Clinical Compass - Drowsy Driving Prevention Week: CMEO and NSF Address Concerns


Executive Editor: Managing Editor: Publisher: Contributing Editors: Design/Copy Editor:	CHRISTOPHER PEREZ KENDALL KIRSCH NAKINA WEBSTER MICHELLE OSTRANDER ANNE LAMBERT LISA BRAUER ELEANOR ROBERTS CAROLYN CROWN

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Last Issue - 10.23.07	Next Issue - 11.20.07

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VOLUME 2, ISSUE 23 - NOVEMBER 6, 2007

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Atypicals in Practice: Case Studies on Switching

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John W. Newcomer, MD

From Paper to Patient: Applying Clinical Literature to Practice Improvements, Part 2 - Evidence-Based Medicine: Application of Principles to Practice

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Barbara A. Phillips, MD, MSPH, FCCP

Improving the Continuum of Care in Alcohol Dependence: Latest Evidence for Counselors and Clinicians

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Combating the Consequences of Excessive Sleepiness

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Charles B. Nemeroff, MD, PhD

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David F. Dinges, PhD

Thomas Roth, PhD

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From Paper to Patient: Applying Clinical Literature to Practice Improvements - Self-Study Practicum

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Practical Management Options for Alcohol Dependence, Part 2 of 3 - Practical Applications: Adherence and Combination Therapy

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Practical Management Options for Alcohol Dependence, Part 1 of 3 - Co-Occurring Mental Disorders: Impact on Outcomes

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Richard N. Rosenthal, MD

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Excessive Sleepiness and Psychiatric Illness: Many Sides to the Story

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Charles B. Nemeroff, MD, PhD
Mary B. O'Malley, MD, PhD
Thomas Roth, PhD

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Translating the Role of Neurotransmitter Systems into Clinical Outcomes in Schizophrenia and Bipolar Disorder

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Charles B. Nemeroff, MD, PhD
Peter Buckley, MD

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FROM THE SLEEP AND WAKE MEDICINE CLINICAL KNOWLEDGE CENTER: Drowsy Driving Prevention Week: CMEO and NSF Address Concerns

THIS ISSUE'S COMPASS QUESTIONS™

RESPONSES FROM OUR LAST COMPASS QUESTIONS™

NEW neuroscienceCME TV PREMIERES TOMORROW!

EASY ACCESS TO THE NEUROSCIENCES FOR RESIDENTS

FROM THE SLEEP AND WAKE MEDICINE CLINICAL KNOWLEDGE CENTER
Drowsy Driving Prevention Week: CMEO and NSF Address Concerns
In this week's issue of the Clinical Compass™, we highlight Drowsy Driving Prevention Week™ (DDPW), an awareness campaign launched by the National Sleep Foundation (NSF) that takes place this week from November 5-11, following the change back from Daylight Savings Time. The goal of DDPW is to save the lives of young drivers by underscoring the dangers of drowsy driving and providing resources for advocacy at the state level.

Drowsy driving is an enormous public health and safety concern in the United States. The National Highway Traffic Safety Administration estimates that 100,000 sleep-related crashes occur each year. These drowsy driving crashes cause 71,000 injuries and kill more than 1,550 people annually. According to the NSF, 60% of drivers admit to drowsy driving within the past year and 20% of drivers, or 32 million people, say they have fallen asleep behind the wheel...

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THIS ISSUE'S COMPASS QUESTIONS™
Your responses to this issue's Compass Questions™ will be added to an ongoing needs assessment for educational programming in this important area. Responses to this issue's questions will be reported in an upcoming issue.

Question #1: Which state has enacted a drowsy-driving law that makes it a crime to drive if a person has been awake for more than 24 consecutive hours?
Illinois
Minnesota
New Jersey
Alabama

Question #2: Please rate your knowledge level of pharmacologic treatment options for the management of the symptom of excessive sleepiness.
Excellent – I can name at least 5 agents for the management of this symptom
Good – I can name at least 3 agents
Fair – I can name at least 1 agent
Poor – I was not aware that there are prescription medications for this symptom

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RESPONSES FROM OUR LAST COMPASS QUESTIONS™
In the 10.23.07 issue of Clinical Compass, we asked two questions. Question #1 was "How confident are you incorporating pharmacotherapy in the management plan of your patients with alcohol dependence?" and the neuroscienceCME learning community responded:
38% - Very
27% - Moderately
19% - Somewhat
16% - Not at all

Editors' Note: While 67% of respondents reported that they were very confident or moderately confident in incorporating pharmacotherapy in the management plan of their patients with alcohol dependence, the remaining one-third of respondents (37%) stated that they were only somewhat or not at all confident in this area. Is this the result of a knowledge/education gap, a dissatisfaction with available agents, patient resistance, or some other factor? Please share your insights and possible explanations with the editors here.

Question #2 was "Does AA support the use of medications in the management of patients with alcohol dependence?" and the neuroscienceCME learning community responded:
38% - Yes
32% - No
30% - I don't know

Editors' Note: Alcoholics Anonymous is considered a key resource in the management of alcohol dependence, yet these responses reveal a clear level of misunderstanding about AA's position on the use of medication. Is AA doing enough to elucidate its position in this area? What is the clinician's responsibility for understanding the philosophy and position of AA with regard to pharmacotherapy for the management of alcohol dependence? Share your thoughts here.

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NEW neuroscienceCME TV PREMIERES TOMORROW!
Atypicals in Practice: Case Studies on Switching
Satellite Television Broadcast, Webcast, Telephone Simulcast
Premiere Date: Wednesday, November 7, 2007
Live Broadcast: 12:00-1:00 p.m. ET
Taped Re-Air: 3:00-4:00 p.m. ET

FACULTY
Alexander Miller, MD
John W. Newcomer, MD

At the end of this CE activity, participants should be able to:

•	Describe factors that lead to discontinuation of atypical antipsychotics.
•	Identify treatment-emergent side effects that may necessitate a strategy for switching antipsychotic therapy.
•	Employ techniques for switching antipsychotics that minimize risk and improve patient outcomes.

This activity offers CE credit for:
• Physicians (ACCME/AMA PRA Category 1)
• Nurses (CNE)
• Pharmacists (ACPE)
• Psychologists (APA)
• Social Workers (NASW)
• Certified Case Managers (CCMC)
All other clinicians will either receive a CME Attendance Certificate or may choose any of the types of CE credit being offered.

There is no fee to participate or to receive CE credit for this certified one-hour educational activity (registration required).

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EASY ACCESS TO THE NEUROSCIENCES FOR RESIDENTS
The content and design teams at neuroscienceCME invite you to take a quick tour of our website, give it your professional evaluation, and provide input back to us on ways to enhance this web portal in order to make it an even more valued resource for medical residents and students searching for cutting-edge data in the neurosciences. The neurosciencecCME.com Clinical Knowledge Centers provide comprehensive information on alcohol use disorders, ADHD, depression, and sleep/wake medicine, as well as psychiatric disorders such as bipolar disorder and schizophrenia.

This quick tour introduces you to this educational resource that is available to you free during your residency and afterwards, as you develop your clinical practice.

The entire tour will take 10 minutes or less.

Please join your colleagues from throughout the United States by visiting www.neuroscienceCME.com/webtour to begin the tour.

Thank you for your interest and input. We look forward to welcoming you to the neuroscienceCME.com learning community!

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