Courses will be offered the Saturday and Sunday preceding World Sleep 2019. Course titles, speakers and details will not be announced until 2018.
Example Course Schedule:
RLS is not just leg kicking (All day)
This year educational program will introduce new and expanded data on RLS and on limb movements. Several presentations will discuss the association of weight and RLS with and without PLMS. Recent data from imaging studies contribute to the understanding of the pathophysiology of RLS. More presentations will debate the unequivocal association of sleep related limb movements and RLS. Clinical aspects of RLS in adults and children will be reviewed. Finally treatment conundrums will be discussed. New this year, we will present opportunities for international collaboration.
Pediatric Sleep Medicine (All day)
A comprehensive review of key features of pediatric sleep medicine. The prevalent expertise in pediatric aspects of sleep medicine is relatively poor, so the topics and speakers are expected to provide basic and advanced aspects on individual topics. Important areas to cover, besides the usual (e.g., sleep apnea, narcolepsy, insomnia) include the use of media and impact on the sleep of children, sleep in developmental disorders, and the inter-relationship of sleep and psychiatric disorders.
Insomnia therapeutics (All day)
A comprehensive review of insomnia starting from known etiology to best clinical evidence of therapy. A pro/con for medications / CBT can usefully engage the audience, to obtain useful perspective of realities of time constrained practices. A progressive story reflecting contemporary psychobiological and transdiagnostic approaches (targeting co-morbid conditions) to therapy is a suggested approach. Presentation of alternative forms of psychologically based sleep coaching (Internet based, ancillary clinical staff) will be useful for practitioners in resource-poor or demand-rich settings.
Technology and Effective Business Models in Sleep Medicine (Half day)
Technology for “effective” business of sleep medicine. This course will focus on best use of personnel time and technology. Included are an update on technology used in the practice of sleep medicine, including data archiving, remote viewing of data, software running laboratory devices, positive pressure therapy compliance tracking devices, patient therapy applications, and telemedicine. The course will present diverse models in the practice of sleep medicine, with limits imposed by resource, personnel, biology and technology. “Minimal” (individual physicians in private practice in resource limited environment), “maximal” (classic tertiary sleep centers in academic programs) and models in between will be compared, with active engagement from audience members.
Biology and pharmacology of sleep (Half day)
This course will showcase biology-therapy pairs, covering neurotransmitter systems and their use for sleep medicine (GABA, dopamine, opiates, orexin, carbonic anhydrase, iron, RLS treatment, histamine, and addiction biology). A discussion of drug induced sleep disturbances/disorders will be important, including the effects of new drugs impacting the nervous system (anti-epileptics, psychiatric medications, targeted cancer therapy) when available.
Circadian Medicine (Half day)
This course will cover an update on the neural and systemic biology of circadian rhythms, challenges in clinical diagnosis and management, focusing on new data. The intent is to move away from circadian disorders as “sleep disorders’ but more as systemic disorders. This is the first step for sleep medicine physicians taking ownership of circadian medicine.
Ambulatory sleep medicine (Half day)
This course will cover the movement of sleep medicine away from the sleep lab, across medical and consumer devices. It can include telemedicine opportunities. The future (or even the development) of sleep medicine in most countries lies in ambulatory testing and management. The focus should be on how to best use (and not use) technology, with an aim for greatest impact on a population of largely undiagnosed and untreated sleep disorders. Use of data from therapy devices can be here on in “pushing the edge of sleep apnea medicine” course.
Sleep stages scoring and apnea scoring using computer lab equipment (Half day)
The main goals of the course are to:
1. to be familiar with the updated AASM guidelines for scoring sleep stages and arousals
2. to be familiar with the updated AASM guidelines for scoring respiratory events
3. to be familiar with the sleep related motor disorders
4. to be able to recognize sleep related events and score them according to the AASM guidelines
Participants will be using computer software within the course.
Differential diagnosis of sleep disorders. Video seminar of different sleep disorders and review of treatment options (Half day)
A review of different sleep disorders including treatment options. Focus will be using videos as teaching case study examples.
State of the field (All day)
This course will bring together basic science and clinical advances, putting together the best of a “year in review” and a “basic science/methods” update for the sleep physician”. The span of topics should include technology, controversial areas, recent (2-3 years) literature.
Modifying the upper airway for sleep apnea management (All day)
This course will bring together dental and surgical approaches to the upper airway, which of special interest to countries where sleep medicine is less developed or too expensive. The course should range from airway development to structural and functional modification, with presentation of long-term outcomes when available.
Restless legs syndrome (Half day)
This course will deal with new concepts in diagnosis and management of RLS, with a special focus on iron therapy, augmentation, long term outcomes including impulse control disorders, new guidelines, and update on pathophysiology.
Pushing the envelope of sleep apnea medicine (Half day)
This course will deal with difficult, cutting edge and controversial aspects of sleep apnea management, including high loop gain sleep apnea, hypoventilation, management of associated symptoms, and new therapies. Use of data from therapy devices can be here or in the ambulatory sleep medicine course.
Heart and sleep (Half day)
This course will cover an update on physiology/pathophysiology, heart failure, arrhythmias, and sudden death. The failure of several high-profile trials in sleep medicine can be usefully discussed here. As there is general familiarity with heart/sleep literature by practitioners of sleep medicine, this course is proposed to deal with advanced materials and controversies.
Dental sleep medicine (Half day)
This course will focus on practical aspects of dental sleep medicine. Dental approaches to sleep medicine may be especially useful in resource-poor (for positive pressure use) environments. Long term outcomes, adverse effects on local anatomy and device selection.
Neurodegeneration and sleep (Half day)
This course will cover the brain functions of sleep in relation to neuronal health, amyloidogenesis, Lewy bodies and sleep, epidemiology of sleep/brain health, and intervention strategies.
PLMS and RBD scoring techniques and methods (Half day)
Practical learning of scoring techiques and methods for PLMS and RBD.