MedChat

Episode 65: Guidelines for Safe Prescribing of Controlled Substances Evaluation and Credit: https://www.surveymonkey.com/r/MedChat65 Target Audience This 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: Moderator Gregory E. Cooper, M.D., Ph.D. Chief of Adult Neurology Medical Director, Memory Center Norton Neuroscience Institute Norton Healthcare Louisville, Kentucky Speaker Kelly 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 Credits Norton Healthcare Institute for Education and Development is approved with distinction as a provider of nursing continuing professional development by the South Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. This continuing professional development activity has been approved for 0.75 contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance. For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org. HB1 / Prescribing Controlled Substances The Kentucky Board of Medical Licensure has approved the podcast Guidelines for Safe Prescribing of Controlled Substances for .75 HB1 credit hours. ID# 0723-H.75-NHC2i Resources for Additional Study: The Impact of Increased Hydrocodone Regulation on Opioid Prescribing in an Urban Safety-Net Health Care System https://pubmed.ncbi.nlm.nih.gov/31068400/ CDC Clinical Practice Guideline for Prescribing Opioids for Pain - United States, 2022 https://pubmed.ncbi.nlm.nih.gov/36327391/ Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. Five Louisville hospitals provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women’s and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com. Date of Original Release | March 2024; Information is current as of the time of recording. Course Termination Date | March 2027 Contact Information | Center for Continuing Medical, Provider and Nursing Education; (502) 446-5955 or cme@nortonhealthcare.org Also listen to Norton Healthcare’s podcast Stronger After Stroke. This podcast, produced by the Norton Neuroscience Institute Resource Center, discusses difficult topics, answers frequently asked questions and provides survivor stories that provide hope. Hear from stroke survivors and medical specialists about being stronger after stroke. Listen on...

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

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

Part One: Hidden Victims: A Guide for Healthcare Providers in Identifying Human Trafficking Victims Evaluation and Credit: https://www.surveymonkey.com/r/MedChat61 Target Audience This activity is targeted toward primary care providers, advanced providers and healthcare clinicians. Statement of Need According to the American Public Health Association, the health system plays an important role in identifying and treating victims of human trafficking. Estimates show that approximately 80 percent of human trafficking victims are women, and health care providers are often the first professionals to have contact with trafficked women and girls. One study found that close to 50 percent of trafficked individuals saw a health care professional during their exploitation. Clinicians need to be aware of red flags that their patient could be a victim of human trafficking, best practices for screening and assessing patients for trafficking, and their response as a health care professional, and resources for assisting the victims. Providers should know how to screen patients for human trafficking; and what to do if there are indicators of a potential victim of human trafficking. Objectives At the conclusion of this offering, the participant will be able to: Moderator Kim Boland, M.D., FAAP Professor and Chair of Pediatrics Billy F. Andrew’s Endowed Chair UofL School of Medicine Department of Pediatrics Chief of Staff Norton Children’s Hospital Louisville, Kentucky Speakers Olivia Mittel, M.D., M.S. Professor and Associate Dean for Student Affairs UofL School of Medicine Louisville, Kentucky Pediatric Hospitalist Norton Children’s Hospital Louisville Kentucky Naomi Warnick, M.D., J.D. Pediatric Emergency Medicine Fellow UofL School of Medicine Department of Pediatrics Louisville, Kentucky Moderator, Speaker and Planner Disclosures The planners, moderator and speaker of this activity do not have any relevant financial relationships to disclose. Commercial Support There was no commercial support for this activity. Physician Credits Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. Designation Norton Healthcare designates this enduring material for a maximum of .75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. For more information about continuing medical education credits, please send an email to cme@nortonhealthcare.org. Nursing Credits Norton Healthcare Institute for Education and Development is approved with distinction as a provider of nursing continuing professional development by the South Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. This continuing professional development activity has been approved for .75 contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance. For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org. Social Workers The National Association of Social Workers, Kentucky Chapter (NASW-KY), is an approved provider for social work credits through the Kentucky Board of Social Work. This activity will provide .75 hours of required continuing education units. NASWKY#090123 For more information about social worker credits, contact the Norton Healthcare Center for Medical, Provider & Nursing Education at (502) 446-5955 or cme@nortonhealthcare.org. Other attendees Confirmed attendance hours will be recorded for all other attendees. Hours of confirmed attendance will be equivalent to the number of hours of one’s attested attendance. For additional information related to confirmed attendance, contact the Norton Healthcare Center for...

Human Trafficking: A Survivor’s Story Evaluation and Credit: https://www.surveymonkey.com/r/MedChat62 Target Audience This activity is targeted toward primary care providers, advanced providers and healthcare clinicians. Statement of Need According to the American Public Health Association, the health system plays an important role in identifying and treating victims of human trafficking. Estimates show that approximately 80 percent of human trafficking victims are women, and health care providers are often the first professionals to have contact with trafficked women and girls. One study found that close to 50 percent of trafficked individuals saw a health care professional during their exploitation. Clinicians need to be aware of red flags that their patient could be a victim of human trafficking, best practices for screening and assessing patients for trafficking, and their response as a health care professional, and resources for assisting the victims. Providers should know how to screen patients for human trafficking; and what to do if there are indicators of a potential victim of human trafficking. Objectives At the conclusion of this offering, the participant will be able to: Moderator Naomi Warnick, M.D., J.D. Pediatric Emergency Medicine Fellow UofL School of Medicine Department of Pediatrics Louisville, Kentucky Pediatric Hospitalist Norton Children’s Hospital Louisville Kentucky Guest Kathleen: Human Traffic Survivor Commercial Support There was no commercial support for this activity. Physician Credits Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. Designation Norton Healthcare designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. For more information about continuing medical education credits, please send an email to cme@nortonhealthcare.org. Nursing Credits Norton Healthcare Institute for Education and Development is approved with distinction as a provider of nursing continuing professional development by the South Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. This continuing professional development activity has been approved for 1.0 contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance. For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org. Social Workers The National Association of Social Workers, Kentucky Chapter (NASW-KY), is an approved provider for social work credits through the Kentucky Board of Social Work. This activity will provide 1.0 hours of required continuing education units. NASWKY#090123 For more information about social worker credits, contact the Norton Healthcare Center for Medical, Provider & Nursing Education at (502) 446-5955 or cme@nortonhealthcare.org. Other attendees Confirmed attendance hours will be recorded for all other attendees. Hours of confirmed attendance will be equivalent to the number of hours of one’s attested attendance. For additional information related to confirmed attendance, contact the Norton Healthcare Center for Medical, Provider & Nursing Education at (502) 466-5955 or cme@nortonhealthcare.org. Resources National Human Trafficking Hotline 1-888-373-7888 or text 233733 Polaris Project – https://polarisproject.org HEAL Trafficking – Healtrafficking.org Mental Health Lifeline - 988 Human Trafficking: Empowering Healthcare Providers and Community Partners as Advocates for Victims https://pubmed.ncbi.nlm.nih.gov/34569887/ Human Trafficking in the Emergency Department: Improving Our Response to a Vulnerable...

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

Bipolar Disease: Diagnosis and Management Evaluation and Credit: https://www.surveymonkey.com/r/MedChat59 Target Audience This activity is targeted toward primary care providers and advanced providers. Statement of Need This podcast will discuss the diagnosis and management of bipolar disorders with a focus for the primary care setting. Patients with these disorders are often seen in the primary care setting, although diagnosis can be challenging in that the prevalence is low. Objectives At the conclusion of this offering, the participant will be able to: Moderator Speaker Commercial Support Physician Credits Accreditation Designation Nursing Credits Resources for Additional Study https://pubmed.ncbi.nlm.nih.gov/37115145/ https://pubmed.ncbi.nlm.nih.gov/33017361/ Date of Original Release Course Termination Date Contact Information

Podcast: Screen Use and Mental Health Evaluation and Credit: https://www.surveymonkey.com/r/MedChat58 Target Audience This activity is targeted toward primary care and geriatric healthcare providers and advanced providers. Statement of Need This program will review the negative impact of digital technology (screen use) on brain health and cognitive brain development. Recent research indicates that children in the US spend more than 4 - 6 hours a day watching/using screens, and teens up to 9 hours; adults approx. 10.5 hours per day. This podcast will discuss the negative impacts of screen use for adolescents as well as characteristics and management of screen addiction.. Objectives At the conclusion of this offering, the participant will be able to: Moderator Erin Frazier, M.D. Pediatrician Norton Children’s Medical Group – Broadway Norton Healthcare Louisville Kentucky Speakers Michael Eiden, LCSW, LCADC, CSAT Eiden Integrative Counseling Louisville, Kentucky Moderator, Speaker and Planner Disclosures The planners, moderator and speaker of this activity do not have any relevant financial relationships to disclose. Commercial Support There was no commercial support for this activity. Physician Credits Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. Designation Norton Healthcare designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Nursing Credits Norton Healthcare Institute for Education and Development is approved with distinction as a provider of nursing continuing professional development by the South Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. This continuing professional development activity has been approved for 1.0 contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance. For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org. Social Workers The National Association of Social Workers, Kentucky Chapter (NASW-KY), is an approved provider for social work credits through the Kentucky Board of Social Work. This activity will provide 1.0 hours of required continuing education units. NASWKY#090123 For more information about social worker credits, contact the Norton Healthcare Center for Medical, Provider & Nursing Education at (502) 446-5955 or cme@nortonhealthcare.org. Resources for Providers Healthy Children.org from the American Academy of Pediatrics American Academy of Pediatrics Screen Time Guidelines Resources for Additional Study Screen Time and Children Screen Time and Children (aacap.org) Dunckley V. L. (2015). Reset your child's brain: a four-week plan to end meltdowns raise grades and boost social skills by reversing the effects of electronic screen-time. New World Library. Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. Five Louisville hospitals provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women’s and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com. Date of Original Release |Oct 2023; Information is current as of the time of recording. Course Termination Date | Oct 2025 Contact Information | Center for Continuing Medical, Provider and Nursing Education; (502) 446-5955 or...

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

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

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

A Review of Total Hip Arthroplasty Evaluation and Credit: https://www.surveymonkey.com/r/MedChat54 Target Audience This activity is targeted toward primary care and geriatric healthcare providers and advanced providers. Statement of Need This program will discuss the indications for total hip arthroplasty and identify when patients may benefit from total hip arthroplasty and identify red flags during routine exams of patients that have had total hip arthroplasty. Objectives At the conclusion of this offering, the participant will be able to: Moderator James Jennings, M.D., MBA Executive Medical Director of Quality, Provider Development and Innovation Norton Medical Group Louisville, Kentucky Speaker Jeffrey Stimac, M.D. Orthopedic Surgeon Norton Orthopedic Institute Louisville, Kentucky Moderator, Speaker and Planner Disclosures The speaker, planners and moderator of this activity do not have any relevant relationships to disclose. Commercial Support There was no commercial support for this activity. Physician Credits Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. Designation Norton Healthcare designates this enduring material for a maximum of 0.50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Nursing Credits Norton Healthcare Institute for Education and Development is approved with distinction as a provider of nursing continuing professional development by the South Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. This continuing professional development activity has been approved for 0.50 contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance. For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org. Resources for Additional Study: Arthroscopic Diagnosis and Treatment of Chronic Hip Pain After Total Hip Arthroplasty and the Role of Anterior Capsule Disruption in Iliopsoas Tendinopathy https://pubmed.ncbi.nlm.nih.gov/31276006/ Consensus statement for perioperative care in total hip replacement and total knee replacement surgery: Enhanced Recovery After Surgery (ERAS®) Society recommendations https://pubmed.ncbi.nlm.nih.gov/31663402/ Physical Examination of the Hip https://pubmed.ncbi.nlm.nih.gov/33217250/ Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. Five Louisville hospitals provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women’s and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com. Date of Original Release |July 2023; Information is current as of the time of recording. Course Termination Date | July 2025 Contact Information | Center for Continuing Medical, Provider and Nursing Education; (502) 446-5955 or cme@nortonhealthcare.org

Management of Perimenopause and Menopause Evaluation and Credit: https://www.surveymonkey.com/r/MedChat53 Target Audience This activity is targeted toward primary care and geriatric healthcare providers and advanced providers. Statement of Need This program will provide the latest clinical guidelines and treatment options for the management of menopause. One research study indicated that 50% of patients delayed seeking treatment for 6-months despite having bothersome symptoms. Providers should be up-to-date on the latest recommendations for the management of patients experiencing perimenopause and menopause. Objectives At the conclusion of this offering, the participant will be able to: Moderator Monalisa Tailor, M.D. Internal Medicine Norton Community Medical Associates Norton Healthcare Louisville, Kentucky Speaker Kris Barnsfather, M.D. Obstetrician Gynecologist Women’s Care Physicians of Louisville Louisville, Kentucky Moderator, Speaker and Planner Disclosures The speaker, planners and moderator of this activity do not have any relevant relationships to disclose. Commercial Support There was no commercial support for this activity. Physician Credits Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. Designation Norton Healthcare designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Nursing Credits Norton Healthcare Institute for Education and Development is approved with distinction as a provider of nursing continuing professional development by the South Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. This continuing professional development activity has been approved for 0.75 contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance. For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org. Resources for Additional Study: Postmenopausal Estrogen Therapy Route of Administration and Risk of Venous Thromboembolism https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2013/04/postmenopausal-estrogen-therapy-route-of-administration-and-risk-of-venous-thromboembolism Should we be prescribing testosterone to perimenopausal and menopausal women? A guide to prescribing testosterone for women in primary care https://pubmed.ncbi.nlm.nih.gov/32217602/ Treatment and resource utilization for menopausal symptoms in the United States: a retrospective review of real-world evidence from US electronic health records https://pubmed.ncbi.nlm.nih.gov/36576444/ Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. Five Louisville hospitals provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women’s and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com. Date of Original Release |June 2023; Information is current as of the time of recording. Course Termination Date | June 2025 Contact Information | Center for Continuing Medical, Provider and Nursing Education; (502) 446-5955 or cme@nortonhealthcare.org

Management of Atrial Fibrillation in Primary Care Evaluation and Credit: https://www.surveymonkey.com/r/MedChat52 Target Audience This activity is targeted toward primary care and geriatric healthcare providers and advanced providers. Statement of Need A common chronic condition seen in the primary care setting is atrial fibrillation. The management of this disease can be complicated with many facets. Providers should be aware of the risk factors of untreated a-fib; as well as how to recognize, screen and manage the condition. Additionally, providers should incorporate the latest screening and treatment options for optimal care of their patients, minimizing their risks of complications from A-Fib, including stroke. Objectives At the conclusion of this offering, the participant will be able to: Moderator James Jennings, M.D., MBA Executive Medical Director of Quality, Provider Development and Innovation Norton Medical Group Norton Healthcare Louisville, Kentucky Speakers Kent Morris, M.D. Clinical Cardiac Electrophysiology Associate Director of Cardiology Norton Heart and Vascular Institute Norton Healthcare Louisville, Kentucky Tara Mudd, APRN Norton Heart Specialists Norton Healthcare Louisville, Kentucky Moderator, Speaker and Planner Disclosures The planners and moderator of this activity do not have any relevant relationships to disclose. The speaker Kent Morris, M.D., has relevant relationships with AtriCure, Medtronic and Biosense Webster as a consultant. Additionally, with Atricure on the Speaker’s Bureau. The speaker Tara Mudd, APRN has a relevant relationship with AtriCure as a Consultant. These relationships have been successfully mitigated. Commercial Support There was no commercial support for this activity. Physician Credits Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. Designation Norton Healthcare designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Nursing Credits Norton Healthcare Institute for Education and Development is approved with distinction as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation (ANCC). This continuing professional development activity has been approved for 0.5 contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance. For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org. Resources for Additional Study: Screening and management of atrial fibrillation in primary care https://pubmed.ncbi.nlm.nih.gov/33846159/ Atrial Fibrillation: Pathogenesis, Predisposing Factors, and Genetics https://pubmed.ncbi.nlm.nih.gov/35008432/ Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. Five Louisville hospitals provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women’s and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com. Date of Original Release |May 2023; Information is current as of the time of recording. Course Termination Date | May 2025 Contact Information | Center for Continuing Medical, Provider and Nursing Education; (502) 446-5955 or cme@nortonhealthcare.org

Addressing Firearm Injuries in Children and Teens Evaluation and Credit: https://www.surveymonkey.com/r/MedChat51 Target Audience This activity is targeted toward primary care and pediatric healthcare providers and advanced providers. Statement of Need Firearm injuries are now the leading cause of death in persons 0-24 years old, surpassing auto accidents. Yet, providers may not consistently ask parents/guardians about firearm ownership as a part of the wellness/preventative exam. Or, they may not be comfortable addressing firearm ownership and safety. Research and statistics have concluded that children who live in a home with a firearm are at increased risk of death by suicide or unintentional injury compared with children who live in a home without firearms. This podcast will discuss the guidelines for safe gun ownership as well as effective communication strategies in addressing gun ownership with parents/guardians as well as adolescents. The American Academy of Pediatrics has issued guidelines for safe gun ownership that will be reviewed as well as guidelines for providers. Objectives At the conclusion of this offering, the participant will be able to: Moderator Erin Frazier, M.D. Pediatrician Norton Children’s Medical Group – Broadway Norton Healthcare Louisville Kentucky Speakers Brit Anderson, M.D. Pediatric Emergency Medicine Physician Norton Children’s Hospital Louisville, Kentucky Vice-Chair for Advocacy Department of Pediatrics for UofL School of Medicine Louisville, Kentucky David Foley, M.D. Pediatric General Surgeon Norton Children’s Surgery affiliated with UofL School of Medicine, Louisville, Kentucky Trauma Medical Director Norton Children’s Hospital Louisville, Kentucky Moderator, Speaker and Planner Disclosures The planners, moderator and speakers of this activity do not have any relevant relationships to disclose. Commercial Support There was no commercial support for this activity. Physician Credits Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. Designation Norton Healthcare designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Nursing Credits Norton Healthcare Institute for Education and Development is approved with distinction as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation (ANCC). This continuing professional development activity has been approved for 0.75 contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance. For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org. Resources for Additional Study: Firearm-Related Injuries Affecting the Pediatric Population https://publications.aap.org/pediatrics/article/130/5/e1416/32375/Firearm-Related-Injuries-Affecting-the-Pediatric?_ga=2.54893036.695098718.1679324551-629979946.1679324551 Firearm-Related Injuries and Deaths in Children and Youth: Injury Prevention and Harm Reduction https://publications.aap.org/pediatrics/article/150/6/e2022060070/189686/Firearm-Related-Injuries-and-Deaths-in-Children?_ga=2.213842644.1750980841.1679407638-71115156.1668696572?autologincheck=redirected Safe Storage for Firearms https://www.aap.org/en/patient-care/gun-safety-and-injury-prevention/safe-storage-of-firearms/ Gun Safety Campaign Tool Kit Gun Safety Campaign Toolkit (aap.org) Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. Five Louisville...

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

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

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

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...

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