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APSS - Sleep 2012
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Please rate the following:
The program was relevant to my work.
Content matched stated objectives.
Usefulness of handouts/AV.
Quality of facilities.
How well did the educational sessions give a balanced view of therapeutic options, including the use of generic names?
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Objective 1: Summarize relevant information on the latest sleep research and clinical practices
By meeting the above objective my professional competence will increase because I have acquired new strategies to use in my practice.
By meeting the above objective my professional performance will improve because I should be able to implement the new strategies.
By meeting the above objective my patient outcomes should improve due to the implementation of newly-learned strategies.
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Objective 2: Identify present issues or challenges in diagnosis/treatment of sleep disorders, practice of sleep medicine or topics related to the fiield of sleep
By meeting the above objective my professional competence will increase because I have acquired new strategies to use in my practice.
By meeting the above objective my professional performance will improve because I should be able to implement the new strategies.
By meeting the above objective my patient outcomes should improve due to the implementation of newly-learned strategies.
Objective 3: Integrate strategies and tools for the enhancement/advancement of sleep medicine
By meeting the above objective my professional competence will increase because I have acquired new strategies to use in my practice.
By meeting the above objective my professional performance will improve because I should be able to implement the new strategies.
By meeting the above objective my patient outcomes should improve due to the implementation of newly-learned strategies.
Discuss key concepts of recent basic and clinical sleep research and how these concepts apply to current practice
Apply up-to-date information and evidence-based knowledge to the clinical management of patients with a variety of sleep disorders
Learning objective placeholder 3
Discuss the current trends of insurance regulations, coding and reimbursement
Review the impact of new technologies on the way that sleep centers operate to diagnose and treat patients
Integrate new mechanisms to track and improve PAP adherence into sleep centers
Recognize and understand the pathogenesis of the various categories of sleep disordered breathing and how therapy is related to pathogenesis
Assess how to manage sleep disordered breathing that occurs in patients with CHF, COPD, neuromuscular disease and patients taking narcotic medications
Describe how and when to use special technologies including ASV, Bilevel PAP, AVAPS, APAP and newer novel OSA therapies
Debate whether tonsillectomy should be a treatment for OSA in older and/or obese children
Outline the short- and long-term maternal, fetal and infant morbidity of OSA, insomnia, and drugs in pregnancy
Discuss prevention strategies to reduce the risk of sudden unexpected death in epilepsy during sleep
Utilize new options for treatment of RLS and describe how and when to use them
Explain options for combination medication treatments of RLS
Examine the biological basis for treatment development
Discuss the evaluation process of patients with abnormal nocturnal behaviors using both clinical and objective evaluation tools such as PSG and overnight EEG monitoring
Review the evaluation and management of specific abnormal nocturnal behaviors that sleep clinicians and technicians may encounter in the sleep clinic and lab, such as NREM and REM sleep parasomnias and nocturnal seizures
Describe the best evidence-based practices for evaluating and diagnosing various sleep disorders seen in clinical practice
Discuss the best evidence-based and cutting edge treating various sleep disorders in 2012
Identify major areas of uncertainty regarding best treatment practices in sleep medicine
Explain the indications and limitations of various PAP devices in the management of the spectrum of sleep disordered breathing
Describe the indications and limitations, as well as interpret downloaded data and trouble shoot common problems of several different portable monitoring systems that are commonly used in an outpatient setting to diagnose obstructive sleep apnea
Define the indications, limitations and technology underlying various actigraphy devices
Identify various ICSD-2-defined circadian rhythm sleep disorders (CRSDs) in the clinical setting
Review the treatment of CRSDs, taking into account best available evidence
Elucidate the various experimental protocols used in chronobiologic assessments and, in turn, to facilitate an understanding of the CRSD-related literature
Examine concepts underlying the organization of sleeping and waking behavior, sleep-wake homeostasis, and circadian timing
Distinguish the changes in normal sleep that emerge across the human life cycle
Identify the genetic basis of sleep phenotypes and sleep disorders, and the genetics of sleep in animals
Assess “normal” sleep in pregnancy
Review common abnormal sleep disorders in pregnancy
Emphasize basic management principles in pregnancies that are relevant to sleep and clarify common misconceptions regarding the pregnant patient
Review intermediate to advanced level skills in engaging in pediatric behavioral sleep medicine practice with infants through adolescents
Explain the importance of the use of actigraphy in assessing sleep/wake patterns and guiding interventions in a pediatric population
Discuss interventions for improving CPAP adherence in children and adolescents
Describe the relationship between sleep loss and body weight gain and some of the underlying mechanisms
Describe the sleep and awake signs and symptoms of restless legs syndrome
Describe the mechanisms of sleep spindle generation in animals and humans
Explain the critical role of spindles in the processing of external stimulation and memory consolidation during sleep
Discuss the clinical relevance of spindles for sleep maintenance and psychiatric disorders
Describe the mechanisms of insomnia
Explain the effects of sleep deprivation on brain mechanisms and associated changes in behavior and cognition
Review brain circuitry for wake-sleep regulation
Describe new genetically based methods for manipulating neurons in those circuits
Describe current regulations related to sleep medicine and transportation
Discuss the role sleep science will play in future transportation safety issues
Demonstrate that different sleep stages play different roles in memory processing
Describe the wide range of memory processing functions carried out during sleep
Propose a role for dream processes in extracting information of future relevance from recent memories
Describe the prevalence of circadian factors in patients presenting with insomnia
Describe the research evidence to support use of phase shifting therapies in patients who have insomnia with circadian factors
Demonstrate real-world examples of personalizing cognitive behavioral therapy for insomnia in patients who have insomnia with circadian factors
Explain the usefulness of current clinical and research tools for measuring sleepiness and assessing fitness to drive
Identify the legal implications of assessing fitness to drive in both clinical and operational settings
Describe the issues related to management and enforcement of driver safety in patients with sleep disorders and/or individuals who are sleep deprived due to fatiguing work schedules
Discuss the significance of racial/ethnic and socioeconomic disparities in the diagnosis, treatment and adherence to treatment of sleep disorders
Identify research opportunities that will advance understanding of sleep disparities and the impact of sleep on health disparities
Discuss specific challenges investigators face in advancing research and practice on sleep and health disparities
Describe metabolic changes associated with childhood obstructive sleep apnea
Describe novel methods of assessing patients with sleep disordered breathing
Explain how findings related to the basic mechanisms regulating local sleep can be translated into the practice of sleep medicine
Analyze pathological sleep events within the framework of the interpretation of sleep as a local phenomenon
Identify the short-term neuropsychological consequences of adolescent sleep restriction
Summarize the available evidence on changes in neurological functioning that follow such sleep restriction
Describe how inadequate sleep, even if limited to adolescence, can have life-long implications
Review data demonstrating that states of sleep and wakefulness are generated by complex interactions between many neurotransmitters and neuromodulators acting at multiple sites within the brain
Review recent findings indicating that neurotransmitters can have opposite effects on sleep depending on site of action within the brain
Describe the translational relevance of the forgoing neurochemical data for the clinical management of disordered sleep, affect and pain
Review methods of screening certain populations for obstructive sleep apnea
Describe the inter-relationship between sleep disturbances and psychiatric symptoms in large populations
Evaluate diagnostic and pathophysiologic mechanisms in stroke and the treatment of post-traumatic hypersomnolence
Describe new methods of sleep detection and refinements in existing technologies
Review the current evidence for a link between sleep and risk of obesity among adolescents and the magnitude and consequences of consumption of caffeine and other stimulants on the health of adolescents
Review the extent and implications of adolescent drowsy driving and the impact of modifiable etiologic factors such as school start times, lax parenting and sleep knowledge gaps
Summarize the current literature regarding the impact of school start times on the health of adolescents and implications for public policy at the individual school district, regional and national levels
Identify patients that might want to consider treatments beyond simple CPAP for complex sleep disordered breathing problems
Describe potential treatment plans for patients with obesity hypoventilation syndrome, central sleep apnea syndromes, COPD and ALS
Explain the application of alternative PAP treatments and diaphragmatic stimulation
Describe how health care reform and accountable care could impact sleep centers
Explain legal obligations and risks associated with implementing health information
Discuss the regulatory and compliance challenges facing sleep centers that seek to integrate lab testing, home testing, and CPAP to improve outcomes
Describe the educational background, training, licensure, prescriptive authority and billing for advanced practice nurses (APN) and physician assistants (PA)
Describe current models for utilization of APNs and PAs within sleep related fields
Explain potential roles for these practitioners in the future
Review the data on the impact of the circadian system and physiological sleep on glucose, lipid, and nitrogen metabolism
Describe the adverse metabolic consequences of disturbances of the circadian system and/or sleep
Discuss the mechanisms underlying physiological and pathophysiological changes during sleep and circadian disturbances
Describe the role of sleep circuits in general anesthetic-induced loss of consciousness
Explain the relationship between general anesthesia and sleep homeostasis
Review the manipulation of arousal pathways to control emergence from general anesthesia
Review the evidence linking obstructive sleep apnea to diabetes and other hyperglycemic states
Identify the effects of diabetes on the natural history of obstructive sleep apnea
Summarize the observational and experimental data on the potential bi-directional nature of the association
Discuss the value and the significance of PLMs in sleep and wakefulness in the presence or absence of RLS, and in relationship with disturbed sleep (fragmentation and microstructural modifications)
Evaluate the effect of different drugs on PLMs and sleep, and on different targets of sleep disorders
Debate when and in which sleep disorders PLMS may be susceptible of treatment, or whether they can be considered as having low clinical significance
List examples for structures of successful current academic sleep programs
Describe challenges, limitations and barriers that have arisen for academic development of the field
Explain basic elements of sleep program infrastructure at academic institutions that would enhance effectiveness of academic sleep programs and advance the field of sleep medicine
Identify specific types of subjective and objective sleep problems co-occurring with anxiety and depression in youth
Identify potential developmental and disorder-based mechanisms linking sleep dysregulation, anxiety and depression in youth
Identify specific behavioral targets for early intervention of sleep problems in anxious and/or depressed youth
Review mechanisms of glial cell biology to both basic and clinical sleep researchers
Examine genetic, molecular, and cellular pathways in glial cells which effect or are affected by changes in behavioral state or circadian rhythms
Discuss phylogenetic examples of regulatory processes of glial cells in sleep and circadian rhythms using various species, including Drosophila and rodent models
Summarize the knowledge of work-related factors as predictors of disturbed sleep, including both clinical diagnosis and partial sleep deprivation
Discuss how disturbed sleep affects work performance, injuries/accidents and productivity, including medically-certified sickness absence
Develop a working understanding of the state of the science on mechanisms linking physical activity, sleep and circadian regulation and health behavior that is relevant to research
Develop a working understanding of methodological approaches to assessment of physical activity, sleep and circadian regulation
Develop research questions and implement clinical applications that integrate measurement of sleep, circadian regulation and physical activity to address health behavior and disease risk in clinical populations
Explain healthcare reform
Identify healthcare legal trends
Describe how healthcare reform and legal trends impact sleep medicine
Describe the revisions to the Sleep Medicine section of the CPT codes for 2012 and the impact they have on how physicians submit claims
Define the pre, intra and post service physician/ technical work and practice expense associated with each of the sleep medicine codes
Provide an overview of Evaluation and Management (E/M) with emphasis on the documentation necessary to support the services provided
Describe Internet-based and other self-help programs in various stages of development/validation for insomnia
Review the evidence-based regarding the efficacy, utility, feasibility, and limitations of these programs
Discuss practical and logistical challenges in implementing self-help interventions
Review recent advances in the understanding of sleep physiology in animals
Describe the effects of PAP therapy on patients with sleep disordered breathing
Describe the complex relationship between different features of sleep and the formation of memories
Discuss the physiological, behavioral and genetic differences between short and long sleepers and understand why some people sleep less than others
Discuss the phenotypic and genetic basis of neurobehavioral vulnerability to sleep deprivation and understand why some people are more affected by sleep loss than others
Discuss the real world implications and applications of individual differences in sleep-wake regulation and sleep-loss related neurobehavioral impairment
Discuss the role that hypothalamic regulation has in sleep and circadian rhythms
Summarize the observational and experimental data related to hypothalamic regulation
Describe the efficacy of CBT for insomnia comorbid with psychiatric disorders
Describe the adaptation of CBT for insomnia comorbid with psychiatric disorders
List the effects of CBT for insomnia on comorbid psychiatric disorders
Describe the effects of non-PAP forms of therapy for the treatment of sleep disordered breathing
Describe the effect of sleepiness on automobile driving and technologies to detect sleepiness
Discuss the sleep disruptions that are unique to women’s health
Identify how sleep alters cardio-respiratory physiology
Describe the role of the dentist in treating patients with sleep disorders
Describe how dentists can be involved with treating patients with sleep disorders who complain of orofacial pain, headaches and bruxism
Learning objective placeholder 3
Describe the proposed structure of the revised International Classification of Sleep Disorders and its relationship to prior nosologies
Identify major areas of change, controversy and uncertainty within the nosology system
Recognize the relationships, similarities and differences among the major diagnostic systems including ICSD, DSM, and ICD
Describe the nature of different hypnotic treatment regimens and their differential use in various insomnia populations
Explain the safety and efficacy of hypnotics when used in different treatment regimens
Discuss the pharmacological properties of hypnotics which make them differentially appropriate for different treatment regimens
Discuss factors underlying circadian sleep disorders and their treatment
Describe the relationship between restriction and disruption of childhood sleep and behavior
Describe the impact of sleep disordered breathing and sleep disturbances on adverse pregnancy outcomes and post-partum health
Discuss treatments for pregnancy-related sleep disturbance
Describe the NIH nuMoM2b sleep and breathing study
Describe the possible impact of social interactions on circadian clocks, using human and animal examples
Identify the challenges for research on this topic
Summarize the findings of the latest evidence on the efficacy of and indications for a range of minimally-invasive non-CPAP techniques for the management of mild or moderate obstructive sleep apnea
Describe a recommended systematic approach to the assessment and management of CPAP-intolerant patients, including a detailed anatomical assessment
Apply the described system of assessment to a practice and make best-evidence-based decisions regarding the management of patients - whether through performance of indicated minimally-invasive techniques or referral to other specialists versed in these techniques
Review the administrative, technical and clinical challenges involved in providing comprehensive sleep medicine services to children and families
Discuss the establishment of standards for the clinical assessment and management of pediatric sleep disorders in a variety of practice settings
List the relative pros and cons in conducting out-of-center testing versus in-center polysomnography in children
Describe the clinical manifestations and pathologic correlates of REM and NREM parasomnias
Characterize how medical disorders interact with sleep disorders
Describe the bi-directional interaction between sleep and affective brain function
Discuss the emerging neural and physiological mechanisms that underpin this intimate relationship
Recognize the translational relevance of this relationship regarding the relationship between sleep abnormalities and clinical mood disorders
Describe how neurodegenerative diseases may impact sleep/wake
Review evidence investigating whether sleep disorders may predispose for development of neurodegenerative diseases
Describe selected intervention trials that are attempting to treat neurodegenerative conditions by treating sleep pathology
Describe the basic characteristics of two human phase response curves (PRCs) to blue and blue-enriched light
Describe ways in which blue light influences subjective and objective measures of sleepiness and alertness, as well as performance
Recognize the benefits, possible limitations and areas in which more information is needed, regarding the use of blue and blue-enriched light relative to the “white” lights that have been well used for clinical applications
Discuss current findings on cancer-related sleep disturbance during treatment in adults and children
Discuss potential late effects of cancer-directed therapy on sleep in pediatric and adult cancer survivors
Review non-pharmacological and pharmacological interventions for sleep disturbances in individuals with cancer
Describe various types and effects of insomnia treatment
Describe new gene mutations affecting sleep duration, new brainstem areas involved in sleep regulation and new genetic and pharmacogenetic methods used in sleep research
Explain how new imaging, stimulation and analysis techniques reveal novel aspects of human sleep physiology
Review new findings on circadian dysregulation that predispose to abnormal nocturnal eating and its adverse consequences
Describe new findings on the strong links of abnormal nocturnal eating with RLS and narcolepsy
Discuss new findings on the link between hypnosedative medication use and amnestic sleep-related eating
Analyze and synthesize the literature in the area of inflammatory, metabolic and autonomic consequences of sleep loss in humans
Examine directions for future research related to sleep loss
Describe the role of human metabolism in sleep homeostasis and new drugs that are potentially useful in treating insomnia
Describe the impact of PTSD on sleep
Recognize the impact of modern technology on bedtimes and the consequences thereof
Describe how sleep and sleep disorders affect workforce health
Describe brain changes that occur with age and effects of the changes on sleep and waking functions
Identify aspects of sleep medicine clinical practice that are most challenging to integrate in a multidisciplinary setting
Describe how measures of quality and integration of care used on a policy level relate to multidisciplinary sleep medicine groups
Examine business methods that can improve the quality of patient care and provider workflow in a multidisciplinary group
Identify the current approved and non-approved treatments for restless legs syndrome
Describe the short-term efficacy data of various treatments for restless legs syndrome
Identify the long-term benefits and risks of various treatments for restless legs syndrome
Discuss novel findings on the effects of light on circadian rhythms
Discuss the pathophysiologic underpinnings of excessive sleepiness
Review studies related to the adaptation of brief behavioral therapy for insomnia for military personnel
Compare behavior therapy, cognitive therapy or combination therapies for adults with chronic insomnia
Discuss therapies for patients with insomnia and mood disorders
Apply the newly acquired knowledge to both clinical and research practice, targeting improved patient care/outcome
Explain that inflammatory response is a possible responsible part for OSA manifestations
Review “incident-to” requirements for services performed in the sleep center
Describe the principals of thermoplastic mandibular advancement devices
Objective 4: Recognize and have a basic understanding of common sleep disorders
By meeting the above objective my professional competence will increase because I have acquired new strategies to use in my practice.
By meeting the above objective my professional performance will improve because I should be able to implement the new strategies.
By meeting the above objective my patient outcomes should improve due to the implementation of newly-learned strategies.
Please answer the following:
Do you believe this activity was appropriate for the scope of your professional activities?
Was the educational content scientifically sound?
If faculty spoke about off-label or investigational uses of a product, was that information disclosed to you?
Was the mode of education effective to learning?
If you answered "No" to any of the above questions, please explain.
Did you perceive any product/service/company/commercial bias in any educational session you attended or materials you received?
If you answered "Yes" to the above question, please detail the situation below (e.g. session title, speaker name):
Were you solicited by sales personnel in an educational room (other areas do not matter) while you attended this educational activity?
If you answered "Yes" to the above question, please explain in detail (e.g. who, when, where):
How much did you learn as a result of this education program?
What specifically did you learn during this activity that you intend to integrate into your practice?

What questions have arisen in your practice for which you need answers/strategies that you can implement?

What patient/client problems or patient/client challenges do you feel you are not able to address appropriately or to your satisfaction?
What problems are your patients/clients communicating to you that need attention or follow up?

Are you interested in basic, intermediate or advanced level trainings?

What barriers might you have that would interfere with implementation of new information learned from this training?

How can this training (the overall meeting) be improved to better impact competence, performance and/or patient/client outcomes?

Additional comments:

Mr question