MedChat Norton Healthcare

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

Addressing Firearm Injuries in Children and Teens
 
Evaluation and Credit:  https://www.surveymonkey.com/r/MedChat51
 
Target Audience            
This activity is targeted toward primary care and pediatric healthcare providers and advanced providers.
 
Statement of Need 
Firearm injuries are now the leading cause of death in persons 0-24 years old, surpassing auto accidents. Yet, providers may not consistently ask parents/guardians about firearm ownership as a part of the wellness/preventative exam. Or, they may not be comfortable addressing firearm ownership and safety. Research and statistics have concluded that children who live in a home with a firearm are at increased risk of death by suicide or unintentional injury compared with children who live in a home without firearms. This podcast will discuss the guidelines for safe gun ownership as well as effective communication strategies in addressing gun ownership with parents/guardians as well as adolescents. The American Academy of Pediatrics has issued guidelines for safe gun ownership that will be reviewed as well as guidelines for providers.
 
Objectives 
At the conclusion of this offering, the participant will be able to: 
Discuss the epidemiology of firearm injuries in children. Discuss the current trends in intentional and unintentional firearm injuries in children. Describe effective strategies to discuss firearm safety with families. Review the evidence-based practices to reduce the risks of gun-related injuries to children and teens; including screening recommendations and firearm storage/safety.
Moderator
Erin Frazier, M.D. 
Pediatrician 
Norton Children’s Medical Group – Broadway
Norton Healthcare
Louisville Kentucky
 
Speakers
Brit Anderson, M.D.  
Pediatric Emergency Medicine Physician 
Norton Children’s Hospital
Louisville, Kentucky
Vice-Chair for Advocacy 
Department of Pediatrics for UofL School of Medicine
Louisville, Kentucky
 
David Foley, M.D.
Pediatric General Surgeon 
Norton Children’s Surgery affiliated with UofL School of Medicine,
Louisville, Kentucky
Trauma Medical Director
Norton Children’s Hospital
Louisville, Kentucky
 
Moderator, Speaker and Planner Disclosures  
The planners, moderator and speakers of this activity do not have any relevant relationships to disclose. 
 
Commercial Support  
There was no commercial support for this activity. 
 
Physician Credits
Accreditation 
Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.
 
Designation 
Norton Healthcare designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
 
Nursing Credits
Norton Healthcare Institute for Education and Development is approved with distinction as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation (ANCC). This continuing professional development activity has been approved for 0.75 contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance. 
 
For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org.
 
Resources for Additional Study:
Firearm-Related Injuries Affecting the Pediatric Population
https://publications.aap.org/pediatrics/article/130/5/e1416/32375/Firearm-Related-Injuries-Affecting-the-Pediatric?_ga=2.54893036.695098718.1679324551-629979946.1679324551
 
Firearm-Related Injuries and Deaths in Children and Youth: Injury Prevention and Harm Reduction
https://publications.aap.org/pediatrics/article/150/6/e2022060070/189686/Firearm-Related-Injuries-and-Deaths-in-Children?_ga=2.

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 p

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 an

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 Amb