neuroscienceCME Medical Simulation
Premiere Date: Thursday, March 26, 2009
Patient Info:
Ian is a 30-year-old African-American male diagnosed with schizophrenia at age 22. His symptoms have been stable on antipsychotic medication for the past 3 years. He presents today reporting sleepiness that is interfering with his work, his interest in things, and his ability to remember to take his medication.This activity offers CE credit for:
All other clinicians will either receive a CME Attendance Certificate or may choose any of the types of CE credit being offered.
- Physicians (ACCME/AMA PRA Category 1)
- Pharmacists (ACPE)
Credit Expiration Date:
Friday, March 26, 2010
Faculty
Mary B. O'Malley, MD, PhD
Program Director, Sleep Fellowship
Norwalk Hospital Sleep Disorders Center
Norwalk, CTStatement of Need
The symptom of excessive sleepiness often reflects an underlying sleep disorder with the potential to cause dangerous physiological disruption and cardiometabolic and psychiatric morbidity.(1) Sleep disorders may be of particular concern in patients with schizophrenia in light of their already shortened lifespan relative to the general population, and the high frequency of risk factors for cardiometabolic risk associated with the illness.(2) In order to reduce the risks associated with sleep disorders in this patient population, there is a need for proper identification and management. Sleep disorders in the context of patient with schizophrenia can be particularly challenging because psychiatric and cognitive aspects of the disease may complicate differential diagnosis and may limit treatment options. Extra support may be needed to help patients obtain maximal benefit from treatment and lifestyle changes that are often critical to restoring sleep. In patients maintained on antipsychotic medication, possible iatrogenic effects on sleep should be considered and if warranted, the benefit of switching to a different antipsychotic should be weighed against potential risk of lost or reduced efficacy. In this interactive, case-based activity, expert faculty will provide evidence and clinical insight on assessing the symptom of excessive sleepiness in patients with schizophrenia, and in diagnosing and managing the underlying sleep disorder, while allowing participants to hone their clinical decision-making skills in the context of a real-world case.
- Hirshkowitz M. The clinical consequences of obstructive sleep apnea and associated excessive sleepiness. J Fam Pract 2008;57(Suppl 8):S9-S16.
- Colton CW, Manderscheid RW. Congruencies in increased mortality rates, years of potential life lost, and causes of death among public mental health clients in eight states. Prev Chronic Dis 2006;3:1-14.
Activity Goal
To provide mental health care practitioners with evidence-based strategies for assessing the symptom of excessive sleepiness in their patients with schizophrenia, and in developing an appropriate management plan for patients with underlying sleep disorders.
Learning Objectives
At the end of this CE activity, participants should be able to:
- Utilize standardized tools to assess the symptom of excessive sleepiness in patients with schizophrenia.
- Implement a strategy for referral to accurately diagnose an underlying sleep disorder.
- Integrate ongoing assessment of sleep symptoms and treatment response into the clinical care of patients with schizophrenia.
Target Audience
Physicians, physician assistants, pharmacists, and other healthcare professionals with an interest in sleep-wake disorders.
Financial Support
CME Outfitters, LLC, gratefully acknowledges an independent educational grant from Cephalon, Inc., in support of this CE activity.
Credit Information
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 0.5 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.CPE Credit (Pharmacists):
CME Outfitters, LLC, is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. 0.5 contact hours (0.05 CEUs)
Universal Program Number: 376-000-09-007-H01-P
Activity Type: knowledge-based
Post-tests, credit request forms, and activity evaluations can be completed online at www.neuroscienceCME.com (click on the Testing/Certification link under the Activities tab - requires free account activation), and participants can print their certificate or statement of credit immediately (80% pass rate required). This website supports all browsers except Internet Explorer for Mac. For complete technical requirements and privacy policy, visit www.neuroscienceCME.com/technical.asp.Mary B. O'Malley, MD, PhD
Mary B. O'Malley, MD, PhD, is the Fellowship Director for the Program in Sleep Medicine at the Sleep Disorders Center, Norwalk Hospital, Norwalk, CT. Dr. O'Malley is also a clinical instructor in the Department of Psychiatry at New York University. Dr. O'Malley also maintains a private practice in adult general psychiatry in Fairfield, CT.
Dr. O'Malley received her PhD degree in neurobiology from The Rockefeller University and her medical degree from Cornell University Medical College in New York. She completed an internship in internal medicine at Norwalk Hospital, followed by a fellowship in sleep medicine and a residency in psychiatry at New York University/Bellevue Medical Centers.
Dr. O'Malley is board certified in sleep medicine and psychiatry. She is a Laughlin Fellow of the American College of Psychiatry and is a member of the American Psychiatric Association and the American Academy of Sleep Medicine. Dr. O'Malley has authored or coauthored in both basic and clinical research, including chapters in Principles and Practice of Sleep Medicine and Clinical Handbook of Insomnia, and written a pocket reference manual on psychiatry for clinicians in training, The Saint Frances Guide to Psychiatry.Disclosure Declaration
It is the policy of CME Outfitters, LLC, to ensure independence, balance, objectivity, and scientific rigor and integrity in all its CE activities. Faculty must disclose to the participants any significant relationships with commercial companies whose products or devices may be mentioned in faculty presentations, or with the commercial supporter of this CE activity. CME Outfitters, LLC, has evaluated, identified, and attempted to resolve any potential conflicts of interest through a rigorous content validation procedure, use of evidence-based data/research, and a multidisciplinary peer review process. The following information is for participant information only. It is not assumed that these relationships will have a negative impact on the presentations.
Dr. O'Malley has disclosed that she serves on the speakers bureau for Cephalon, Inc.Unlabeled Use Disclosure
Faculty of this CE activity may include discussions of products or devices that are not currently labeled for use by the FDA. The faculty have been informed of their responsibility to disclose to the audience if they will be discussing off-label or investigational uses (any uses not approved by the FDA) of products or devices.
CME Outfitters, LLC, the faculty, and Cephalon, Inc., do not endorse the use of any product outside of the FDA labeled indications. Medical professionals should not utilize the procedures, products, or diagnosis techniques discussed during this activity without evaluation of their patient for contraindications or dangers of use.Questions about this activity? Call us at 877.CME.PROS (877.263.7767).
PL-006-032609-05
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