MedChat Norton Healthcare

Episode 65: Guidelines for Safe Prescribing of Controlled Substances
Evaluation and Credit:  https://www.surveymonkey.com/r/MedChat65
 
Target Audience
This activity is targeted toward primary care and geriatric healthcare providers and advanced providers.
Statement of Need
This activity will discuss the steps to safe prescribing of opioids for providers. In that chronic pain is commonly treated in the primary care office and back pain is one of top ten reasons patients visit health care providers, providers should be aware of how to safely prescribe controlled substances if selected as the treatment for these patients.
Objectives
At the conclusion of this offering, the participant will be able to:

Describe the risks and benefits of prescribing and tapering controlled substances. Identify the key components of safe prescribing of controlled substances. Moderator
Gregory E. Cooper, M.D., Ph.D.
Chief of Adult Neurology
Medical Director, Memory Center
Norton Neuroscience Institute
Norton Healthcare
Louisville, Kentucky
Speaker
Kelly C. Cooper, M.D., MPH, FASAM
Addiction Specialist
Norton Behavioral Health
Louisville, Kentucky
Moderator, Speaker and Planner Disclosures  
The planners, moderators and speakers of this activity do not have any relevant financial relationships to disclose. 
Commercial Support 
There was no commercial support for this activity. 
Physician Credits
Accreditation
Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.
Designation
Norton Healthcare designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Nursing Credits
Norton Healthcare Institute for Education and Development is approved with distinction as a provider of nursing continuing professional development by the South Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. This continuing professional development activity has been approved for 0.75 contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance.  
For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org.
HB1 / Prescribing Controlled Substances
The Kentucky Board of Medical Licensure has approved the podcast Guidelines for Safe Prescribing of Controlled Substances for .75 HB1 credit hours. ID# 0723-H.75-NHC2i

Resources for Additional Study:

The Impact of Increased Hydrocodone Regulation on Opioid Prescribing in an Urban Safety-Net Health Care System   
https://pubmed.ncbi.nlm.nih.gov/31068400/
CDC Clinical Practice Guideline for Prescribing Opioids for Pain - United States, 2022
https://pubmed.ncbi.nlm.nih.gov/36327391/
 
Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. Five Louisville hospitals provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women’s and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com.
 
Date of Original Release | March 2024; Information is current as of the time of recording.
Course Termination Date | March 2027
Contact Information | Center for Continuing Medical, Provider and Nursing Education; (502) 446-5955 or cme@nortonhealthcare.org  
Also listen to Norton Healthcare’s podcast Stronger After Stroke. This podcast, produced by the Norton Neuroscience Institute Resource Center, discusses di

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

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

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

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

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