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	Faculty
	Statement of Need
	Activity Goal
	Learning Objectives
	Target Audience
	Financial Support
	Credit Information

neuroscienceCME Medical Simulation

Patient Info: Ted, a 65-year-old school teacher, presents with complaints of inability to fall asleep and increased job stress.

Premiere Date: Tuesday, March 17, 2009

This activity offers CE credit for:

1. Physicians (ACCME/AMA PRA Category 1)
2. Pharmacists (ACPE)

All other clinicians will either receive a CME Attendance Certificate or may choose any of the types of CE credit being offered.
Credit Expiration Date:
Wednesday, March 17, 2010

Faculty

Meeta Singh, MD  Senior Staff Henry Ford Sleep Disorders Center Detroit, MI

Statement of Need

Insomnia is a common disorder, characterized by difficulty falling asleep, increased nighttime wakefulness, and/or inadequate sleep duration. Up to 75% of adults report symptoms of acute insomnia that can last from one night to a few weeks, while approximately 10% to 15% have chronic insomnia, which is sleep difficulty lasting at least 3 nights per week for 1 month or more.(1,2) Insomnia is associated with significant personal and socioeconomic burdens, yet it remains largely under recognized and inadequately treated.

Diagnosing insomnia and comorbid medical or psychiatric illness can be challenging for physicians. Taking additional time to diagnose a primary sleep disorder that may have emerged on top of other issues can make all the difference in devising a comprehensive and effective treatment plan. In this interactive, case-based activity, expert faculty will provide evidence as well as clinical insight on recognizing, assessing, and managing patients with insomnia and comorbid depression, while allowing participants to hone their clinical decision-making skills in the context of a real-world case.

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1. Insomnia: assessment and management in primary care. National Heart, Lung, and Blood Institute Working Group on Insomnia. Am Fam Physician 1999;59:3029-3038.
2. Buscemi N, Vandermeer B, Friesen C, et al. Manifestations and Management of Chronic Insomnia in Adults. Evidence Report/Technology Assessment: Number 125, June 2005. Available at: http://www.ahrq.gov/clinic/epcsums/insomnsum.htm.

Activity Goal

To evaluate evidence-based diagnostic and treatment strategies to improve outcomes for patients with insomnia.

Learning Objectives

At the end of this CE activity, participants should be able to:

• Choose appropriate rating scales and assessment tools in diagnosing insomnia.
• Identify possible comorbidities that might contribute to differential diagnosis for insomnia.
• Design effective, evidence-based treatment strategies to improve overall outcomes in patients with insomnia and comorbid depression.

Target Audience

Physicians, physician assistants, pharmacists, and other healthcare professionals interested in management and treatment of patients with insomnia.

Financial Support

CME Outfitters, LLC, gratefully acknowledges an educational grant from No Commercial Supporter 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: 376-000-09-008-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.

Meeta Singh, MD
Dr. Meeta Singh graduated from the Government Medical College in Chandigarth, India in 1996. After medical school, Dr. Singh completed her psychiatry residency at the Mayo Clinic in Rochester, MN, between 1999 and 2004. In 2004, she moved to Detroit, MI, to complete her fellowship in Sleep Medicine at Henry Ford Hospital. Dr. Singh currently works as a senior staff member at the Henry Ford Hospital Sleep Disorders Center, where she has been since 2005. Dr. Singh specializes in treating patients with shift work sleep disorders, circadian rhythm disorders, and insomnia in both children and adults.

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. Singh has no disclosures to report.

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, and the faculty 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).

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