Podcasts about medical licensure

Welcome to Teeth & Titanium, Episode 55, “Five Year Anniversary” This episode features: Current Events            - Reflection on the past 5 years            - CAOMS ICOMS Symposium            - OMFS MD feedback            - Teeth & Titanium Live at ICOMS May 24th @ 4pm Five Year Anniversary Recap Fan Mail            - Board Review Follow-up            - Maxillary non-union feedback            - Medical Licensure in Canada            - I come from a land down under Resident reminder            - Tension vs Cluster Headaches Journal Club -   Balancing Occupational Demands: How Sport Selection Influences the Long-Term Health of Oral and Maxillofacial SurgeonsRecommendations-   Rational Usage of Patient-Specific Implant in Orthognathic Surgery-   Is A Surgeon's Self-Perceived Level of Anxiety Associated With the Type of Surgical Procedure Being Performed? Recommendations            - 4th Quarter Drama            - Hedge Fund crook            - A very long wait Be sure to subscribe so you never miss an episode! Apple / Spotify / Google / Online links Thanks to the CAOMS for their continued support of this podcast. https://www.caoms.com If you would like to contact us, be a guest, or would like to submit a topic for Resident Reminder or Journal club, please email us at: teethandtitaniumOMFS@gmail.com Hosted by Dr. Wendall Mascarenhas and Dr. Oscar DalmaoProduced by Dr. Brad W. Ray Articles/Books cited in this episode: Grillo R, Klausener C. Balancing Occupational Demands: How Sport Selection Influences the Long-Term Health of Oral and Maxillofacial Surgeons. J Oral Maxillofac Surg. 2025 May;83(5):503-504. Ritto FG, Sullivan SM. Rational Usage of Patient-Specific Implant in Orthognathic Surgery. J Oral Maxillofac Surg. 2025 May;83(5):505-506 Odabaşı O, Polat ME. Is A Surgeon's Self-Perceived Level of Anxiety Associated With the Type of Surgical Procedure Being Performed? J Oral Maxillofac Surg. 2025 May;83(5):632-639. Board Review Course (contact Dr. Jenzer in December if interested):MAJ Andrew C Jenzer, DDS: andrew.jenzer@gmail.com

Host Tom Foley invites Marschall Smith, Executive Director of the Interstate Medical Licensure Compact Commission (IMLCC). Marschall explains what the Compact is and how it works as an agreement among participating U.S. states and territories to work together to significantly streamline the licensing process for physicians who want to practice in multiple states. It offers a voluntary, expedited pathway to licensure for physicians who qualify. To stream our Station live 24/7 visit www.HealthcareNOWRadio.com or ask your Smart Device to “….Play Healthcare NOW Radio”. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen

Sexual violence affects 1 in 4 women and 1 in 9 men nationally - and it can happen anywhere, usually by someone you know. In honor of Sexual Assault Awareness Month, RIDOH's Dr. Staci Fischer, medical director and chief administrative officer for the Rhode Island Board of Medical Licensure and Discipline and Angela Kemp,  prevention coordinator for RIDOH's Violence and Injury Prevention Program join Dr. Philip Chan to talk about the types of sexual assault, what you need to know in general, and even how to handle it somewhere you may not expect - in the care of a healthcare professional. This episode of Public Health Out Loud covers topics related to sexual violence that some listeners may find difficult to listen to. Listeners are encouraged to reach out to the RI Victims of Crime Helpline for support and advocacy as needed at: 1-800-494-8100 or helplineri.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.

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 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      

Host David Johnson interviews Kenneth Cleveland, M.D., Executive Director, of the Mississippi State Board of Medical Licensure,  regarding the attestation model for physician wellness.

The Interstate Medical Licensure Compact is an agreement among participating U.S. states and territories to work together to significantly streamline the licensing process for physicians who want to practice in multiple states. It offers a voluntary, expedited pathway to licensure for physicians who qualify. The mission of the Compact is to increase access to health care – particularly for patients in underserved or rural areas. The Compact makes it possible to extend the reach of physicians, improve access to medical specialists, and leverage the use of new medical technologies, such as telemedicine. While making it easier for physicians to obtain licenses to practice in multiple states, the Compact also strengthens public protection by enhancing the ability of states to share investigative and disciplinary information. The Compact currently includes 37 states, the District of Columbia and the Territory of Guam. In these jurisdictions, physicians are licensed by 50 different medical and osteopathic boards. Other states are currently in the process of introducing legislation to adopt the Compact. The IMLCC has prepared a short video (8:25) that discusses the IMLCC and provides additional information.  Overview of the IMLCC ------------------ Dr. Sharon Mclaughlin is board board-certified plastic surgeon. She is the founder of the Female Physician Entrepreneurs Network and Business Program where she empowers women physicians by helping them turn their ideas into profitable businesses so that they can have the freedom to live their best lives. She is also the founder of Mind Lull, which helps others slow down by providing tools and journals that help small business owners improve their focus and have more fulfillment. Her latest book, Thriving After Burnout, is a compilation of stories from women physicians who share tips and strategies on what helped them during burnout. Thriving After Burnout ⁠Thriving After Burnout: A Compilation of Real Stories and Strategies to Reduce Female Physician Burnout⁠ For women physicians ⁠https://fpestrong.com⁠

The Interstate Medical Licensure Compact is an agreement among participating U.S. states and territories to work together to significantly streamline the licensing process for physicians who want to practice in multiple states. It offers a voluntary, expedited pathway to licensure for physicians who qualify. The mission of the Compact is to increase access to health care – particularly for patients in underserved or rural areas. The Compact makes it possible to extend the reach of physicians, improve access to medical specialists, and leverage the use of new medical technologies, such as telemedicine. While making it easier for physicians to obtain licenses to practice in multiple states, the Compact also strengthens public protection by enhancing the ability of states to share investigative and disciplinary information. The Compact currently includes 37 states, the District of Columbia and the Territory of Guam. In these jurisdictions, physicians are licensed by 50 different medical and osteopathic boards. Other states are currently in the process of introducing legislation to adopt the Compact. The IMLCC has prepared a short video (8:25) that discusses the IMLCC and provides additional information.  Overview of the IMLCC ------------------ Dr. Sharon Mclaughlin is board board-certified plastic surgeon. She is the founder of the Female Physician Entrepreneurs Network and Business Program where she empowers women physicians by helping them turn their ideas into profitable businesses so that they can have the freedom to live their best lives. She is also the founder of Mind Lull, which helps others slow down by providing tools and journals that help small business owners improve their focus and have more fulfillment. Her latest book, Thriving After Burnout, is a compilation of stories from women physicians who share tips and strategies on what helped them during burnout. Thriving After Burnout ⁠Thriving After Burnout: A Compilation of Real Stories and Strategies to Reduce Female Physician Burnout⁠ For women physicians ⁠https://fpestrong.com⁠

Dr. Eric Anderson discusses the interstate medical licensure compact. Show references: https://www.aan.com/practice/telehealth-advocacy This episode was sponsored by the ExTINGUISH Trial for NMDAR Encephalitis: Call 844-4BRAIN5 to refer patients.

This is Garrison Hardie with your CrossPolitic Daily News Brief for Thursday, March 2nd, 2023. Happy Friday Jr. everyone! Fight Laugh Feast Magazine Our Fight Laugh Feast Magazine is a quarterly issue that packs a punch like a 21 year Balvenie, no ice. We don’t water down our scotch, why would we water down our theology? Order a yearly subscription for yourself and then send a couple yearly subscriptions to your friends who have been drinking luke-warm evangelical cool-aid. Every quarter we promise quality food for the soul, wine for the heart, and some Red Bull for turning over tables. Our magazine will include cultural commentary, a Psalm of the quarter, recipes for feasting, laughter sprinkled through out the glossy pages, and more. Sign up today, at fightlaughfeast.com. https://thepoliticalinsider.com/recent-study-shows-a-majority-of-americans-are-too-fat-and-dumb-to-join-the-military/ Recent Study Shows a Majority of Americans are too Fat and Dumb to Join the Military Last year, the Pentagon had to grapple with quite a few negative headlines. The most alarming repetitive headline was that recruiting goals were not met across the board. Of course, one might think that isn’t a big deal given that we have pulled out of Afghanistan and aren’t technically in an active war with anyone. That is, if you ignore the ‘secret wars’ in Syria and Iraq and our proxy war with Russia in Ukraine, but I digress. This news rightly rocked legislators and should concern Americans at large because of our increased tensions with China, which seems to be inevitably heading toward a future war. However, let’s say you think the prospects of us finding ourselves in a hot war, like Afghanistan or a conflict with China, are slim to null. The fact that most young Americans couldn’t join the military if they wanted to should matter to every American, as it directly reflects the type of society we currently elevate. A recent study has found that 77% of Americans between the ages of 17 and 24 are physically unqualified to join the armed services, up 6% from 2017. To put that into simpler terms, over three-quarters of Americans within the prime military recruitment ages are too fat to raise their right hand to serve. Look at those two statistics I mentioned again. It might be bad now, but that same demographic was just as fat and unqualified six years ago. According to 2020 numbers, 42% of American adults are considered obese, with 19% on active duty falling into that category. That number is up from 16% of obesity in the active duty force in 2015. Ironically, some of the blame, according to experts, falls on a food insecurity program many active duty and young Americans are forced to participate in. For example, the United States Department of Agriculture found in 2015 that 40% of participants in the Supplemental Nutrition Assistance Program (SNAP) are obese. An estimated 22,000 Active Duty and over 250,000 National Guard families receive SNAP benefits. For those of us familiar, that means a whole lot of government cheese and other processed food. Here’s Bill Maher on the obesity crisis: https://twitter.com/i/status/1555939261043511296 - Play Video Anybody who has tried to eat healthily knows it is costly and cumbersome. For example, research from Utah State University found that if a family of four were to grocery shop based on the healthy dietary guidelines, it would cost them approximately $14,400 annually. The recruiting dilemma facing the military, like most issues plaguing the Armed Forces, is multifaceted. Army Lt. Gen. Xavier Brunson explains, “Some of the challenges we have are obesity, we have pre-existing medical conditions, we have behavioral health problems, we have criminality, people with felonies, and we have drug use.” That’s a pretty damning yet accurate depiction of America’s youth. Additionally, many Americans need help to pass the education standards the Armed Forces require. Often joked as a test you get half credit for if you can spell your name right, the Armed Forces Qualification Test (AFQT) is used to see if you are smart enough to wear the uniform and what jobs you might have a natural aptitude for. According to security analyst Irina Tsukerman, “falling intelligence and education standards” have made the military less prepared for “asymmetrical or conventional challenges.” The Navy is tossing around the idea of lowering the minimum scores for acceptance on the AFQT and increasing the age ceiling from 35 to 41. Lowering standards might increase the number of recruits, but what about the quality? The Army is opting to keep its standards but has stood up what they call the Future Soldier’s Prep Course at Fort Jackson to get recruits whose scores are too low up to snuff. The Centers for Disease Control classifies obesity as a security threat stating that 1 in 5 kids and 2 in 5 adults are obese. With American kids graduating high school without knowing how to read or do simple math, one could argue our public education system is also a security threat. https://www.theguardian.com/world/2023/mar/01/uk-cat-cull-was-considered-early-in-covid-crisis-ex-minister-says UK cat cull was considered early in Covid crisis, ex-minister says The UK government considered whether it might have to ask people to exterminate all pet cats during the early days of the Covid pandemic, a former health minister said. It was unclear whether domestic cats could transmit coronavirus, James Bethell said. He told Channel 4 News: “What we shouldn’t forget is how little we understood about this disease. There was a moment we were very unclear about whether domestic pets could transmit the disease. “In fact, there was an idea at one moment that we might have to ask the public to exterminate all the cats in Britain. Can you imagine what would have happened if we had wanted to do that?” In July 2020, at the height of the Covid crisis, cat owners were warned not to kiss their pets after a female Siamese became the first known animal in the UK to catch the disease. Margaret Hosie, a professor of comparative virology at Glasgow University who led the screening programme, advised cat owners at the time to “observe very careful hygiene”. It comes as Lord Bethell’s boss at the time, Matt Hancock, the former health secretary, is facing a series of claims based on a leaked cache of more than 100,000 WhatsApp messages. The messages provide an insight into the way the UK government operated at the start of the pandemic. They include the suggestion that Hancock rejected advice from England’s chief medical officer, Prof Sir Chris Whitty, to test everyone going into care homes in England for Covid. Hancock vehemently denies overruling clinical advice. A spokesperson called the claim “categorically untrue”. https://www.foxnews.com/politics/chicago-mayor-lightfoot-reacts-election-loss-says-she-was-treated-unfairly-because-her-race-gender Chicago Mayor Lightfoot reacts to election loss, says she was treated unfairly because of her race, gender Ding Dong the Witch is Dead- Play 0:08-0:15 How’d that get in there? Ousted Chicago Mayor Lori Lightfoot explained away her Tuesday election loss as a result of her being a "Black woman in America." Lightfoot faced eight challengers and finished Tuesday night's election in third place, failing to get enough support to continue into a runoff election. Reporters pressed her on whether she believed she was treated unfairly during the campaign process. "I’m a Black woman in America. Of course," she responded, according to reports. "Regardless of tonight’s outcome, we fought the right fights and we put this city on a better path," Lightfoot said Tuesday night, adding that serving as Chicago's mayor was "the honor of a lifetime." She also blamed the tricksie hobbitses for her loss. For those keeping score: Paul Vallas lead the way with 33.8% of the vote, Brandon Johnson received 20.3%, and Lightfoot received 17.1%. With Lightfoot out of the race, Chicago Public Schools CEO and city budget director Paul Vallas will face off against Cook County Board of Commissioners member Brandon Johnson in the April 4 runoff. Neither candidate reached the 50% necessary to win the election outright on Tuesday, though Vallas came closest with 33%. Dime Payments Dime Payments is a Christian owned processing payment business. Every business needs a payment process system, so please go to https://dimepayments.com/flf and sign your business up. Working with them supports us. They wont cancel you, like Stripe canceled President Trump. They wont cancel you, like Mailchimp canceled the Babylon Bee. Check them out. At least have a phone call and tell them that CrossPolitic sent you. Go to https://dimepayments.com/flf. https://www.theepochtimes.com/mississippi-bans-gender-affirming-care-for-minors_5091041.html?utm_source=partner&utm_campaign=BonginoReport&src_src=partner&src_cmp=BonginoReport Mississippi Bans ‘Gender-Affirming Care’ for Minors Mississippi has become the latest state to ban health care professionals from providing “gender-affirming care” for transgender youth in what officials say will stop the attempt to “push a sick and twisted ideology” on children. Mississippi Gov. Tate Reeves, a Republican, signed the GOP-led House Bill 1125, also known as the “Regulate Experimental Adolescent Procedures (REAP) Act” into law on Feb. 28. Under the legislation, which is effective immediately, individuals in the state are banned from “knowingly engaging in conduct that aids or abets” the performance or inducement of gender transition procedures for Mississippians under the age of 18. The bill also prevents public funds or tax deductions for prohibited gender transition procedures, noting that the direct or indirect use, grant, payment, or distribution of public funds to any entity, organization, or individual that provides gender transition procedures to individuals under the age of 18 is also prohibited. It also puts in place enforcement procedures on the Mississippi State Board of Medical Licensure. Any health care professional found to be in violation of the ban will have their license to practice medicine in the state revoked. The measure, which also prevents Medicaid from reimbursing or providing coverage for gender transition for persons under the age of 18, allows for health care providers to be sued by their former patients, via their “parent or next friend” within 30 years. In a separate statement on Twitter shortly before signing the law, Reeves said there are individuals in the state who are “attempting to push a sick and twisted ideology that seeks to convince our kids they’re in the wrong body and the solution is to drug, sterilize, and castrate themselves.” The signing of the bill makes Mississippi the latest state to enact a ban on gender-affirming care after South Dakota Gov. Kristi Noem, also a Republican, signed a similar “Help Not Harm” bill into law last month. Similar bans have also been passed in Alabama, Arizona, Oklahoma, South Carolina, Tennessee, Texas, and Utah, although some of them are currently being blocked by lawsuits. Nebraska and Oklahoma are also considering similar bills and last month, Republican Florida state Sen. Blaise Ingoglia introduced a bill that would require businesses that cover the cost of gender-transition medical care for their employees to pay for any subsequent detransition care. Supporters of such bills claim that they are intended to safeguard children. Experts have said that four out of five children grow out of gender dysphoria once they reach adolescence. However, opponents, including a string of major medical organizations like the American Medical Association, the American Academy of Pediatrics, and the American Psychological Association, have all voiced support for gender transition care among minors, arguing that it is safe and effective. The American Civil Liberties Union (ACLU), which works to “protect and defend individuals’ rights,” said in a statement on Tuesday that the new legislation “shuts the door on medical best practice and puts politics between parents, their children, and their doctors.” “This life-saving care was already difficult to access for trans youth across the state, and is now entirely out of reach,” ACLU said. “Our politicians continue to fail trans youth — but we will never stop fighting back against this ongoing attack against trans rights across the nation. Trans youth shouldn’t have to fight this hard to be who they are.”

This is Garrison Hardie with your CrossPolitic Daily News Brief for Thursday, March 2nd, 2023. Happy Friday Jr. everyone! Fight Laugh Feast Magazine Our Fight Laugh Feast Magazine is a quarterly issue that packs a punch like a 21 year Balvenie, no ice. We don’t water down our scotch, why would we water down our theology? Order a yearly subscription for yourself and then send a couple yearly subscriptions to your friends who have been drinking luke-warm evangelical cool-aid. Every quarter we promise quality food for the soul, wine for the heart, and some Red Bull for turning over tables. Our magazine will include cultural commentary, a Psalm of the quarter, recipes for feasting, laughter sprinkled through out the glossy pages, and more. Sign up today, at fightlaughfeast.com. https://thepoliticalinsider.com/recent-study-shows-a-majority-of-americans-are-too-fat-and-dumb-to-join-the-military/ Recent Study Shows a Majority of Americans are too Fat and Dumb to Join the Military Last year, the Pentagon had to grapple with quite a few negative headlines. The most alarming repetitive headline was that recruiting goals were not met across the board. Of course, one might think that isn’t a big deal given that we have pulled out of Afghanistan and aren’t technically in an active war with anyone. That is, if you ignore the ‘secret wars’ in Syria and Iraq and our proxy war with Russia in Ukraine, but I digress. This news rightly rocked legislators and should concern Americans at large because of our increased tensions with China, which seems to be inevitably heading toward a future war. However, let’s say you think the prospects of us finding ourselves in a hot war, like Afghanistan or a conflict with China, are slim to null. The fact that most young Americans couldn’t join the military if they wanted to should matter to every American, as it directly reflects the type of society we currently elevate. A recent study has found that 77% of Americans between the ages of 17 and 24 are physically unqualified to join the armed services, up 6% from 2017. To put that into simpler terms, over three-quarters of Americans within the prime military recruitment ages are too fat to raise their right hand to serve. Look at those two statistics I mentioned again. It might be bad now, but that same demographic was just as fat and unqualified six years ago. According to 2020 numbers, 42% of American adults are considered obese, with 19% on active duty falling into that category. That number is up from 16% of obesity in the active duty force in 2015. Ironically, some of the blame, according to experts, falls on a food insecurity program many active duty and young Americans are forced to participate in. For example, the United States Department of Agriculture found in 2015 that 40% of participants in the Supplemental Nutrition Assistance Program (SNAP) are obese. An estimated 22,000 Active Duty and over 250,000 National Guard families receive SNAP benefits. For those of us familiar, that means a whole lot of government cheese and other processed food. Here’s Bill Maher on the obesity crisis: https://twitter.com/i/status/1555939261043511296 - Play Video Anybody who has tried to eat healthily knows it is costly and cumbersome. For example, research from Utah State University found that if a family of four were to grocery shop based on the healthy dietary guidelines, it would cost them approximately $14,400 annually. The recruiting dilemma facing the military, like most issues plaguing the Armed Forces, is multifaceted. Army Lt. Gen. Xavier Brunson explains, “Some of the challenges we have are obesity, we have pre-existing medical conditions, we have behavioral health problems, we have criminality, people with felonies, and we have drug use.” That’s a pretty damning yet accurate depiction of America’s youth. Additionally, many Americans need help to pass the education standards the Armed Forces require. Often joked as a test you get half credit for if you can spell your name right, the Armed Forces Qualification Test (AFQT) is used to see if you are smart enough to wear the uniform and what jobs you might have a natural aptitude for. According to security analyst Irina Tsukerman, “falling intelligence and education standards” have made the military less prepared for “asymmetrical or conventional challenges.” The Navy is tossing around the idea of lowering the minimum scores for acceptance on the AFQT and increasing the age ceiling from 35 to 41. Lowering standards might increase the number of recruits, but what about the quality? The Army is opting to keep its standards but has stood up what they call the Future Soldier’s Prep Course at Fort Jackson to get recruits whose scores are too low up to snuff. The Centers for Disease Control classifies obesity as a security threat stating that 1 in 5 kids and 2 in 5 adults are obese. With American kids graduating high school without knowing how to read or do simple math, one could argue our public education system is also a security threat. https://www.theguardian.com/world/2023/mar/01/uk-cat-cull-was-considered-early-in-covid-crisis-ex-minister-says UK cat cull was considered early in Covid crisis, ex-minister says The UK government considered whether it might have to ask people to exterminate all pet cats during the early days of the Covid pandemic, a former health minister said. It was unclear whether domestic cats could transmit coronavirus, James Bethell said. He told Channel 4 News: “What we shouldn’t forget is how little we understood about this disease. There was a moment we were very unclear about whether domestic pets could transmit the disease. “In fact, there was an idea at one moment that we might have to ask the public to exterminate all the cats in Britain. Can you imagine what would have happened if we had wanted to do that?” In July 2020, at the height of the Covid crisis, cat owners were warned not to kiss their pets after a female Siamese became the first known animal in the UK to catch the disease. Margaret Hosie, a professor of comparative virology at Glasgow University who led the screening programme, advised cat owners at the time to “observe very careful hygiene”. It comes as Lord Bethell’s boss at the time, Matt Hancock, the former health secretary, is facing a series of claims based on a leaked cache of more than 100,000 WhatsApp messages. The messages provide an insight into the way the UK government operated at the start of the pandemic. They include the suggestion that Hancock rejected advice from England’s chief medical officer, Prof Sir Chris Whitty, to test everyone going into care homes in England for Covid. Hancock vehemently denies overruling clinical advice. A spokesperson called the claim “categorically untrue”. https://www.foxnews.com/politics/chicago-mayor-lightfoot-reacts-election-loss-says-she-was-treated-unfairly-because-her-race-gender Chicago Mayor Lightfoot reacts to election loss, says she was treated unfairly because of her race, gender Ding Dong the Witch is Dead- Play 0:08-0:15 How’d that get in there? Ousted Chicago Mayor Lori Lightfoot explained away her Tuesday election loss as a result of her being a "Black woman in America." Lightfoot faced eight challengers and finished Tuesday night's election in third place, failing to get enough support to continue into a runoff election. Reporters pressed her on whether she believed she was treated unfairly during the campaign process. "I’m a Black woman in America. Of course," she responded, according to reports. "Regardless of tonight’s outcome, we fought the right fights and we put this city on a better path," Lightfoot said Tuesday night, adding that serving as Chicago's mayor was "the honor of a lifetime." She also blamed the tricksie hobbitses for her loss. For those keeping score: Paul Vallas lead the way with 33.8% of the vote, Brandon Johnson received 20.3%, and Lightfoot received 17.1%. With Lightfoot out of the race, Chicago Public Schools CEO and city budget director Paul Vallas will face off against Cook County Board of Commissioners member Brandon Johnson in the April 4 runoff. Neither candidate reached the 50% necessary to win the election outright on Tuesday, though Vallas came closest with 33%. Dime Payments Dime Payments is a Christian owned processing payment business. Every business needs a payment process system, so please go to https://dimepayments.com/flf and sign your business up. Working with them supports us. They wont cancel you, like Stripe canceled President Trump. They wont cancel you, like Mailchimp canceled the Babylon Bee. Check them out. At least have a phone call and tell them that CrossPolitic sent you. Go to https://dimepayments.com/flf. https://www.theepochtimes.com/mississippi-bans-gender-affirming-care-for-minors_5091041.html?utm_source=partner&utm_campaign=BonginoReport&src_src=partner&src_cmp=BonginoReport Mississippi Bans ‘Gender-Affirming Care’ for Minors Mississippi has become the latest state to ban health care professionals from providing “gender-affirming care” for transgender youth in what officials say will stop the attempt to “push a sick and twisted ideology” on children. Mississippi Gov. Tate Reeves, a Republican, signed the GOP-led House Bill 1125, also known as the “Regulate Experimental Adolescent Procedures (REAP) Act” into law on Feb. 28. Under the legislation, which is effective immediately, individuals in the state are banned from “knowingly engaging in conduct that aids or abets” the performance or inducement of gender transition procedures for Mississippians under the age of 18. The bill also prevents public funds or tax deductions for prohibited gender transition procedures, noting that the direct or indirect use, grant, payment, or distribution of public funds to any entity, organization, or individual that provides gender transition procedures to individuals under the age of 18 is also prohibited. It also puts in place enforcement procedures on the Mississippi State Board of Medical Licensure. Any health care professional found to be in violation of the ban will have their license to practice medicine in the state revoked. The measure, which also prevents Medicaid from reimbursing or providing coverage for gender transition for persons under the age of 18, allows for health care providers to be sued by their former patients, via their “parent or next friend” within 30 years. In a separate statement on Twitter shortly before signing the law, Reeves said there are individuals in the state who are “attempting to push a sick and twisted ideology that seeks to convince our kids they’re in the wrong body and the solution is to drug, sterilize, and castrate themselves.” The signing of the bill makes Mississippi the latest state to enact a ban on gender-affirming care after South Dakota Gov. Kristi Noem, also a Republican, signed a similar “Help Not Harm” bill into law last month. Similar bans have also been passed in Alabama, Arizona, Oklahoma, South Carolina, Tennessee, Texas, and Utah, although some of them are currently being blocked by lawsuits. Nebraska and Oklahoma are also considering similar bills and last month, Republican Florida state Sen. Blaise Ingoglia introduced a bill that would require businesses that cover the cost of gender-transition medical care for their employees to pay for any subsequent detransition care. Supporters of such bills claim that they are intended to safeguard children. Experts have said that four out of five children grow out of gender dysphoria once they reach adolescence. However, opponents, including a string of major medical organizations like the American Medical Association, the American Academy of Pediatrics, and the American Psychological Association, have all voiced support for gender transition care among minors, arguing that it is safe and effective. The American Civil Liberties Union (ACLU), which works to “protect and defend individuals’ rights,” said in a statement on Tuesday that the new legislation “shuts the door on medical best practice and puts politics between parents, their children, and their doctors.” “This life-saving care was already difficult to access for trans youth across the state, and is now entirely out of reach,” ACLU said. “Our politicians continue to fail trans youth — but we will never stop fighting back against this ongoing attack against trans rights across the nation. Trans youth shouldn’t have to fight this hard to be who they are.”

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

This week, we're replaying a classic episode where your hosts Steve Lowry and Yvonne Godfrey interview Mark Mandell of Mandell, Boisclair & Mandell, Ltd (https://www.mbmjustice.com/).   Remember to rate and review GTP in iTunes: Click Here To Rate and Review   Episode Details: Acclaimed trial lawyer Mark Mandell of Mandell, Boisclair & Mandell, Ltd. explains how he successfully advocated for Alissa Moulton, who was ejected from her boyfriend Alexander Arango's car after he lost control while driving under the influence, leaving her paralyzed. In April 2010, Alexander, who was only 18 years-old at the time, became highly intoxicated after he was illegally served alcoholic drinks at Twin River Casino and Royal Liquors store in Rhode Island. While under the influence, Alexander drove his mother's 1997 Toyota Camry and lost control of the passenger-filled vehicle as it struck a median barrier, crossed two highway lanes, rolled onto its roof and hit a tree, ejecting Alissa and another passenger. Today, Alissa is paralyzed from the chest down and confined to a wheelchair. Despite the defense's attempts to poke holes in the established timeline of events and to question whether Alexander was served drinks at the casino, a Providence, Rhode Island jury found in favor of the plaintiff Alissa, returning a total judgment of $21,270,455.69 in November 2016. This landmark dram shop liability case is also featured in Mark Mandell's book Advanced Case Framing. Click Here to Read/Download Trial Documents   Guest Bio: Mark Mandell Mark Mandell graduated from Georgetown University Law Center receiving his J.D. in 1974. When Mark graduated from Georgetown he served as a law clerk for the Honorable U.S. District Judge Edward W. Day in the United States Federal District Court in Providence for a year before entering private practice. Mark is certified for his expertise in civil trials by two national organizations. He is a Board Certified Civil Trial Specialist by the National Board of Legal Specialty Certification. Attorney Mandell is also nationally recognized and Board Certified as an expert in medical negligence litigation by the American Board of Professional Liability Attorneys. Double board certification nationally is rare for trial lawyers. Both certifications require trial experience and passing a national certification examination. Mark is actually Triple Board Certified as he is also board certified in Civil Pretrial Practice by the National Board of Legal Specialty Certification. Mark is a member of the prestigious Inner Circle of Advocates. Membership in the Inner Circle is limited to 100 of the best trial lawyers in the country. The Inner Circle has been described as “an invitation-only group of the best plaintiffs lawyers in the United States”. Mark is also a Fellow of the American College of Trial Lawyers. Membership in the College is an honor that is given only after a lengthy and rigorous evaluation. Attorney Mark Mandell is a Fellow of the American Academy of Appellate Lawyers and a member of the American Law Institute. He has also attained bar membership in United States Supreme Court, United States Court of Appeals for the First Circuit, United States District Court for the District of Rhode Island and in the States of Rhode Island and Alabama. Mark Mandell has served as President of the Association of Trial Lawyers of America, the Roscoe Pound Institute of Civil Justice, the Rhode Island Bar Association and the Rhode Island Trial Lawyers Association. He has chaired the Board of Bar Examiners for the United States District Court for the District of Rhode Island and is a Past Chair of the National Center for Victims of Crime. He is also a Past President of the National Crime Victims Bar Association. He not only has served these presidential roles but has served many intermediary positions in these prestigious groups. Attorney Mandell is a current member of the Rhode Island Supreme Court Ethics Advisory Panel and has also served on the Governor's Advisory Commission on Judicial Appointments, the Rhode Island Supreme Court Commission on the Future of Rhode Island Judicial System, the Rhode Island Board of Medical Licensure and Discipline, and the Governor's Council on Mental Health. He is currently a member of the Alabama Bar Association, the American Bar Association, the American Association for Justice, the Rhode Island Association for Justice, and the Rhode Island Bar Association. Mark has written 22 articles in well-known journals and has lectured many hundreds of times to Trial Lawyers Associations, state and national, in 45 different states and internationally. Attorney Mandell is currently listed in the publication “The Best Lawyers in America“. Read Full Bio   Show Sponsors: Legal Technology Services - LegalTechService.com Digital Law Marketing - DigitalLawMarketing.com Harris Lowry Manton LLP - hlmlawfirm.com   Free Resources: Stages Of A Jury Trial - Part 1 Stages Of A Jury Trial - Part 2

What is the key to Mark Mandell's success as a trial lawyer?  He questions all assumptions and has spent his entire career in search of answers.  And what he has uncovered along the way is required knowledge for anyone who wants to try cases for a living.  Join  Ben ((Ben Gideon | Gideon Asen LLC) )  and Rahul ((Rahul Ravipudi (psblaw.com) for our probing discussion with Mark as he describes his thoughtful approach to trial work that has led to many successful verdicts and settlement and underpins his two widely acclaimed books on trial practice:  Case Framing and Advanced Case Framing.About Mark MandellMark Mandell graduated from Georgetown University Law Center receiving his J.D. in 1974. When Mark graduated from Georgetown he served as a law clerk for the Honorable U.S. District Judge Edward W. Day in the United States Federal District Court in Providence for a year before entering private practice.Mark is certified for his expertise in civil trials by two national organizations. He is a Board Certified Civil Trial Specialist by the National Board of Legal Specialty Certification. Attorney Mandell is also nationally recognized and Board Certified as an expert in medical negligence litigation by the American Board of Professional Liability Attorneys. Double board certification nationally is rare for trial lawyers. Both certifications require trial experience and passing a national certification examination.Mark is actually Triple Board Certified as he is also board certified in Civil Pretrial Practice by the National Board of Legal Specialty Certification.Mark is a member of the prestigious Inner Circle of Advocates. Membership in the Inner Circle is limited to 100 of the best trial lawyers in the country. The Inner Circle has been described as “an invitation only group of the best plaintiffs lawyers in the United States”.Mark is also a Fellow of the American College of Trial Lawyers. Membership in the College is an honor that is given only after a lengthy and rigorous evaluation.Attorney Mark Mandell is a Fellow of the American Academy of Appellate Lawyers and a member of the American Law Institute. He has also attained bar membership in United States Supreme Court, United States Court of Appeals for the First Circuit, United States District Court for the District of Rhode Island and in the States of Rhode Island and Alabama.Mark Mandell has served as President of the Association of Trial Lawyers of America, the Roscoe Pound Institute of Civil Justice, the Rhode Island Bar Association and the Rhode Island Trial Lawyers Association. He has chaired the Board of Bar Examiners for the United States District Court for the District of Rhode Island and is a Past Chair of the National Center for Victims of Crime. He is also a Past President of the National Crime Victims Bar Association. He not only has served these presidential roles but has served many intermediary positions in these prestigious groups.Attorney Mandell is a current member of the Rhode Island Supreme Court Ethics Advisory Panel and has also served on the Governor's Advisory Commission on Judicial Appointments, the Rhode Island Supreme Court Commission on the Future of Rhode Island Judicial System, the Rhode Island Board of Medical Licensure and Discipline, and the Governor's Council on Mental Health.He is currently a member of the Alabama Bar Association, the American Bar Association, the American Association for Justice, the Rhode Island Association for Justice, and the Rhode Island Bar Association. Mark has written 22 articles in well known journals and has lectured many hundreds of times to Trial Lawyers Associations, state and national, in 45 different states and internationally. Attorney Mandell is currently listed in the publication “The Best Lawyers in America“.Mark Mandell focuses his practice on catastrophic personal injury cases, wrongful death cases, liquor liability cases, and medical negligence cases. He has obtained many million dollar trial verdicts and settlements for his clients. Mark has obtained more verdicts of $1,000,000 and also of $10,000,000 or more than any other lawyer in Rhode Island history. Mark was the Chair of the Plaintiff's Settlement committee in the Station Fire litigation, which resulted in a settlement of more than $176,000,000.Attorney Mandell has also lectured on Medical/Academic topics at well respected establishments such as Brown University Medical School, Harvard Medical School, Women and Infants Hospital in Providence, Rhode Island, The Massachusetts Anesthesia Council on Education/Massachusetts, Society of Anesthesiologists, Rhode Island Hospital, The Miriam Hospital, and State of Rhode Island, Department of Health.In 2018, Mark Mandell was honored as the recipient of the Howard Twiggs Award by the American Association for Justice. The Howard Twiggs Award recognizes an AAJ member of at least 10 years standing whose passion, civility, cordiality, and professionalism reflect the high standards set by Howard Twiggs; and whose courtroom advocacy and distinguished service to AAJ have brought honor to the trial bar and the legal profession. Howard Twiggs was selfless and a tireless worker who always put the welfare of his client and AAJ ahead of any personal glory or satisfaction.Mark Mandell has previously been honored with many other awards as well, including:2021- “Best Lawyers” for 2022 and Sept 20212003- “Harry M. Philo Award” in 2003 from the Association of Trial Lawyers of America1999- “Lawyer of the Year Award” from the Melvin Belli National Society1998- “Citizen of the Year Award” from the Rhode Island Trial Lawyers Association1987- “Rhode Island Jewish Citizen of the Year Award” from the Jewish Community Center of Rhode Island1984- “Merrill L. Hassenfeld Leadership in Community Service Award” from the Jewish Federation of Rhode IslandAttorney Mark Mandell is also an active member of the community as he was formerly on the Board of Directors of The Miriam Hospital, Board of Directors of the Jewish Federation of Rhode Island, Board of Directors of the Urban League of Rhode Island, Chair of the Executive Committee of the Holocaust Memorial Committee of Rhode Island, President of the Jewish Community Center of Rhode Island, member of the Executive-Finance Committee of The Wheeler School, Chair of the Education Committee of The Wheeler School, the Board of Trustees of the Wheeler School, the Board of Roger Williams University, and Chair of the Board of Directors of Roger Williams University School of Law.About the Elawvate PodcastThe Elawvate Podcast – Where Trial Lawyers Learn, Share, and Grow is where the practice of trial law meets personal growth. To succeed as a trial lawyer and build a successful law firm requires practice skills, strategic thinking and some amount of business and entrepreneurial savvy. Elawvate is a place to learn and share skills and strategies for success.But it is also a place to dig deeper and achieve personal growth.Those who succeed as trial lawyers at the highest levels cultivate character, principle, integrity, leadership, courage, compassion and perseverance.  We learn and draw inspiration from those who have achieved this success.For more about Elawvate, visit our website at www.elawvate.fm.  You can also  join our Facebook Group at Elawvate | FacebookFor more information or to contact the hosts, see:(Rahul Ravipudi (psblaw.com) (Ben Gideon | Gideon Asen LLC)  

Podcast:  Current Opioid Minimization in Spine Surgery Evaluation and Credit: https://www.surveymonkey.com/r/MedChat30 Target Audience             This activity is targeted toward primary care pediatric specialties. Statement of Need Approximately 38% of patients are still using opioids one year post-surgery for elective spine procedures.* This rate can be affected by interventions prior to surgery to decrease in-hospital and post-surgery opioid consumption. The goal with new protocols is to either reduce or completely eliminate the opioid prescribing following surgery therefore decreasing the risk of patient abuse and addiction. This program will discuss research being conducted that will highlight effective alternatives to opioids for the management of post-surgical pain, as well as patient characteristics that can lead to opioid use. Objectives At the conclusion of this offering, the participant will be able to: Discuss nonopioid modalities for pain management. Discuss research protocols employed to minimize the prescribing of opioids post-spine surgery. Describe the clinical modalities for nonopioid pain control: pre-surgical, intra-operatively and post-surgery. List patient characteristics and modifiable risk factors that contribute to opioid use. Moderator Joe Flynn, D.O. MPH, FACP Chief Administrative Officer, Norton Medical Group Physician-in-Chief, Norton Cancer Institute   Speaker Jeffrey Gum, M.D. Spine Surgeon Norton Leatherman Spine Center   Moderator and Planner Disclosures  The moderator and planners for this activity have no relevant relationships to disclose. Speaker Disclosure The speaker reports relationships with Medtronic, Acuity, Stryker, NuVasive, and Mazor for his role as consultant;  Acuity and NuVasive for royalties; Medtronic and Stryker for Advisory/Editorial; Baxter, Broadwater, and Pacira Pharmaceuticals for honorarium; Cingulate Therapeutics for stock; Intellirod Spine Inc., Pfizer, and Carapedics for research support.  All relevant financial relationships have been mitigated.  Commercial Support  There was no commercial support for this activity.   Physician Credits American Medical Association   Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. Designation Norton Healthcare designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.   HB1 / Prescribing Controlled Substances The Kentucky Board of Medical Licensure has approved the podcast Current Opioid Minimization in Spine Surgery for .75 HB1 credit hours. ID# 0721-H.50-NHC4f.   Resources for Additional Study  Drivers of in-hospital opioid consumption in patients undergoing lumbar fusion surgery https://pubmed.ncbi.nlm.nih.gov/33834124/ Duration and Dosage of Opioids after Spine Surgery: Implications on Outcomes at 1 Year https://pubmed.ncbi.nlm.nih.gov/32675616/   Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond.. Five Louisville hospitals provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women's and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com.   Date of Original Release |August 2021 Course Termination Date | August 2023 Contact Information | Center for Continuing Medical, Provider and Nursing Education; (502) 446-5955 or cme@nortonhealthcare.org  

Podcast:  Substance Use Disorders: Recognition and Treatment Evaluation and Credit:  https://www.surveymonkey.com/r/MedChat24 Target Audience             This activity is targeted toward primary care specialties. Statement of Need It has been estimated that 29% if people misuse prescription pain relievers for chronic pain; and between 8-12% develop a use disorder.  In 2017 the Department of Human and Health Services declared opioid crisis a public emergency and Kentucky is one of the leading states in abuse in the US. Based on these statistics most providers have or will encounter a patient in their practice with SUD and therefore recognition and management is key for optimal patient outcomes. Objectives At the conclusion of this offering, the participant will be able to: Define substance use disorders (SUD) and including the biology of SUD. Discuss the risk factors and red flags of SUD. Describe treatment options for SUD. Moderator John J. Wernert, M.D., MHA, DLFAPA Executive Medical Director Norton Behavioral Medicine   Speaker Kelly Cooper, M.D. Medical Director, Addiction Services Norton Behavioral Medicine   Moderator, Speaker and Planner Disclosures  The speaker, moderator and planners for this activity have no potential or actual conflicts of interest to disclose.   Commercial Support  There was no commercial support for this activity. Physician Credits American Medical Association Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. Designation Norton Healthcare designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.   HB1 / Prescribing Controlled Substances The Kentucky Board of Medical Licensure has approved the podcast Substance Use Disorders: Recognition and Treatment for .75 HB1 credit hours. ID# 0221-H.75-NHC1f   Date of Original Release |March 2021 Course Termination Date | March 31, 2023 Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org     Resources for Additional Study  National Institute on Drug Abuse https://www.drugabuse.gov/nidamed-medical-health-professionals/screening-tools-resources/chart-screening-tools   Beyond Buprenorphine: Models of Follow-up Care for Opioid Use Disorder in the Emergency Department https://pubmed.ncbi.nlm.nih.gov/33207174/   A comprehensive multivariate model of biopsychosocial factors associated with opioid misuse and use disorder in a 2017-2018 United States national survey https://pubmed.ncbi.nlm.nih.gov/33208132/   Converging Crises: Caring for Hospitalized Adults With Substance Use Disorder in the Time of COVID-19 https://pubmed.ncbi.nlm.nih.gov/32966196/   Treatment for Anxiety and Substance Use Disorders During the COVID-19 Pandemic: Challenges and Strategies https://pubmed.ncbi.nlm.nih.gov/33156267/   There are also 1 question screens that are validated. How many times in the past year have you used an illicit/illegal drug or used a prescription medication for non-medical reasons? How many times in the past year have you had 5 (for male) / 4 (for female) or more drinks in a day?   If the response to either are positive, then the screen is positive and further evaluation is needed.

This week, your hosts Steve Lowry and Yvonne Godfrey interview Mark Mandell of Mandell, Boisclair & Mandell, Ltd (https://www.mbmjustice.com/).   Remember to rate and review GTP in iTunes: Click Here To Rate and Review   Episode Details: Acclaimed trial lawyer Mark Mandell of Mandell, Boisclair & Mandell, Ltd. explains how he successfully advocated for Alissa Moulton, who was ejected from her boyfriend Alexander Arango's car after he lost control while driving under the influence, leaving her paralyzed. In April 2010, Alexander, who was only 18 years-old at the time, became highly intoxicated after he was illegally served alcoholic drinks at Twin River Casino and Royal Liquors store in Rhode Island. While under the influence, Alexander drove his mother's 1997 Toyota Camry and lost control of the passenger-filled vehicle as it struck a median barrier, crossed two highway lanes, rolled onto its roof and hit a tree, ejecting Alissa and another passenger. Today, Alissa is paralyzed from the chest down and confined to a wheelchair. Despite the defense's attempts to poke holes in the established timeline of events and to question whether Alexander was served drinks at the casino, a Providence, Rhode Island jury found in favor of the plaintiff Alissa, returning a total judgment of $21,270,455.69 in November 2016. This landmark dram shop liability case is also featured in Mark Mandell's book Advanced Case Framing. Click Here to Read/Download the Complete Trial Documents   Guest Bio: Mark Mandell Mark Mandell graduated from Georgetown University Law Center receiving his J.D. in 1974. When Mark graduated from Georgetown he served as a law clerk for the Honorable U.S. District Judge Edward W. Day in the United States Federal District Court in Providence for a year before entering private practice. Mark is certified for his expertise in civil trials by two national organizations. He is a Board Certified Civil Trial Specialist by the National Board of Legal Specialty Certification. Attorney Mandell is also nationally recognized and Board Certified as an expert in medical negligence litigation by the American Board of Professional Liability Attorneys. Double board certification nationally is rare for trial lawyers. Both certifications require trial experience and passing a national certification examination. Mark is actually Triple Board Certified as he is also board certified in Civil Pretrial Practice by the National Board of Legal Specialty Certification. Mark is a member of the prestigious Inner Circle of Advocates. Membership in the Inner Circle is limited to 100 of the best trial lawyers in the country. The Inner Circle has been described as “an invitation only group of the best plaintiffs lawyers in the United States”. Mark is also a Fellow of the American College of Trial Lawyers. Membership in the College is an honor that is given only after a lengthy and rigorous evaluation. Attorney Mark Mandell is a Fellow of the American Academy of Appellate Lawyers and a member of the American Law Institute. He has also attained bar membership in United States Supreme Court, United States Court of Appeals for the First Circuit, United States District Court for the District of Rhode Island and in the States of Rhode Island and Alabama. Mark Mandell has served as President of the Association of Trial Lawyers of America, the Roscoe Pound Institute of Civil Justice, the Rhode Island Bar Association and the Rhode Island Trial Lawyers Association. He has chaired the Board of Bar Examiners for the United States District Court for the District of Rhode Island and is a Past Chair of the National Center for Victims of Crime. He is also a Past President of the National Crime Victims Bar Association. He not only has served these presidential roles but has served many intermediary positions in these prestigious groups. Attorney Mandell is a current member of the Rhode Island Supreme Court Ethics Advisory Panel and has also served on the Governor's Advisory Commission on Judicial Appointments, the Rhode Island Supreme Court Commission on the Future of Rhode Island Judicial System, the Rhode Island Board of Medical Licensure and Discipline, and the Governor's Council on Mental Health. He is currently a member of the Alabama Bar Association, the American Bar Association, the American Association for Justice, the Rhode Island Association for Justice, and the Rhode Island Bar Association. Mark has written 22 articles in well known journals and has lectured many hundreds of times to Trial Lawyers Associations, state and national, in 45 different states and internationally. Attorney Mandell is currently listed in the publication “The Best Lawyers in America“. Read Full Bio   Show Sponsors: Legal Technology Services - LTSatlanta.com Digital Law Marketing - DigitalLawMarketing.com Harris, Lowry, and Manton - hlmlawfirm.com   Free Resources: Stages Of A Jury Trial - Part 1 Stages Of A Jury Trial - Part 2

Host David Johnson interviews Luke Barre, MD, and James McDonald, MD, on their article reviewing five years of disciplinary actions by the Rhode Island Board of Medical Licensure and Discipline, which suggests an intriguing approach to preventing inappropriate and excessive prescribing by physicians.

AUA's Public Policy Council Chair, Dr. Eugene Rhee, joins the AUA Inside Tract Podcast to discuss the Interstate Medical Licensure Compact on today's advocacy episode. Dr. Rhee is Regional Coordinating Chief of Urology for Kaiser Permanente in Southern California and the National Chair of Urology for the Permanente Federation. He is a past president of the California Urological Association and the San Diego Urologic Society.

Marschall Smith, executive director of the Interstate Medical Licensure Compact Commission, discusses how the idea for creating a physician compact came about, what the compact does, and how it works. He shares some ways the compact has had a beneficial impact on improving access to care in rural and underserved areas and via telemedicine, especially as we deal with the coronavirus pandemic. He also mentions the IMLCC's mechanism to allow for joint investigations of physicians across states and planned improvements to move the compact process to a cloud-based system with a common database. Transcript: html (https://www.clearhq.org/page-1860668) or PDF (http://clearweb.drivehq.com/podcast_transcripts/CLEAR_podcast_episode31_IMLCC_mobility_071420_transcript.pdf)

DEA Provider Compliance and Safe Guards: Part One Evaluation and Credit: https://www.surveymonkey.com/r/MedChat11part1 Target Audience This activity is targeted toward all physician specialties. Statement of Need Providers should be aware of the latest guidelines related to the prescribing of controlled substances as related to the administrative aspect of their practice to avoid any compliance issues. Objectives At the conclusion of this offering, the participant will be able to: Define the role of the Drug Enforcement Agency (DEA). Discuss key aspects of compliance relative to the practice setting in the prescribing of controlled substances. Recognize important and recurring opioid risk areas. List practical strategies and tips to reduce opioid risks. Moderator Stephen Wright, M.D. Medical Director, Pediatrics Norton Medical Group Speaker Dennis WichernManaging Partner Prescription Drug Consulting LLC Former Special Agent-in-Charge (SAC) Drug Enforcement Administration (DEA) Speaker Disclosure The speaker has no potential or actual conflicts of interest to disclose. Moderator and Planner Disclosures The moderator and planners for this activity have no potential or actual conflicts of interest to disclose.   Commercial Support This activity has received financial support from Cardinal Health. Physician Credits American Medical Association Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. DesignationNorton Healthcare designates this enduring material for a maximum of .50 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. HB1 / Prescribing Controlled SubstancesThe Kentucky Board of Medical Licensure has approved the podcast DEA Provider Compliance and Safe Guards: Part One for .50 HB1 credit hours. ID# 0120-H.50-NHC1d. Date of Original Release | February 2020 Course Termination Date | December 2020 Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org Resources for Additional Study How To Avoid Negative Press and Fines During the Opioid Crisis https://www.prescriptiondrugconsulting.com/articles/how-to-avoid-negative-press-and-fines-during-the-opioid-crisis U.S. Department of Justice Drug Enforcement Administration Diversion Control Division https://www.deadiversion.usdoj.gov/index.html Don't Be Scammed By A Drug Abuser https://www.deadiversion.usdoj.gov/pubs/brochures/drugabuser.htm Reframing the Prevention Strategies of the Opioid Crisis: Focusing on Prescription Opioids, Fentanyl, and Heroin Epidemic. https://www.ncbi.nlm.nih.gov/pubmed/30045589 Responsible, Safe, and Effective Prescription of Opioids for Chronic Non-Cancer Pain: American Society of Interventional Pain Physicians (ASIPP) Guidelines https://www.ncbi.nlm.nih.gov/pubmed/28226332

Podcast:  Use and Abuse – Opioid Addiction Evaluation and Credit: https://www.surveymonkey.com/r/MedChat7 Target Audience              This activity is targeted toward internal medicine, family medicine and all specialties. Statement of Need In 2017, overdose fatalities in Kentucky rose by 11% and Jefferson County had the most overdose deaths. It is critical for physicians and providers to be aware of the prevalence of illegal drugs and understand this culture - as legal prescribing guidelines / availability continues to be more restrictive and addicted patients may seek their "high" from illegal sources.   Objectives At the conclusion of this offering, the participant will be able to: Describe the current trends in the emergency department as related to addicts seeking care. List the characteristics of opioid addiction and pill seeking behavior. Discuss non-opioid alternatives for the treatment of acute pain.   Moderator William R. Bradford, M.D., MMM Medical Director Norton Audubon Hospital   Speaker Robert H. Couch, M.D. Medical Director, Emergency Department Norton Audubon Hospital   Moderator, Speaker and Planner Disclosures  The moderator, speaker and planners for this activity have no potential or actual conflicts of interest to disclose.   Commercial Support  This activity is supported in part with a grant from Cardinal Health.     Physician Credits American Medical Association   Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.   Designation Norton Healthcare designates this enduring material for a maximum of .50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.   HB1 / Prescribing Controlled Substances The Kentucky Board of Medical Licensure has approved the podcast Use and Abuse – Opioid Addiction for .50 HB1 credit hours ID# 1019-H.50-NHC4c.   Date of Original Release | October 2019 Course Termination Date | December 2020 Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org   State Resources Listing of treatment centers / resources – FindHelpNowKY Kentucky State Police assistance in finding a treatment center – Angel Initiative    Resources for Additional Study   Matthew Webster, et. al., “Drug Use and Criminal Activity Among Rural Probationers with DUI Histories”, International Journal of Offender Therapy and Comparative Criminology 53:6, December 2009, pages 717-730.   Jean Bonhomme, M.D., MPH, et. al., “Opioid Addiction and Abuse in Primary Care Practice:  A Comparison of Methadone and Buprenorphine as Treatment Options”, Journal of the National Medical Association, 10:7&8, July/August 2012, 384-350.   Thomas F. Garrity, PhD, et. al., “Physical Health, Illicit Drug Use, and Demographic Characteristics in Rural Stimulant Users”, National Rural Health Association, Spring 2007, Vol. 23, No. 2, pages 99–107.   April M. Young, MPH, and Jennifer R.Havens, PhD, MPH, “Transition from first illicit drug use to first injection drug use among rural Appalachian drug users: A cross-sectional comparison and retrospective survival analysis” National Institutes of Health, March 2012, 107(3), 587-596

Medically Assisted Treatment for Opioid Use Disorder Part One Evaluation and Credit: https://www.surveymonkey.com/r/MedChat5A Target Audience This activity is targeted toward internal medicine, family medicine and other specialties that treat patients with chronic pain. Statement of Need In 2017, overdose fatalities in Kentucky rose by 11% and Jefferson County had the most overdose deaths. It is critical for physicians and providers to be aware of the prevalence of illegal drugs and understand this culture - as legal prescribing guidelines / availability continues to be more restrictive and addicted patients may seek their "high" from illegal sources. Objectives At the conclusion of this offering, the participant will be able to: Define medically assisted therapy (MAT) for opioid addiction. Identify the FDA-approved medications for opioid use disorder. Understand the indications, benefits and limitations of MAT; including the pregnant patient. Discuss the psychological effects of opiate withdrawal. Moderator James Jennings, M.D. Executive Medical Director, Adult Primary Care Director, Provider Wellbeing Norton Healthcare Speaker Jonathan W. Weeks, M.D. Maternal-Fetal Medicine Norton Children’s Maternal-Fetal Medicine Moderator, Speaker and Planner Disclosures The moderator, speaker and planners for this activity have no potential or actual conflicts of interest to disclose.   Commercial Support This activity is supported in part with a grant from Cardinal Health.   Physician Credits American Medical Association Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. Designation Norton Healthcare designates this enduring material for a maximum of .50 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. HB1 / Prescribing Controlled Substances The Kentucky Board of Medical Licensure has approved the podcast Medically Assisted Treatment for Opioid Use Disorder - Part One for.50 HB1 credit hours. ID# 0519-H.50-NHC6b. Date of Original Release | August 2019 Course Termination Date | December 2020 Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org State Resources Listing of treatment centers / resources – FindHelpNowKY Kentucky State Police assistance in finding a treatment center – Angel Initiative Resources for Additional Study Hendrée E. Jones, Ph.D., et. al., “Neonatal Abstinence Syndrome after Methadone or Buprenorphine Exposure”, New England Journal of Medicine 363: 24, pages 2320-2331. Quentin Johnson, “Case Study: County-Level Responses to the Opioid Crisis in Northern Kentucky”, The Journal of Law, Medicine & Ethics, 46 (2018): 382-386. Marc Galanter, “Combining medically assisted treatment and Twelve-Step programming: a perspective and Review”, The American Journal of Drug and Alcohol Abuse 2018, Vol. 44, No. 2, pages 151–159. Hefei Wen, PhD, et. al., “Impact of Medicaid Expansion on Medicaid-covered Utilization of Buprenorphine for Opioid Use Disorder Treatment”, Medical Care , Volume 55, Number 4, April 2017, pages 336-341. Harlan Matusow, M.A., et. al., “Medication assisted treatment in US drug courts: Results from a nationwide survey of availability, barriers and attitudes”, Journal of Substance Abuse Treatment 44 (2013) 473–480.

Podcast: Medically Assisted Treatment for Opioid Use Disorder Part Two Evaluation and Credit: https://www.surveymonkey.com/r/MedChat5B Target Audience This activity is targeted toward internal medicine, family medicine and other specialties that treat patients with chronic pain. Statement of Need In 2017, overdose fatalities in Kentucky rose by 11% and Jefferson County had the most overdose deaths. It is critical for physicians and providers to be aware of the prevalence of illegal drugs and understand this culture - as legal prescribing guidelines / availability continues to be more restrictive and addicted patients may seek their "high" from illegal sources. Objectives At the conclusion of this offering, the participant will be able to: Discuss the effectiveness of medically assisted treatment (MAT) for opioid addictions. Describe the mechanisms of antagonist therapy. Understand the treatment guidelines for medically assisted therapy. Moderator James Jennings, M.D. Executive Medical Director, Adult Primary Care Director, Provider Wellbeing Norton Healthcare Speaker Jonathan W. Weeks, M.D. Maternal-Fetal Medicine Norton Children’s Maternal-Fetal Medicine Moderator, Speaker and Planner Disclosures The moderator, speaker and planners for this activity have no potential or actual conflicts of interest to disclose.   Commercial Support This activity is supported in part with a grant from Cardinal Health.   Physician Credits American Medical Association Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. Designation Norton Healthcare designates this enduring material for a maximum of .50 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. HB1 / Prescribing Controlled Substances The Kentucky Board of Medical Licensure has approved the podcast Medically Assisted Treatment for Opioid Use Disorder - Part Two for.50 HB1 credit hours. ID# 0519-H.50-NHC6b. Date of Original Release | August 2019 Course Termination Date | December 2020 Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org State Resources Listing of treatment centers / resources – FindHelpNowKY Kentucky State Police assistance in finding a treatment center – Angel Initiative Resources for Additional Study Hendrée E. Jones, Ph.D., et. al., “Neonatal Abstinence Syndrome after Methadone or Buprenorphine Exposure”, New England Journal of Medicine 363: 24, pages 2320-2331 Quentin Johnson, “Case Study: County-Level Responses to the Opioid Crisis in Northern Kentucky”, The Journal of Law, Medicine & Ethics, 46 (2018): 382-386 Marc Galanter, “Combining medically assisted treatment and Twelve-Step programming: a perspective and Review”, The American Journal of Drug and Alcohol Abuse 2018, Vol. 44, No. 2, pages 151–159 Hefei Wen, PhD, et. al., “Impact of Medicaid Expansion on Medicaid-covered Utilization of Buprenorphine for Opioid Use Disorder Treatment”, Medical Care , Volume 55, Number 4, April 2017, pages 336-341 Harlan Matusow, M.A., et. al., “Medication assisted treatment in US drug courts: Results from a nationwide survey of availability, barriers and attitudes”, Journal of Substance Abuse Treatment 44 (2013) 473–480

Podcast:  Addressing Opioid Use During Pregnancy   Evaluation and Credit: https://www.surveymonkey.com/r/MedChat4   Target Audience             This activity is targeted toward internal medicine, family medicine, pediatrics, obstetrics & gynecology, and other specialties that treat female patients of child-bearing years.   Statement of Need Kentucky's rate of infants born with NAS has increased significantly in the last decade and it has been noted that Kentucky's rate is higher than the national average. Providers should be current on the practice guidelines available to prevent NAS and minimize the effects when possible.   Objectives At the conclusion of this offering, the participant will be able to: Describe guidelines / requirements for identifying substance abuse in pregnant patients. Discuss the effects of opioids on maternal fetal health. Provide an overview of treatment options available. Define neonatal abstinence syndrome.  Understand the effects of NAS on the newborn. Moderator James Jennings, M.D. Executive Medical Director, Adult Primary Care Director, Provider Wellbeing Norton Healthcare   Speaker Jonathan W. Weeks, M.D. Maternal-Fetal Medicine Norton Children’s Maternal-Fetal Medicine     Moderator, Speaker and Planner Disclosures  The moderator, speaker and planners for this activity have no potential or actual conflicts of interest to disclose.   Commercial Support  This activity is supported in part with a grant from Cardinal Health.     Physician Credits American Medical Association Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.   Designation Norton Healthcare designates this enduring material for a maximum of .50AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.   HB1 / Prescribing Controlled Substances The Kentucky Board of Medical Licensure has approved the podcast Addressing Opioid Use During Pregnancyfor .50 HB1 credit hours. ID# 0519-H.50-NHC7b.   Date of Original Release |July 2019 Course Termination Date | December 2020 Contact Information |Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org   State Resources Listing of treatment centers / resources – FindHelpNowKY Kentucky State Police assistance in finding a treatment center – Angel Initiative    Resources for Additional Study    Bell, Jennifer, M.D., et. al., “Detoxification from opiate drugs during pregnancy,” American Journal of Obstetrics & Gynecology, September 2016,   Hodgins, Fran E., et. al. “Coordinating Outpatient Care for Pregnant and Postpartum Women with Opioid Use Disorder: Implications from the COACHH Program,” Maternal and Child Health Journal, (2019), 23:585 – 591.   Jansson, Lauren, M., M.D., et. al., “Neonatal Abstinence Syndrome,” Pediatric Clinics of North America, 66 (2019), pages 353 – 367.   Jones, Hendree E., PhD, et. al, “Analgesia, Opioids and Other Drug Use During Pregnancy and Neonatal Abstinence Syndrome,” Clinics in Perinatology, 46(2019), 349-366.   Klaman, Stacey, L., MPH, et. al., “Treating Women Who Are Pregnant and Parenting for Opioid Use Disorder and the Concurrent Care of their Infants and Children: Literature Review to Support National Guidance,” Addict Medicine, Volume 11, Number 3, May/June 2017, pages 178 – 190.   Tran, Tran, H., et. al., “Methadone, Buphrenorphine, and Naltrexone for  the Treatment  of Opioid Use Disorder in Pregnant Women,”  Pharmacotherapy, 2017:37(7), pages 824 – 839.   Zedler, Barbara, K., et. al., “Buprenorphine compared with methadone to treat pregnant women with opioid use disorder: a systematic review and meta-analysis fo safety in the mother, fetus and child,” Addiction, 111, pages 2115 – 2128.

Podcast: Streetwise:  Drugs in Kentucky   Evaluation and Credit: https://www.surveymonkey.com/r/MedChat3 Target Audience       This activity is targeted toward primary care, all specialties that provide pain management (acute/chronic), and specialties that prescribe opioids. Statement of Need In 2017, overdose fatalities in Kentucky rose by 11% and Jefferson County had the most overdose deaths. It is critical for physicians and providers to be aware of the prevalence of illegal drugs and understand this culture - as legal prescribing guidelines / availability continues to be more restrictive and addicted patients may seek their "high" from illegal sources.   Objectives  At the conclusion of this offering, the participant will be able to: Understand what an addict attributes the cause of their addiction to. Describe the scope of the drug problem in Kentucky. Moderator James Jennings, M.D. Executive Medical Director, Adult Primary Care Director, Provider Wellbeing Norton Healthcare   Speaker Trooper, Robert Purdy Kentucky State Police Public Affairs Officer at the Richmond KSP Post   Moderator, Speaker and Planner Disclosures The moderator, speaker and planners for this activity have no potential or actual conflicts of interest to disclose. Commercial Support This activity is supported in part with a grant from Cardinal Health.     Physician Credits   American Medical Association   Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.   Designation Norton Healthcare designates this enduring material for a maximum of .50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.   HB1 / Prescribing Controlled Substances The Kentucky Board of Medical Licensure has approved the podcast Opioids in Spine Surgery for .50 HB1 credit hours. ID# 0519-H.50-NHC5b.   Date of Original Release | June 2019 Course Termination Date | December 2020 Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org   Resources for Additional Study Baum, PharmD, Regan A., et.al., “Suspected Synthetic Cannabinomimetic Intoxication: Case Series and Review”, Journal of Phamacy Practice, 2018, Vol. 31(2), pages 238 – 243.   Pope, Sandra K., et. al., “Characteristics of Rural Crack and Powder Cocaine Users: Gender and Other Correlates”, American Journal Drug Alcohol Abuse, 2011 November; 37(6); pages 491 – 496.   Shannon, Lisa M., et. al., “Examining Gender Differences in Substance Use and Age of Use Among Rural, Appalachia Drug Users in Kentucky”, American Journal Drug Alcohol Abuse, 2011, March; 37(2); pages 98 – 104.   Slavova, Ph.D., Svetla, et. al., “Drug Overdose Surveillance Using Hospital Discharge Data”, Public Health Reports, September – October 2014, Volume 129, pages 437 – 445.   Stephens, Dustin B., et. al., “Healthcare Contact and Treatment Update Following Hepatitis C Virus Screening and Counseling Among Rural Appalachia People Who Use Drugs:, International Journal of Drug Policy, 46 (2017), pages 86 – 94.   Victor, Grant A., et. al., “Opioid Analgesics and Heron: Examining Drug Misuse Trends Among a Sample of Drug Treatment Clients in Kentucky”, Internal Journal of Drug Policy, 46 (2017), pages 1 – 6.   Webster, J. Matthew, et. al., “Drug Use and Criminal Activity Among Rural Probationers with DUI Histories”, International Journal of Offender Therapy and Comparative Criminology, Volume 53, Number 6, December 2009, pages 717 – 730.   Young, MPH, April M., et. al., “Transition from First Illicit Drug Use to First Injection Drug Use Among Rural Appalachian Drug Users: A Cross-sectional Comparison and Retrospective Survival Analysis”, Addiction, 2012 March; 107(3), pages 587 – 596.

Podcast: Management of Chronic Pain with Complementary and Integrative Medicine   Evaluation and Credit: https://www.surveymonkey.com/r/MedChat2   Target Audience This activity is targeted toward the specialties of internal medicine, family medicine and other specialties that treat patients with chronic pain. Statement of Need One of the most common reasons that patients see their physician is for chronic pain (>3 months). Physicians traditionally treat chronic pain with analgesics; which with long term use can have many complications, side effects as well as the potential for opioid addition. Providers should be aware of current complimentary and integrative medicine (CIM) research and treatment recommendations for the treatment of pain. Objectives At the conclusion of this offering, the participant will be able to: Understand recent research data for the management of chronic pain with complementary and integrative medicine (CIM). List complementary and integrative medicine options for the treatment of chronic pain as an alternative to prescribing analgesics ((NSAIDs) or opioids). Describe the clinical indications of CIM modalities for the treatment of chronic pain. Moderator James Jennings, M.D. Executive Medical Director Adult Primary Care & Provider Well-being   Speaker Rachel J. Busse, M.D. Norton Community Medical Associates – Highlands Director, Integrative Medicine – Norton Women’s and Children’s Hospital   Moderator, Speaker and Planner Disclosures The moderator, speaker and planners for this activity have no potential or actual conflicts of interest to disclose. Commercial Support This activity is supported in part with a grant from Cardinal Health.   Physician Credits American Medical Association Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.   Designation Norton Healthcare designates this other activity (podcast) for a maximum of .50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.   HB1 / Prescribing Controlled Substances The Kentucky Board of Medical Licensure has approved the podcast Opioids in Spine Surgery for .50 HB1 credit hours. ID# 0419-H.50-NHC4b   Date of Original Release | May 2019 Course Termination Date | December 2020 Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org   Resources for Additional Study Arnold, M.D., Michael J. and Dhaliwal, DO, MPT, Sukhmani, “Cochrane for Clinicians, Putting Evidence in Practice, Complementary and Integrative Treatments for Pain Management in Labor”, American Academy of Family Physicians, Volume 99, Number 3, February 1, 2019, pages 154 – 156. Chao, DrPH, MPA, Maria Teresa, “Patient-Reported Outcomes of an Integrative Pain Management Program Implemented in a Primary Care Safety Net Clinic: a Quasi-experimental Study“, Journal of General Internal Medicine, 19 February 2019. Chen, M.D., Lucy, and Michalsen, M.D., Andreas, “Clinical Review: Management of chronic pain using complementary and integrative medicine”, The BMJ, April 24, 2017. Herman, ND, PhD, Patricia M, et. al., “Cost-effectiveness of Mindfulness-based Stress Reduction Versus Cognitive Behavioral Therapy or Usual Care Among Adults With Chronic Low Back Pain”, Spine, Oct 15:42(20): 1511-1520. University of Wisconsin Integrative Medicine, “Non-Pharmaceutical Therapy for Osteoarthritis”, https://www.fammed.wisc.edu/files/webfm-uploads/documents/outreach/im/module_osteoarthritis_clinician.pdf.     Course number: 128904

Podcast: Opioids in Spine Surgery Evaluation and Credit: https://www.surveymonkey.com/r/OpioidsSpineMedChat Target Audience This activity is targeted toward the specialties of internal medicine, family medicine, neuro/spine, general surgery and other surgery specialties and anesthesia. Statement of Need In response to the increased opioid addiction crisis, physicians are looking for effective alternatives to treat patient pain following surgery. Treatment protocols for post-surgical pain control for spine patients continues to evolve as new research becomes available regarding the effectiveness of nonopioid pain control. Physicians may not be aware of these new alternative protocols. The goal with new protocols is to either reduce or completely eliminate the opioid prescribing following surgery therefore decreasing the risk of patient abuse and addiction. Objectives This program will discuss research being conducted that will highlight effective alternatives to opioids for the management of post-surgical pain, as well as patient characteristics that can lead to opioid use. At the conclusion of this offering, the participant will be able to: Discuss research protocols employed to minimize the prescribing of opioids post-spine surgery; Standard Escalation Pain Protocol (SEPP) and Multi-modal Pain Control (MMPC). List patient characteristics that contribute to opioid use. Describe the patient benefits of non-opioid pain control post-surgery. Implement pain control protocols that minimize or eliminate the use of opioids following surgery. Moderator James Jennings, M.D. Executive Medical Director Adult Primary Care & Provider Well-being   Faculty Jeffrey Gum, M.D. Spine Surgeon Leatherman Spine Center   Faculty Disclosure The speaker for this activity has a relevant relationship with Pacira Pharmaceuticals (honorarium). Other relevant relationships are specific to spine surgery and are not related to the topic of pain management. These include: Consultant (Medtronic, Acuity, K2M, NuVasive and Mazor), Advisory Board (K2M and Medtronic), Honoraria (Baxter), Research (Integra, Intellirod Spine, Inc. Pfizer and NuVasive), Speaker’s Bureau (Depuy and Stryker).  (Stock with Cingulate Therapeutics, related to ADHD medications).   Moderator and Planner Disclosures The moderator or planners for this activity have no potential or actual conflicts of interest to disclose. Commercial Support This activity is supported in part with a grant from Cardinal Health. Physician Credits American Medical Association   Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.   Designation Norton Healthcare designates this other activity (podcast) for a maximum of .50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.   HB1 / Prescribing Controlled Substances The Kentucky Board of Medical Licensure has approved the podcast Opioids in Spine Surgery for .50 HB1 credit hours. ID# 0319-H.50-NHC1b   Date of Original Release | April 2019 Course Termination Date | April 2020 Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org References Hill, M.D. Maureen V., et.al, “Wide Variation and Excessive Dosage of Opioid Prescriptions for Common General Surgical Procedures,” Annuals of Surgery, Vol. 265, Number 4, April 2017, pages 709 – 714. Hill, M.D., Maureen V., et. al., “An Educational Intervention Decreases Opioid Prescribing After General Surgical Operations,” Annuals of Surgery, Vol. 267, Number 3, March 2018, pages 468 – 472. Nayoung, Kim, BS, Matzon, M.D., Jonas, etc. al., “A Prospective Evaluation of Opioid Utilization After Upper-Extremity Surgical Procedures: Identifying Consumption Patterns and Determining Prescribing Guidelines,” The Journal of Bone and Joint Surgery, 98(20); e89, Oct. 2016. Edwards, David A., M.D., PhD, etc.al, “American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on Perioperative Management of Patients on Preoperative Opioid Therapy,” Anesthesia & Analgesia, March 14, 2019.   Course number: 128078

Robert first started practicing Reiki in 1996 at the age of twenty one. He developed an interest in learning more about the system of Reiki and quickly realized that few people were teaching Reiki as practiced and taught by Hawayo Takata (Usui Shiki Reiki Ryoho). He was drawn to Takata's teachings by inner guidance and by the fact that her teachings were clear, simple, and effective. Robert has studied with some of Takata's Master students and several other teachers who still practice Usui Shiki Reiki Ryoho. Robert founded The Reiki Preservation Society (www.TheReikiPreservationSociety.org) to preserve Hawayo Takata’s teachings for future generations to learn. Robert is a member of and archive team member for the Reiki Alliance (www.ReikiAlliance.com). In addition, Robert is a Licensed Acupuncturist by the Kentucky Board of Medical Licensure and is Nationally Certified in Acupuncture and Chinese Herbology by the National Certification Commission for Acupuncture and Oriental Medicine (http://www.nccaom.org). Robert is currently wrapping up his book on the system of Reiki and its history.