42 year-old man
Presents with problem of falling asleep at work
Works as a clert at a community hospital

Phyllis C. Zee, MD, PhD
Professor of Neurology
Director, Sleep Disorders Center
Associate Director, Center for Sleep & Circadian Biology
Northwestern University Feinberg School of Medicine
Chicago, IL

Excessive sleepiness, though highly prevalent, is under-detected, leading to pernicious effects on patients, the healthcare system, society, and public safety. While self-imposed sleep deprivation is a common cause, excessive sleepiness is also frequently the outward signal for underlying conditions of disturbed sleep or altered sleep-wake physiology. These include primary sleep disorders like obstructive sleep apnea (OSA) and circadian rhythm sleep disorders (CRSD) such as shift work sleep disorder and jetlag disorder. This two-part neuroscience CME Medical Simulation series offers interactive medical simulations that afford learners the opportunity to sharpen diagnostic and disease management skills related to the management of patients with sleep-wake disorders.

Needs were established by a review of scientific literature, expert opinion, guidelines and consensus statements, and CMEO surveys

Thorpy MJ, Lieberman JA, Roth T, Owens GS. Patient identification. Am J Manag Care 2007;13:S132-S139.

National Sleep Foundation. Fatigue and Excessive Sleepiness Fact Sheet. Available at: http://www.sleepfoundation.org/article/sleep-related-problems/excessive-sleepiness-and-sleep. Accessed March 1, 2010.

• Evaluate symptoms of excessive sleepiness utilizing a structured interview and validated assessment tools.
  
• Identify patients with sleep complaints for whom referral for polysomnography is appropriate.
  
• Implement pharmacologic and non-pharmacologic strategies to improve wakefulness in patients with circadian rhythm disorder

Utilize problem-based learning simulations to demonstrate improved competence in the diagnosis and management of sleep-wake disorders.

For more information on each category, please click on the following link: http://cme.medicine.iu.edu/iucme/forms_policies/ACGME_IOM.pdf

ACGME
Patient Care
Medical Knowledge
Practice-Based Learning and Improvement
System-Based Practice

IOM
Patient-Centered Care
Interdisciplinary Teams
Evidence-Based Practice

Physicians, physician assistants, nurse practitioners, nurses, pharmacists, and other health professionals with an interest in sleep-wake disorders.

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.


Note to Physician Assistants: AAPA accepts Category I credit from AOACCME, Prescribed credit from AAFP, and AMA Category I CME credit for the PRA from organizations accredited by ACCME.

CNE Credit (Nurses):

(Live activity) This continuing nursing education activity was approved by the New York State Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation.

It has been assigned approval code XX. 1.0 contact hours will be awarded upon successful completion.


(Archive activity) This continuing nursing education activity was approved by the New York State Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation.

It has been assigned approval code XX. 1.0 contact hours will be awarded upon successful completion.

CPE Credit (Pharmacists):

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 Activity Number:
 KB 376-999-10-011-H01-P (recorded programs)
 Activity Type: knowledge-based