Case Simulations in the Detection of OSA: Patients That Keep You Up At Night

CMEO Medical Simulation

Premiere Date: Friday, March 1, 2019

This activity offers CE credit for:

  1. Physicians (CME)
  2. Pharmacists (ACPE)
  3. ABIM (MOC)
  4. Other

All other clinicians will receive a Certificate of Attendance stating this activity was certified for AMA PRA Category 1 Creditâ„¢

Credit Expiration Date: Thursday, December 31, 2020

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Todd J. Swick, MD Todd J. Swick, MD 
Clinical Assistant Professor of Neurology
University of Texas Medical School Health Sciences Center at Houston
Medical Director, Houston Sleep and Neurology Associates
Medical Director, The Sleep Center at North Cypress Medical Center
Medical Director, Apnix Sleep Diagnostic Centers
Cypress, TX

Statement of Need

Sleep is necessary for optimal functioning and health, and many patients diagnosed with obstructive sleep apnea (OSA) and narcolepsy experience residual excessive sleepiness (ES) despite treatment. In order to avoid the negative impact on health-related quality of life (HRQoL) and high medical costs associated with patients who suffer from residual ES, it is imperative that the rate of detection for this disorder increase. Clinicians should incorporate tools such as the Epworth Sleepiness Scale (ESS) into routine practice to determine whether their patients with OSA have residual ES.

This CME Outfitters decision-tree medical simulation features guidance, insights, and evidence from expert faculty regarding tools such as the Epworth Sleepiness Scale (ESS) and how to incorporate it into routine practice in order to increase the rate of detection of persistent excessive sleepiness in patients with OSA.

Learning Objectives

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

  • Increase the rate of detection of persistent excessive sleepiness in patients with OSA by incorporating clinical tools such as the Epworth Sleepiness Scale (ESS) into routine practice.

The following learning objectives pertain only to those requesting CNE or CPE credit:

  • Summarize how to detect persistent excessive sleepiness in patients with OSA using clinical tools such as the Epworth Sleepiness Scale (ESS).

Financial Support

Supported by an educational grant from Jazz Pharmaceutical, Inc.

Target Audience

Sleep specialists, pulmonologists, primary care physicians, physician assistants, nurse practitioners, nurses, and pharmacists who treat patients with excessive sleepiness (ES).

Credit Information

CME Credit (Physicians):
CME Outfitters, LLC, is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

CME Outfitters, LLC, designates this enduring material for a maximum of .25 AMA PRA Category 1 Credit(s)TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

CPE Credit (Pharmacists):
ACPE CME Outfitters, LLC, is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. 0.25 contact hours (0.025 CEUs) Universal Activity Number:
Enduring: 0376-0000-18-029-H01-P

Type: Knowledge-based

ABIM/MOC Credit:
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to .25 MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

Learning Formats
Enduring material

MIPS Improvement Activity: This activity counts towards MIPS Improvement Activity requirements under the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Clinicians should submit their improvement activities by attestation via the CMS Quality Payment Program website.

Post-tests, credit request forms, and activity evaluations must be completed online. (requires free account activation), and participants can print their certificate or statement of credit immediately (75% pass rate required). This website supports all browsers except Internet Explorer for Mac. For complete technical requirements and privacy policy, visit

Disclosure Declaration

It is the policy of CME Outfitters, LLC, to ensure independence, balance, objectivity, and scientific rigor and integrity in all of their CME/CE activities. Faculty must disclose to the participants any relationships with commercial companies whose products or devices may be mentioned in faculty presentations, or with the commercial supporter of this CME/CE activity. CME Outfitters, LLC, have 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. Swick reports that he receives research support from Avadel Pharmaceuticals; and Jazz Pharmaceuticals Inc. He is on the speakers bureau for Arbor Pharmaceuticals; and Jazz Pharmaceuticals Inc. He is a consultant for Avadel Pharmaceuticals.

Jeffrey Helfand, DO, MS (peer reviewer) has no disclosures to report.

Mae Ochoa, RPh (peer reviewer) has no disclosures to report.

Kashemi D. Rorie, PhD (planning committee) has nothing to disclose.

Sharon Tordoff, CHCP (planning committee) has nothing to disclose.

Disclosures were obtained from the CME Outfitters, LLC staff: Nothing to disclose.

Questions about this activity? Call us at 877.CME.PROS (877.263.7767).

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