SLEEP 2017 Postgraduate Courses

Saturday, June 3

Full Day Courses

8 a.m. - 5 p.m.

C01: Year in Review 2017
Overview: This annual course will discuss new and perspectives and recent findings in translational science from the past year.
Psychologist Level of Content: Intermediate
Chairs: Ravi Allada, MD | Christine Won, MD
Faculty: Anthony Doufas, MD, PhD | Eric Kezirian, MD | Andrew Krystal, MD | Vahid Mohsenin, MD | Babak Mokhlesi, MD | Eric Musiek, MD, PhD | David Raizen, MD, PhD | Fred Turek, PhD 

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 on this knowledge in the clinical setting.

C02: Trends in Sleep Medicine
Overview: This course will focus on topics that are important to the practice of clinical sleep medicine.
Psychologist Level of Content: Intermediate
Chairs: Shalini Paruthi, MD | Kathleen Sarmiento, MD   
Faculty: Fariha Abbasi-Feinberg, MD | Nancy Collop, MD | B. Gail Demko, DMD | Andrew Krystal, MD | Reena Mehra, MD | Mark Rosekind, PhD | Lynn Marie Trotti, MD

Objectives:

  1. Describe current and future trends that will affect the practice of sleep medicine and review new models of care that may help practitioners adapt to these changes;
  2. Determine best approaches for patients with sleep disordered breathing in the preoperative and hospital settings;
  3. Identify treatment options for the management of central sleep apnea syndromes; and
  4. Review current and emerging technologies that will be used to manage patients with sleep complaints and disorders in the ambulatory setting.

C03: Precision Sleep Medicine: Predictive, Preventive, Personalized and Participatory
Overview: The goal of this full-day post graduate course is to review and discuss current innovations in clinical research under the focus of Precision Medicine in order to bring clinical sleep researchers and sleep clinicians up to speed with current innovations and cutting edge approaches. Content will be aimed at a broad audience in order to be applicable to both trainees and faculty.
Psychologist Level of Content: Intermediate
Chair: Philip Gehrman, PhD
Faculty: Kelly Baron, PhD | Matt Bianchi, MD, PhD | Julio Fernandez-Mendoza, PhD, CBSM | Clete Kushida, MD, PhD, RST, RPSGT | Emmanuel Mignot, MD, PhD | Allan Pack, PhD, MBChB | Manuel Sanchez-de-la-Torre, PhD

Objectives:

  1. Upon completion of this session, attendees will be able to describe Precision Medicine and its goals;
  2. Upon completion of this session, attendees will be able to understand how biomarkers can be integrated into clinical research and practice; and
  3. Upon completion of this session, attendees will be able to understand how to integrate patients into research.

Half Day Courses

8 a.m. - 12 p.m.

C04: Difficult Cases That Keep You Up at Night: Case Based Review of Challenging Clinical Scenarios for the Sleep Medicine Specialist
Overview: The sleep clinician is challenged when initial and subsequent diagnostic and management plans are not effective or cause unexpected results. Standard references, textbooks, and evidence-based literature searches may not provide answers pertinent to the situation. This course will provide guidance in a case-based format by describing the current literature, evidence, and when neither is available, expert opinion on accepted management.
Psychologist Level of Content: Advanced  
Chair:
Raman Malhotra, MD
Faculty: Douglas Kirsch, MD | Timothy Morgenthaler, MD | David Plante, MD

Objectives:

  1. Become familiar with safety and efficacy of different hypnotics for the use of acute and chronic insomnia;
  2. Learn diagnostic challenges and emerging treatment options for patients who have failed standard therapy for central nervous system hypersomnias;
  3. Discuss the role of sleep-disordered breathing in the perioperative period; and
  4. Discuss sleep disturbances in patients with neuro-degenerative disorders.
C05: Hang Ten on These Waves – EEG Essentials for the Sleep Practitioner
Overview: This program will approach the challenges of understanding the EEG by first establishing a foundation on EEG principles, review understanding of interictal pathology versus normal variants and artifacts, then progress to recognition of epileptic seizures both on basis of behavior and EEG recognition, and reviewing the array of non-epileptic events such as parasomnias. Each lecture will pull all of this information together utilizing case-based review during the lectures. 
Psychologist Level of Content: Intermediate
Chair: Bradley Vaughn, MD
Faculty: Selim Benbadis, MD | Mithri Junna, MD | Erik St. Louis, MD
 
Objectives:
 
  1. Understand the foundation on EEG principles for recording and waveform recognition;
  2. Recognize the basic patterns of epileptic seizures both on basis of behavior and EEG recognition; and
  3. Understand the diagnostic features of parasomnias and other nocturnal events

1 p.m. - 5 p.m.

C06: Treatment Advancements for Sleep-Disordered Breathing
Overview: This course will review advances in positive airway pressure technology and surgical treatments that can help optimize treatment for obstructive sleep apnea, central sleep apnea and hypoventilation syndromes. We will focus on how matching individual patient physiology and anatomy with specific machine settings or specific surgeries can optimize clinical care.
Psychologist Level of Content: Intermediate
Chair: Karin Johnson, MD
Faculty: Melanie Pogach, MD | Bernardo Selim, MD | Ryan Soose, MD

Objectives:

  1. Understand positive airway pressure algorithms and features that can optimize treatment for obstructive sleep apnea;
  2. Understand the differences between BiPAP and Volume Assured pressure support as relates to hypoventilation syndromes;
  3. Understand advances in surgical options for obstructive sleep apnea including sedated endoscopy, upper airway stimulation and advanced palatal surgery; and
  4. Understand the mechanisms of ASV, oxygen therapy and end expiratory rebreathing space for complex sleep apnea and Cheyne-Stokes respiration.
C07: Managing and Treating Sleep and Sleepiness in Workplace Settings
Overview: Sleepiness may occur in occupational settings due to extended work hours and/or circadian misalignment caused by night work or shift work. In some individuals, working at times that are not congruent with the circadian neurobiology results in pathology, e.g., shift work disorder. Many sleep disorders and other medical conditions also cause sleepiness, which interferes with individuals’ ability to perform well in their professional jobs. Sleep disorders and occupational medicine specialists, fatigue risk management consultants, clinicians, and researchers are all confronted with these issues. However, evidence-based, practical advice on the management of sleep, sleep disorders and waking impairment in the operational environment is difficult to find. 
Psychologist Level of Content:  Intermediate
Chairs: Devon Grant, PhD
Faculty: Thomas Balkin, PhD | Francine James, PhD | Charles Samuels, MD

 
Objectives:

  1. The impact of wake extension and circadian disruption on sleep and performance;
  2. Sleep loss-related cognitive impairment in occupational settings, and what innovative fatigue risk management strategies have been developed and implemented;
  3. The implications of sleep disorders on sleep and performance in workplace settings; and
  4. Proper intervention and treatment for patients with displaced and/or disordered sleep in the context of work settings.

Sunday, June 4

Full Day Courses

8 a.m. - 5 p.m.

C08: 2017 State of the Art for Clinical Practitioners
Overview: This course will focus on the best practices for evaluating, diagnosing and treating the most common sleep disorders in clinical practice. 
Psychologist Level of Content: Intermediate
Chairs: Glen Greenough, MD | Shalini Paruthi, MD
Faculty: Alon Avidan, MD | Nancy Collop, MD | Shahrokh Javaheri, MD | Raman Malhotra, MD | Kiran Maski, MD | Michael Sateia, MD | John Winkelman, MD, PhD | Lisa Wolfe, MD 

Objectives:

  1. Describe new approaches to managing circadian rhythms disorders and hypersomnias;
  2. Identify best practices and areas of controversy in the treatment of the spectrum of sleep-disordered breathing in both adults and children; and
  3. Apply best practice recommendations for the management of patients with insomnia, parasomnias and restless legs syndrome.

C09: Behavioral Sleep Medicine: Evidence-and Case-Based Treatment of Special Populations 
Overview: This course will provide attendees training in the delivery of evidence-based and novel behavioral sleep medicine interventions for managing their sleep disorder patients, with an emphasis on special populations. We have organized the course to provide attendees vital information for treating patient groups frequently seen in clinic (e.g., hypnotic users), while also focusing on particularly challenging clinical populations (e.g., children with neurodevelopmental disorders). Specifically, our lectures will address hypnotic users, shift workers, older adults, children with mental, medical, or neurodevelopmental disorders, substance users, patients with PTSD, and non-adherent PAP users. Content will include best practices as well as case examples.
Psychologist Level of Content: Intermediate
Chair: James Wyatt, PhD
Faculty: Mark Aloia, PhD | Todd Arnedt, PhD | Jack Edinger, PhD | Anne Germain, PhD | Jennifer Martin, PhD | Lisa Meltzer, PhD | Michael Smith, PhD

Objectives:

  1. Develop or advance skills in behavioral sleep medicine therapies for a range of sleep problems including insomnia occurring comorbid with hypnotic use, sleep apnea, shift work sleep disorder, and other sleep disorders, as well as in older adults and children with comorbid diagnoses;
  2. Provide a critical analysis of the empirical evidence supporting and limiting each of the techniques discussed;
  3. Learn well-tested, systematic methods for providing behavioral sleep medicine services via evidence review and case-based learning; and
  4. Highlight emerging opportunities for behavioral sleep medicine practice to engage in and contribute to collaborative practice in the sleep medicine arena.

C10: Adolescent Sleep Medicine: State of the Art 2017
Overview: Increasing numbers of adolescents and young adults are being referred to sleep specialists and centers. Adolescents are not big children and require diagnostic and treatment approaches tailored for them. Sleep problems in adolescence have major impact upon brain development, mood regulation, behavior, academic performance, health outcomes, and safety.
Psychologist Level of Content: Advanced
Chair: Madeleine Grigg-Damberger, MD | Sanjeev Kothare, MD 
Faculty: Anna Ivanenko, MD, PhD | Umakanth Khatwa, MD | Suresh Kotagal, MBBS | AnneMarie Morse, DO | Carol Rosen, MD | Matthew Troester, DO

Objectives:

  1. Appreciate recent research advances in sleep medicine in adolescents;
  2. Understand the differences in the evaluation, management, and presentation of sleep disorders during adolescence; and
  3. Recognize unique sleep disorders which begin in adolescence.

Half Day Courses

8 a.m. - 12 p.m.

C11: Evolving Your Sleep Practice to Meet the Needs of an Ever Changing Healthcare World
 
Overview: This course reviews several topics that should help guide sleep clinicians to better manage the current and future challenges that all sleep providers and practices will have to face and overcome to remain successful and financially viable. Topics will include changes in reimbursement, quality reporting and quality improvement, incorporating virtual care into your practice and managing human resources to improve efficiencies and patient satisfaction.
Psychologist Level of Content: Intermediate  
Chair:
Neil Freedman, MD
Faculty: Amy Aronsky, DO | Conrad Iber, MD | Timothy Morgenthaler, MD

Objectives:
  1. Understand upcoming changes in reimbursement including MACRA and value based care;
  2. Define value and quality and list processes that will improve important outcomes for your patients and practice; and
  3. List methods that incorporate virtual medicine into your practice.
C12: Sleep Disturbances and Cancer: An Emerging Relationship 
Overview: During the past few years, several studies have focused on investigating whether sleep duration and sleep quality affect overall cancer outcomes. More recently, it has been also described that sleep fragmentation and intermittent hypoxia can participate on tumor incidence and progression in obstructive sleep apnea (OSA) patients. Therefore, sleep disturbances such as those experienced in OSA patients and shift workers seem to confer a higher risk to develop some type of cancers. On the other hand, there are data showing that, suffering cancer (and its treatment), can alter sleep habits, with patients with cancer reporting insomnia, poor sleep quality, and short sleep duration.
Psychologist Level of Content: Intermediate   
Chair:
Isaac Almendros, PhD
Faculty: Sonia Ancoli-Israel, PhD | Javier Nieto, MD, PhD | Eva Schernhammer, MD

Objectives:
  1. Provide the audience with an updated perspective of the relationship between sleep disturbances and cancer;
  2. Improve the audience knowledge on the mechanisms, linking OSA and other non-OSA sleep disturbances with cancer and on what are the currently available epidemiological evidences on the association between sleep disturbances and cancer; and
  3. Update the audience on the potential effects of cancer and its therapy on sleep and how to improve the sleep quality in these patients.

1 p.m. - 5 p.m.

C13: The Holy Grail of Clinical Sleep Medicine: Measuring and Reporting Meaningful Outcomes
Overview: This course will provide clinicians and researchers with the rationale for linking specific sleep outcomes to specific neurobehavioral and biobehavioral outcome measures, state-of-the-art tools to measure outcomes, and interpretive language to facilitate communication outside the field of sleep medicine.
Psychologist Level of Content: Intermediate
Chair: Daniel Lewin, PhD
Faculty: Dean Beebe, PhD | Vincent Capaldi, MD | Anne Germain, PhD

Objectives:

  1. Have a working knowledge of categories of objective and subjective outcomes (e.g., attention, mood, neurobehavioral function, biomarkers);
  2. Ability to link outcomes measures to American Academy of Sleep Medicine quality metrics for common sleep disorders;
  3. Ability to implement outcome measures into their clinical and research programs; and
  4. Ability to translate sleep variables to outcomes that are understood and valued by clinicians and lay audiences.

C14: RLS Treatment Advances in the Post-Mainly-Dopamine Era: Augmentation, Alpha-2-Delta Agents, Opioids, Iron, Pediatric Care and those Intractable Cases
Overview: This is a practical course focused on improved treatment of RLS. RLS augmentation has led to a change from dopamine agonist to alph-2-delta agents, opioids and iron (oral and IV) as alternate first and second line treatments for RLS adults and children. How and when to use these will be reviewed along with consideration of treatment-refractory RLS cases.
Psychologist Level of Content: Intermediate
Chair: Richard Allen, PhD
Faculty: Diego Garcia-Borreguero, MD, PhD | Christopher Earley, PhD | Daniel Picchietti, MD

Objectives:

  1. Identify early signs of RLS augmentation;
  2. Better use alph-2-delta agents as first or second line RLS treatment;
  3. Use appropriate opioid and iron treatments of RLS;
  4. Better manage pediatric RLS; and
  5. Be aware of regulatory issues with use of opioids.