The Board Review Trouble Spots webinars are aimed at “trouble spots” from the 2007 American Board of Medical Specialties (ABMS) sleep medicine certification examination. Among all candidates of the 2007 exam, the poorest scores were seen in the areas of pharmacology, considerations and disorders unique to childhood, and organ system physiology. During these webinars, experts in these areas provide information to help you begin to fill in gaps in your knowledge. Presentations included in this series are:
- Cardiovascular Physiology During Sleep
- Pediatric Pulmonology and Sleep Apnea
- Neurology of Sleep in Children
- Pharmacology of Sleep
Cardiovascular Physiology During Sleep
Presented February 18, 2009. Speaker: Susheel Patil, MD.
This webinar reviews key components of cardiovascular and respiratory physiology that are modulated by sleep. It begins with a review of the autonomic nervous system (ANS) and its control of cardiopulmonary systems. Cardiovascular reflexes mediated by the ANS including the baroreflexes, chemoreflexes, and cardiopulmonary reflexes are discussed. Alterations in ANS activity with sleep state and sleep disorders are reviewed along with subsequent effects on cardiovascular hemodynamics. General respiratory physiology with respect to control of breathing are also highlighted. In particular, the effects of chemical, mechanical, behavioral stimuli and sleep state on respiration during sleep are reviewed.
Pediatric Pulmonology and Sleep Apnea
Presented February 4, 2009. Speaker: Deborah Givan, MD.
This webinar reviews developmental aspects of sleep and breathing with emphasis on how this impacts obstructive sleep apnea in children. Symptoms of OSA in children and stress the differences in performing and interpreting sleep studies in children are reviewed. The important differences in approaches to both assessment and treatment of children versus adults are covered. Problems in children that are unique to the age are touched on briefly.
Neurology of Sleep in Children
Presented February 11, 2009. Speaker: Merrill Wise, MD.
Pediatric sleep medicine is an important and evolving component of sleep medicine, yet many sleep specialists have had limited educational exposure to pediatrics. This webinar reviews and discusses general concepts regarding developmental changes in sleep/wake patterns during childhood. The more common non-respiratory sleep disorders observed in children and the clinical evaluation of sleep problems in children including indications for polysomnography and other diagnostic tests are discussed. During the webinar, an overview of management strategies for pediatric sleep disorders is presented. After viewing, participants will have the resources and key concepts to guide further learning with regard to non-respiratory pediatric sleep disorders.
Pharmacology of Sleep
Presented January 28, 2009. Speaker: Karl Doghramji, MD.
This webinar explores the pharmacology of medications used to treat various sleep disorders such as narcolepsy, restless legs syndrome, and insomnia. The presentation focuses on their pharmacokinetics, efficacy, dosage recommendations, and adverse effects. It also reviews the effects of various medications utilized in various medical and psychiatric disorders on the process of sleep and physiological variables during sleep.