When It’s Not Just Sleep Disordered Breathing

There is so much more to sleep medicine than sleep disordered breathing. These five talks will cover common and challenging sleep issues that many clinicians are faced with daily. Experts in the field will provide updates on diagnosis and management of narcolepsy, insomnia, jet lag and shift work, and restless leg syndrome. There is also a talk on sleep disparities with practical tips on improving and moving forward. 

Video presentations included:

  1. When Laughing Makes You Weak: Narcolepsy Diagnosis and Management (Kiran Maski, MD)
  2. Medical and Psychological Consequences of Insomnia (Hugo Paz y Mar, MD)
  3. Jet Lag, Shift Work, and How to Get Along with Your Circadian Rhythm (Sabra Abbott, MD)
  4. Twitching Through the Night: PLM and RLS Diagnosis and Management (Anna May, MD)
  5. Sleep Disparities: What We know and the Way Forward (Chandra Jackson, MD)

 

This product is part of Adult Sleep Clinical Core series presented at the 2022 ATS International Conference.

Target Audience

Practicing internists, subspecialists, registered nurses and advanced practice nurses in pulmonary, critical care, and sleep medicine who work in a clinical setting and are currently engaged in maintenance of certification.

Learning Objectives

The objectives are sorted by session video.

When Laughing Makes You Weak: Narcolepsy Diagnosis and Management (Kiran Maski, MD)

  • Describe the pathophysiology of narcolepsy
  • Identify the unique clinical presentations in children with narcolepsy  
  • Recognize biomarkers on the polysomnogram that can aid in narcolepsy diagnostic accuracy  
  • Apply evidenced-based clinical guidelines for treatment of patients with narcolepsy

 

Medical and Psychological Consequences of Insomnia (Hugo Paz y Mar, MD)

  • Define insomnia and summarize the clinical characteristics of the condition 
  • Recognize pathophysiological mechanisms of insomnia 
  • Identify the associations of insomnia with cardiovascular disease and insulin metabolism 
  • Describe the relationship between insomnia and psychiatric disease

 

Jet Lag, Shift Work, and How to Get Along with Your Circadian Rhythm (Sabra Abbott, MD)

  • Describe the role of light and melatonin in regulating circadian timing 
  • Demonstrate how to use timed light and melatonin to mitigate the symptoms of jet lag 
  • Recognize that successful management of shift work disorder is an individualized and multi-pronged approach

 

Twitching Through the Night: PLM and RLS Diagnosis and Management (Anna May, MD)

  • Diagnose restless legs syndrome using the 4 cardinal criteria. 
  • Recommend a personalized initial treatment plan based on patient characteristics. 
  • Develop treatment plans when patients manifest augmentation.

 

Sleep Disparities: What We know and the Way Forward (Chandra Jackson, MD)

  • Define sleep health disparities and sleep health equity 
  • Compare sleep health disparities by race and ethnicity  
  • Identify representative social, behavioral, and biological pathways that lead to sleep health disparities  
  • Recognize social and environmental determinants of sleep health disparities
Course summary
Available credit: 
  • 3.00 ABIM MOC
    Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 3.00 MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.
  • 3.00 AMA PRA Category 1 Credit(s)
    The American Thoracic Society designates this for a maximum of 3.00 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
  • 3.00 Participation
Publication Date: 
09/18/2022
Credit Expires: 
12/05/2023
Rating: 
0
NameTitleInstitutionRoleRelationship
Başak Çoruh, MDAssociate ProfessorUniversity of WashingtonCore Curriculum ChairNo relevant financial relationships to disclose
Margaret (Molly) M. Hayes, MD, ATSFAssistant Professor of MedicineBeth Israel Deaconess Medical CenterCore Curriculum ChairNo relevant financial relationships to disclose
Shirin Shafazand, MDProfessorUniversity of Miami School of MedicineChair, Adult Sleep Core CurriculumNo relevant financial relationships to disclose
Kate Dudley, MDInstructor in MedicineMassachusetts General HospitalCo-Chair, Adult Sleep Core CurriculumNo relevant financial relationships to disclose
Melissa Lipford, MDAssistant ProfessorMayo ClinicPlannerNo relevant financial relationships to disclose
Michelle Zeidler, MDAssistant ProfessorUCLA School of MedicinePlannerNo relevant financial relationships to disclose
Krishna Sundar, MDProfessorUniversity of UtahPlannerNo relevant financial relationships to disclose
Kiran Maski, MDAssistant ProfessorBoston Children's HospitalPresenter 1Jazz Pharmaceuticals: Consultant; Research - investigator initiated
Takeda: Advisory Committee for non-promotional
Alkermes: Consultant
KemPharm: Consultant
Harmony: Research - investigator initiated
Idorsia: Data Safety and Monitoring Board
UpToDate: Royalties, licensing, or sale of  IP
Hugo Paz y Mar, MDAssociate professor of clinical medicineUniversity of Southern CaliforniaPresenter 2No relevant financial relationships to disclose
Sabra Abbott, MDAssistant ProfessorNorthwestern UniversityPresenter 3No relevant financial relationships to disclose
Anna May, MDAssistant ProfessorCase Western Reserve UniversityPresenter 4LivaNova: Data Safety and Monitoring Board
Chandra Jackson, MDPrincipal Investigator at NIEHSNational Institutes of Health (NIH)Presenter 5No relevant financial relationships to disclose

Accreditation Statement

The American Thoracic Society is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Disclosure Declaration

It is the policy of the ATS to ensure independence, balance, objectivity, scientific rigor, and integrity in all of its continuing education activities. As an accredited CME provider, the ATS requires that its planners, reviewers and presenters comply with the ACCME Standards for Integrity and Independence in Accredited Continuing Education. The ATS also requires specific disclosure of relationships with companies and organizations associated with tobacco or cannabis and prohibits or limits participation of faculty in official ATS activities, including CME, if any tobacco industry relationship or some types of cannabis industry relationships are present. To see the most recent policies regarding potential conflicts of interest as well as the mechanisms to resolve such conflicts, press the COI Policy link below.

This educational activity may include discussion of unapproved uses of a drug, product, or device. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.

Instructions to Receive Credit

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  1. Launch and complete all modules by viewing every page in the module.
  2. After you complete the module(s), the post test will become available. You must pass the post these with a 70% score or better.
  3. Complete the Course Evaluation.
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Available Credit

  • 3.00 ABIM MOC
    Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 3.00 MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.
  • 3.00 AMA PRA Category 1 Credit(s)
    The American Thoracic Society designates this for a maximum of 3.00 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
  • 3.00 Participation
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