MedChat

Adult Shoulder Pain: From Rotator Cuff Pathology to Arthritis - Diagnosis and Management Evaluation and Credit: https://www.surveymonkey.com/r/medchat94 Target Audience This activity is targeted toward primary care physicians and advanced providers. Statement of Need This podcast will review the pathology, diagnostics and management of shoulder pain in adult patients with a focus on rotator cuff injuries and arthritis. Additionally, red flags will be discussed for symptoms that require emergent care. Shoulder pain affects approx. 5 to 47% of adults annually with rotator cuff injuries being the most common cause.

Objectives

1. Define and differentiate common causes and risk factors of rotator cuff injuries in shoulder arthritis in adult patients.
2. Discuss evidence-based strategies for the diagnostic evaluation and initial management of shoulder pain related to rotator cuff pathology and arthritis.
3. Review the red flags and indications for specialty care when urgent evaluation or surgical consultation are warranted. Moderator Monalisa Tailor, M.D. Internist Norton Community Medical Associates - Barret Louisville, KY Speaker Caleb Davis, M.D. Orthopedic Surgeon Norton Orthopedic Institute Louisville, KY Planners, Moderator and Speaker Disclosure The planners, moderator and speaker of this activity do not have any relevant financial relationships with ineligible companies 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 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 ANCC CE 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/References Acute Shoulder Injuries in Adults https://pubmed.ncbi.nlm.nih.gov/37192075/ Rotator cuff repair vs. nonoperative treatment: a systematic review with meta-analysis https://pubmed.ncbi.nlm.nih.gov/34020002/ Date of Original Release | Sept 2026; Information is current as of the time of recording. Course Termination Date | Sept 2029 Contact Information | Center for Continuing Medical 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, discusses difficult topics, answers frequently asked questions and provides survivor stories that provide hope. 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. More information about Norton Healthcare is available at NortonHealthcare.com.

Navigating Common Shoulder Injuries in Youth Athletes

Evaluation and Credit: Evaluation and Credit: https://www.surveymonkey.com/r/medchat93

Target Audience This activity is targeted toward primary care physicians and advanced providers.

Statement of Need This podcast will review the diagnosis and management of shoulder pain in youth athletes - which is a common musculoskeletal complaint. Items addressed will address common shoulder injuries and highlight key features in the diagnosis as well as red flags.

Objectives

1. Identify the most common shoulder injuries in youth and adolescent athletes and differentiate overuse injuries from acute traumatic injuries.
2. Review the pathology, diagnosis and management of common shoulder pain and injuries in youth athletes, including the red flags.
3. List factors that contribute to overuse injuries in youth athletes.
4. Discuss strategies to reduce shoulder injury risk in youth athletes as well as outlining expectations for recovery and return to play.

Moderator Monalisa Tailor, M.D. Internist Norton Community Medical Associates - Barret Louisville, KY

Speaker Caleb Davis, M.D. Orthopedic Surgeon Norton Orthopedic Institute Louisville, KY

Planners, Moderator and Speaker Disclosure The planners, moderator and speaker of this activity do not have any relevant financial relationships with ineligible companies 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 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 ANCC CE 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/References

Childhood and Adolescent Sports-Related Overuse Injuries https://pubmed.ncbi.nlm.nih.gov/38215415/

Overuse Injuries, Overtraining, and Burnout in Young Athletes https://pubmed.ncbi.nlm.nih.gov/38247370/

Date of Original Release | Aug 2026; Information is current as of the time of recording.

Course Termination Date | Aug 2029

Contact Information | Center for Continuing Medical 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, discusses difficult topics, answers frequently asked questions and provides survivor stories that provide hope.

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. More information about Norton Healthcare is available at NortonHealthcare.com.

Overview of Gestational Diabetes

Evaluation and Credit: Evaluation and Credit: https://www.surveymonkey.com/r/medchat92

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

Statement of Need This podcast explores the evolving landscape of perinatal diabetes care. Diabetes poses significant risks during pregnancy, delivery, and the postpartum period. Yet, many patients enter pregnancy without adequate metabolic control, and systemic barriers often prevent optimal care coordination. The clinical complexities of managing diabetes across the perinatal timeline, including preconception counseling, glycemic targets during pregnancy, delivery planning, and postpartum follow-up will be discussed.

Objectives

1. Define current clinical guidelines for the screening and diagnosis of gestational diabetes.

2. Discuss the role of preconception counseling, including optimization of metabolic control and medication management in patients with or at risk for diabetes during pregnancy.

3. Describe evidence-based pharmacologic management, including the use of insulin, for diabetes during and after pregnancy.

4. Recognize the short- and long-term maternal and fetal risks associated with gestational diabetes.

ModeratorKris E. Barnsfather, M.D. Obstetrician and Gynecologist Women's Care Physicians of Louisville Norton Women's Care Louisville, KY

SpeakerKristine Y. Lain, M.D. Maternal and Fetal Medicine Specialist Norton Children's Maternal – Fetal Medicine Louisville, KY

Planners, Moderator and Speaker Disclosure

The planners, moderator and speaker of this activity do not have any relevant financial relationships with ineligible companies to disclose.

Commercial Support

There was no commercial support for this activity.

Physician CreditsAccreditation

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 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 ANCC CE 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/References

American Diabetes Association https://www.diabetes.org

Navigating Diabetes in Pregnancy: Critical Approaches to Mitigate Risks and Improve Outcomes for Mother and Child https://pubmed.ncbi.nlm.nih.gov/40137145/

Management of Diabetes in Pregnancy: Standards of Care in Diabetes—2025 https://pubmed.ncbi.nlm.nih.gov/39651985/

Date of Original Release | July 2026; Information is current as of the time of recording.

Course Termination Date | July 2029

Contact Information | Center for Continuing Medical 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, discusses difficult topics, answers frequently asked questions and provides survivor stories that provide hope.

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. More information about Norton Healthcare is available at NortonHealthcare.com.

Innovations in Islet Cell Research Evaluation and Credit: Evaluation and Credit: https://www.surveymonkey.com/r/medchat91 Target Audience This activity is targeted toward primary care physicians and advanced providers. Statement of Need The purpose of this podcast is for physicians and clinicians to gain a deepening understanding of pancreatic islet cell transplantation research and its application for the treatment of chronic pancreatitis as well as future treatment of Type 1 diabetes. Objectives 1. Explain the role of pancreatic islet cells and their function in glucose homeostasis and insulin regulation. 2. Discuss emerging research and investigational advances in islet-cell therapies. 3. Differentiate allogenic, xenogenic and autologous islet cell transplantation, as well as islet cell transplantation via stem cells in the management of chronic pancreatis and Type 1 diabetes. Moderator Mark McDonald, M.D., MHA, CPE System Vice President Pediatric Medical Affairs Medical Director, Norton Children's Louisville, Kentucky Professor Department of Pediatrics Division of Critical Care UofL School of Medicine Louisville, Kentucky Speaker Balamurugan Appakala, Ph.D. Norton Islet Cell Research and Transplant Program Director Wendy Novak Diabetes Institute, a part of Norton Healthcare and Norton Children's Professor of Pediatric Endocrinology UofL School of Medicine Planners, Moderator and Speaker Disclosure The planners, moderator and speaker of this activity do not have any relevant financial relationships with ineligible companies 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 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 ANCC CE 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/References Islet cell transplantation in children https://pubmed.ncbi.nlm.nih.gov/32571510/ Current status of pancreatic islet xenotransplantation https://pubmed.ncbi.nlm.nih.gov/39924969/ Date of Original Release | June 2026; Information is current as of the time of recording. Course Termination Date | June 2029 Contact Information | Center for Continuing Medical 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, discusses difficult topics, answers frequently asked questions and provides survivor stories that provide hope. 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. More information about Norton Healthcare is available at NortonHealthcare.com.

Updates in the Diagnosis and Treatment of Osteoporosis

Evaluation and Credit: https://www.surveymonkey.com/r/medchat90

Target Audience

This activity is targeted toward primary care physicians and advanced providers.

Statement of Need

This podcast reviews recent advances in osteoporosis care, including updated screening recommendations, risk-based diagnosis beyond BMD, and the expanding role of anabolic therapies for patients at highest fracture risk. Experts discuss goal-directed, individualized treatment strategies to improve long-term bone health and fracture prevention.

Objectives

1. Outline current guidelines for osteoporosis screening, including the role of fracture risk assessment.

2. Review prevention strategies and risk factors for osteoporosis.

3. Discuss risk-appropriate osteoporosis treatment plans.

Moderator

Kris E. Barnsfather, M.D.

Obstetrician and Gynecologist

Women's Care Physicians of Louisville

Norton Women's Care

Louisville, KY

Speaker

Anna K. Feitelson, M.D.

Gynecologist

Associates in Obstetrics and Gynecology

Norton Women's Care

Louisville, KY

Planners, Moderator and Speaker Disclosure

The planners, moderator and speaker of this activity do not have any relevant financial relationships with ineligible companies 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 .50 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 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 0.50 ANCC CE 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/References

Osteoporosis: A review

https://pubmed.ncbi.nlm.nih.gov/40587168/

Screening for Osteoporosis to Prevent Fractures: US Preventive Services Task Force Recommendation Statement

https://pubmed.ncbi.nlm.nih.gov/39808425/

Date of Original Release | May 2026; Information is current as of the time of recording.

Course Termination Date | May 2029

Contact Information | Center for Continuing Medical 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, discusses difficult topics, answers frequently asked questions and provides survivor stories that provide hope.

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. More information about Norton Healthcare is available at NortonHealthcare.com.

A Practical Guide to the Management of Type 2 Diabetes

Evaluation and Credit: https://www.surveymonkey.com/r/medchat89

Target Audience

This activity is targeted toward primary care physicians and advanced providers.

Statement of Need

This program will address the newly updated ADA Standards of Care as well as highlight best practices in the screening and management of type 2 diabetes. Type 2 diabetes continues to rise in prevalence among adults, with expanding clinical complexity due to the increasing burden of comorbidities such as obesity, cardiovascular disease, kidney disease, and liver disease.

Objectives

Review trends and incidence of type 2 diabetes in adult patients and associated comorbidities.

Discuss evidence-based guidelines for screening and management of type 2 diabetes incorporating the updated guidelines from the American Diabetes Association (ADA) Standards of Care.

Describe patient-centered communication strategies to guide and motivate adult patients with type 2 diabetes to adopt lifestyle modifications.

Moderator

Monalisa Tailor, M.D.

Internist

Norton Community Medical Associates - Barret

Louisville, KY

Speaker

Steven Patton, D.O.

Family Medicine Physician

Norton Community Medical Associates - Preston

Louisville, KY

Planners, Moderator and Speaker Disclosure

The planners, moderator and speaker of this activity do not have any relevant financial relationships with ineligible companies 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 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 ANCC CE 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/References

Standards of Care in Diabetes – 2025 Abridged for Primary Care

https://pubmed.ncbi.nlm.nih.gov/40290834/

The effect of on-line health management on type 2 diabetes mellitus: A systematic review and meta-analysis

https://pubmed.ncbi.nlm.nih.gov/41047299/

Date of Original Release | April 2026; Information is current as of the time of recording.

Course Termination Date | April 2028

Contact Information | Center for Continuing Medical 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, discusses difficult topics, answers frequently asked questions and provides survivor stories that provide hope.

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. More information about Norton Healthcare is available at NortonHealthcare.com.

The Essentials of MHT and Menopause

Evaluation and Credit: https://www.surveymonkey.com/r/medchat88

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

Statement of Need Research indicates that MHT is the most effective therapy for symptoms of menopause (vasomotor symptoms & genitourinary syndrome) but its use is low and inconsistent. Physicians may be unaware of the latest research regarding the safety and application of MHT and therefore prescribing patterns are inconsistent for treatment of menopausal symptoms. This podcast will discuss the essentials of MHT (formerly referenced as HRT) for the treatment of menopause. This program will address the latest treatment guidelines and research updates as information continues to evolve.

Objectives

• Describe the current evidence supporting menopause hormone therapy (MHT), including risks and benefits, and the implications of the recently updated FDA safety communications.
• Outline evidence-based strategies to individualize MHT treatment for patients as well as determination criteria for when to initiate or discontinue treatment.

Moderator Kris E. Barnsfather, M.D. Obstetrician and Gynecologist Women's Care Physicians of Louisville Norton Women's Care Louisville, KY

Speaker Anna K. Feitelson, M.D. Gynecologist Associates in Obstetrics and Gynecology Norton Women's Care Louisville, KY

Planners, Moderator and Speaker Disclosure The planners, moderator and speaker of this activity do not have any relevant financial relationships with ineligible companies 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 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 ANCC CE 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/References

The Art of Hormone Replacement Therapy (HRT) in Menopause Management https://pubmed.ncbi.nlm.nih.gov/37002679/

The mental health challenges, especially suicidality, experienced by women during perimenopause and menopause: A qualitative study https://pubmed.ncbi.nlm.nih.gov/40626330/

Date of Original Release | March 2026; Information is current as of the time of recording. Course Termination Date | March 2028 Contact Information | Center for Continuing Medical 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, discusses difficult topics, answers frequently asked questions and provides survivor stories that provide hope.

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. More information about Norton Healthcare is available at NortonHealthcare.com.

Cardiac Symptoms & Diagnostics: A Practical Guide for Primary Care

Evaluation and Credit: https://www.surveymonkey.com/r/medchat87

Target Audience This activity is targeted toward primary care physicians and advanced providers.

Statement of Need This podcast will provide tools for clinicians to interpret cardiac symptoms accurate, utilize the right diagnostic tools resulting in early detection and improved management of cardiovascular disease.

Objectives

• Discuss evidence-based criteria to determine when specific cardiology diagnostic tests are indicated.
• Describe red flags that warrant urgent testing or specialty referral
• Differentiate between cardiac diagnostic testing and clinical indications.

Moderator Monalisa Tailor, M.D. Internist Norton Community Medical Associates - Barret Louisville, KY

Speaker Mostafa O. El – Refai, M.D., M.Sc., MBA Interventional Cardiologist Norton Heart and Vascular Institute Louisville, KY

Medical Director, Norton Brownsboro Hospital System Medical Director for Quality Norton Healthcare Louisville, KY

Planners, Moderator and Speaker Disclosure The planners, moderator and speaker of this activity do not have any relevant financial relationships with ineligible companies 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 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 ANCC CE 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/References

Mesa CA Score Calculator https://ebmcalc.com/NoteRight3000/MESA.htm

National Heart, Lung and Blood Institute – Coronary Heart Disease Diagnosis https://www.nhlbi.nih.gov/health/coronary-heart-disease/diagnosis

Cardiovascular Risk Assessment: Practical Tips for the Internal Medicine Specialist https://pubmed.ncbi.nlm.nih.gov/41285656/

Date of Original Release | Feb. 2026; Information is current as of the time of recording. Course Termination Date | Feb. 2029 Contact Information | Center for Continuing Medical 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, discusses difficult topics, answers frequently asked questions and provides survivor stories that provide hope.

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. More information about Norton Healthcare is available at NortonHealthcare.com.

Supporting Physician Health: Identifying and Addressing Impairment

Evaluation and Credit: https://www.surveymonkey.com/r/medchat86

Target Audience This activity is targeted toward primary care physicians and advanced providers.

Statement of Need This podcast will highlight how providers can recognize their impairment or a colleague. Additionally, the responsibility of providers will be addressed once impairment is suspected. A study published in PubMed, indicated that a physician's rate of substance use disorder is slightly higher than the general population. As a result of long hours, high responsibility and emotional stress physicians face an increased risk for burnout, depression and substance use. Even though there is the risk of patient safety, physicians delay seeking help due to the stigma or fee of professional consequences.

Objectives

• Discuss the common causes, symptoms and factors that contribute to physician impairment.
• Describe the impact of impairment on patient safety and professional responsibility.
• Identify appropriate intervention strategies and available support systems.

ModeratorJames Jennings, M.D., MBA Executive Medical Director Norton Medical Group Louisville, Kentucky

Speaker Tina Simpson, M.D. Medical Director Kentucky Physicians Health Foundation Louisville, Kentucky

Planners, Moderator and Speaker Disclosures The planners, moderator and speaker of this activity do not have any relevant financial relationships with ineligible companies 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.

Resources for Additional Study/References

The Impaired Surgeon https://pubmed.ncbi.nlm.nih.gov/26612022/

Family Medicine Physicians With Substance Use Disorder: A 5-year Outcome Study https://pubmed.ncbi.nlm.nih.gov/28067757/

Date of Original Release | Jan. 2026; Information is current as of the time of recording.

Course Termination Date | Jan. 2028

Contact Information | Center for Continuing Medical 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, discusses difficult topics, answers frequently asked questions and provides survivor stories that provide hope.

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. More information about Norton Healthcare is available at NortonHealthcare.com.

Navigating Dementia – Related Behaviors Evaluation and Credit: https://www.surveymonkey.com/r/medchat85 Target Audience This activity is targeted toward primary care physicians and advanced providers. Statement of Need This podcast will address common behavioral and psychological symptoms (BPSD) associated w/ dementia and provide strategies for clinicians to recognize and manage. Up to 90% of individuals with dementia can suffer from BPSD that can include agitation, anxiety, depression, hallucinations and aggression This can be challenging for care givers, patients and care teams. Objectives

• List common behavioral and psychological symptoms (BPSD) associated with dementia.
• Identify environmental, medical and psychosocial factors that can contribute to BPSD.
• Discuss evidence-based strategies to evaluate and manage BPSD, minimizing antipsychotics and highlighting non-pharmacological.

Moderator Greg E. Cooper, M.D., Ph.D. Chief, Adult Neurology Medical Director, Memory Center Norton Neuroscience Institute. Speaker Rachel Hart, D.O. Geriatric Medicine Physician Memory and Cognitive Disorders Specialist Norton Neuroscience Institute Memory Center Planner Disclosure The planners of this activity do not have any relevant financial relationships with ineligible companies to disclose. Moderator and Speaker Disclosure The speaker, Gregory Cooper, M.D., Ph.D., discloses relevant financial relationships with Eli Lilly and Eisai (research). The moderator, Rachel Hart, D.O., discloses a relevant financial relationship with Eli Lilly (faculty). All relevant financial 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 .50 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 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 0.50 ANCC CE 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]. Social Worker Credits This activity will provide .50 hours of required continuing education units. National Association of Social Workers, Kentucky Chapter (NASW-KY) is an approved provider for social work credits through the Kentucky Board of Social Work. NASWKY#06/30/25. For information about social worker credits, please send an email to [email protected]. Resources for Additional Study/References Guideline Recommendations on Behavioral and Psychological Symptoms of Dementia: A Systematic Review https://pubmed.ncbi.nlm.nih.gov/38640961/ Nonpharmacological Interventions for Management of Behavioral and Psychological Symptoms of Dementia in Long-Term Care Facilities by Direct Caregivers: A Systematic Review https://pubmed.ncbi.nlm.nih.gov/35771069/ Date of Original Release | Dec. 2025; Information is current as of the time of recording. Course Termination Date | Dec. 2027 Contact Information | Center for Continuing Medical 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, discusses difficult topics, answers frequently asked questions and provides survivor stories that provide hope. 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. More information about Norton Healthcare is available at NortonHealthcare.com.