| Section | Aims | Themes |
| Science of sleep
|
To understand the neural processes involved in sleep and wakefulness
To review the two-process sleep model To assess the effects of sleep deprivation
|
Introduction to sleep and wakefulness science
Two process model of sleep Effects of insufficient sleep
|
| Technology of sleep
|
To conduct polysomnography
To identify sleep stages in PSG To recognize specific events marked on polysomnogrphy To use actigraphy, sleep diaries and polysomnography |
Polysomnography settings
Sleep stages and PSG marked events Artifacts Troubleshooting |
| Evaluation of patients with sleep disorders
|
To conduct a sleep-focused clinical history
To conduct a sleep-focused physical exam
|
Questionnaires used in sleep medicine
Predictability of symptoms in sleep disorders Predictability of physical findings |
| Obstructive sleep apnea
|
To review the pathophysiology of OSA
Understand the risks of untreated of OSA To discuss treatment options for OSA
|
Epidemiology by country
Pathophysiology and risks: obesity, hypotonia, etc Consequences: cardiovascular, cognitive, social, etc Treatment: surgery, PAP, orthodontics, etc |
| Non-OSA sleep related breathing disorders | To review the diagnostic criteria of non-OSA SDB
To review scoring of non-OSA SDB |
Central apnea mechanisms and treatment
Hypoventilation mechanisms and treatment |
| Non-Invasive ventilation
|
To understand the indications for NIV
To review NIV modes, uses and indications To asses scoring of PSG during titration studies |
Principles of NIV
Types of masks Titration interpretation and reporting |
| Hypersomnias
|
To identify patients with narcolepsy/idiopathic hypersomnia
To understand the MSLT |
Narcolepsy
Idiopathic hypersomnia Klein Levin Actigraphy MSLT |
| Sleep related movement disorders (SRMD)
|
To understand the pathophysiology of SRMD
To discuss treatment options To identify populations at risk |
RLS
PLMD Rhythmic movement disorder Review SIT Test
|
| Parasomnias
|
To understand NREM and REM parasomnias
To distinguish parasomnias from seizures or other paroxysmal events |
Evaluation and treatment of REM parasomnias (nightmares, RBD)
Evaluation and treatment of NREM parasomnias (sleepwalking, night terrors, etc) |
| Insomnia
|
To understand the pathophysiology of chronic insomnia
To review the diagnostic criteria of insomnia To discuss comorbidities in insomnia |
Insomnia presentation and evaluation
Diagnosing insomnia primary and secondary Neuroimaging of insomnia and associated disorders |
| Behavioral/psychological / Neurocognitive aspects of sleep | To understand the behavioral and cognitive aspects of sleep and sleep disorders
To discuss CBT and its use in sleep |
Components of behavioral therapy for sleep
Components of cognitive therapy for sleep Utility of CBT in sleep disorders |
| Circadian disorders
|
To understand the diagnosis and evaluation of circadian disorders
To discuss the role of melatonin and light therapy |
Neuroanatomy of circadian cycle
Diagnostic criteria of the circadian disorders Evaluation of the patient with circadian misalignment |
| Pharmacology
|
To understand neurotrasmitters of sleep and wakefulness
To discuss common medications for insomnia, hypersomnia, and RLS To understand the effect of other medications on sleep |
Neurotransmitters and neuromodulators of sleep
Effect of medications (antipsychotic and antidepressants on sleep) Common medications used in sleep disorders |
| Pediatric sleep concerns
|
To understand sleep issues pertinent to children
To review populations at risk To practice pediatric scoring |
Sleep in neurodevelopmental and genetic disorders
Various presentations of sleep disorders unique to children Pediatric scoring manual sections |
| Setting a sleep laboratory | To review current requirements for establishing a sleep laboratory | Legal aspects
Ethical aspects Local regulations Sleep Society regulations |
| Final review | To summarize learning from the course
To prepare for the final exam |
Key points from all lectures
Tips for facts to remember Board review questions |
