Postgraduate Courses

Postgraduate Courses Information

Saturday, June 9, 2012 – Sunday, June 10, 2012

Sign up for postgraduate courses when you register for the SLEEP 2012 general session. In order to register for postgraduate courses, you must be registered for the SLEEP 2012 general session. The APSS does not offer registration to only attend postgraduate courses. Space is limited, and postgraduate courses sell out quickly. If a postgraduate course you select is full when your registration is received, you will not be charged the additional course fees. Attendees registered for SLEEP 2012 at the reduced training rate (i.e. Resident/Postdoctoral or Student/Predoctoral), may register for the postgraduate courses at the member rate regardless of membership status.

AAST course descriptions can be found on the AAST website at http://aastweb.org/AnnualMeeting/RegistrationInfo.aspx. CME, CE credit for psychologists, Letters of Attendance and CE contact hours for nurse practitioners will not be offered for AAST postgraduate courses.

C01: Year-In-Review

Saturday, June 9, 2012
8:00am-5:00pm

Member Fee: $150
Nonmember Fee: $200

During this annual course, faculty will highlight new perspectives and recent findings in translational science from the past year. The 2012 installment of this course will highlight advances in the areas of: narcolepsy and CNS hypersomnias; parasomnias; dental sleep medicine; insomnia and pharmacology; sleep apnea; pediatrics; medical, neurological and psychiatric disorders; and circadian rhythms.

Co-chairs: Teofilo Lee-Chiong, MD; and Thomas Scammell, MD
Faculty: Isabelle Arnulf, MD; PhD; Daniel Buysse, MD; B. Gail Demko, DMD; Neil Freedman, MD; Ann Halbower, MD; Richard Schwab, MD; John Winkelman, MD, and Kenneth Wright, PhD

Psychologist Level of Content: Intermediate

Target Audience: Physicians, researchers, psychologists, postdoctoral or predoctoral fellows and allied health care professionals

Learning Objectives:

1. Discuss key concepts of recent basic and clinical sleep research and how these concepts apply to current practice;
2. Apply up-to-date information and evidence-based knowledge to the clinical management of patients with a variety of sleep disorders; and
3. Improve clinical care and outcomes as a result of application of this knowledge in the clinical setting.

C02: Trends in Sleep Medicine Practice

Saturday, June 9, 2012
8:00am-5:00pm

Member Fee: $150
Nonmember Fee: $200

This course will focus on the latest trends relevant to the practice of sleep medicine. Insurance regulations, coding and reimbursement, home sleep testing, autoPAP, CPAP adherence, actigraphy and the integrated model for sleep medicine will all be discussed.

Co-chairs: Douglas Kirsch, MD; and Michael Littner, MD
Faculty: Richard Berry, MD; Nancy Collop, MD; Lawrence Epstein, MD; Samuel Fleishman, MD; Joseph Ojile, MD; Paul Valentine, MBA; and James Wyatt, PhD

Psychologist Level of Content: Intermediate

Target Audience
Clinicians, including psychologists, and other health-care providers involved with the clinical and business aspects of operating a sleep center

Course Objectives

1. Discuss the current trends of insurance regulations, coding and reimbursement;
2. Review the impact of new technologies on the way that sleep centers operate to diagnose and treat patients;
3. Integrate new mechanisms to track and improve PAP adherence into sleep centers; and
4. Discuss expansion of sleep center practice to include actigraphy, portable monitoring and provision of DME.

C03: Management of Sleep Disordered Breathing: Special Populations and Therapies

Saturday, June 9, 2012
8:00am-5:00pm

Member Fee: $150
Nonmember Fee: $200

This course was developed for experienced sleep clinicians interested in learning how to manage more complex sleep disordered breathing and treatment modalities. Special populations including CHF/CSA, opioid users, COPD and neuromuscular disease will be discussed along with several modalities of PAP including bilevel PAP, ASV, AVAPS and APAP. New therapies for OSA will also be presented including expiratory pressure valves, genioglossus stimulation and stockings.

Co-chairs: Richard Berry, MD; and Vishesh Kapur, MD
Faculty: Dennis Auckley, MD; Peter Gay, MD; Shahrokh Javaheri, MD; Matthew Naughton, MD; Sairam Parthasarathy, MD; and Susheel Patil, MD, PhD

Psychologist Level of Content: Advanced

Target Audience: The experienced sleep clinician, including psychologists, who are comfortable with the routine management OSA with CPAP, but want to learn more about how to better manage more complex sleep disordered breathing and use more complicated treatment modalities

Learning Objectives:

1. Recognize and understand the pathogenesis of the various categories of sleep disordered breathing and how therapy is related to pathogenesis;
2. Assess how to manage sleep disordered breathing that occurs in patients with CHF, COPD, neuromuscular disease and patients taking narcotic medications; and
3. Describe how and when to use special technologies including ASV, Bilevel PAP, AVAPS, APAP and newer novel OSA therapies.

C04: PedSleep 2012: Hot Topics and Controversies in Pediatric Sleep Medicine

An increasing number of children and adolescents are being referred to adult and pediatric sleep specialists for expert advice. This course will provide attendees with a balanced, evidence-based, panoramic overview of current hot topics and controversies impacting the evaluation and treatment of pediatric sleep disorders.

Co-chairs: Madeleine Grigg-Damberger, MD; and Sanjeev Kothare, MD
Faculty: Rakesh Bhattacharjee, MD, RPSGT; David Gozal, MD; Emmanuel Mignot, MD, PhD; Hawley E. Montgomery-Downs, PhD; Judith Owens, MD; and Daniel Picchietti, MD

Psychologist Level of Content: Intermediate

Target Audience: Sleep medicine physicians (adult & pediatric), scientists, psychologists, fellows, technologists, trainees involved or interested in managing sleep disorders in children and adolescents with medical co-morbidities

Learning Objectives:

1. Recognize how and where the polysomnogram is failing us in the diagnosis of pediatric obstructive sleep apnea (OSA);
2. Debate whether tonsillectomy should be a treatment for OSA in older and/or obese children;
3. Outline the short- and long-term maternal, fetal and infant morbidity of OSA, insomnia, and drugs in pregnancy;
4. Recognize and reduce the risks of general anesthesia in children with different forms of sleep disordered breathing and co-morbidities;
5. Understand how different definitions of insomnia in children influence our ability to treat it;
6. Review the role of infections and vaccination upon the development childhood onset narcolepsy;
7. Discuss prevention strategies to reduce the risk of sudden unexpected death in epilepsy during sleep; and
8. Describe the roles of ferritin and iron deficiency in attention deficit hyperactivity disorder and pediatric restless legs syndrome.

C05: The New Treatments for RLS: How and When to Use Them

Saturday, June 9, 2012
8:00am-12:00pm

Member Fee: $85
Nonmember Fee: $150

Long-term use of oral dopamine agonists treatment for restless legs syndrome (RLS) has revealed problems including loss of efficacy, RLS augmentation and more. This course will review the advantages, limits and problems related to several new treatment options for RLS including 24-hour continuous release dopamine agonists, long-acting alpha-2-delta anticonvulsants and a new iron formulation for IV iron treatment.

Chair: Richard Allen, PhD
Faculty: Mark Buchfuhrer, MD; Christopher J. Earley, MD, PhD; Diego Garcia-Borreguero, MD; William Ondo, MD

Psychologist Level of Content: Intermediate

Target Audience: Sleep medicine clinicians, including psychologists, and sleep clinical researchers

Learning Objectives:

1. Recognize the problems with current oral dopamine agonist treatment;
2. Utilize new options for treatment of RLS and describe how and when to use them;
3. Demonstrate how to switch from one treatment to another and discuss the problems when switching and options for avoiding them;
4. Explain options for combination medication treatments of RLS; and
5. Examine the biological basis for treatment development.

C06: Evaluation and Management of Abnormal Nocturnal Behaviors

Saturday, June 9, 2012
1:00pm-5:00pm

Member Fee: $85
Nonmember Fee: $150

A variety of nocturnal behaviors may occur during sleep including NREM and REM sleep parasomnias, sleep related movement disorders and nocturnal seizures. And although these events are common, many health-care providers are not familiar with them. Through a case-based format and referring to empirical evidence where applicable, this course will review evaluation methods and therapeutic guidelines available for these nocturnal behaviors.

Co-chairs: Ramadevi Gourineni, MD; and Milena Pavlova, MD
Faculty: Hrayr Attarian, MD; and Mark Mahowald, MD

Psychologist Level of Content: Intermediate

Target Audience: Clinical sleep medicine physicians, psychologists, trainees and technologists who are looking to augment their skills in the evaluation and management of patients with abnormal nocturnal behaviors

Learning Objectives:

1. Discuss the evaluation process of patients with abnormal nocturnal behaviors using both clinical and objective evaluation tools such as PSG and overnight EEG monitoring; and
2. Review the evaluation and management of specific abnormal nocturnal behaviors that sleep clinicians and technicians may encounter in the sleep clinic and lab, such as NREM and REM sleep parasomnias and nocturnal seizures.

C07: 2012 State of the Art for Clinical Practitioners

Sunday, June 10, 2012
8:00am-5:00pm

Member Fee: $150
Nonmember Fee: $200

Ideal for individuals looking for a broad overview of clinical sleep medicine in 2012, this course will provide attendees with tips for the practical application of treatments for several common sleep disorders based on clinical evidence. Topics covered will include: out of center sleep testing for OSA; sleep in the elderly; insomnia; narcolepsy; sleep disordered breathing in patients with heart failure; parasomnias and nocturnal seizures; childhood sleep disorders; and hypersomnolence in OSA.

Co-chairs: Charles Atwood, MD; and Michael Littner, MD
Faculty: Alon Avidan, MD; Richard Berry, MD; Nalaka Gooneratne, MD; Sharokh Javaheri, MD; Suresh Kotagal, MD; Andrew Krystal, MD; Emmanuel Mignot, MD, PhD; and Sigrid Veasey, MD

Psychologist Level of Content: Intermediate

Target Audience: Practicing providers of health care, including psychologists, for sleep disorders

Learning Objectives:

1. Describe the best evidence-based practices for evaluating and diagnosing various sleep disorders seen in clinical practice;
2. Discuss the best evidence-based and cutting edge treating various sleep disorders in 2012; and
3. Identify major areas of uncertainty regarding best treatment practices in sleep medicine.

C08: Gizmos and Gadgets: Technological Advances in Clinical Outpatient Sleep Medicine

Sunday, June 10, 2012
8:00am-5:00pm

Member Fee: $150
Nonmember Fee: $200

During this course, faculty will review the indications and limitations of various technologies including PAP devices, portable monitoring systems and actigraphy devices. The afternoon portion of the course will be devoted to hands-on, interactive sessions to provide attendees with knowledge needed to evaluate, prescribe, adjust and trouble-shoot these various devices.

Chair: Neil Freedman, MD
Faculty: Ann Cartwright, PA-C; Douglas Kirsch, MD; Lisa Meltzer, PhD; Shawna Sullivan, APN, NP; and Lisa Wolfe, MD

Psychologist Level of Content: Advanced

Target Audience: Patient-care providers at all levels including physicians, psychologists, advanced practice nurses, physician assistants, respiratory therapists, sleep technologists, and nurses

Learning Objectives:

1. Explain the indications and limitations of various PAP devices in the management of the spectrum of sleep disordered breathing. By the end of the course, the attendee will be able to determine the proper initial settings, adjust settings in an office based environment, trouble shoot common problems and interpret compliance data from various PAP devices used to treat a wide spectrum of sleep disordered breathing;
2. Describe the indications and limitations, as well as interpret downloaded data and trouble shoot common problems of several different portable monitoring systems that are commonly used in an outpatient setting to diagnose obstructive sleep apnea; and
3. Define the indications, limitations and technology underlying various actigraphy devices, as well as be able to interpret downloaded data and trouble shoot common problems of several devices that are on the market today.

C09: Diagnosis and Treatment of Circadian Rhythm Sleep Disorders

Sunday, June 10, 2012
8:00am-5:00pm

Member Fee: $150
Nonmember Fee: $200

Due to the complexity of clinical presentations, circadian rhythm sleep disorders (CRSDs) are often perplexing to manage. During this course, faculty will provide attendees with practical examples of CRSDs and will review the assessment and management of CRSDs including delayed sleep phase disorder, advanced sleep phase disorder, jet lag sleep disorder, shiftwork sleep disorder and more.

Chair: R. Robert Auger, MD
Faculty: Helen Burgess, PhD; Katherine Sharkey, MD, PhD; Kenneth Wright, PhD; James Wyatt, PhD; and Phyllis Zee, MD, PhD

Psychologist Level of Content: Introductory

Target Audience: Practitioners (or trainees) of clinical sleep medicine, including psychologists, and/or anyone with an interest in the assessment and treatment of circadian rhythm sleep disorders

Learning Objectives:

1. Identify various ICSD-2-defined circadian rhythm sleep disorders (CRSDs) in the clinical setting, with inclusion of the use of actigraphy, sleep logs and salivary melatonin as assessment tools;
2. Review the treatment of CRSDs, taking into account best available evidence; and
3. Elucidate the various experimental protocols used in chronobiologic assessments and, in turn, to facilitate an understanding of the CRSD-related literature.

C10: The Basics of Sleep

Sunday, June 10, 2012
8:00am-5:00pm

Member Fee: $150
Nonmember Fee: $200

This course will provide clinicians and scientists new to the field with a background in the fundamental principles and findings that form the core knowledge of the field of sleep. Driven by the second edition of the SRS Basics of Sleep Guide, the course will explore the multidisciplinary nature of the field and will review new and emerging data covered in this publication, highlighting basic findings that translate to clinical areas.

Co-Chairs: Namni Goel, PhD; Kathleen Sexton-Radek, PhD; James Shaffery, D. Phil.

Faculty: Mary Carskadon, PhD; Chiara Cirelli, MD, PhD; David Dinges, PhD; James Krueger, PhD; Andrew Krystal, MD; Jodi Mindell, PhD; Mark Opp, PhD; and Ronald Szymusiak, PhD

Psychologist Level of Content: Introductory

Target Audience: Sleep clinicians, including psychologists, and scientists seeking an enhanced background in the fundamental principles and findings that form the core knowledge of the sleep field

Learning Objectives:

1. Examine concepts underlying the organization of sleeping and waking behavior, sleep-wake homeostasis, and circadian timing;
2. Distinguish the changes in normal sleep that emerge across the human life cycle;
3. Gain familiarization with the neuroanatomical and neurophysiologic systems underlying sleep-wake regulation;
4. Identify the genetic basis of sleep phenotypes and sleep disorders, and the genetics of sleep in animals;
5. Assess the interplay of sleep-wake and endocrine systems and how sleep loss can alter these associations;
6. Evaluate the role of sleep in thermoregulation, immune function, and autonomic regulation of multiple organ systems;
7. Discover the effects sleep loss produces on the brain and behavior;
8. Review the major categories and types of sleep-wake disorders, in pediatric and adult populations, and the pharmacological therapies used to treat these disorders.

C11: Sleep and Sleep Disorders in Pregnancy

Sunday, June 10, 2012
8:00am-12:00pm

Member Fee: $85
Nonmember Fee: $150

In recent years, data has emerged on sleep and pregnancy and the link between sleep disturbances and adverse outcomes in pregnancy. This course will provide a broad overview of common disorders of sleep in pregnancy. Normal and abnormal sleep, risk factors for RLS, effects of sleep disordered breathing, mood disorders and common misconceptions will be reviewed.

Co-chairs: Ghada Bourjeily, MD; and Katherine Sharkey, MD, PhD
Faculty: Margaret Miller, MD; Louise O'Brien, PhD; and Barbara Phillips, MD

Psychologist Level of Content: Intermediate

Target Audience: Sleep professionals, psychologists, obstetricians, and family practitioners

Learning Objectives:

1. Assess “normal” sleep in pregnancy;
2. Review common abnormal sleep disorders in pregnancy; and
3. Emphasize basic management principles in pregnancies that are relevant to sleep and clarify common misconceptions regarding the pregnant patient.

C12: Pediatric Behavioral Sleep Medicine

Sunday, June 10, 2012
1:00pm-5:00pm

Member Fee: $85
Nonmember Fee: $150

Assessment methods for evaluating the sleep habits of pediatric patients and specific interventions to improve sleep in this population will be presented at this intermediate to advanced course for clinicians engaged in behavioral sleep medicine. Throughout the course, case examples will highlight appropriate implementation of presented interventions.

Chair: Lisa Meltzer, PhD
Faculty: Kristin Avis, PhD; Valerie Crabtree, PhD; and Jodi Mindell, PhD

Psychologist Level of Content: Intermediate

Target Audience: Psychologists, physicians, nurse practitioners and others engaged in pediatric behavioral sleep medicine practice

Learning Objectives:

1. Review intermediate to advanced level skills in engaging in pediatric behavioral sleep medicine practice with infants through adolescents;
2. Explain the importance of the use of actigraphy in assessing sleep/wake patterns and guiding interventions in a pediatric population; and
3. Discuss interventions for improving CPAP adherence in children and adolescents.