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Shift Work Disorder

neuroscienceCME Multimedia Snack

Premiere Date: Friday, December 14, 2012

This activity offers CE credit for:

  1. Physicians (CME)
  2. Pharmacists (ACPE)
  3. Other


All other clinicians will receive a Certificate of Attendance stating this activity was certified for AMA PRA Category 1 Credit™

Credit Expiration Date:
Saturday, December 14, 2013
Note: Credit Is No Longer Available

Faculty


Ned H. Kalin, MDNed H. Kalin, MD 
Hedberg Professor and Chair
Department of Psychiatry
University of Wisconsin School of Medicine and Public Health--Madison
Director, HealthEmotions Research Institute
Madison, WI
Editor-in-Chief – American Journal of Psychiatry

W. Vaughn McCall, MD, MSW. Vaughn McCall, MD, MS 
Case Distinguished University Chair
Department of Psychiatry and Health Behavior
Executive Vice Dean
Medical College of Georgia
Augusta University
Augusta, GA

Statement of Need

Tick tock. What “time are you” on the clock? Approximately one in five workers in the United States works nonstandard shifts such as permanent night shift work, rotating shifts, occasional on-call overnight duty, and even schedules that demand an early awakening from nocturnal sleep. Many of these Americans will experience shift work disorder (SWD). The core clinical symptoms of SWD—excessive sleepiness or insomnia or both—arise because sleep is attempted at a time that does not align with the internal circadian propensity for sleep in patients who are intolerant to such misalignment. The good news is that effective clinical strategies exist for managing SWD. The unfortunate news is that many of those strategies are underutilized and result in underrecognition and undertreatment, which yields suboptimal patient outcomes.

This neuroscienceCME Snack features a sleep specialist discussing how clinicians can improve identification and treatment of patients with SWD using recommendations in the American Academy of Sleep Medicine guidelines.


  • Sack RL, Auckley D, Auger RR, et al. Circadian rhythm sleep disorders: part I, basic principles, shift work and jet lag disorders. An American Academy of Sleep Medicine review. Sleep. 2007;30(11):1460-1483. PMID: 18041480.
  • Morgenthaler TI, Lee-Chiong T, Alessi C, et al. Practice parameters for the clinical evaluation and treatment of circadian rhythm sleep disorders. An American Academy of Sleep Medicine report. Sleep. 2007;30(11):1445-1459. PMID: 18041479.

    Activity Goal

    To educate clinicians on how to diagnose and manage shift work disorder in accordance with recommendations from the American Academy of Sleep Medicine.

    Learning Objectives

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

    • Employ evidence-based strategies to detect and diagnose shift work disorder (e.g., consistently query patients about their sleep habits).
    • Devise multimodal treatment plans for patients with insomnia that are in accordance with American Academy of Sleep Medicine (AASM) guidelines, while evaluating efficacy and safety data for existing and emerging pharmacological agents.

    Financial Support

    This activity is supported by an educational grant from Teva Pharmaceuticals.

    Target Audience

    Physicians, pharmacists, and other health care professionals with an interest in shift work disorder.

    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 enduring material for a maximum of .5 AMA PRA Category 1 Credit™. 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. .5 contact hours (0.05 CEUs)
    Universal Activity Number: 0376-0000-12-032-H01-P (recorded programs)
    Activity Type: knowledge-based

    Post-tests, credit request forms, and activity evaluations must be completed online at www.cmeoutfitters.com/TST737 (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.

    Disclosure Declaration

    It is the policy of CME Outfitters, LLC, to ensure independence, balance, objectivity, and scientific rigor and integrity in all of their 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 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. Kalin has disclosed that he received grant support from APIRE/Janssen Resident Psychiatric Mentor Grant; National Institute for Mental Health; and The Stanley Medical Research Institute. He serves as a consultant for Neuronetics and is a stockholder/maintains equity options in CeNeRx Biopharma; and Corcept Therapeutics.

    Dr. McCall has no disclosures to report.

    Tony Graham, MD (peer review) has no disclosures to report.

    Monique Johnson, MD, CCMEP (planning committee) has no disclosures to report.

    Joy Bartnett Leffler, MLA, NASW, CSE (planning committee) has no disclosures to report.

    Sandra Haas Binford, MAEd (planning committee) has no disclosures to report.

    Sharon Tordoff, CCMEP (planning committee) 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, the faculty, and Teva Pharmaceuticals 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).

    SN-053-121412-15

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