Learning Objectives

After completing this 4-hour activity, participants will be better able to:

• Appreciate the health consequences of OSA
• Recognize risk factors for OSA
• Interpret testing results used for the diagnosis of OSA
• Select appropriate treatment based on risk stratification, risk/benefits, and patient considerations
• Integrate the diagnosis and management of OSA into clinical practice

Activity 1: Presentation and Diagnosis of OSA in Primary Care (Phyllis Zee, MD)

After completing this presentation, participants will be better able to:

• Recognize the clinical features indicating high risk for OSA
• List the health consequences of untreated OSA
• Develop a plan for testing or referral for OSA
• Describe the metrics used in the description of sleep disordered breathing

Activity 2: OSA and the Principles of Therapy (B. Tucker Woodson, MD)

After completing this presentation, participants will be better able to:

• List the principles of treatment for OSA
• Describe the concept of critical closing pressure as a treatment target
• Match risk stratification with treatment type and outcome
• Recognize the importance of follow-up for any treatment option

Activity 3: Management of OSA from a Primary Care Perspective (Amit Khanna, MD)

After completing this presentation, participants will be better able to:

• Develop a strategy to counsel patients before and after treatment for OSA
• Explain when and how to prescribe Continuous Positive Airway Pressure (CPAP) therapy
• Discuss the general principles of management for OSA as a chronic disease
• Describe the management approach for a patient with OSA who has residual sleepiness

Activity 4: What’s New in OSA: 2011 and Beyond (Amit Khanna, MD)

After completing this presentation, participants will be better able to:

• Recognize the individual, economic, and societal implications of under diagnosis and suboptimal treatment of OSA.
• Review the pathophysiology of OSA.
• Describe mechanisms which account for the effect of OSA on comorbid disease.
• Describe current research highlighting the benefits of OSA treatment on patient outcomes (morbidity and mortality).
• Describe recent therapeutic developments in the management of OSA.
• Explain how to incorporate sleep diagnostic services into clinical practice.
• Review the primary options available for executing a sleep study: certified sleep center referral and home sleep test.