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

MedChat

Genomics

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

Challenges in Aging

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  

Current Opioid Minimization in Spine Surgery

Podcast:  Updates in the Management of Asthma in the Pediatric Patient Evaluation and Credit:  https://www.surveymonkey.com/r/MedChat29 Target Audience             This activity is targeted toward primary care pediatric specialties.   Statement of Need Asthma is one of the most common chronic illnesses in children and in Kentucky approximately 10 - 12% of children have been diagnosed with asthma therefore it is critical for practitioners to understand the latest recommendations in the treatment of patients with asthma. In Dec. 2020, updated treatment guidelines were released for the management of patients with asthma.  This program will highlight these updates to the NHLBI asthma treatment guidelines as the standard of care for the treatment of pediatric asthma. Objectives At the conclusion of this offering, the participant will be able to: Review the common types of asthma in the pediatric patient. Discuss the new asthma treatment/management guidelines; highlighting the six focus areas. List the new recommendations for the diagnosis / screening of pediatric asthma. Moderator   Mark McDonald, MD, FAAP Pediatric Critical Care Specialist Medical Director, Norton Children’s Hospital and Norton Children’s Medical Center Professor Norton Children’s Critical Care Affiliated with the UofL School of Medicine   Speakers Scott Bickel, M.D. Pediatric Pulmonologist Assistant Professor, Pediatrics Medical Director, Respiratory Therapy Norton Children’s Pulmonology Affiliated with the UofL School of Medicine   Michael Orangias, M.D. Pediatric Pulmonologist Norton Children’s Pulmonology Affiliated with the UofL School of Medicine   Moderator, Speaker and Planner Disclosures  The speakers, moderator and planners for this activity have no potential or actual conflicts of interest to disclose.   Commercial Support  There was no commercial support for this activity. Physician Credits  American Medical Association  Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.   Designation Norton Healthcare designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.   Date of Original Release |July 2021 Course Termination Date | July 2023 Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org     Resources for Additional Study  Asthma Management Guidelines: Focused Updates 2020  https://www.nhlbi.nih.gov/health-topics/asthma-management-guidelines-2020-updates    2020 Focused Updates to the Asthma Management Guidelines: Clinician's Guide https://www.nhlbi.nih.gov/health-topics/all-publications-and-resources/clinician-guide-2020-focused-updates-asthma-management-guidelines   Updates to the Pediatrics Asthma Management Guidelines https://pubmed.ncbi.nlm.nih.gov/34096987/

Updates in the Management of Asthma in the Pediatric Patient

Podcast:  Not Just for Kids: Management of the Adult Congenital Disease Population  Evaluation and Credit:  https://www.surveymonkey.com/r/MedChat28   Target Audience             This activity is targeted toward primary care adult and pediatric specialties.    Statement of Need As patients with congenital heart disease are living longer into adulthood, ongoing management of the CHD is critical. Patients with complex CHD are at greater risk for premature death and therefore management of these patients is critical to help improve patient outcomes.   Objectives At the conclusion of this offering, the participant will be able to: Define the epidemiology of adult congenital heart disease (ACHD) within the United States. Describe common medical complications in ACHD and the multidisciplinary care required to manage those complications. Discuss how changes in pediatric cardiology and adult congenital care have shifted the mortality outcomes in ACHD. Moderator Erin Frazier, M.D. Pediatrician Norton Children's Medical Group – Broadway   Speaker Melissa L. Perrotta, MD, FAAP Co-Medical Director of Adult Congenital Heart Disease Assistant Professor of Pediatrics The University of Louisville School of Medicine Division of Pediatric Cardiology   Moderator, Speaker and Planner Disclosures  The speaker, moderator and planners for this activity have no potential or actual conflicts of interest to disclose.     Commercial Support  There was no commercial support for this activity.   Physician Credits  American Medical Association   Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.   Designation Norton Healthcare designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.   Date of Original Release |June 2021 Course Termination Date | June 2023 Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org     Resources for Additional Study    2018 AHA/ACC Guideline for the Management of Adults With Congenital Heart Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines https://pubmed.ncbi.nlm.nih.gov/30586767/   General principles of heart failure management in adult congenital heart disease https://pubmed.ncbi.nlm.nih.gov/31788738/   Changing mortality in congenital heart disease https://pubmed.ncbi.nlm.nih.gov/20863956/

Not Just for Kids: Management of the Adult Congenital Disease Population

Podcast: Addressing the LGBTQ Pediatric Patient Evaluation and Credit: https://www.surveymonkey.com/r/MedChat26 Target Audience This activity is targeted toward primary care adult and pediatric specialties. Statement of Need For pediatricians to be able to provide quality care with optimal patient outcomes, it is important that they provide inclusive care to all patients. This also includes an understanding of how to create an inclusive environment for the LGBTQ patient as well as recognizing the health disparities that are unique to the LGBTQ patient. Objectives At the conclusion of this offering, the participant will be able to: Define key terms; including gender identity, gender expression, and sexual orientation  Discuss the characteristics of an inclusive office environment  Review the American Academy of Pediatrics approach of the Gender Affirming Care Model  Describe the clinical and psychological comorbidities that LBGTQ youth are at higher risk for. Moderator Erin Frazier, M.D. Pediatrician Norton Children's Medical Group – Broadway Speaker Suzanne Kingery, M.D. Pediatric Endocrinology Norton Children's Endocrinology Moderator, Speaker and Planner Disclosures The speaker, moderator and planners for this activity have no potential or actual conflicts of interest to disclose.   Commercial Support There was no commercial support for this activity.   Physician Credits American Medical Association Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. Designation Norton Healthcare designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Date of Original Release | May 2021 Course Termination Date | May 2023 Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org   Resources for Additional Study A Call to Improve Guidelines for Transgender Health and Well-being: Promoting Youth-Centered and Gender-Inclusive Care https://pubmed.ncbi.nlm.nih.gov/31542110/ Guidelines on Multicultural Education, Training, Research, Practice, and Organizational Change for Psychologists https://pubmed.ncbi.nlm.nih.gov/12971086/ Ensuring Comprehensive Care and Support for Transgender and Gender- Diverse Children and Adolescents https://pubmed.ncbi.nlm.nih.gov/30224363/ Websites: Family Acceptance Project, https://louisvilleyouthgroup.org/   Greater Louisville Medical Society, www.glma.org GLMA is an organization that works to ensure health equity for the LGBTQ community.   Human Rights Campaign-Advocacy for the LGBTQ population, https://www.hrc.org/   Louisville Youth Group, https://louisvilleyouthgroup.org/ Louisville Youth Group (LYG) is the primary LGBTQIA+ nonprofit community serving LGBTQIA+ youth in Kentuckiana. We provide a safe space for gender and sexuality diverse young adults to grow their identities, learn leadership skills, and develop the tools needed to both thrive personally and to act as agents of change in their communities. PAGE https://nortonchildrens.com/services/endocrinology/services/page/ The Norton Children’s Pediatric and Adolescent Gender Education (PAGE) program provides gender-affirming care for children, teens and young adults whose gender identity is different from their sex at birth (transgender) and those who don’t identify with the traditional definitions of male or female (gender diverse).   PFlag, https://pflag.org/ PFLAG is the first and largest organization for lesbian, gay, bisexual, transgender, and queer (LGBTQ+) people, their parents and families, and allies. The Trevor Project, https://www.thetrevorproject.org/ The Trevor Project is the leading national organization providing crisis intervention and suicide prevention services to lesbian, gay, bisexual, transgender, queer & questioning youth. Articles “Ensuring Comprehensive Care and Support for Transgender and Gender- Diverse Children and Adolescents.” by Rafferty J. MD, et al. Pediatrics https://pediatrics.aappublications.org/content/142/4/e20182162   “Office-Based Care for Lesbian, Gay, Bisexual, Transgender, and Questioning Youth”. by Levine, D.A MD, and the COMMITTEE ON ADOLESCENCE. Pediatrics www.pediatrics.org/cgi/doi/10.1542/peds.2013-1283  “Caring for Lesbian, Gay, Bisexual, Transgender, and Questioning Youth in Inclusive and Affirmative Environments” by Hadland, S. MD, MPH, MS, Yehia, B. MD, MPP, MSc, Makadon, H.J., MD, Pediatric Clinics of North America https://doi.org/10.1016/J.PCL.2016.07.001. “Health and Wellness for LGBTQ” by Hunt, L. MD, Vennat, M. BS, MD, Waters, J. MD. Advances in Pediatrics. https://doi.org/10.1016/j.yapd.2018.04.002   “Healthcare Preferences of Lesbian, Gay, Bisexual, Transgender and Questioning Youth” by Hoffman, N. M.D., Freeman, K. Ph.D., and Swann, S. Ph.D. Journal of Adolescent Health https://www.clinicalkey.com/#!/content/journal/1-s2.0-S1054139X09000962   

Addressing the LGBTQ Pediatric Patient

Podcast:  Addressing PTSD in the Primary Care Setting Evaluation and Credit:  https://www.surveymonkey.com/r/MedChat25Part1   Target Audience             This activity is targeted toward primary care specialties. Statement of Need It is estimated that approximately 7-8% of the population suffers from PTSD at some point in their lives. Research shows that patients with PTSD symptoms are often undiagnosed in primary care, which is typically where these patients see health care providers for either co-morbidities or complaints that are manifested as a result of PTSD (anxiety, trouble sleeping, etc.). Research indicates that PCPs may lack the knowledge of common risk factors that indicate screening for PTSD; therefore this condition often goes undiagnosed and managed.  (Harvard Review of Psychiatry, Journal of Psychosocial Nursing, etc.)  Objectives At the conclusion of this offering, the participant will be able to: Differentiate between post-traumatic stress disorder (PTSD) and acute stress disorder (ASD). List the risk factors for PTSD. Define the types of trauma. Discuss the symptoms and comorbid conditions that result from PTSD. Moderator John J. Wernert, M.D., MHA, DLFAPA Executive Medical Director Norton Behavioral Medicine Speaker Mark Schirmer, Psy.D., HSP  Psychologist Norton Behavioral Health   Moderator, Speaker and Planner Disclosures  The speaker, moderator and planners for this activity have no potential or actual conflicts of interest to disclose.   Commercial Support  There was no commercial support for this activity.   Physician Credits  American Medical Association  Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. Designation Norton Healthcare designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.   Date of Original Release |April 2021 Course Termination Date | April 2023 Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org     Resources for Additional Study   Prevalence, Detection and Correlates of PTSD in the Primary Care Setting: A Systematic Review https://pubmed.ncbi.nlm.nih.gov/26868222/   Posttraumatic Stress Disorder in the Primary Care Setting: Summary of Recommended Care https://pubmed.ncbi.nlm.nih.gov/30614927/   Recognizing the hurt: Prevalence and correlates of elevated PTSD symptoms among adolescents receiving mental/behavioral health services in primary care https://pubmed.ncbi.nlm.nih.gov/30714808/   Pharmacological prevention and early treatment of post-traumatic stress disorder and acute stress disorder: a systematic review and meta-analysis https://pubmed.ncbi.nlm.nih.gov/31819037/  

Addressing PTSD in the Primary Care Setting

 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 | December 31, 2022 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.

Substance Use Disorders: Recognition and Treatment

Women's Health: Updates in Preventative Health and Screenings   Evaluation and Credit:  https://www.surveymonkey.com/r/MedChat23   Target Audience             This activity is targeted toward primary care specialties.   Statement of Need Providers may not be aware of the latest recommendations regarding screenings and preventative measures for female patients.  The Women's Preventative Services Initiative, has created a Well-Women Chart that summaries preventative health services for women from adolescence across the life-span.  Providers may be unaware of this resource.  This task force has concluded that clinical preventative services are generally underused.   Objectives   At the conclusion of this offering, the participant will be able to: Identify the latest preventative care and screening guidelines in women's health. Review updates in cancer screenings and prevention. Discuss the importance of patient education and the patients’ role in their overall wellness.   Moderator   Carmel Person, M.D. Geriatric Medicine Norton Healthcare   Speaker   Tamara Callahan, M.D. Gynecology Norton Women's Health   Moderator, Speaker and Planner Disclosures   The speaker, moderator and planners for this activity have no potential or actual conflicts of interest to disclose.     Commercial Support  There was no commercial support for this activity.     Physician Credits   American Medical Association   Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.   Designation Norton Healthcare designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.     Date of Original Release |February 2021 Course Termination Date | December 31, 2022 Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org     Resources for Additional Study    Women’s Preventive Services Initiative https://www.womenspreventivehealth.org/wellwomanchart/   Women's Preventive Services Initiative's Well-Woman Chart: A Summary of Preventive Health Recommendations for Women https://pubmed.ncbi.nlm.nih.gov/31403594/     Preventive Care in Women's Health https://pubmed.ncbi.nlm.nih.gov/27212087/

Women's Health: Updates in Preventative Health and Screenings

Surgical Options for Weight Management Evaluation and Credit:  https://www.surveymonkey.com/r/MedChat22 Target Audience             This activity is targeted toward primary care specialties. Statement of Need A recent study released indicated that approximately 35% of the population is Kentucky is obese; putting Kentucky in the top 10 list for obesity in the US. The negative effects of obesity on a patient's health increases decreases their quality of life, increases co-morbidities and risk of early death; therefore it is important for providers to be knowledgeable about viable surgical treatment options so that these can be discussed with patients.   This program will provide those that listen an overview of the different bariatric surgical procedures.  This will include the indications, contraindications as well as patient outcomes. This information will give providers information necessary to advice patients on viable surgical options for weight management. Objectives At the conclusion of this offering, the participant will be able to: Discuss the patient selection process / criteria for bariatric surgery. Describe different surgical options for weight management; including criteria, indications, contraindications and outcomes. Review appropriate pre- and post-operative management following bariatric surgery. Moderator Ryan G. Nazar, M.D., EMHA Clinical Effectiveness Director, Quality Management Norton Medical Group Speaker Jeffrey Allen, M.D. Bariatric Surgery Director of Bariatric Surgery for Norton Weight Management Services.    Moderator, Speaker and Planner Disclosures  The speaker, moderator and planners for this activity have no potential or actual conflicts of interest to disclose.     Commercial Support  There was no commercial support for this activity.   Physician Credits  American Medical Association   Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.   Designation Norton Healthcare designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.     Date of Original Release |January 2021 Course Termination Date | December 31, 2022 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

Surgical Options for Weight Management

Podcast: Common Diagnosis and Treatments in Women's Health  Evaluation and Credit:  https://www.surveymonkey.com/r/MedChat22   Target Audience             This activity is targeted toward primary care specialists.   Statement of Need Often times, when female patients seek medical attention it is either for a specific complaint or their annual wellness exam. It is recognized that there are key issues affecting women's health that can be overlooked if practitioners do not evaluate or address at this time; including heart disease, mental/emotional distress, etc. Objectives At the conclusion of this offering, the participant will be able to: Discuss the role of the Women's Wellchart in the annual exam. Describe common causes of pelvic pain, evaluation and management of pelvic pain; e.g. endometriosis, PCOS, fibroids. Discuss the latest recommendations for the treatment of menopausal symptoms.   Moderator Carmel Person, M.D. Geriatric Medicine Norton Healthcare   Speaker Tamara Callahan, M.D. Gynecologist Norton Medical Group   Moderator, Speaker and Planner Disclosures  The moderator, speaker and planners for this activity have no potential or actual conflicts of interest to disclose.   Commercial Support  There was no commercial support for this activity.   Physician Credits American Medical Association Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.   Designation Norton Healthcare designates this enduring material for a maximum of .75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.   Date of Original Release |December 2020 Course Termination Date | December 2021 Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org     Resources for Additional Study   Is urinary incontinence associated with sedentary behaviour in older women? Analysis of data from the National Health and Nutrition Examination Survey https://pubmed.ncbi.nlm.nih.gov/32017767/   Long-acting reversible contraceptive (LARCs) methods https://pubmed.ncbi.nlm.nih.gov/32014434/   Effect of hormone replacement therapy on atherogenic lipid profile in postmenopausal women https://pubmed.ncbi.nlm.nih.gov/31677448/ 

Common Diagnosis and Treatments in Women's Health

Integrative Treatments for Psychiatric Conditions in Primary Care Evaluation and Credit: https://www.surveymonkey.com/r/MedChat20   Target Audience   Behavioral and mental health providers, primary care physicians, advanced providers and psychiatrists.   Statement of Need Mental health issues including anxiety/depression and chronic stress are becoming a serious health issues and not treated can lead to more serious health problems. The most conventional treatment for these diagnoses and other behavioral health diagnoses is allopathic therapies and counseling. As more patients are wanting complementary and alternative medicine (CAM) for medical issues as well as behavioral health issues it is important for providers to have the latest information CAM treatments - applications and effectiveness. Objectives At the conclusion of this offering, the participant will be able to: Define complementary and alternative medicine (CAM) List complementary and alternative medicine (CAM) therapies used in behavioral medicine. Describe the application and effectiveness of CAM in behavioral medicine. Moderator John J. Wernert, M.D., MHA, DLFAPA Executive Medical Norton Behavioral Medicine Speaker Christopher D. Bojrab, M.D., DFAPA President Indiana Health Group Carmel, Indiana   Speaker Disclosure The speaker has the following conflicts of interest to disclose:  Consultant and Speakers Bureau – Allergan, Assures/Myriad, Neurocrine, Otsuka, Sunovion, Takeda and Teva.   Moderator and Planner Disclosures  The moderator and planners for this activity have no potential or actual conflicts of interest to disclose. Commercial Support  This activity has not received commercial support.   Continuing Education Credits  American Medical Association   Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. Designation Norton Healthcare designates this enduring material for a maximum of .50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.   Date of Original Release | November 2020 Course Termination Date | December 2021   Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org   Resources for Additional Study    Anxiety and Depression Association of America; https://adaa.org/finding-help/treatment/complementary-alternative-treatment.   National Alliance on Mental Illness, https://www.nami.org/About-Mental-Illness/Treatments/Complementary-Health-Approaches.   Wang, Claudia, et. al., Complementary and alternative medicine use among children with mental health issues: results from the National Health Interview Survey, Complementary and Alternative Medicine (2018) 18:241. https://bmccomplementmedtherapies.biomedcentral.com/articles/10.1186/s12906-018-2307-5  

Integrative Treatments for Psychiatric Conditions in Primary Care

Evaluation and Credit: https://www.surveymonkey.com/r/MedChat19   Target Audience             This activity is targeted toward Primary care specialties. Statement of Need Abnormal liver biochemical and function tests are frequently detected in asymptomatic patients since many screening blood test panels routinely include them. A population-based survey in the United States conducted between 1999 and 2002 estimated that an abnormal alanine aminotransferase (ALT) was present in 8.9 percent of respondents. (2017 article indicated 10% of population have elevated transaminase levels). This podcast will educate providers on preferred approaches to the diagnosis and evaluation of those with abnormal liver tests. Objectives At the conclusion of this offering, the participant will be able to: Discuss liver enzyme testing; screen and diagnostic. Describe diagnostic algorithms for patients with abnormal liver enzyme values. Identify the root causes and underlying conditions of enzyme abnormalities. Discuss the role of O-T-C pain medications and statins on liver enzymes.   Moderator Ryan Nazar, M.D., EMHA Clinical Effectiveness Director, Quality Management Norton Medical Group   Speaker Ross Deppe, M.D. Gastroenterologist Norton Gastroenterology Consultants of Louisville   Speaker Disclosure The speaker for this activity has no conflicts of interest to disclose. Moderator and Planner Disclosures  The moderator and planners for this activity have no potential or actual conflicts of interest to disclose. Commercial Support  This activity has not received commercial support.   Continuing Education Credits  American Medical Association   Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.   Designation Norton Healthcare designates this enduring material for a maximum of .75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.   Kentucky Board of Nursing Kentucky Board of Nursing (KBN) Approved Provider: Norton Healthcare, provider number 4-0002-12-20-283. The program has been approved by Norton Healthcare for 0.8 contact hours which expires 12/31/2020. KBN approval of a continuing education provider does not constitute endorsement of program content. Nursing participants must attest to the number of hours of attendance and complete the evaluation to receive contact hours.   For more information related to nursing credits, contact Sally Sturgeon DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org   Date of Original Release | October 2020 Course Termination Date | December 2021   Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org   Resources for Additional Study   Circulating Markers of Liver Function and Cardiovascular Disease Risk https://pubmed.ncbi.nlm.nih.gov/25977566/   Exploring the mechanism of liver enzyme abnormalities in patients with novel coronavirus-infected pneumonia https://pubmed.ncbi.nlm.nih.gov/32077659/   Prevalence of Liver Function Test Abnormality and Associated Factors in Type 2 Diabetes Mellitus: A Comparative Cross-Sectional Study https://pubmed.ncbi.nlm.nih.gov/31695587/    

Understanding Liver Enzymes

Evaluation and Credit: https://www.surveymonkey.com/r/MedChat18   Target Audience            This activity is targeted toward Primary care specialties and psychiatrists. Statement of Need Promising research is being conducted on psychedelics for the treatment of psychiatric disorders.  Providers should be aware of emerging treatments. This podcast will address the research base and clinical use of psychedelics in the United States. Providers will be informed on the potential for use in practice in the future. Objectives At the conclusion of this offering, the participant will be able to: Review the history of psychedelics. Discuss the chemical and pharmacological properties of psychedelics. Describe the clinical use of psychedelics in the United States, including clinical trials.   Moderator John J. Wernert, M.D., MHA, DLFAPA Executive Medical Norton Behavioral Medicine   Speaker Christopher D. Bojrab, M.D., DFAPA President Indiana Health Group Carmel, Indiana   Speaker Disclosure The speaker has the following conflicts of interest to disclose:  Consultant and Speakers Bureau – Allergan, Assures/Myriad, Neurocrine, Otsuka, Sunovion, Takeda and Teva. Moderator and Planner Disclosures  The moderator and planners for this activity have no potential or actual conflicts of interest to disclose. Commercial Support  This activity has not received commercial support.   Continuing Education Credits American Medical Association   Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.   Designation Norton Healthcare designates this enduring material for a maximum of .50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.   Kentucky Board of Nursing Kentucky Board of Nursing (KBN) Approved Provider: Norton Healthcare, provider number 4-0002-12-20-245. The program has been approved by Norton Healthcare for 0.6 contact hours which expires 12/31/2020. KBN approval of a continuing education provider does not constitute endorsement of program content. Nursing participants must attest to the number of hours of attendance and complete the evaluation to receive contact hours. For more information related to nursing credits, contact Sally Sturgeon DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org   Date of Original Release | September 2020 Course Termination Date | December 2021  Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org     Resources for Additional Study    Chi, Tingying and Gold Jessica A., A review of emerging therapeutic potential of psychedelic drugs in the treatment of psychiatric illnesses, Journal of the Neurological Sciences, Volume 411, 15, April 2020. https://www.sciencedirect.com/science/article/pii/S0022510X20300514?via%3Dihub  Krediet, Erwin, et.al., Reviewing the Potential of Psychedelics for the Treatment of PTSD, International Journal of Neuropsychopharmacology, March 20, 2020. https://academic.oup.com/ijnp/article/23/6/385/5805249 Romeo, Bruno, et. al, Efficacy of psychedelic treatments on depressive syndromes: A meta-analysis, Journal of Psychopharmacology, May 25, 2020.  https://journals.sagepub.com/doi/10.1177/0269881120919957   

Psychedelics - Potential for Therapeutic Use

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

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MedChat

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