MedChat

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 CreditsTM. 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 | February 28, 2023 Contact Information | Center for Continuing Medical Education; (502) 446-5955 or [email protected] 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/

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 CreditsTM. 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 [email protected]. 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 [email protected]

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

Episode 66: Pediatric Hypertension: A Comprehensive Guide to Screening and Diagnosis

Evaluation and Credit: https://www.surveymonkey.com/r/MedChat66

Target AudienceThis activity is targeted toward primary care and pediatric healthcare providers and advanced providers.

Statement of NeedThis program will provide the latest information on the diagnosis and treatment of pediatric hypertension. Additionally, risk factors and etiology will be reviewed. Hypertension in the pediatric population continues to rise; and rates have shown an increasing linear relationship to increasing adiposity. According to the CDC, approximately 20% of children less than 19 are considered obese.

Objectives

At the conclusion of this offering, the participant will be able to:

1. Define pediatric hypertension.
2. List the diagnostic guidelines for pediatric hypertension.
3. Review the proper technique for taking blood pressure in pediatric patients to ensure accuracy.
4. Describe the etiology and risk factors for pediatric hypertension.

ModeratorMark McDonald, M.D., FAAP Medical Director Norton Children’s Hospital and Norton Children’s Medical Center Professor, Department of Pediatrics, Critical Care UofL School of Medicine Louisville, Kentucky

SpeakerMalavika Prasad, M.D. Pediatric Nephrologist Norton Children’s Nephrology Affiliated with UofL School of Medicine Louisville, Kentucky

Moderator, Speaker and Planner Disclosures The planners, moderators and speakers of this activity do not have any relevant financial relationships to disclose.

Commercial Support There was no commercial support for this activity.

Physician Credits Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.

Designation Norton Healthcare designates this enduring material for a maximum of 1.0 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nursing CreditsNorton Healthcare Institute for Education and Development is approved with distinction as a provider of nursing continuing professional development by the South Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. This continuing professional development activity has been approved for 1.0 contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance.

For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or [email protected].

Resources for Additional Study:

Updates on Hypertension and New Guidelines https://pubmed.ncbi.nlm.nih.gov/31230693/

Pediatric Hypertension https://pubmed.ncbi.nlm.nih.gov/34311845/

Also listen to Norton Healthcare’s podcast Stronger After Stroke. This podcast, produced by the Norton Neuroscience Institute, discusses difficult topics, answers frequently asked questions and provides survivor stories that provide hope. Hear from stroke survivors and medical specialists about being stronger after stroke. Listen on your favorite podcast platform.

Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. Five Louisville-based hospitals and three hospitals in Southern Indiana, provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women’s and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com.

Date of Original Release | May 2024; Information is current as of the time of recording. Course Termination Date | May 2027

Contact Information | Center for Continuing Medical, Provider and Nursing Education; (502) 446-5955 or [email protected]

Audio Editing and Production: www.unmuteaudio.com

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:

1. Discuss the prevalence of atrial fibrillation.
2. List the risk factors of atrial fibrillation and monosymptomatic atrial fibrillation.
3. Describe management strategies of atrial fibrillation.
4. Identify when specialty care is needed for the management of atrial fibrillation.

Moderator James Jennings, M.D., MBA Executive Medical Director of Quality, Provider Development and Innovation Norton Medical Group Norton Healthcare Louisville, Kentucky Speakers Kent Morris, M.D. Clinical Cardiac Electrophysiology Associate Director of Cardiology Norton Heart and Vascular Institute Norton Healthcare Louisville, Kentucky Tara Mudd, APRN Norton Heart Specialists Norton Healthcare Louisville, Kentucky

Moderator, Speaker and Planner Disclosures

The planners and moderator of this activity do not have any relevant relationships to disclose. The speaker Kent Morris, M.D., has relevant relationships with AtriCure, Medtronic and Biosense Webster as a consultant. Additionally, with Atricure on the Speaker’s Bureau. The speaker Tara Mudd, APRN has a relevant relationship with AtriCure as a Consultant. These relationships have been successfully mitigated.

Commercial Support There was no commercial support for this activity. Physician Credits Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. Designation Norton Healthcare designates this enduring material for a maximum of 0.5 AMA PRA Category 1 CreditsTM. 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 [email protected]. 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 [email protected]

Medically Assisted Treatment for Opioid Use Disorder Part One

Evaluation and Credit: https://www.surveymonkey.com/r/MedChat5A

Target Audience

This activity is targeted toward internal medicine, family medicine and other specialties that treat patients with chronic pain.

Statement of Need

In 2017, overdose fatalities in Kentucky rose by 11% and Jefferson County had the most overdose deaths. It is critical for physicians and providers to be aware of the prevalence of illegal drugs and understand this culture - as legal prescribing guidelines / availability continues to be more restrictive and addicted patients may seek their "high" from illegal sources.

Objectives

At the conclusion of this offering, the participant will be able to:

• Define medically assisted therapy (MAT) for opioid addiction.
• Identify the FDA-approved medications for opioid use disorder.
• Understand the indications, benefits and limitations of MAT; including the pregnant patient.
• Discuss the psychological effects of opiate withdrawal.

Moderator
James Jennings, M.D.
Executive Medical Director, Adult Primary Care Director, Provider Wellbeing
Norton Healthcare

Speaker
Jonathan W. Weeks, M.D.
Maternal-Fetal Medicine
Norton Children’s Maternal-Fetal Medicine

Moderator, Speaker and Planner Disclosures

The moderator, speaker and planners for this activity have no potential or actual conflicts of interest to disclose.

 

Commercial Support

This activity is supported in part with a grant from Cardinal Health.

 

Physician Credits
American Medical Association

Accreditation

Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.

Designation
Norton Healthcare designates this enduring material for a maximum of .50 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

HB1 / Prescribing Controlled Substances
The Kentucky Board of Medical Licensure has approved the podcast Medically Assisted Treatment for Opioid Use

Disorder - Part One for.50 HB1 credit hours. ID# 0519-H.50-NHC6b.

Date of Original Release | August 2019
Course Termination Date | August 31, 2021
Contact Information | Center for Continuing Medical Education; (502) 446-5955 or [email protected]

State Resources

Listing of treatment centers / resources – FindHelpNowKY
Kentucky State Police assistance in finding a treatment center – Angel Initiative

Resources for Additional Study

Hendrée E. Jones, Ph.D., et. al., “Neonatal Abstinence Syndrome after Methadone or Buprenorphine Exposure”, New England Journal of Medicine 363: 24, pages 2320-2331.

Quentin Johnson, “Case Study: County-Level Responses to the Opioid Crisis in Northern Kentucky”, The Journal of Law, Medicine & Ethics, 46 (2018): 382-386.

Marc Galanter, “Combining medically assisted treatment and Twelve-Step programming: a perspective and Review”, The American Journal of Drug and Alcohol Abuse 2018, Vol. 44, No. 2, pages 151–159.

Hefei Wen, PhD, et. al., “Impact of Medicaid Expansion on Medicaid-covered Utilization of Buprenorphine for Opioid Use Disorder Treatment”, Medical Care , Volume 55, Number 4, April 2017, pages 336-341.

Harlan Matusow, M.A., et. al., “Medication assisted treatment in US drug courts: Results from a nationwide survey of availability, barriers and attitudes”, Journal of Substance Abuse Treatment 44 (2013) 473–480.