The Complexities of Managing Patients with Sleep-Wake Disorders: The Need to Treat the Whole Patient
neuroscienceCME Live and On Demand
Premiere Date: Tuesday, October 13, 2009This activity offers CE credit for:
- Physicians (CME)
- Nurses (CNE)
- Pharmacists (ACPE)
- Psychologists (APA)
- Social Workers (NASW)
- Certified Case Managers (CCMC)
All other clinicians will receive a Certificate of Attendance stating this activity was certified for AMA PRA Category 1 Credit™
Credit Expiration Date:
Thursday, September 2, 2010
Note: Credit Is No Longer Available
 | Thomas Roth, PhD Chief, Division Head Sleep Disorders and Research Center Henry Ford Hospital Detroit, MI |
 | Larry Culpepper, MD, MPH Professor of Family Medicine Boston University School of Medicine Staff Physician, Family Medicine Boston Medical Center Boston, MA |
 | Phyllis C. Zee, MD, PhD Director, Center for Circadian and Sleep Medicine Chief of Sleep Medicine in the Department of Neurology Benjamin and Virginia T. Boshes Professor of Neurology Professor of Neurology (Sleep Medicine) Northwestern University Feinberg School of Medicine Chicago, IL |
Patients with sleep-wake disorders such as obstructive sleep apnea, shift work sleep disorder, and jet lag disorder are
complex in their presentation and pose significant therapeutic challenges. Sleep-wake disorder patients often present
with the symptom of excessive sleepiness and although highly prevalent and detrimental to the patient, society, and
the healthcare system, excessive sleepiness remains under-recognized as well as not appropriately managed. Both
patients and physicians often view sleepiness as a normal phenomenon; patients may not mention it, and if they do,
physicians may not view it as a serious symptom in need of further attention. In part, the difficulty may arise from the
fact that patients often do not complain of excessive sleepiness but instead may use terms like fatigue, tired, and lack of
energy that may not raise clinical concern or may lead to misdiagnosis (e.g., depression) and inappropriate treatment.
In some cases, patients may report problems with their memory or concentration, or automobile crashes. In fact,
patients often do not mention anything at all unless some consequence has ensued, like an automobile crash. In this
neuroscienceCME Live and On Demand activity, the expert faculty will examine the challenges of sleep-wake disorders
from the primary care and sleep specialist perspective with the goal of providing tools for improved recognition,
assessment, and coordinated care of the whole patient.
- Rakel RE. Clinical and societal consequences of obstructive sleep apnea and excessive daytime sleepiness. Postgrad Med 2009;121:86-95.
To identify and accurately diagnose sleep-wake disorders and improve the continuum of care between primary care and sleep specialists.
At the end of this CE activity, participants should be able to:
- Increase the percentage of patient visits during which sleep-wake function is evaluated with a screening tool to improve the recognition of sleep-wake disorder symptoms.
- Utilize diagnostic tools and instruments to improve the accuracy in the differential diagnosis of disorders with excessive sleepiness including obstructive sleep apnea, narcolepsy, and circadian rhythm sleep disorders such as shift work sleep disorder and jet lag disorder in patients.
- Integrate primary care providers and sleep specialists into patient care to improve ongoing communication among providers regarding the optimal management of patients with sleep-wake disorders.
Physicians, physician assistants, nurse practitioners, nurses, psychologists, social workers, certified case managers, pharmacists, and other healthcare professionals interested in sleep-wake medicine.
CME Credit (Physicians):
CME Outfitters, LLC, is accredited
by the Accreditation Council for Continuing
Medical Education to provide continuing
medical education for physicians.
CME Outfitters, LLC, designates this educational activity for
a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians
should only claim credit commensurate with the extent of
their participation in the activity.
CNE Credit (Nurses):
CME Outfitters, LLC, is an approved
provider of continuing nursing education by the New York
State Nurses Association, an accredited approver by the
American Nurses Credentialing Center’s Commission on
Accreditation.
It has been assigned code 6WASUP-PRV-0668. 1.0 contact
hours will be awarded upon successful completion.
Note to Nurse Practitioners: The content of this CNE activity
pertains to Pharmacology.
CEP Credit (Psychologists):
CME Outfitters is approved
by the American Psychological Association to sponsor
continuing education for psychologists. CME Outfitters
maintains responsibility for this program and its content.
(1.0 CE credits)
NASW Credit (Social Workers):
This program was approved
by the National Association of Social Workers (provider
#886407722) for 1 continuing education contact hour.
CCMC Credit (Certified Case Managers):
This program
has been approved for 1 hour by the Commission for Case
Manager Certification (CCMC).
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CME Outfitters, LLC, is accredited
by the Accreditation Council for Pharmacy Education
as a provider of continuing pharmacy education.
1.0 contact hours (0.1 CEUs)
Universal Program Number: 376-000-09-020-H01-P
Activity Type: knowledge-based
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