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SLEEP 2010 - 24th Annual Meeting of the APSS
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Describe the best practices for evaluating and diagnosing the most common sleep disorders in clinical practice
Discuss the best evidence-based and cutting edge evaluations and treatments for various sleep disorders in 2010
Identify major areas of uncertainty regarding best treatment practices in sleep medicine
Demonstrate how to use interview, sleep diary and actigraphy data to conduct thorough assessments of patients who present sleep/wake complaints
Discuss the evidence for and nature of currently accepted first line behavioral management strategies for childhood insomnias
Demonstrate how to implement both cognitive and behavioral components of cognitive-behavioral therapy (CBT) for adult insomnias and to consider evidence for the efficacy of this multi-component treatment with primary and comorbid forms of insomnia
Review the common sleep disorders comorbid in neurology
Distinguish the sleep disorders that may result from underlying neurologic conditions and are directly attributable to the disorder itself or from treatment of the underlying condition
Identify neurologic consequences of untreated sleep disturbances
Discuss pathophysiology of sleep related breathing disorders in special populations
Discuss how to manage sleep related breathing disorders in special populations
Review guidelines on the titration of NIPPV in hypoventilation syndromes
Review the biological basis for the evaluation and treatment of restless legs syndrome (RLS)
Discuss how and when to use sleep lab evaluations for RLS
Describe the use of ambulatory leg monitors for evaluation of RLS
Discuss the current advances in nasal CPAP, oral appliances and other behavioral therapies for obstructive sleep apnea (OSA)
Identify the numerous upper airway surgical procedures and staging protocols for the treatment of OSA
Differentiate the contributions of sleep physicians, including otolaryngologists, and dentists, including oral and maxillofacial surgeons, in a comprehensive multidisciplinary team approach to OSA
Discuss state-of-the-art knowledge of recent advances in diagnosis and treatment for various clinical topics
Explain how to improve clinical care and outcomes as a result of application of this knowledge in the clinical setting
Discuss key concepts of recent basic and clinical sleep research and how these concepts apply to current practice
Discuss which sleep disorders most often affect infants or children with Chiari malformation, spina bifida, syringomyelia, epilepsy, neuromuscular disorders, craniofacial syndromes, autism spectrum disorders, intellectual disabilities, psychiatric co-morbidities and cerebral palsy
Review how to evaluate, diagnose and treat sleep related breathing disorders, insomnia, parasomnias and circadian rhythm disorders in infants and children with challenging complex medical, neurological and/or psychiatric disorders
Identify which sleep disorders most often affect cancer and autism spectrum disorders
Identify the static and dynamic features of the nasal airway that affect obstructive sleep apnea and its treatment with CPAP
Assess the oral and pharyngeal anatomy relevant to the diagnosis, medical and surgical treatment of obstructive sleep apnea
Explain methods of anatomical assessment and advanced surgical treatment of obstructive sleep apnea in children
Identify various ICSD-2-defined circadian rhythm sleep disorders (CRSDs) in the clinical setting, with inclusion of the use of actigraphy and sleep logs
Discuss the utility of salivary melatonin as a means of assessment of circadian phase, which presently has application in circadian-based research
Identify treatment of CRSDs, taking into account best available evidence
Discuss the evaluation and treatment of patients who do not fit into the specific context of the practice parameters
Review aspects of sleep related breathing disorders, limb movements and pediatric sleep medicine and the links between sleep medicine and psychiatric disease
Discuss how to evaluate patients with insomnia using both clinical and objective evaluation tools
Discuss various management approaches, including pharmacotherapy, behavioral and cognitive therapies, and explain how to individualize therapy to meet each patient’s needs using a case-based approach
Identify different models for the multidisciplinary care of insomnia
Summarize the research linking hypocretin/orexin to the sleep disorder narcolepsy and identification of this system as a potential target to modulate sleep and wakefulness
Discuss the latest developments in the development of pharmaceuticals directed toward the hypocretin/orexin system
Explain the preclinical and clinical tools used to advance hypocretin/orexin compounds to their current stage
Discuss epidemiologic evidence associating long sleep with mortality and morbidity and the proposed mechanisms by which long sleep could be harmful
Review the counterargument that the associations of long sleep with mortality and morbidity are not likely to be causal
Identify recent experimental evidence and other possible approaches for exploring the hypothesis that long sleep could be hazardous
Inventory the physiological consequences of sleep deprivation and restriction
Describe the cognitive impact of sleep deprivation
Describe the cellular and molecular effects of sleep deprivation
Identify novel therapeutic approaches to reverse the cellular, molecular and behavioral effects of sleep deprivation
Identify novel therapeutic approaches to reverse the cellular, molecular and behavioral effects of sleep deprivation
Explain the relationship between sleep variables and cognition
Review data relevant to sleep and circadian systems in humans
Explain the interaction of sleep and circadian systems
Discuss approaches to solving remaining questions regarding the interaction of sleep and circadian systems
Describe the evidence regarding the efficacy, effectiveness and limitations of weight loss, oral appliances, expiratory positive airway pressure and maxillomandibular surgery as treatments for obstructive sleep apnea
Discuss the role of these treatments for the chronic disease management of obstructive sleep apnea
Identify key scientific questions about these therapeutic interventions and their role in the treatment of obstructive sleep apnea
Compare bibliotherapy, internet-based, and nurse-guided approaches for treating insomnia
Discuss what constitutes adequate treatment dosing of cognitive behavioral therapy (CBT) for insomnia when delivered in individual sessions with primary and comorbid forms of insomnia
Describe the use and efficacy of a brief albeit intensive lab-based invention for difficult to treat insomnia patients
Discuss the NIH research directions and opportunities that may facilitate the application of genomic, proteomic and metabolomic strategies to sleep and circadian research
Identify selected NIH resource programs for molecular research and tissue sharing biorepository capabilities
Discuss specific challenges investigators face in developing and advancing “omics” programs in sleep and circadian research and potential strategies to overcome these challenges
Discuss etiological and risk factors for behaviorally-based sleep problems in young children
Analyze the nature and management of infant and toddler sleep disturbances
Review empirically-based treatments for bedtime problems and night wakings
Examine the role of sleep, beyond memory consolidation, in the intelligent offline integration of new information – the potential basis of creativity
Review evidence supporting a critical role for sleep in affective brain regulation
Explain a REM sleep hypothesis of emotional brain homeostasis, highlighting clinical implications
Examine data reviewing the impact of insomnia of a variety of human groups
Describe the impact of obstructive sleep apnea on neurocognition
Appraise the interactions between sleep, hormones, metabolism and the immune system
Evaluate sleep disturbance in patients with neurological disorders
Summarize new data concerning the latest basic and clinical research related to narcolepsy
Discuss the neurochemical, genetic and molecular factors that underlie human narcolepsy using relevant murine models
Review clinical data on newly identified genetic markers that may contribute to human narcolepsy and to the loss of the hypocretin/orexin neurons
Summarize the data on the increased risk in cardiovascular and metabolic disease in shift workers
Describe the adverse cardiovascular and metabolic consequences of disturbances of the circadian system and sleep
Discuss the mechanisms underlying physiological and pathophysiological changes in shift workers and during circadian disturbances
Discuss similarities and differences between parasomnias and other distinct abnormal nocturnal behaviors using case-based approach
Identify key features of history and presentation that clarify diagnosis
Review methods of testing that can help in the diagnosis
Inventory the cardiovascular consequences of obstructive sleep apnea
Differentiate between good sleepers and insomniacs using psychological measures and review consequences of insomnia
Explain the relationship between sleep variables and cognition
Evaluate insomnia in patients with medical disorders
Inventory the endocrine and weight consequences of obstructive sleep apnea
Appraise data supporting various methods for measuring sleep loss
Summarize findings about excessive daytime sleepiness in patients
Analyze the new experimental and scientific evidence that will further our understanding of the role of the circadian and sleep-wake systems in adolescent psychiatric disorders, including depression and bipolar disorder
Review experimental techniques used in the assessment of circadian rhythms and sleep-wake behavior in adolescents and present data on healthy individuals
Discuss the importance of having common measures of circadian rhythms, sleep-wake behaviour, neurocognitive and psychiatric variables across research studies
Summarize what is known about cellular and molecular mechanisms of sleep regulation at the level of the hypothalamus and neocortex
Identify anatomical and molecular mechanisms through which the cortical and subcortical regulation of sleep might interact
Describe structural neural changes, measured with neuroimaging, associated with obstructive sleep apnea and the relationship of such changes with mood, cognitive dysfunction and cardiovascular outcomes
Examine how functional neuroimaging can be used to assess individual differences in cognitive vulnerability, and differences in neurocognitive performance during sleep loss
Outline current research utilizing magnetic resonance spectroscopy to examine neural changes in obstructive sleep apnea patients and the association of such changes with daytime dysfunction
Compare the neurobehavioral and homeostatic effects of various genetic polymorphisms on differential vulnerability to sleep loss and discuss how the contributions of these polymorphisms might vary under different types of sleep loss
Discuss criteria for identifying phenotypic responses to sleep deprivation and how genetic variations inform interventions and countermeasures for sleep loss in healthy individuals and in those with sleep disorders
Discuss important methodological issues germane to candidate gene studies for phenotypic responses to sleep deprivation
Describe the CPT and RUC processes and distinguish between the two processes
Describe the history of the sleep medicine codes currently found in CPT
Explain recent events/activities related to the current and proposed new CPT codes
Describe current concepts of brain plasticity
Discuss historical approaches to understanding the role of sleep in brain plasticity
Review evidence that sleep contributes to a classic form of in vivo cortical plasticity
Describe how the menstrual cycle and hormones influence women's sleep patterns
Discuss how sleep differs for new mothers and fathers
Analyze discrepancies between women's self-report and objective sleep measures
Compare therapeutic advances in restless legs syndrome
Summarize normal and abnormal sleep using a variety of research and clinical methods
Evaluate sleep disturbance in pediatric patients with psychiatric disorders
Appraise data reviewing respiration and sleep using various animal models
Summarize a study of the impact of OSA on the timing of stroke and acute coronary syndromes
Review current knowledge about the effects of sleepiness on driving
Discuss known and unknown issues related to management, enforcement of driving safety and legal implications in patients with sleep disorders
Examine methods to improve assessment of driving safety in patients with sleep disorders
Describe the key parts and important sets in the NIH grant application process
Describe the role of NIH staff in assignment of research grant applications and  the roles of a primary reviewer, secondary reviewer and discussant
Discuss the scoring criteria used to review NIH research applications, the overall review process and how a final score is determined and funding decisions are made
Discuss the spectrum of behaviorally-based techniques to treat insomnia in children with autism spectrum disorders and related disorders of neurodevelopment
Identify how sleep specialists and pediatricians can work together to identify and treat sleep disorders with behaviorally-based techniques
Discuss the initiatives that the Autism Treatment Network is developing to empower pediatricians to implement behaviorally-based sleep therapies in their practices
Compare and contract various treatment approaches to obstructive sleep apnea
Explain the relationship between biological factors and insomnia
Examine treatments for circadian rhythm sleep disorders and methods for altering normal circadian rhythms
Evaluate sleep disturbance in patients with psychiatric disorders
Compare and contract various behavioral and alternative therapies for the treatment of insomnia
Evaluate diagnostic methods for assessing obstructive sleep apnea
Examine the relationship between psychiatric disorders and sleep stages
Explain the relationship between sleep and learning
Discuss new findings based on reverse and forward genetics in vertebrate and invertebrate species
Describe recently described GABAergic circuits that contribute to sleep homeostasis
Describe recently described network events in the cerebral cortex that reflect sleep need and contribute to homeostasis
Discuss the complex bidirectional relationships among metabolic hormones
Explain how dysregulation of these hormones has major metabolic consequences that can lead to diabetes and obesity
Describe how disrupted or desynchronised sleep and circadian rhythm changes lead to changes in metabolic hormones
Review trends and future directions in clinical sleep and circadian research and increase attendees understanding of the breadth and variety of opportunities across the NIH
Describe recent NIH initiatives, ARRA funded clinical research activities, peer review enhancements, funding mechanisms and programmatic differences between specific NIH Institutes
Develop communication between investigators and NIH program officials that will increase the likelihood of future dialogue and potentially improve the quality of applications submitted to the NIH
Apply current recommendations for the clinical application of actigraphy
Identify key considerations in the use of actigraphy for the assessment of sleep and circadian rhythm disorders in adult patients
Explain how to modify the use of actigraphy for pediatric patient populations and older adult patient populations
Summarize normal and abnormal pediatric sleep using a variety of research and clinical methods
Outline the brain structures altered by sleep related breathing disorders during sleep
Identify the potential consequences of altered brain structure from sleep related breathing disorders or cardiovascular, cognitive and affective systems
Discuss potential neural-mediated interventions for breathing pathology
Explain how to assess patients with RBD
Explain the neural basis of RBD
Discuss how to identify markers of neurodegeneration in RBD
Compare and contract various pharmacological treatments of insomnia
Analyze the role of neurotransmitters and synaptic plasticity in the regulation of sleep
Evaluate various models of health care for patients with sleep disorders
Review data gathered outside of the sleep lab that is relevant to the sleep patterns of patients
Discuss recent advances made towards the understanding of the brain energy changes associated with sleep-wake state using animal model systems
Analyze the relationship between neurons, glia and high energy molecule ATP in brain energy maintenance
Review the functional implications of sleep as a restorative behavior
Identify effective treatment of insomnia comorbid with chronic pain in children and adults
Identify effective treatment of insomnia comorbid with mood disorders in children and adults
Identify effective treatment of insomnia comorbid with trauma in adults
Compare and contract various methods for assessing and treating obstructive sleep apnea
Describe the effects of circadian rhythm disturbances and review various methods of treatment
Inventory the effects pharmacological agents on sleep, the mediation of vascular effects of obstructive sleep apnea and the long term effects of sleep deprivation
Evaluate sleep disturbance in patients with medical disorders
Examine the use of CBT in combination with hypnotic medications and as a component of treatment for addressing hypnotic dependence
Review assessment methods as well as treatments such as light therapy, melatonin, behavior therapy and cognitive therapy for circadian rhythm disorders
Discuss the evidence for use of exposure therapy, varied CPAP delivery methods and motivational interviewing in the management of apnea patients who refuse CPAP or display initial intolerance to this treatment
Analyze nightmare assessment techniques and describe imagery rehearsal therapy for treating disturbing dreams and nightmares
Identify useful assessment and management strategies for the sleep disturbances presented by older community dwelling and institutionalized/demented older adults
Outline how to order and interpret tests for iron status of RLS patients
Discuss how to manage the RLS complicated by other medical and psychiatric conditions
Identify treatment options for long term management of treatment resistant RLS
Identify anatomical structures amenable to surgical treatment in adults
Describe the relation of airway inflammation and obstructive sleep apnea
Practice the physical examination of the sleep apnea airway using
Review the various experimental protocols used in chronobiologic assessments to in turn facilitate an understanding of the CRSD-related literature
Explain the morbidity associated with certain CRSDs
Evaluate the hypocretin/orexin compounds advanced to date and discuss the appropriateness of the preclinical and clinical tools employed
Explain how to foster communication between investigators and NIH program officials regarding best practices, potential strategies and available mechanisms to consider in planning an NIH grant application for genomic, proteomicand metabolomic research
Examine circadian and sleep-wake changes in adolescents with bipolar disorder and how these factors may contribute to neurocognitive changes associated with this and other affective disorders
Discuss a range of early risk factors related to the circadian and sleep-wake systems that have been found to be associated with the onset of adolescent depression
Discuss how these revisions and additions to the CPT codes help shape the future of sleep medicine
State how circadian rhythm re-synchronization may be achieved therapeutically using the circadian hormone melatonin
Discuss the role of the sleep and circadian research communities in the overall NIH mission to improve health with emphasis on directing research hypotheses toward the priority mission areas of individual NIH funding offices
Describe the importance of sleep quality from patient and scientific perspectives
Compare the strengths and limitations of self-report and objective measures of sleep
Discuss the complex relationships between self-report and objective sleep measures
Describe the prevalence and risk factors for sleep disorders in children
Identify the role of childhood in sleep disorders in the pathogenesis of chronic health conditions
Review opportunities for pediatric life interventions to improve sleep and health
Please answer the following:
Do you believe this activity was appropriate for the scope of your professional activities?
Was the educational content scientifically sound?
Was the educational content free of commercial bias?
Was the mode of education effective to learning?
How much did you learn as a result of this educational program?
What 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 problems or patient challenges do you feel you are not able to address appropriately or to your satisfaction?
What problems are your patients 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 be improved to better impact competence, performance and/or patient outcomes?

Additional comments:

Mr question