MedChat NHC Center for Continuing Medical Education

Podcast: Understanding Dementia and Delirium
 
Evaluation and Credit:  https://www.surveymonkey.com/r/MedChat33
 
Target Audience            
This activity is targeted toward primary care and geriatric specialties.
 
Statement of Need
According to WHO, approximately 5-8% of the general population over the age of 60 at a given time will have dementia. The Institute of Aging has projected that those aged 60 and over will increase to 25.6% of Kentucky's population by 2030.  Due to the aging population in Kentucky and the increasing prevalence of dementia it is important for providers to be able to recognize the symptoms of dementia as well as to be able to differentiate clinical characteristics with delirium.
 
Objectives
At the conclusion of this offering, the participant will be able to:
Discuss the differences and similarities between dementia and delirium. Identify the symptoms and characteristics of dementia and delirium. Define the different types of dementia. Review the initial treatment options for dementia.
 
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 0.50 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 
Patient Health Questionnaire-9 (PHQ-9)
 
Confusion Assessment Method (CAM)
 
St. Louis University Mental Status Exam (SLUMs)
The Mini-Cog
 
 
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 |November 2021
Course Termination Date | November 2023
Contact Information | Center for Continuing Medical, Provider and Nursing Education; (502) 446-5955 or cme@nortonhealthcare.org  

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  

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

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

Podcast:  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/

Patients with complex congenital heart disease are at greater risk for premature death and therefore the management of these patients is critical to improving patient outcomes.

In this episode, our host, Dr. Erin Frazier, speaks with Dr. Melissa Perrotta. During the conversation, Doctors Frazier and Perrotta define the epidemiology of adult congenital heart disease and describe common medical complications and the care required to manage those complications.