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APSS - Sleep 2015
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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?
If you rated any of the above questions with 'fair,' 'poor,' 'disagree,' or 'strongly disagree' please explain in detail (e.g. session title, speaker name, situtation):
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 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.
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;
Explain how to improve clinical care and outcomes as a result of application on this knowledge in the clinical setting
Identify changes in reimbursement and quality initiatives that may affect the practice of sleep medicine
Explain how to determine best approaches for patients with sleep disordered breathing in the preoperative and hospital settings
Define best practices for managing patients with hypoventilation syndromes
Describe current and new trends that will affect the practice of sleep medicine in the future
Describe innovative tools and skills used to investigate sleep and circadian rhythms
Differentiate new research methods to allow critical assessment of published research
Identify the translational validity of basic laboratory investigations of sleep and circadian rhythms
Discuss innovative methods to assess sleep health and its impact on health outcomes
Review the factors that increase the risk of neurocognitive complications secondary to untreated OSA in children
Develop a management plan for children with residual OSA following an adenotonsillectomy
Evaluate surgical options for persistent OSA
Review EEG principles for recording and recognition
Interpret interictal pathology versus normal variants and artifacts
Describe the basic patterns of epileptic seizures both on the basis of behavior and EEG recognition
Interpret the diagnostic features of parasomnias and other nocturnal events
Review the developmental aspects of sleep and sleep physiology in children as a foundation for understanding insomnia and hypersomnia
Discuss the unique aspects of the clinical sleep history in children and adolescents to support the diagnostic evaluation
Describe the diagnosis and treatment of insomnia and hypersomnia in children and adolescents
Evaluate the prevalence, diagnostic and treatment challenges associated with psychiatric co-morbidities with insomnia and hypersomnia in children
Review the new ICSD-3 criteria of parasomnias and their normal variants
Identify novel therapies for the treatment of childhood parasomnias from sleep terrors to enuresis
Provide patients with a risk assessment for future neurodegeneration based upon the ancillary clinical features in patients with REM Sleep Behavior Disorder
Define the parasomnias that predominate in women and customize patient management from pregnancy through menopause
Describe new approaches to managing circadian rhythm disorders and hypersomnias
Identify best practices and areas of controversy in the treatment of the spectrum of sleep disordered breathing disorders in both adults and children
Apply best practice recommendations for the management of patients with insomnia, parasomnias and restless legs syndrome
Review behavioral sleep medicine therapies for sleep concerns
Describe the empirical evidence supporting each of the techniques discussed
Compare well-tested, systematic methods for training a range of provider types in the provision of behavioral sleep medicine services
Manage sleep disordered breathing that occurs in patients with CHF, COPD, neuromuscular disease, obesity hypoventilation and chronic opioid medication use
Compare advanced PAP modalities, non-invasive CO2 measurement and novel OSA therapies in the management of sleep disordered breathing
Review the impact that sleepiness from sleep disorders and from sleep loss and circadian misalignment has upon safety and productivity in occupational settings and in the military
Describe how to develop and implement innovative strategies for “fatigue risk management"
Evaluate best practices for the management of fatigue risk in sleep disorders patients in the context of work settings
Determine the health effects of 24/7 operations and what can be done to manage this
Identify characteristics, features and emerging treatment options for CPAP-emergent central sleep apnea (complex sleep apnea) and other complicated sleep-related breathing disorders
Review diagnostic challenges and treatment considerations for hypersomnias of central origin such as narcolepsy with cataplexy, secondary narcolepsy, and idiopathic hypersomnia
Discuss diagnostic criteria, differential diagnosis, pathophysiology, and evidenced-based therapy for parasomnias
Discuss behavioral and pharmacological treatment options for insomnia and circadian rhythm disorders
Discuss proper and effective use of home sleep apnea testing and adherence data download information in patients with obstructive sleep apnea
Describe current and near future applications of telemedicine in areas within and outside of sleep medicine
Evaluate current applications of sleep telemedicine in areas of difficult geographic sleep provider reach, complex healthcare systems, and other care delivery programs
Discuss important technical and clinical issues in sleep telemedicine
Review the current state of the AASM Protocol Statement on Sleep Telemedicine
Describe the underlying basic neurobiology of central nervous system and episodic hypersomnias, parasomnias, sleep disordered breathing in neuromuscular and alpha motor neuron disease and multiple sclerosis
Evaluate, interview and investigative techniques to enhance accurate and correct diagnoses
Discuss the interrelationship between poor sleep and decreased quality of life in patients with multiple sclerosis, CNS hypersomnia, neuromuscular and alpha motor neuron disease
Guide patients through the ethical and psychosocial aspects of these conditions
Identify sleep-promoting neurons in various species, in some cases with single neuron resolution
Discuss new approaches for studying sleep including the use of optogenetic, chemicogenetic, and thermogenetic tools for manipulating behavior
Describe the advantages and disadvantages of studying sleep in simple invertebrate model organisms
Discuss developmental science and the current trajectories
Describe the effects of age on sleepiness/fatigue sleep impairment
Determine the link between the age-related decrease in sleepiness/fatigue and increased sleep impairment
Identify the physiological correlates of age related developments
Compare possible links between age related changes in sleep and alertness and dementia
Compare basic mechanisms responsible for arousal of its path suppression
Describe functional brain changes, individual differences and cognitive impairments in response to sleep deprivation
Discuss mechanisms underlying the impact of estrogen on sleep and circadian circuitry in the brain
Identify the impact of changes in estrogen levels on sleep and circadian rhythms in women across the menstrual cycle
Evaluate the contribution of declining estrogen levels to sleep disruption in midlife women approaching menopause
Discuss the role of orexin and orexintargeted agents in the control of sleep
Review the application of forward genetics strategy to the discovery of sleep genes
Evaluate the critical aspects of analyzing sleep phenotypes
Recognize the interaction between psychiatric disease and sleep
Identify the effects of sleep on women’s health and the effects of women’s health on sleep
Discuss different approaches and challenges associated with integrating sleep data elements within and external to an EHR
Interpret the development and integration of discreet sleep data fields within a clinical workflow
Discuss national PCORI initiatives supporting standardized web-based sleep questionnaire data and the collection of patient reported outcomes
Review the cardiac causes of sudden death, the relationship to the timing of death and association with obstructive sleep apnea
Review the prevalence, risk factors and prevention strategies for sudden infant death syndrome (SIDS)
Discuss the data on sudden unexplained death in epilepsy (SUDEP) and its relationship to autonomic system and epilepsy characteristics and provide an overview of sudden death in various neurological disorders
Discuss other miscellaneous causes of sudden death in sleep including certain genetic syndromes
Discuss the recent developments regarding sleep network dynamics at molecular, physiological, anatomical and behavioral levels
Identify correlates of the sleep EEG and discuss the implications of novel findings for individual and population-based differences
Evaluate models spanning from animals to humans in order to better understand sleep network dynamics and functional implications
Analyze the effects of repeated exposure to insufficient sleep on various physiological (inflammatory, autonomic, endocrine), subjective (well-being), and neurobehavioral systems
Evaluate how much recovery sleep is needed to restore effects of the accrued sleep deficit on various physiological, subjective, and neurobehavioral domains
Quantify the effects of insufficient recovery on physiological and neurobehavioral systems
Discuss approaches to diagnosis and treatment
Describe the relation between sleep apnea and cardiovascular disease in populations and in clinical cohorts
Review the variety of potential mechanisms underlying the association of sleep apnea and cardiovascular disease
Examine what is known from randomized clinical trials about the cardiovascular benefits of sleep apnea treatment
Review the effects of sleep deprivation on cognitive performance as a function of time
Compare the different aspects of cognitive performance that sleep deprivation effects differentially
Discuss what inter-individual differences in vulnerability to sleep loss reveal about sleep deprivation and cognitive performance
Identify disorders or factors associated with reduced sleep quality or quantity
Identify genetic and other biological markers of circadian and sleep problems in children
Review new scientific investigations of the underlying neurobiology, evolution and impact of RLS and PLMS
Review the effects of NMDA and of Orexin antagonist on sleep expression
Evaluate the association between Insomnia and sleep physiology
Describe the AASM quality metrics for management of common sleep diseases
Review use of the metrics to improve patient care and clinical outcomes
Discuss obstacles to practical implementation of the sleep quality metrics
Analyze the sleep quality metrics utilization in future clinical research
Identify specific factors and mechanisms that contribute to heightened risk or resilience to chronic sleep disruption, fatigue and comorbid psychological distress during deployment
Explore ongoing evidence-based implementation efforts to mitigate sleep and circadian disturbances in active duty service members
Quantify the impact of acute and chronic sleep disruption on neural and behavioral indices of performance and readiness
Describe the prevalence, nature and severity, and management of sleep disorders that uniquely characterize military service members after military deployments
Define mean disease alleviation (MDA) calculation as a measure of overall clinical effectiveness of a given OSA treatment modality
Evaluate the effectiveness of oral appliance therapy as compared to CPAP treatment
Analyze the data on long-term effectiveness of surgery for the treatment of OSA
Discuss the data on long-term effectiveness of non-CPAP therapies versus CPAP therapy, the emerging importance of understanding patient preferences and the future need for comparative effectiveness trials
Review proposed directions for research on effect of sleep/circadian disruption and sleep disorders on metabolism and diabetes
Discuss proposed priorities for research to establish biomarkers for sleep/circadian disruption and sleep apnea
Evaluate future research in implementation science in insomnia, obstructive sleep apnea and adolescent health
Evaluate the role of sleep and sleepiness in different conditions on learning and memory
Review the uncertainties in the definition of mild OSA
Evaluate the evidence linking mild OSA with risk of neurocognitive outcomes including sleepiness and risk of cardiovascular disease
Review the data on impact of mild OSA treatment on risk of neurocognitive outcomes including sleepiness and risk of cardiovascular disease
Discuss strategies to increase the number of clinicians and researchers who pursue a career in sleep medicine
Discuss approaches to enhance interdisciplinary, team-based approaches to the scientific study and clinical care of sleep-wake disorders
Identify opportunities to increase awareness of sleep-wake disorders among non-sleep specialists
Describe the contribution of genetic and psychobiological mechanisms in the etiopathogenesis and pathophysiology of insomnia phenotypes
Identify the mechanisms of behavioral treatments
Identify potential predictors of response to pharmacological and behavioral treatments
Review the impact of the complicated RLS/PLM
Evaluate RLS/PLM treatment, while considering management of the complications
Manage treatment side effects in complicated RLS/PLM
Analyze how sleep deprivation impacts pain sensitivity, emotional and cardiometabolic responses
Review historical research revealing the intertwined relationship between sleep and the circadian system
Discuss new data on the mutual interactions between the circadian clock and sleep and their involvement in circadian disruption and sleep restriction
Describe the mechanisms underlying the interactions between the circadian system and sleep
Identify medical and behavioral factors that contribute to poor sleep health in children with chronic illnesses
Discuss the consequences of disrupted sleep on health outcomes in children with chronic illnesses and their parents, and the dynamic interaction between illness, sleep, and family functioning
Compare strategies to improve sleep health in children with chronic illnesses and their families
Review the historical background on hypocretin/orexin signaling, and recent functional and mechanistic studies to further characterize the system
Evaluate the preclinical data evaluating the effects of orexin receptor antagonists on sleep and wake function in preclinical models
Classify the clinical profile of suvorexant, the first orexin receptor antagonist to be approved for the treatment of insomnia
Analyze existing treatments for insomnia and potential role of antagonists of orexin signaling in the overall framework of mechanisms impacting sleep and wakefulness
Investigate the association of sleep, sleep-wake behaviors and aging and cognition
Review the role of mobile apps and internet programs for the treatment of insomnia
Analyze the latest information about a self-administered pre-treatment screening, using objective and subjective data
Discuss the integration of mobile apps for insomnia with internet based CBT-I
Discuss examples of level 1 evidence for surgical treatment of OSA
Recognize distinct challenges for conducting and interpreting randomized trials of surgery
Identify trial methods to mitigate the challenges
Discuss new evidences for pathophysiological mechanisms of posttraumatic sleep-wake disturbances
Evaluate the consequences of posttraumatic sleep-wake disturbances on recovery
Identify research priorities in the field of brain injury and sleep-wake disturbances
Evaluate the influence of light on circadian physiology and the impact of circadian rhythms on physiology and behavior
Discuss approaches to diagnosis and treatment
Review longitudinal and quantitative sensory testing data describing the sleep-pain relationship
Discuss descending pain modulation and inflammation as candidate mechanisms by which sleep disruption and/or sleep loss induces hyperalgesia and increases risk for chronic pain
Evaluate clinical Issues and implications related to assessing and managing patients with chronic pain and comorbid sleep problems
Review the impact of electric light on our sleep-wake cycle
Review the importance of normal sleep architecture for memory consolidation
Evaluate physiologic abnormalities in psychiatric disease
Identify sleep disordered breathing diagnosis and treatment in patients with medical disorders
Discuss the interface of sleep disorders preservation/management and neurodegenerative disorders
Analyze different methodologies for assessing sleep and performance metrics
Review the results of the 2015 Adult Sleep Duration Consensus Conference
Discuss the process by which the Consensus Conference participants arrived at the consensus statement
Review the forthcoming publication, which will detail the entire process of consensus formation, including how the literature searches were performed, how the voting process occurred, and a discussion of the literature that was used to arrive at the consensus statement
Outline new and improved treatments for OSA
Discuss how cannabis affects sleep during both acute exposure and during withdrawal
Classify the latest research and its impact of various strains of cannabis on sleep problems
Discuss how pharmacotherapy may be used to target sleep problems during cannabis withdrawal as a means of improving treatment outcomes for individuals trying to quit daily cannabis use
Examine the epidemiology of narcolepsy and recent increased cases of childhood onset
Recognize immune mediated mechanism in pathogenesis of narcolepsy
Classify the role of infection in early onset of narcolepsy
Evaluate recent controversy regarding narcolepsy and H1N1 vaccination
Review the evidence and public health significance of disturbed sleep as a risk factor and biomarker of kidney disease
Review the methods used in non-mammalian research to identify many of the pathways and genes that regulate sleep in all animals, including humans
Identify conserved elements of sleep and arousal across species, including genes and behaviors
Review the assessment of sleep and arousal in non-mammalian species
Evaluate strategies for cross-species collaborations
Review the effects of endogenous circadian rhythmicity on brain state and brain function
Explore how insufficient and mistimed sleep alter circadian rhythmicity
Review how humans, through behavioral control of artificial light, influence their circadian system and how this may lead to abnormal sleep timing
Review the background and evidence base for each new tool in the screening, diagnosis, and management of major sleep disorders
Evaluate the role and usefulness of each new tool associated with a specific sleep disorder
Discuss the integration of the tool in a given sleep practice, including a consideration of the relevant opportunities and challenges to this integration
Evaluate the relation between sleep and neurobehavioral functioning in children
Assess the broad associations between sleep and medical disorders
Identify new technologies and methods for assessing sleep and sleep disorders
Interpret associations between the sleep environment and behavior in humans
Discuss global and regional brain correlates of insomnia
Describe new models of insomnia treatment implementation
Discuss how insomnia and its treatment relate to the emerging concept of sleep health
Describe how APRNs and PAs promote interprofessional sleep collaboration and positive client outcomes in different sleep health models
Compare and contrast several sleep reimbursement models that utilize APRNs and PAs
Explore national and state legislation that impact APRNs’ and PAs’ sleep practices
Discuss intrinsic circadian abnormalities and the underlying association with psychiatric illness or cognitive disturbance
Analyze the circadian effects of commonly used mood stabilizing medications, at both the cellular and functional level
Discuss potential opportunity for non-pharmacological circadian intervention in patients with psychiatric or cognitive disorders
Evaluate the current knowledge gaps and future directions for research and treatment
Discuss the importance of excessive sleepiness in the general population and how it changes with age
Evaluate the clinical and diagnostic implications of the existing tools used to measure excessive sleepiness
Discuss the usefulness and limits of current tools to assess excessive sleepiness
Identify new methods for diagnosing OSA and evaluate outcomes associated with untreated OSA
Review the effects of extending time in bed for habitual short sleepers’ metabolism, including among shift workers
Discuss the effects of sleep extension on blood pressure regulation and inflammation
Evaluate the effects of sleep extension in normal sleepers on inflammation, cognition, and mood
Evaluate the role of sleep in maintaining capacity to perform
Define the influence of sleep on genetic, molecular, cortical and physiological substrates that affect performance capacity
Identify the intersection of capacity, sleep and effort
Describe recent advances in our understanding of the regulation and interactions of central and peripheral clocks
Evaluate the role of circadian rhythms on brain function and the expression and treatment of neurological disorders
Discuss the transformative potential of integrating the time domain in medicine
Review insomnia’s relation to brain metabolism and cognition
Categorize new investigations into prevalence, evaluation, and management strategies for narcolepsy
Review the development and assessment of sleep disordered breathing in children
Identify interactions of neurodegeneration and sleep
Discuss neuroscience advances in understanding memory
Review the relationship between short sleep duration, fragmented sleep, varying degrees of intermittent nocturnal hypoxemia, and excessive daytime sleepiness (EDS) in older adults with Minimal Cognitive Impairment (MCI), incident Alzheimer’s disease (AD) and rates of cognitive decline
Analyze research associating obstructive sleep apnea (OSA) and ischemic stroke occurrence, recurrence, severity, location, and whether early and/or adherent positive airway therapy (PAP) improves short- and long-term neurologic outcomes and reduces mortality
Discuss recent research which details specific diagnostic cutoffs and best muscles to identify REM Sleep Without Atonia (RWA) and REM Sleep Behavior Disorder (RBD) and how these are robust biomarkers for the subsequent development of neurodegenerative diseases, especially synucleinopathies
Assess circadian rhythms and their importance in the workplace
Analyze the role of comparative effectiveness research in identifying which treatments for sleep disorders best meet the needs of specific patient groups
Identify new models of comparative effectiveness research that engage the patient as a partner throughout the life cycle of the research project
Discuss the effect that patient-centered research has had on accelerated deployment of novel methods for improving patient outcomes
Analyze the role of the national initiatives aimed at engaging patients with sleep disorders as partners in comparative effectiveness research, including challenges and opportunities to create a national network of engaged patients, clinicians and researchers
Assess when to initiate an evaluation for nocturnal respiratory assistance
Compare different non-invasive ventilatory devices and how to apply them
Evaluate when advanced modalities such as tracheostomies and diaphragm pacing may be appropriate
Identify central nervous system circuit and molecular mechanisms controlling arousal and new potential genetic risk factors and biomarkers for sleep
Identify sleep spindles as they appear in human and animal EEG
Explore abnormalities of sleep spindles in psychiatric disorders
Identify mechanisms of sleep spindle origin in the thalamic reticular nucleus
Describe the key neuron in thalamic spindle generation that is also implicated in GWAS study of schizophrenia risk
Describe the cortical neuronal response to spindles and links to memory
Discuss the role of orexin and orexintargeted agents in the control of sleep
Review the application of forward genetics strategy to the discovery of sleep genes
Evaluate the critical aspects of analyzing sleep phenotypes
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