Introduction to Obstructive Sleep Apnea for the Internist

Introduction The prevalence of sleep-disordered breathing is increasing, and there are insufficient sleep medicine specialists to meet the clinical demand of caring for these patients. One way to meet this clinical need is to train primary care and internal medicine physicians to provide some of the...

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Main Authors: Rosemary Adamson, Brian Palen, Ken He, Joanna Wrede, Daniel O'Hearn, Elizabeth Parsons
Format: Article
Language:English
Published: Association of American Medical Colleges 2018-10-01
Series:MedEdPORTAL
Subjects:
Online Access:http://www.mededportal.org/doi/10.15766/mep_2374-8265.10761
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author Rosemary Adamson
Brian Palen
Ken He
Joanna Wrede
Daniel O'Hearn
Elizabeth Parsons
author_facet Rosemary Adamson
Brian Palen
Ken He
Joanna Wrede
Daniel O'Hearn
Elizabeth Parsons
author_sort Rosemary Adamson
collection DOAJ
description Introduction The prevalence of sleep-disordered breathing is increasing, and there are insufficient sleep medicine specialists to meet the clinical demand of caring for these patients. One way to meet this clinical need is to train primary care and internal medicine physicians to provide some of the care. However, trainees in these specialties often receive very little training on practical aspects of the management of obstructive sleep apnea (OSA). We developed an experiential workshop to address this need at our institution. Methods For approximately 60 internal medicine residents, we ran a 2.5-hour workshop consisting of two 20-minute didactic presentations to the whole audience and two 40-minute breakout sessions, led by eight facilitators. During the breakout sessions, the residents interacted with equipment such as positive airway pressure (PAP) devices and interfaces, reviewed sleep testing and PAP download reports, and participated in guided small-group discussions. Results We received 40 evaluation surveys with at least partial responses. Only 50% of respondents had received prior formal instruction on PAP devices. Both subjective and objective knowledge scores improved on the postworkshop questions compared to the preworkshop questions. Trainee comments were extremely positive, indicating that they enjoyed the format of the session. Discussion This curriculum provides an interactive educational session focused on practical aspects of OSA management relevant to primary care physicians and internists. It was well received and could be adapted to suit other time frames and other groups of learners.
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spelling doaj.art-4d4c74381f2241ea89725c0a4b73f0ed2022-12-21T18:39:18ZengAssociation of American Medical CollegesMedEdPORTAL2374-82652018-10-011410.15766/mep_2374-8265.10761Introduction to Obstructive Sleep Apnea for the InternistRosemary Adamson0Brian Palen1Ken He2Joanna Wrede3Daniel O'Hearn4Elizabeth Parsons5Assistant Professor, Department of Medicine, Division of Pulmonary, Critical Care, and Sleep Medicine, University of Washington School of Medicine; Staff Physician, Pulmonary, Critical Care and Sleep Medicine, Veterans Affairs Puget Sound Healthcare SystemAssistant Professor, Department of Medicine, Division of Pulmonary, Critical Care, and Sleep Medicine, University of Washington School of Medicine; Staff Physician, Pulmonary, Critical Care and Sleep Medicine, Veterans Affairs Puget Sound Healthcare SystemClinical Instructor, Division of General Internal Medicine, University of Washington School of Medicine; Staff Physician, Hospital Medicine, Veterans Affairs Puget Sound Healthcare SystemAssistant Professor, Department of Pediatrics, Division of Pulmonary and Sleep Medicine, University of Washington School of Medicine; Assistant Professor, Department of Neurology, Division of Child Neurology, University of Washington School of MedicineAssociate Professor, Division of Pulmonary, Critical Care, and Sleep Medicine, University of Washington School of Medicine; Staff Physician, Pulmonary, Critical Care and Sleep Medicine, Veterans Affairs Puget Sound Healthcare SystemAssistant Professor, Department of Medicine, Division of Pulmonary, Critical Care, and Sleep Medicine, University of Washington School of Medicine; Staff Physician, Pulmonary, Critical Care and Sleep Medicine, Veterans Affairs Puget Sound Healthcare SystemIntroduction The prevalence of sleep-disordered breathing is increasing, and there are insufficient sleep medicine specialists to meet the clinical demand of caring for these patients. One way to meet this clinical need is to train primary care and internal medicine physicians to provide some of the care. However, trainees in these specialties often receive very little training on practical aspects of the management of obstructive sleep apnea (OSA). We developed an experiential workshop to address this need at our institution. Methods For approximately 60 internal medicine residents, we ran a 2.5-hour workshop consisting of two 20-minute didactic presentations to the whole audience and two 40-minute breakout sessions, led by eight facilitators. During the breakout sessions, the residents interacted with equipment such as positive airway pressure (PAP) devices and interfaces, reviewed sleep testing and PAP download reports, and participated in guided small-group discussions. Results We received 40 evaluation surveys with at least partial responses. Only 50% of respondents had received prior formal instruction on PAP devices. Both subjective and objective knowledge scores improved on the postworkshop questions compared to the preworkshop questions. Trainee comments were extremely positive, indicating that they enjoyed the format of the session. Discussion This curriculum provides an interactive educational session focused on practical aspects of OSA management relevant to primary care physicians and internists. It was well received and could be adapted to suit other time frames and other groups of learners.http://www.mededportal.org/doi/10.15766/mep_2374-8265.10761Obstructive Sleep ApneaSleep-Disordered Breathing
spellingShingle Rosemary Adamson
Brian Palen
Ken He
Joanna Wrede
Daniel O'Hearn
Elizabeth Parsons
Introduction to Obstructive Sleep Apnea for the Internist
MedEdPORTAL
Obstructive Sleep Apnea
Sleep-Disordered Breathing
title Introduction to Obstructive Sleep Apnea for the Internist
title_full Introduction to Obstructive Sleep Apnea for the Internist
title_fullStr Introduction to Obstructive Sleep Apnea for the Internist
title_full_unstemmed Introduction to Obstructive Sleep Apnea for the Internist
title_short Introduction to Obstructive Sleep Apnea for the Internist
title_sort introduction to obstructive sleep apnea for the internist
topic Obstructive Sleep Apnea
Sleep-Disordered Breathing
url http://www.mededportal.org/doi/10.15766/mep_2374-8265.10761
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