2014 Meeting

NCASM Annual Meeting


Nov. 8th, 2014 NCASM Annual Meeting

The Friday Center
100 Friday Center Drive
Chapel Hill, NC 27599

AM General Sessions (Grumman Auditorium)

7:30am-8:00am - Registration

8:00am-8:45am - Future models of sleep care (Lawrence J. Epstein, MD, Welltrinsic Sleep Network, Boston, MA, American Academy of Sleep Medicine)

Objective: Identify and discuss the financial challenges facing sleep centers

8:45am-9:30am - Pediatric hypersomnia and insomnia (Sujay Kansagra, MD -
Duke University Medical Center, Durham, NC)


  • To review the main etiologies of hypersomnia in children
  • To help practitioners develop an approach to identifying causes of insomnia in children at various ages
  • To discuss workup and treatment strategies for common causes of hypersomnia and insomnia in children

9:30-9:45am - Question/Answer Session and Break with Exhibitors

9:45am-10:30am - Advanced Positive Airway Pressure Therapies - (Teofilo Lee-Chiong, MD,
National Jewish Health, University of Colorado Denver)


  • Recognize the indications and limitations of ASV and AVAPS

  • Learn when and how to use and adjust ASV and AVAPS settings

  • Understand the goals of ASV and AVAPS therapy

10:30am-11:15am ­Unique aspects of military sleep medicine: PTSD, TBI, and
disturbed sleep schedules and the consequences to sleep health (Robert N.
Walter, MD, CDR, MC, USN, Naval Medical Center Portsmouth, VA)


  • Understand how the unique demands of military life effect sleep
  • Common pitfalls in evaluating military members and how to avoid them
  • Become familiar with specific duty status limitations based on diagnosis and/or medication regimen

11:15am ­ 12:00pm - Oral appliance therapy for obstructive sleep apnea 
(Greg Essick, DDS, PhD, University of North Carolina School of Dentistry, Chapel Hill, NC)


  • Describe Dental Sleep Medicine (DSM) and the practice parameters established by the American Academy of Sleep Medicine (AASM) for oral appliance therapy
  • Describe what oral appliances do and the mechanisms underlying their effectiveness in improving sleep-disordered breathing
  • Describe how the sleep technologist works with the dentist to eliminate residual sleep-disordered breathing during the follow-up sleep study

12:00pm-1:00pm - Special Interest Session Lunch Buffet

AM Sleep Educators Breakout Session (Sunflower Room)

8:45am-9:30am - Polysomnography Education in North Carolina, Facilitator Beth Payne, RRT, RPSGT, Lenoir Community College, Kinston, NC


  • Discuss current events affecting polysomnography programs in North Carolina today
  • Discuss ways to increase collaboration and promote annual meetings between North Carolina educators

PM General Sessions (Grumman Auditorium)

1:00-1:45pm -  Insomnia (Andrew Krystal, MD, Duke University)

Objective: Discuss insomnia and management of disease states

1:45pm-2:30pm ­ Sleep and Cognition

(Heidi Roth, MD, University of North Carolina at Chapel Hill)


  • Understand how sleep and its disturbances affect memory consolidation
  • Understand how sleep disturbance may be tied to memory problems in development and aging (childhood and aging)
  • Understand that there is a relationship between sleep and development of neurodegenerative diseases causing memory problems
2:30pm ­ 3:15pm - Sleep-Disordered Breathing in Children (William Wooten, III, MD, Pediatric Pulmonology, Brody School of Medicine at East Carolina University)


  • Recognize childhood conditions that contribute to respiratory problems during sleep
  • Understand manifestations of sleep disordered breathing among children of different ages
  • Address challenges and opportunities for treatment of sleep apnea in children
3:15pm-3:30pm - Question/Answer Session and Break with Exhibitors
3:30pm-4:15pm - Home sleep testing and auto titration: Using new technologies to improve sleep medicine care (Thomas Stern, MD, MS, FCCP, FAASM, Advanced Respiratory and Sleep Medicine, Huntersville, NC)


  • Describe the medical decision making goals regarding the diagnosis and treatment of sleep disordered breathing
  • Review the data on currently available technology for the diagnosis and treatment of sleep disordered breathing in the home
4:15pm-5:00pm - Evaluation and management of nocturnal spells in children (Suresh Kotagal, MD, Department of Neurology, Mayo Clinic, Rochester, MN)


  • To describe the various types of nocturnal spells, e.g. parasomnias, seizures, etc.
  • To help the clinician develop a scheme for the diagnosis and management of these events
5:00pm-5:15pm ­ Business Meeting and Adjourn

PM Sleep Technologist Breakout Sessions (Sunflower room)
1:00pm-1:45pm - Pediatric scoring (Tammy Williams, RPSGT, Sandhills Community College, Pinehurst, NC)


  • Identify three differences between adult and pediatric EEG recordings during nocturnal polysomnography
  • Discuss the scoring variations in pediatrics concerning the identification of sleep related respiratory events
  • Review the Erikson’s model for Age-Specific patient education, assessment and patient care as seen in the sleep lab setting
1:45pm-2:30pm - Future of Sleep Technology (Teofilo Lee-Chiong, MD ,National Jewish Health, University of Colorado Denver)


  • Identify key factors that will influence the future of sleep medicine
  • Understand how new technology and new healthcare delivery models will transform clinical sleep medicine
  • Develop solutions to new challenges in sleep medicine

2:30pm-3:15pm - Discover methods to engage employers and introduce new ideas - and novel CPAP mask fitting questionnaire (Brittany Tolar, BS, RPSGT, Feeling Great Sleep Medical Center, Jacksonville, NC)


  • To discuss mask options and proper mask fitting
  • Presenting a mask fitting questionnaire to aid clinicians with selecting a proper mask for each patient
  • Integrating questionnaires into practice to promote compliance with therapy and increase reimbursements
3:15pm-3:30pm - Question/Answer Session and Break with Exhibitors

3:30pm-4:15pm – Classifications of Narcolepsy (Tanisha Burke, BS, RPSGT, Carolinas Sleep Services, Charlotte, NC and Sonya McNeill, BS, RPSGT, Southeastern Sleep Center, Lumberton, NC)


  • Identify the diagnostic criteria for the 2 forms of narcolepsy
  • Identify the clinical features of  each narcolepsy
  • Describe subjective and objective assessment tools to assist with identifying narcolepsy
  • Identify common treatments available for Narcolepsy
  • Describe techniques to improve the quality of life for narcolepsy disorders



NCASM 2014 Speaker Biographies

Lawrence J. Epstein, MD

Lawrence J. Epstein, MD is an instructor in Medicine at Harvard Medical School in Boston, MA, serves as President and CEO of the Welltrinsic Sleep Network, and is an Associate Physician, Division of Sleep and Circadian Disorders, Departments of Medicine and Neurology, Brigham and Women's Hospital. He serves as Program Director, Sleep Medicine Fellowship Program, Brigham & Women’s Hospital. Dr. Epstein is a recent past president of the American Academy of Sleep Medicine (AASM, 2005-2006).

Sujay Kansagra, MD

Sujay Kansagra, M.D. is a pediatric neurologist and serves as the director of the Duke pediatric neurology sleep medicine program.  His educational career has been a yo-yo between two local rivals. He was an undergrad at UNC, went to medical school at Duke, did pediatrics residency at UNC, pediatric neurology training at Duke, sleep fellowship at UNC, and is now assistant professor at Duke.

Teofilo Lee-Chiong, MD

Teofilo L. Lee-Chiong Jr., MD is a Professor of Medicine at National Jewish Health in Denver and at the University of Colorado Denver School of Medicine. He has authored or edited 20 textbooks in Sleep Medicine and Pulmonary Medicine. In addition, he developed and serves as the consulting editor of Sleep Medicine Clinics, and is a member of the editorial board and reviewer of several medical journals and publications. Teofilo L. Lee-Chiong Jr., MD joined Philips Respironics as its Chief Medical Liaison in 2011. He served as the Chair of the Nosology Committee of the American Academy of Sleep Medicine (AASM), vice-chair of the Associated Professional Sleep Societies LLC (APSS) Program Committee, since 2009, and Chair of both the Sleep Medicine NetWork and Sleep Institute Steering Committees of the American College of Chest Medicine (ACCP). He also has served on the Council of Governors for the ACCP. He has more than 170 publications, has given more than 400 presentations in the United States and internationally, and has participated in more than 30 research projects. Dr. Lee-Chiong completed his internship and residency in internal medicine and his pulmonary and critical care medicine fellowship at Yale, and his post-fellowship training in Sleep Medicine at Dartmouth. He is the recipient of the 2012 American Academy of Sleep Medicine Excellence in Education Award. This award is presented to those individuals who have made outstanding contributions in the teaching of sleep medicine. The award serves to recognize and honor dedicated individuals who have skillfully taught and enhanced the knowledge of professional and lay people in the areas of sleep and sleep medicine.

Robert N. Walter, MD, CDR, MC, USN

Dr. Robert Walter is an active duty Navy physician stationed at Naval Medical Center Portsmouth and is specialized in pulmonary and critical care.  Dr. Walter completed his sleep medicine fellowship at UNC Chapel Hill in 2012 and following a deployment to Afghanistan has become the director of sleep medicine at Naval Medical Center Portsmouth.  Dr. Walter also serves as the sleep specialty advisor to the NAVMED East region that includes all east coast naval hospitals.

Greg Essick, DDS, PhD

Dr. Greg Essick is Professor in the Department of Prosthodontics and in the Center for Pain Research and Innovation at the University of North Carolina at Chapel Hill.  His faculty practice focuses on dental sleep medicine, which he is implementing in the curriculum at the UNC School of Dentistry. He provides the school's continuing education in sleep medicine to practicing dentists in North Carolina. He authors/co-authors more than 100 journal articles and book chapters, and chairs the Research Committee of the American Academy of Dental Sleep Medicine.

Andrew Krystal, MD

Dr. Krystal is Professor of Psychiatry and Behavioral Sciences at Duke University School of Medicine. His research is focused on better understanding the pathophysiology of sleep disorders and mood disorders and developing improved treatments for these conditions. His primary research tools are: electroencepahlography (EEG), polysomnography (PSG), computer signal analysis and modeling, functional magnetic resonance imaging (fMRI), and positron emission tomograophy (PET). Nearly all of Dr. Krystal's projects have been carried out with humans, however, projects are ongoing with gene knock-out models in mice, and lemurs in collaboration with the Duke Primate Center. A few representative current studies are: 1) Defining physiologic (EEG, PSG, PET, fMRI) correlates of sleep complaints and subtyping insomnia on the basis of the associated pathophysiology, 2) Studying the relationship of EEG data recorded during non-REM sleep, daytime function, and insomnia treatment response, 3) Developing new pharmacologic and non-pharmacologic treatments for insomnia, 4) Studying the relationship of natural sleep and hibernation-like phenomena (torpor), 5) Predicting depression treatment response on the basis of pre-treatment EEG and structural MRI data.

Heidi Roth, MD

Dr. Roth completed her medical school at the Harvard Medical School and MIT joint program in Boston, and residency at the Longwood Neurology training program in Boston.  Dr. Roth is a Cognitive and Behavioral Neurologist who is also trained in Sleep Medicine. She joined the faculty of the UNC Neurology department in 2002 and is currently co-directory of the Sleep Clinic at UNC Chapel Hill and directs the fellowship in sleep medicine at UNC Chapel Hill.  Her research interests include the study of relationships between sleep and memory, cognition, language, and speech.

Will Wooten, MD

Dr. William Wooten, III is an Assistant Professor of Pediatrics at the Brody School of Medicine at East Carolina University in Greenville, NC.  He completed his medical training at ECU, pediatric residency training at Children’s Hospital of the King’s Daughters in Norfolk, Virginia, and fellowships in pediatric pulmonology and sleep medicine at the University of North Carolina at Chapel Hill.  His research interests are childhood sleep disorders, pulmonary function testing and cystic fibrosis.

Thomas Stern, MD, MS, FCCP, FAASM

Dr. Stern received his undergraduate degree in computer science from he Catholic University of America in Washington, DC and his medical degree from The University of Arkansas for Medical Sciences in Little Rock, AR.  He completed residencies in internal medicine and pediatrics and fellowships in pulmonary, critical care and sleep medicine at Case Western Reserve University in Cleveland, OH. He also completed a masters degreee in clinical research at Case Western. He joined the department of internal medicine at Carolinas Medical Center in 2005.  He founded Advanced Respiratory and Sleep Medicine in Huntersville, NC in 2010.

Suresh Kotagal, MD

Suresh Kotagal, M.D. is child neurologist with 32 years of experience in the field of pediatric sleep medicine. He is currently a Professor in the Department of Neurology at Mayo Clinic, Rochester. He has served on various committees of the American Academy of Sleep Medicine and the Child Neurology Society.

Tammy Williams, RPSGT

Tammy Williams is the Program Coordinator for Polysomnographic Technology at Sandhills Community College. Ms Williams studied respiratory therapy at Sandhills Community College and marine zoology at UNC-Chapel Hill. She has over 14 years of experience in polysomnography and is a BRPT- registered polysomnographic technologist, NBRC-registered Sleep Disorders Specialist, Registered Respiratory Therapist and AASM Registered Sleep Technologist.  Ms Williams has managed sleep labs, a neurodiagnostic unit, pulmonary Rehab, non-invasive cardiology and is an experienced educator in neonatal units, pediatrics, trauma and cardiothoracic surgical units.  She now enjoys teaching polysomnography in her hometown of Pinehurst, NC.

Brittany Tolar, BS, RPSGT

Brittany recently graduated in the spring of 2014 from University of North Carolina at Charlotte’s Neurodiagnostics and Sleep Sciences program and is employed at Feeling Great Sleep Medical Center in Jacksonville, NC. She has worked in the field of sleep for three years, with one year serving as a polysomnographic technologist and for two additional years as a DME clinician. Her transition from completing sleep studies in the evening to promoting CPAP compliance over long term use has allowed for her to develop a technique to choose proper mask options for patients.

Tanisha Burke, BS, RPSGT

Tanisha Burke earned a BS Biology and BS Neurodiagnostics and Sleep Science at UNC Charlotte. She has been an active sleep technologist for the past 10 years at Carolinas Sleep Services for Carolinas Healthcare System in Charlotte, NC.

Sonya McNeill, BS, RPSGT

Sonya A. McNeill is a Registered Polysomnography Technologist with 15 years of experience.  She is currently supervisor of Southeastern Sleep Center at Southeastern Regional Medical Center in Lumberton NC. She earned a B.S in Neurodiagnostics and Sleep Science in 2013 from UNC-Charlotte. She is a member of The North Carolina Academy of Sleep Medicine, American Academy of Sleep Medicine and The Neurodiagnostics Society.