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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:
- When Laughing Makes You Weak: Narcolepsy Diagnosis and Management (Kiran Maski, MD)
- Medical and Psychological Consequences of Insomnia (Hugo Paz y Mar, MD)
- Jet Lag, Shift Work, and How to Get Along with Your Circadian Rhythm (Sabra Abbott, MD)
- Twitching Through the Night: PLM and RLS Diagnosis and Management (Anna May, MD)
- 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
| Name | Title | Institution | Role | Relationship |
| Başak Çoruh, MD | Associate Professor | University of Washington | Core Curriculum Chair | No relevant financial relationships to disclose |
| Margaret (Molly) M. Hayes, MD, ATSF | Assistant Professor of Medicine | Beth Israel Deaconess Medical Center | Core Curriculum Chair | No relevant financial relationships to disclose |
| Shirin Shafazand, MD | Professor | University of Miami School of Medicine | Chair, Adult Sleep Core Curriculum | No relevant financial relationships to disclose |
| Kate Dudley, MD | Instructor in Medicine | Massachusetts General Hospital | Co-Chair, Adult Sleep Core Curriculum | No relevant financial relationships to disclose |
| Melissa Lipford, MD | Assistant Professor | Mayo Clinic | Planner | No relevant financial relationships to disclose |
| Michelle Zeidler, MD | Assistant Professor | UCLA School of Medicine | Planner | No relevant financial relationships to disclose |
| Krishna Sundar, MD | Professor | University of Utah | Planner | No relevant financial relationships to disclose |
| Kiran Maski, MD | Assistant Professor | Boston Children's Hospital | Presenter 1 | Jazz 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, MD | Associate professor of clinical medicine | University of Southern California | Presenter 2 | No relevant financial relationships to disclose |
| Sabra Abbott, MD | Assistant Professor | Northwestern University | Presenter 3 | No relevant financial relationships to disclose |
| Anna May, MD | Assistant Professor | Case Western Reserve University | Presenter 4 | LivaNova: Data Safety and Monitoring Board |
| Chandra Jackson, MD | Principal Investigator at NIEHS | National Institutes of Health (NIH) | Presenter 5 | No 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
To earn credit for this course, follow these instructions:
- Launch and complete all modules by viewing every page in the module.
- After you complete the module(s), the post test will become available. You must pass the post these with a 70% score or better.
- Complete the Course Evaluation.
- Once you complete the modules, pass the post test and complete the evaluation, the system will grant you credit.
- To view your transcript and print your certificate, go to the My Account drop-down list. Then select Transcript.
Available Credit
- 3.00 ABIM MOCSuccessful 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