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APSS - Sleep 2014
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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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Having completed the activity, please rate your ability to meet each of the following objectives:
Explain when and why there are requests for sleep studies in neonates and very young infants and how we need different rules and normative values for scoring sleep, respiratory, cardiac and movement events.
Describe which diagnostic and treatment strategies to consider for an infant or young child with residual symptomatic pediatric obstructive sleep apnea following adenotonsillectomy including positive airway pressure and oral appliances.
Recognize, diagnose and treat uncommon causes of symptomatic central hypersomnia and circadian rhythm asynchrony in children or adolescents with craniopharyngiomas, cancer chemotherapy, myotonic dystrophy type 1, Neimann-Pick type C, and NMDA receptors; a
Review diagnostic and treatment strategies for refractory pediatric behavioral insomnia in children or adolescents with intellectual disability, neurodevelopmental syndromes, and neuropsychiatric comorbidities.
Describe how to obtain video-polysomnographic recordings of good technical quality.
Recognize, score and interpret the most important sleep-related movement disorders.
Improve techniques related to the basic post-processing analysis of periodic limb movements and chin EMG activity.
Describe unusual clinical presentations and alternative options for therapy of refractory restless legs syndrome.
Identify characteristics features and emerging treatment options for CPAP-emergent central sleep apnea (complex sleep apnea) and other complicated sleep-related breathing disorders.
Explain diagnostic challenges and treatment considerations for hypersomnias of central origin such as narcolepsy with cataplexy, secondary narcolepsy, and idiopathic hypersomnia; and 4. Discuss diagnostic criteria, differential diagnosis, pathophysiology,
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.
Improve clinical care and outcomes as a result of application on this knowledge in the clinical setting.
Discuss the current utilization management program trends for sleep.
Discuss various models for adjusting current practice of sleep medicine.
Discuss the integration of quality metrics into the treatment of patients with various sleep disorders.
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.
Utilize the full expanded range of medications now available for RLS treatment (opiates, alpha-2-delta ligands, long-acting dopaminergics, and IV iron).
Compare the choice of dopamine agonists treatment to the knowledge about dopamine neurobiology, augmentation and long-term use guidelines.
Identify and treat daytime and non-sensorimotor symptoms of RLS; 4. Treat RLS during pregnancy applying new treatment guidelines; and 5. Diagnose and treat pediatric RLS using new diagnostic standards and evidence for treatment choices.
Describe how clinical information and sleep testing promotes an integrated, patient-centered approach for managing obstructive sleep apnea.
Evaluate the evidence comparing the relative effectiveness of CPAP and oral appliance therapy.
Explain the need for and utility of clinical features and sleep tests used in the selection of patients for CPAP or oral appliance therapy; and 4. Review the modern methods for tracking and enhancing compliance with therapy as well as identifying adverse
Review the pathophysiology underlying the sleep disorders seen in children with autism spectrum disorders, neuromuscular disorders, Down Syndrome, Prader-Willi Syndrome and achondroplasia.
Recognize the updated pediatric sleep guidelines from the AAP, AASM, and/or the AAO-HNS regarding surveillance, evaluation, and management of sleep disorders in these patient populations.
Describe the current thinking about the sleep-heart interface and bi-directional interactions.
Explain the biology of the respiratory chemoreflex - a key component of sleep apnea related hypertension, congestive heart failure progression, and central sleep apnea/ periodic breathing.
Recognize the complexities of sleep apnea and cardiac arrhythmogenesis; and 4. Identify the complexities of management of sleep apnea in congestive heart failure and a logical management approach based on phenotyping.
Describe the best evidence-based practices for evaluating and diagnosing various sleep disorders in clinical practice.
Discuss the best evidence-based and cutting edge treatments for various sleep disorders in 2014.
Identify major areas of uncertainty regarding best treatment practices in sleep medicine.
Identify the indications and limitations of various PAP devices and non-PAP advanced technologies for the management of the spectrum of sleep disordered breathing.
Discuss the available portable monitoring systems commonly used in an outpatient-setting for the diagnosis obstructive sleep apnea.
Identify how telemedicine and the electronic health record may be used to enhance the care of patients with sleep disorders; and
Improve skills in applying behavioral sleep medicine therapies for a range of sleep problems including insomnia occurring comorbid to depression, pain, sleep apnea, circadian rhythm sleep disorders, CPAP non-adherence and sleep-disruptive nightmares.
Describe the empirical evidence supporting each of the techniques discussed.
Implement well-tested, systematic methods for providing behavioral sleep medicine services.
Review advanced technologies available that may enhance the care of patients with pediatric and neurologic sleep disorders.
Discuss sleep, sleep duration and their associations with chronic medical problems and adverse health outcomes.
Recognize neurobehavioural, physiological, cognitive, performance and psychosocial impacts of chronic sleep loss.
Discuss new findings on the effects of chronic sleep restriction on bone remodeling, intestinal cell integrity, and gene expression in the brain which may explain impairments and adaptations to chronic sleep restriction.
Review the pattern of cognitive impairment during chronic sleep restriction in humans, model cognitive deficits and adaptation in sleep and performance patterns, and relate these findings to psychosocial factors.
Discuss the dynamics of four new and updated theories about why we sleep.
Recognize, with broad understanding, the forces acting on sleep and affecting central and peripheral functions attributable to sleep.
Gain insight into why sleep is a vital life experience and why it may have evolved.
Identify various ICSD-3 defined CRSDs in the clinical setting with actigraphy, sleep logs and salivary melatonin.
Treat CRSDs taking into account best available evidence.
Describe the various experimental protocols used in chronobiologic assessments.
Describe the advantages and disadvantages of different HSAT units.
Review aspects of patient selection, scoring and interpretation for different HSAT devices.
Explain the critical aspects of setting up a HSAT program, including the accreditation standards, initiation and maintenance of quality control; and
4. Discuss use of HSAT in the perioperative setting.
Discuss novel findings on the risk, treatment and functional outcomes of disordered sleep in the pediatric population.
Identify disease mechanisms in REM sleep behavior disorder (RBD).
Analyze the link between RBD and degenerative disorders.
Recognize how RBD may be used to develop neuroprotective treatment for degenerative diseases;
Discuss basic brain mechanisms controlling REM sleep;
Review how malfunction of REM sleep circuitry contributes to RBD.
Review the state-of-the-art findings regarding sleep regulation at molecular, anatomical and behavioral levels.
Discuss the most recent findings from research of humans and animals related to substrates of sleep regulation and possible mechanisms.
Identify anatomical correlates of the rodent and human sleep EEG and discuss the implications of novel findings for individual differences and brain development; and
4. Describe various animal and human models to better understand sleep regulation
Discuss the role of sleep in synaptic plasticity.
Describe how sleep affects restoration of cellular homeostasis.
Analyze the interaction between sleep and learning and memory.
Describe sleep disorder analytics: identification, stratification and outcome metrics.
Discuss the managed care approach to the economics of sleep disorder management.
Recognize collaboration opportunities between clinicians, managed care and other stakeholders that will drive engagement and outcomes.
Review new developments in sleep questionnaires.
Discuss important pharmacokinetics that define hypnotic efficacy and safety.
Explain clinical implications of individual differences in demographic variables, nature of insomnia and comorbid conditions impacting hypnotic use.
Develop clinical guidelines for tailoring different medications for individual patients.
Evaluate new data about assessments in OSA and obesity/hypoventilation.
Review the evidence-base and public health significance supporting evaluation of disturbed sleep as a suicide risk factor and warning sign and common methodological problems that challenge this area of research.
Describe the scientific and clinical rationale regarding treatment development of interventions targeting sleep to reduce risk for suicide, as well as inherent methodological challenges.
Discuss behavioral research findings in the development, conduct and feasibility testing of sleep-focused treatments for suicide prevention and preliminary indications of response.
Review new data on the neuroscience of neurodegenerative disease and brain injury.
Discuss the association between genetic and sleep patterns, and development of specific neurodegenerative disorders.
Analyze interventional strategies and their mechanisms.
Describe the impact of the circadian system, physiological sleep, and timing of food intake on glucose metabolism, caloric intake, energy expenditure, and body weight regulation.
Recognize the adverse metabolic consequences of disturbances of the circadian system and/or sleep.
Discuss some of the mechanisms underlying the physiological and pathophysiological changes observed during sleep and circadian disturbances.
Explain the new clinical criteria for the definition of pediatric restless legs syndrome (RLS).
Review how to perform diagnosis of RLS in children with specific diagnostic instruments.
Recognize the “hidden” symptoms and the common mimics of pediatric RLS;
4. Evaluate the association between growing pains and RLS; and
5. Describe the comorbidity between migraine, growing pains and RLS in childhood.
Discuss new investigations evaluating the neurobiological inter-relationship between sleep and neurological disorders.
Explain how comorbid medical and psychiatric illness may contribute to CRSDs.
Recognize that CRSD patients’ sleep-wake behavior may not predict circadian phase position.
Discuss how physiologic measures of circadian phase can contribute to diagnosis and treatment of CRSDs.
Discuss sleep from a cultural ecological perspective.
Review findings from comparative cross-cultural studies.
Analyze research design for community-based sleep studies.
Recognize the prevalence of sleep disorders in PD.
Review the effects of treating OSA in PD.
Evaluate the relationship between RBD and other complaints in PD.
Review new insights into the interaction between sleep and metabolism at the brain and peripheral levels.
Recognize the impact of poor sleep on mood and neurocognitive functioning in women.
Discuss current studies utilizing novel mechanistic and diagnostic approaches to movement disorders of sleep.
Review changes in brain function by circadian disruption and misalignment.
Discuss the increasing role of sleep science in rulemaking for hours of service in transportation industries.
Review data sets and study results that were influential with regard to the new duty regulations in US trucking and aviation.
Describe the value of sleep research in operational settings for furthering the science of sleep and for improving safety and well-being in the real world.
Identify challenges related to adapting an eHealth intervention for an international audience.
Discuss possible solutions for translating and localizing eHealth interventions.
Examine strategies (e.g. PAP naps; systematic acclimation protocols) to increase adherence to CPAP.
Discuss alternatives to CPAP including both surgical options (e.g. uvulopalatopharyngoplasty (UPPP), mandibular advancement and non-surgical methods (e.g. nasal steroids; rapid maxillary expansion [RME]).
Identify strategies to assess success rates of surgical and non-surgical procedures especially in relation to the severity of OSA; and
4. Assess factors related to increased adherence to PAP therapy among children and programs.
Discuss the most recent findings on the relationship between sleep and brain development in animal and human models.
Discuss novel treatment methods for OSA.
Discuss the most recent molecular-genetic technologies for “systems-level” neuroscience research in freely behaving animals in the framework of behavioral state regulation, including sleep and waking.
Review the conditional deletion of genes based on Cre/loxP technology, RNA interference and the in vivo reversible manipulation of neurons through the expression of genetically modified receptor and channel complexes, including genetically engineered opti
Analyze new insights into several sleep neuropathologies.
Identify augmentation, measure its severity and manage this severe drug-related complication by using a practical algorithm.
Discuss possible mechanisms underlying augmentation.
Analyze the molecular basis of circadian clock function and its conservation between flies and humans.
Describe novel genetic strategies to reveal sleep homeostasis mechanisms and links to learning and memory.
Discuss the cardinal properties of sleep and their application to simple animal models.
Describe the relationship between exercise and sleep in healthy sleepers.
Discuss the effects of exercise on sleep in the treatment of insomnia, circadian rhythm sleep disorders and obstructive sleep apnea.
Review how exercise may be involved in the treatment of other sleep disorders conditions where there is little evidence, such as restless legs syndrome, periodic limb movements and circadian rhythm sleep disorders.
Identify and locate resources in community settings for improving adolescent sleep health.
Provide guidance to families and schools for rationale and methods to develop healthy sleep habits and policies.
Recognize the role sleep medicine professionals may have in influencing local and national policies that promote sleep health in adolescents.
Recognize the impact of sleep on psychiatric functioning.
Review the mechanism of upper airway stimulation (UAS) therapy.
Describe the clinical phenotypes that benefit from UAS.
Discuss the surgical implantation technique; 4. Analyze the safety and efficacy of UAS; and 5. Evaluate the patient’s experience with UAS.
Describe the relationships between sleep regulatory molecules and molecules regulating inflammation.
Identify mechanisms by which localized inflammation can result in changes in sleep.
Recognize that sleep disruption, sleep apnea, obesity, aging and pain are associated with low grade inflammation; and
4. Review the important public health consequences to sleep disruption and inflammation.
Discuss the complex and controversial bidirectional relationship between exercise and sleep.
Explain the differences in sleep parameters that distinguish elite athletes from normal controls.
Implement innovative research methods to investigate specific human performance outcomes using sleep/circadian interventions.
Discuss changes in brain function, as measured with functional neuroimaging, during sleep deprivation and in sleep disorders.
Review common changes to the default mode network during sleep deprivation and in sleep disorders.
Recognize potential physiological mechanisms underlying changes in brain function during sleep deprivation and in sleep disorders.
Review the current sleep care paradigm used to diagnose and manage patients with sleep disorders.
Describe a new sleep care paradigm for diagnosing and managing patients with sleep disorders based on the Affordable Care Act and other changes in the health care system.
Discuss the role of the board certified sleep medicine physician and the sleep team in the new sleep care paradigm.
Describe phase angle of entrainment changes with development of delayed sleep phase disorder, consequences of circadian disruption and effects of light.
Review the latest discoveries in the neuroanatomical circuitry underlying sleep/wake regulation.
Discuss manifestations and consequences of poor sleep health in childhood and adolescence.
Recognize the scope of the insomnia problem in deployed, post-deployed, and veteran service members.
Differentiate the effectiveness and efficacy of behavioral and cognitive-behavioral therapies for insomnia delivered to a variety of military populations (e.g., active duty, Veterans).
Discuss the effectiveness and efficacy of behavioral and cognitive-behavioral therapies for insomnia delivered to military populations in a variety of formats (e.g., in-person, internet, telehealth).
Describe the altered patterns of reward processing in the brain following sleep loss.
Recognize the influence of circadian rhythms on reward processing.
Identify the behavioral consequences resulting from the relationship between sleep loss and reward processing.
List indications for PAP therapy in children.
Describe the evidence that supports the use of new PAP technologies.
Review strategies that address the unique needs of children on PAP therapy.
Discuss nocturnal dyspnea and its relation to epilepsy.
Describe status dissociatus and its various causes.
Review the hereditary links of sporadic geniospasm, particularly during sleep.
Review the bases of genetic contribution to sleep and the sleep EEG.
Analyze the functional relationships between genes and sleep or EEG phenotypes.
Discuss the methodology to localize and identify genes involved in sleep and the EEG.
Review a broader variety of work-based outcomes of sleep.
Discuss various methods of pursuing sleep research.
Identify tactics for better collaboration between sleep medicine researchers and management researchers.
Discuss factors associated with current gaps in sleep medicine education and health care delivery and novel approaches to address it.
Discuss the relationship of sexsomnias and sleep forensics, and identify aspects of RBD across the age spectrum.
Review new methods under development for clinical sleep analysis.
Identify novel compounds and their potential mechanisms in development as sleep therapeutics.
Discuss the most recent findings of studies on the role of sleep in emotion regulation in animal models, healthy volunteers and people suffering from insomnia or PTSD.
Explain possible psychological and neurobiological mechanisms underlying hyperarousal, the most consistent characteristic of insomnia.
Recognize targets for sleep manipulation to ameliorate emotional deregulation after trauma and in suffering from insomnia or PTSD.
Discuss the pipeline and the future of sleep and circadian research.
Evaluate ways in which existing resources can be leveraged to get research support for early stage investigators.
Recognize the importance of a diversified portfolio and the importance of making the health relevance of sleep and circadian neurobiology very clear in the grant proposal; and
4. Review the opportunities and challenges associated with the new era of Big Data, global research initiatives.
Discuss treatment options for insomnia.
Evaluate new insights into the complex interaction between loss of sleep, neuroendocrine health and behavior.
Discuss molecular, cellular and anatomical mechanisms of adenosine in sleep-wake regulation.
Recognize that adenosine differentially regulates sleep homeostasis and behavioral states via multiple pathways and/or receptors.
Review the development and application of cutting-edge molecular neuroscience tools, including gene ablation strategies and genetically engineered receptor-channel systems for in vivo modulation of neuronal activities.
Discuss behavioral approaches for PAP therapy adherence.
Identify benefits to team-based PAP therapy care.
Develop implementation strategies for maximizing PAP adherence within a sleep center.
Evaluate the clinical presentation of occupational sleepiness/fatigue, determine its sleep and circadian related causes, and assess the impact on safety and productivity in the work environment.
Implement effective treatment strategies for workers suffering from occupational sleepiness/fatigue.
Advise occupational medicine colleagues and local industries/institutions running 24/7 operations about the health and human performance implications of shift work and shift work disorder.
Review what telehealth is and the key principles of using it.
Summarize the clinical, technology and business impacts on developing telehealth.
Discuss the training need for developing telehealth services.
Identify the attributes of successful collaborative models for sharing genetic data, coordinating in cross-study meta-analyses, and publishing novel genetic findings.
Describe the challenges and potential solutions for overcoming these in establishing international collaborations for discovering genetic variants for sleep disorders.
Discuss large cohorts and datasets amenable for analysis of genetic variants for sleep disorders.
Describe physiological, behavioral and clinical consequences of sleep deficiency.
Review the newest assessments of OSA and the diagnosis of co-morbid disorders.
Apply the most recent human findings on the application of subjective, EEG, physiological and MRI profiles to elucidate diverging causes and consequences of poor sleep in different insomnia phenotypes.
Describe the outlines of data-driven insomnia subtype profiles that can be used to target specific subgroups for more focused future research on causes and treatment of insomnia.
Identify possible new targets for the treatment of insomnia subtypes and how they can be evaluated side-by-side in both clinical trials and animal models.
Review the broad role of circadian dysfunction in human health and disease.
Discuss new techniques for diagnosing and treating circadian disorders.
Appreciate the potential role for chronomedicine in sleep medicine.
Explain the conditions of high hypocretin/orexin release in healthy subjects and increased propensity of cataplexy in narcolepsy from both human and animal investigations.
Review the phenomenology of the hypocretin/orexin neural circuitry and its interactions with other wake-promoting pathways such as the noradrenergic pathway.
Analyze clinical and polysomnographic observations of narcolepsy with cataplexy with developing knowledge in the brain circuits underlying behavior, and their alteration in absence of functional hypocretin/orexin signaling.
Summarize the evidence for sleep disturbances in children with painful conditions.
Identify sociodemographic, environmental, and clinical factors associated with risk for sleep disturbances in children with painful conditions.
Discuss recent advances in the use of technology to deliver behavioral interventions to children and families.
Review the history, mission and vision of the American Sleep Medicine Foundation (ASMF), and recent changes in ASMF governance.
Describe recent changes in how the AASM supports the ASMF, and how the ASMF establishes funding priorities in the evolving healthcare landscape.
Discuss the ASMF’s approach to supporting new investigators, funding strategic research including health services research relevant to sleep medicine, and encouraging collaborative approaches to scientifically and clinically relevant questions.
Identify co-morbid associations with insomnia.
Review the health and quality of life effects of OSA and its treatment.
Explain the relationship between sleep and a range of chronic health disorders in children and adolescents.
Describe how sleep problems/disorders can affect symptom presentation and functional consequences.
Discuss how sleep problems/disorders can affect treatment response and identify methods of tailoring sleep interventions for children with chronic health conditions.
Recognize how various metabolomic technologies can be used in a systems approach to examine the well-established and important links between sleep loss and metabolism.
Describe the usefulness of metabolomic profiling for determining biomarkers in response to different degrees of sleep deprivation.
Describe the metabolomic effects of sleep loss and discuss how the contributions of these responses might vary under different types of sleep loss protocols (acute total vs. partial sleep deprivation); and
4. Evaluate metabolomic approaches and effects translationally – from rodents to humans – in similar experimental procedures.
Review the staffing and clinical challenges posed by health care systems with increasing demand and finite resources.
Discuss ambulatory models that can improve access to care including shared medical appointments, web-based portals, primary-care collaborations, and telehealth.
Describe the role of technology in making OSA management more patient-centric; and
4. Identify what models exist for integrating CBT-I treatment into sleep disorders centers.
Discuss strengths and weaknesses of questionnaires for diagnosing REM sleep behavior disorder (RBD).
Identify different systems of vPSG analysis for detecting REM sleep without atonia and RBD, and discuss their specific advantages and disadvantages.
Review the long-term implications of the diagnosis of RBD; and
4. Describe different clinical profiles of RBD in different populations and the role of comorbidities.
Recognize the multifactorial nature of OSA.
Define loop gain.
Identify subsets of OSA amenable to therapy.
Identify circadian and EEG factors that may be associated with insomnia and cognitive decline in older adults and interventions to improve sleep quality in this population.
Identify the relationships of HLA-DQB1 and T-Cell autoimmunity to narcolepsy, and list associations of hypersomnia with depression and bipolar disease.
Discuss new methods of analyzing sleep.
Describe the consequences of circadian disruption in healthy adults and in circadian rhythm sleep-wake disorders.
Review recent developments in understanding napping and sleep duration.
Describe how manipulating light exposure impacts sleep, metabolic function and weight control in animal and human models.
Discuss data from animal models following the manipulation of the light-dark cycle and feeding patterns on metabolic and molecular function.
Evaluate factors modifying insomnia.
Describe the adverse consequences of short sleep duration, whether natural or induced by work schedule, on behavior, performance and health.
Discuss the nature of sleep abnormalities in patients with major depression.
Describe the beneficial effects of treating sleep problems in patients with major depression.
Identify behavioral and biological consequences of experimental sleep deprivation on emotional function.
Review the autonomic consequences of sleep loss which could contribute to increased risk of hypertension.
Recognize the sex differences in autonomic and hemodynamic responses to sleep loss.
Discuss a novel behavioral approach to lowering blood pressure.
Describe the physiological mechanisms for why OSA may cause metabolic consequence.
Discuss evidence from randomized CPAP treatment studies investigating markers of metabolic health.
Review the most recent data, some unpublished, from randomized CPAP sham-controlled studies regarding metabolic health in both non-diabetic and diabetic patients; and
4. Identify the best direction to be taken for new research in the area of metabolic health.
Describe common presentations for narcolepsy in children.
Review management strategies for hypersomnia and narcolepsy in children.
Discuss hypersomnia associated with childhood neurological disorders.
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.
Objective 2: Identify present issues or challenges in diagnosis/treatment of sleep disorders, practice of sleep medicine or topics related to the field 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.
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