Jeffrey Gum's guest appearances

Jeffrey Gum

MedChat

TopMedTalk

Bill Clinton

Tim Cook

Jim Grant

Alex Lewis

Andrew Shaw

Tim Miller

David Walker

Amy Wilkinson

David Story

Rob Stephens

Michael Scott

Hugh Montgomery

Andy Shaw

Jamie Harris

Mark Warner

OwlTail

"Our real 'next barrier' in the continuum of care is, it's okay to have pain, right? It's expected to have pain. [...] but it is better for you recovery wise, complication wise; to be able to get up, move around, know what's going on, not be confused, right? A little bit of that education goes a really long way." The opioid crisis, spine surgery, working as a team, pioneering efforts being done at the world leading Norton Leatherman Spine Center, enhanced recovery after surgery (ERAS) and some of the fascinating research our guest is conducting; all this and more as our "TopMedTalks to..." series makes a welcome return. Presented by Desiree Chappell with Jeffrey Gum, Assistant Clinical Professor (Gratis), Department of Orthopaedic Surgery, University of Louisville, Pediatric and Adult spine surgeon at the Leatherman Spine Center in Louisville, KY.

"Our real 'next barrier' in the continuum of care is, it's okay to have pain, right? It's expected to have pain. [...] but it is better for you recovery wise, complication wise; to be able to get up, move around, know what's going on, not be confused, right? A little bit of that education goes a really long way." The opioid crisis, spine surgery, working as a team, pioneering efforts being done at the world leading Norton Leatherman Spine Center, enhanced recovery after surgery (ERAS) and some of the fascinating research our guest is conducting; all this and more as our "TopMedTalks to..." series makes a welcome return. Presented by Desiree Chappell with Jeffrey Gum, Assistant Clinical Professor (Gratis), Department of Orthopaedic Surgery, University of Louisville, Pediatric and Adult spine surgeon at the Leatherman Spine Center in Louisville, KY.

TopMedTalks to Jeffrey Gum, Assistant Clinical Professor, Department of Orthopaedic Surgery, University of Louisville, Spine Surgeon, Leatherman Spine Center| TopMedTalk

Podcast: Opioids in Spine Surgery Evaluation and Credit: https://www.surveymonkey.com/r/OpioidsSpineMedChat Target Audience This activity is targeted toward the specialties of internal medicine, family medicine, neuro/spine, general surgery and other surgery specialties and anesthesia. Statement of Need In response to the increased opioid addiction crisis, physicians are looking for effective alternatives to treat patient pain following surgery. Treatment protocols for post-surgical pain control for spine patients continues to evolve as new research becomes available regarding the effectiveness of nonopioid pain control. Physicians may not be aware of these new alternative protocols. 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. Objectives 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. At the conclusion of this offering, the participant will be able to:  Discuss research protocols employed to minimize the prescribing of opioids post-spine surgery; Standard Escalation Pain Protocol (SEPP) and Multi-modal Pain Control (MMPC). List patient characteristics that contribute to opioid use. Describe the patient benefits of non-opioid pain control post-surgery. Implement pain control protocols that minimize or eliminate the use of opioids following surgery.  Moderator James Jennings, M.D. Executive Medical Director Adult Primary Care &amp; Provider Well-being   Faculty Jeffrey Gum, M.D. Spine Surgeon Leatherman Spine Center   Faculty Disclosure The speaker for this activity has a relevant relationship with Pacira Pharmaceuticals (honorarium). Other relevant relationships are specific to spine surgery and are not related to the topic of pain management. These include: Consultant (Medtronic, Acuity, K2M, NuVasive and Mazor), Advisory Board (K2M and Medtronic), Honoraria (Baxter), Research (Integra, Intellirod Spine, Inc. Pfizer and NuVasive), Speaker’s Bureau (Depuy and Stryker).  (Stock with Cingulate Therapeutics, related to ADHD medications).   Moderator and Planner Disclosures The moderator or planners for this activity have no potential or actual conflicts of interest to disclose. Commercial Support This activity is supported in part with a grant from Cardinal Health. Physician Credits American Medical Association   Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.   Designation Norton Healthcare designates this other activity (podcast) 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.   HB1 / Prescribing Controlled Substances The Kentucky Board of Medical Licensure has approved the podcast Opioids in Spine Surgery for .50 HB1 credit hours. ID# 0319-H.50-NHC1b   Date of Original Release | April 2019 Course Termination Date | April 30, 2020 Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org References Hill, M.D. Maureen V., et.al, “Wide Variation and Excessive Dosage of Opioid Prescriptions for Common General Surgical Procedures,” Annuals of Surgery, Vol. 265, Number 4, April 2017, pages 709 – 714. Hill, M.D., Maureen V., et. al., “An Educational Intervention Decreases Opioid Prescribing After General Surgical Operations,” Annuals of Surgery, Vol. 267, Number 3, March 2018, pages 468 – 472. Nayoung, Kim, BS, Matzon, M.D., Jonas, etc. al., “A Prospective Evaluation of Opioid Utilization After Upper-Extremity Surgical Procedures: Identifying Consumption Patterns and Determining Prescribing Guidelines,” The Journal of Bone and Joint Surgery, 98(20); e89, Oct. 2016. Edwards, David A., M.D., PhD, etc.al, “American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on Perioperative Management of Patients on Preoperative Opioid Therapy,” Anesthesia &amp; Analgesia, March 14, 2019.   Course number: 128078

Podcast: Opioids in Spine Surgery Evaluation and Credit: <a href="https://www.surveymonkey.com/r/OpioidsSpineMedChat" rel="nofollow" target="_blank">https://www.surveymonkey.com/r/OpioidsSpineMedChat</a> Target Audience This activity is targeted toward the specialties of internal medicine, family medicine, neuro/spine, general surgery and other surgery specialties and anesthesia. Statement of Need In response to the increased opioid addiction crisis, physicians are looking for effective alternatives to treat patient pain following surgery. Treatment protocols for post-surgical pain control for spine patients continues to evolve as new research becomes available regarding the effectiveness of nonopioid pain control. Physicians may not be aware of these new alternative protocols. 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. Objectives 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. At the conclusion of this offering, the participant will be able to: <ul> <li>Discuss research protocols employed to minimize the prescribing of opioids post-spine surgery; Standard Escalation Pain Protocol (SEPP) and Multi-modal Pain Control (MMPC).</li> <li>List patient characteristics that contribute to opioid use.</li> <li>Describe the patient benefits of non-opioid pain control post-surgery.</li> <li>Implement pain control protocols that minimize or eliminate the use of opioids following surgery.</li> </ul> Moderator James Jennings, M.D. Executive Medical Director Adult Primary Care &amp; Provider Well-being Faculty Jeffrey Gum, M.D. Spine Surgeon Leatherman Spine Center Faculty Disclosure The speaker for this activity has a relevant relationship with Pacira Pharmaceuticals (honorarium). Other relevant relationships are specific to spine surgery and are not related to the topic of pain management. These include: Consultant (Medtronic, Acuity, K2M, NuVasive and Mazor), Advisory Board (K2M and Medtronic), Honoraria (Baxter), Research (Integra, Intellirod Spine, Inc. Pfizer and NuVasive), Speaker’s Bureau (Depuy and Stryker).  (Stock with Cingulate Therapeutics, related to ADHD medications). Moderator and Planner Disclosures The moderator or planners for this activity have no potential or actual conflicts of interest to disclose. Commercial Support This activity is supported in part with a grant from Cardinal Health. Physician Credits American Medical Association Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. Designation Norton Healthcare designates this other activity (podcast) 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. HB1 / Prescribing Controlled Substances The Kentucky Board of Medical Licensure has approved the podcast Opioids in Spine Surgery for .50 HB1 credit hours. ID# 0319-H.50-NHC1b Date of Original Release | April 2019 Course Termination Date | April 30, 2020 Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org References Hill, M.D. Maureen V., <a href="http://et.al" rel="nofollow" target="_blank">et.al</a>, “Wide Variation and Excessive Dosage of Opioid Prescriptions for Common General Surgical Procedures,” Annuals of Surgery, Vol. 265, Number 4, April 2017, pages 709 – 714. Hill, M.D., Maureen V., et. al., “An Educational Intervention Decreases Opioid Prescribing After General Surgical Operations,” Annuals of Surgery, Vol. 267, Number 3, March 2018, pages 468 – 472. Nayoung, Kim, BS, Matzon, M.D., Jonas, etc. al., “A Prospective Evaluation of Opioid Utilization After Upper-Extremity Surgical Procedures: Identifying Consumption Patterns and Determining Prescribing Guidelines,” The Journal of Bone and Joint Surgery, 98(20); e89, Oct. 2016. Edwards, David A., M.D., PhD, <a href="http://etc.al" rel="nofollow" target="_blank">etc.al</a>, “American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on Perioperative Management of Patients on Preoperative Opioid Therapy,” Anesthesia &amp; Analgesia, March 14, 2019. Course number: 128078

Opioids in Spine Surgery, with Dr. Jeffrey Gum