clinical Instructor and Faculty Leader Social Justice and Health Equity Yale University School of Medicine New Haven, CT   Moderator and Planner Disclosures  The moderator, speakers and planners for this activity have no relevant relationships to disclose. Commercial Support  There was no commercial support for this activity.   Physician Credits American Medical Association   Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.   Designation Norton Healthcare designates this enduring material for a maximum of 0.50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.   Resources for Additional Study  https://www.ucpress.edu/book/9780520274013/black-and-blue   Unconscious Race and Social Class Bias among Acute Care Surgical Clinicians and Clinical Treatment Decisions https://pubmed.ncbi.nlm.nih.gov/25786199/   Unconscious bias and how clinicians can address racial inequities in medicine https://pubmed.ncbi.nlm.nih.gov/34031316/   How Assumptions and Preferences Can Affect Patient Care: An Introduction to Implicit Bias for First-Year Medical Students https://pubmed.ncbi.nlm.nih.gov/34263027/   Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. Five Louisville hospitals provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women's and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com.   Date of Original Release |December 2021 Course Termination Date | December 2023   Contact Information | Center for Continuing Medical, Provider and Nursing Education; (502) 446-5955 or cme@nortonhealthcare.org  

Podcast: Understanding Dementia and Delirium   Evaluation and Credit:  https://www.surveymonkey.com/r/MedChat33   Target Audience             This activity is targeted toward primary care and geriatric specialties.   Statement of Need According to WHO, approximately 5-8% of the general population over the age of 60 at a given time will have dementia. The Institute of Aging has projected that those aged 60 and over will increase to 25.6% of Kentucky's population by 2030.  Due to the aging population in Kentucky and the increasing prevalence of dementia it is important for providers to be able to recognize the symptoms of dementia as well as to be able to differentiate clinical characteristics with delirium.   Objectives At the conclusion of this offering, the participant will be able to: Discuss the differences and similarities between dementia and delirium. Identify the symptoms and characteristics of dementia and delirium. Define the different types of dementia. Review the initial treatment options for dementia.   Moderator Carmel Person M.D. Geriatric Medicine Norton Healthcare   Speakers Rachel Hart, D.O.   Geriatric Medicine Specialist Norton Neuroscience Institute   John J. Wernert, M.D., MHA, DLFAPA Executive Medical Director Norton Behavioral Medicine   Moderator and Planner Disclosures  The moderator, speakers and planners for this activity have no relevant relationships to disclose.   Commercial Support  There was no commercial support for this activity.     Physician Credits American Medical Association   Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.   Designation Norton Healthcare designates this enduring material for a maximum of 0.50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.   Resources for Additional Study  Differentiating Between Dementia, Delirium and Depression in Older People https://pubmed.ncbi.nlm.nih.gov/31762251/   Neuropsychological Measures that Predict Progression from Mild Cognitive Impairment to Alzheimer's type dementia in Older Adults: a Systematic Review and Meta-Analysis https://pubmed.ncbi.nlm.nih.gov/29019061/   Patient Health Questionnaire-9 (PHQ-9)   Confusion Assessment Method (CAM)   St. Louis University Mental Status Exam (SLUMs) The Mini-Cog   Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. Five Louisville hospitals provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women's and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com.     Date of Original Release |November 2021 Course Termination Date | November 2023 Contact Information | Center for Continuing Medical, Provider and Nursing Education; (502) 446-5955 or cme@nortonhealthcare.org  

Evaluation and Credit:  https://www.surveymonkey.com/r/MedChat32   Target Audience             This activity is targeted toward primary care and oncology specialties.   Statement of Need According the National Human Genome Research Institute, genomic factors play a role in nine of the ten leading causes of death in the U.S.; e.g. heart disease, cancer and diabetes.  If providers have a better understanding of genomic testing and applications, it can result in earlier diagnosis, interventions and targeted treatments for specific diseases, improving overall patient outcomes.   Objectives At the conclusion of this offering, the participant will be able to: Differentiate between genetic and genomic testing. Describe the essentials of genomic testing. Define key applications in clinical medicine where genomic testing is utilized: constitutional, oncology and microbiological.   Moderator Steve Patton, D.O. Family Medicine Norton Community Medical Associates   Speaker Charles Myers, D.O.   Clinical and Laboratory Pathology Norton Medical Group   Moderator and Planner Disclosures  The moderator, speakers and planners for this activity have no relevant relationships to disclose.   Commercial Support  There was no commercial support for this activity.     Physician Credits American Medical Association   Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.   Designation Norton Healthcare designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.   Resources for Additional Study  Candida auris: Diagnostic Challenges and Emerging Opportunities for the Clinical Microbiology Laboratory https://pubmed.ncbi.nlm.nih.gov/34178208/   Chromosomal microarray analysis, including constitutional and neoplastic disease applications, 2021 revision: a technical standard of the American College of Medical Genetics and Genomics (ACMG) https://pubmed.ncbi.nlm.nih.gov/34131312/     Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond.. Five Louisville hospitals provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women's and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com.     Date of Original Release |October 2021 Course Termination Date | October 2023 Contact Information | Center for Continuing Medical, Provider and Nursing Education; (502) 446-5955 or cme@nortonhealthcare.org  

Podcast: Challenges in Aging Evaluation and Credit:  https://www.surveymonkey.com/r/MedChat31 Target Audience             This activity is targeted toward primary care, neurology and other specialties caring for geriatric patients. Statement of Need With the aging population it is imperative that providers routinely assess older adult patients, not just the frail elderly, for the presence of geriatric syndromes. In some cases, early identification may lead to intervention strategies that will improve patient outcomes. Objectives At the conclusion of this offering, the participant will be able to: Define the scope of geriatrics. Distinguish between geriatric depression and dementia. Describe diagnostic guidelines for geriatric depression. Discuss treatment options for geriatric depression. Recognize earlier signs and symptoms suggestive of decline in function. Moderator Carmel Person M.D. Geriatric Medicine Norton Healthcare Speakers Rachel Hart, D.O.   Geriatric Medicine Specialist Norton Neuroscience Institute   John J. Wernert, M.D., MHA, DLFAPA Executive Medical Director Norton Behavioral Medicine Moderator and Planner Disclosures  The moderator, speakers and planners for this activity have no relevant relationships to disclose. Commercial Support  There was no commercial support for this activity. Physician Credits American Medical Association Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.   Designation Norton Healthcare designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Resources for Additional Study  A Practical Guide to Geriatric Syndromes in Older Adults with Cancer: A Focus on Falls, Cognition, Polypharmacy, and Depression https://pubmed.ncbi.nlm.nih.gov/31099668/   Decline in Emotional Face Recognition Among Elderly People May Reflect Mild Cognitive Impairment. https://pubmed.ncbi.nlm.nih.gov/34163407/   Resources Depression Screening - Patient Health Questionniare-9 (PHQ-9)   Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond.. Five Louisville hospitals provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women's and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com.   Date of Original Release |September 2021 Course Termination Date | September 2023 Contact Information | Center for Continuing Medical, Provider and Nursing Education; (502) 446-5955 or cme@nortonhealthcare.org     Stock music provided by interstudio, from Pond5 Stock Music provided by SkibkaMusic from Freesounds.org