pediatric sleep medicine | august 18–21

Time | 10:00–10:15

Break

Time | 10:15–11:45

Lecture | Circadian Rhythms

Objectives | Fundamental properties of the circadian system and sleep/ wake regulation

Faculty | Carskadon

Time | 11:45–12:00

Lunch

Time | 12:00–13:30

Lecture | Adolescent Sleep

Objectives | Adolescent Sleep Patterns; Biological, Social and Psychological Influences, Updates from Carskadon

Faculty | Carskadon

Time | 13:30–15:00

Lecture | Sleeplessness in the Young Child

Objectives | The interview, evaluation, diagnosis, treatment and management of sleeplessness in the young child

Faculty | Pelayo

Time | 15:00–15:15

Break

Time | 15:15–16:45

Lecture | Parasomnias

Objectives | Characteristic clinical features of parasomnias, evaluation, differential diagnosis, treatment and management

Faculty | Pelayo

Time | 16:45–17:00

Lecture | Polysomnography Part 1

Objectives | PSG Review/ Sleep Stage Scoring / Part 1

Faculty | Keenan

Time | 8:30–9:15

Lecture | Family Medicine Perspective

Objectives | Sleep Medicine in Family Practice; Clinical Pearls and tips for CPAP adherence for the child and adolescent

Faculty | Haeger

Time | 9:15–10:15

Lecture | Surgical Management of Pediatric OSA

Objectives | Surgical management of pediatric sleep disorders including Tonsillectomy and Adenoidectomy

Faculty | Li

Time | 10:15–10:30

Break

Time | 10:30–12:00

Lecture | Basic Mechanisms/emotional regulation/suicide

Objectives | The neuroscience of the sleep wake rhythm and the intersection of emotional regulation, suicide in adolescents

Faculty | Benca

Time | 12:00–12:15

Lunch

Time | 12:15–13:45

Lecture | Polysomnography/Part 2

Objectives | Recording multiple physiologic signals; who, when, where, when, why?

Faculty | Keenan

Time | 13:45–15:30

Lecture | Sleep in Infants PSG examples

Objectives | Review and discussion of PSG examples of sleep and breathing in infants

Faculty | Woidtke

Time | 15:30–15:45

Break

Time | 15:45–16:45

Lecture | PSG, etc. Part 3

Objectives | More data from the sleep lab and other sources

Faculty | Keenan

Time | 16:45–17:00

Q&A

Questions and answers/discussion

Faculty | Keenan

Time | 8:30–10:30

Lecture | Sleepiness in Children

Objectives | Evaluation, diagnosis and treatment of sleepy children

Faculty | Kotegal

Time | 10:30–10:45

Break

Time | 10:45–11:15

Lecture | MSLT/ MWT

Objectives | Quantification of Sleepiness/Alertness

Faculty | Keenan

Time | 11:15–12:15

Lecture | Obesity / Sleep Disorders Interface

Objectives | The incidence and prevalence of obesity, the interface of obesity and sleep disorders, indications for evaluation, treatment and management

Faculty | Yuen

Time | 12:15-12:30

Lunch

Time | 12:30–14:00

Lecture | Development of The Airway and Orthodontic Sleep Medicine

Objectives | The development of the upper airway and orthodontic approaches for intervention; prevention and treatment of sleep related breathing disorders

Faculty | Quo

Time | 14:00–15:00

Lecture | Quo Con’d/TBD

Objectives | Dr. Quo continued or more time with data from the sleep lab

Faculty | Quo or Keenan

Time | 15:00–15:15

Break

Time | 15:15–16:15

Lecture | The neurologically impaired child

Objectives | Challenges associated with treatment and management of the neurologically impaired child

Faculty | Pelayo

Time | 16:15–16:45

Lecture | Pharmacology

Objectives | Pharmacotherapy of disrupted sleep, sleepiness, and sleeplessness in a child, and medications that disrupt sleep

Faculty | Pelayo

Time | 16:45–17:00

Q&A

Questions and answers/discussion

Faculty | Keenan

Time | 8:30–10:00

Lecture | Breathing During Sleep in the Developing Child: Norms and Breathing Disorders

Objectives | Developmental changes in the cardiorespiratory system

and breathing disorders in the developing child.

Faculty | Sullivan

Time | 10:00–10:15

Break

Time | 10:15–11:45

Lecture | OSA in sick children and infants

Objectives | The evaluation of apnea, reflux, and reflex apnea during sleep in infants and the importance of sleep position and safe environment to decrease risk of SIDS

Faculty | Okourie

Time | 11:45–12:00

Lunch

Time | 12:00–13:30

Lecture | Delayed sleep phase, clinical aspects CR

Objectives | Review of clinical aspects of circadian rhythms and the role of Cognitive Behavioral Therapy in the treatment of Sleep/Wake disorders for adolescents

Faculty | Barwick

Time | 13:30–15:00

Lecture | Movement Disorders

Objectives | Restless Legs, Periodic Limb Movements, and the Restless Child

Faculty | DelRosso

Time | 15:00–15:15

Break

Time | 15:15–16:45

Lecture | Cases, PSG discussion

Objectives | Features of the PSG critical to diagnosis and treatment

Faculty | Keenan

Time | 16:45–17:00

Q&A

Questions and answers/discussion

Faculty | Keenan

Fiona Barwick, PhD, DBSM

Dr. Barwick is a Clinical Associate Professor in the Department of Psychiatry and Behavioral Sciences–Sleep Medicine Division. She is Director of the Sleep & Circadian Health Program and is responsible for developing and expanding clinic services and overseeing didactics and training for Behavioral Sleep Medicine postdoctoral fellows. She also serves as Associate Division Chief for Behavioral Sleep Medicine. Dr. Barwick and her team offer comprehensive evaluations of sleep problems and brief, evidence-based, non-drug treatments for insomnia, hypersomnia, circadian rhythm disorders, nightmares and other parasomnias, and Positive Airway Pressure (PAP) adjustment. Treatment, provided in individual or group formats, emphasizes a collaborative approach and uses cognitive-behavioral techniques as well as mindfulness- and acceptance-based techniques to help people fall asleep and stay asleep more easily, feel less sleepy or fatigued during the day, manage misaligned sleep-wake patterns, and reduce the frequency and severity of nightmares. Dr. Barwick presents at regional, national and international conferences. She also collaborates in and conducts ongoing research studies at Stanford and other national and international hospitals and universities. Integrated protocols have been developed and are currently being tested for treating sleep problems that co-occur with medical conditions such as chronic pain or POTS, as are CBTI protocols delivered in Mandarin via telehealth to patients at Chongqing Traditional Chinese Medicine Hospital in China.

Mary Carskadon, PhD.

Mary A. Carskadon received a BA in psychology from Gettysburg College (1969), is a distinguished alumna of that institution, and holds an honorary doctor of sciences degree. She holds a doctorate with distinction in neuro- and biobehavioral sciences from Stanford University (1979), earned under the mentorship of William C. Dement, MD, PhD.

Carskadon’s early research with her graduate mentor, William C. Dement, culminated in the development and application of a standardized measure for daytime sleep tendency, the multiple sleep latency test. A major focus of Dr. Carskadon’s scientific activities is research examining interrelations between the circadian timing system and sleep/wake patterns of children, adolescents, and young adults. Her findings have raised public health issues regarding the consequences of insufficient sleep for adolescents as well as concerns about early starting times of schools. Her work has affected education policy, prompting the AAP and others to promote later school timing for adolescents and many school districts to delay school start times.

Carskadon has written many scientific papers, and she has received a number of honors, including Lifetime Achievement Award of the National Sleep Foundation, Outstanding Educator and Distinguished Scientist Awards of the Sleep Research Society. She is an elected Fellow of the Association for Psychological Science and Fellow of the American Association for the Advancement of Science. She is also the inaugural editor-inchief of the Sleep Research Society's new gold open access journal: SLEEP Advances.

Carskadon is the Director of the COBRE Center for Sleep and Circadian Rhythms in Child and Adolescent Mental Health at EP Bradley Hospital, funded by the NIH, NIGMS since April 2021. The primary goal of the Center is to establish and build a comprehensive and sustainable resource to support the growth of pediatric sleep, circadian rhythms, and mental health research while providing mentorship of junior Research Project Leaders for research and for transitioning to independent scientific careers with external funding. Extending the reach and accelerating the growth of a cadre of clinical scientists with multidisciplinary training and with the infrastructure to support advancement to independent research careers shows great promise to improve the health and well-being of children and adolescents and their families.

Kasey Li DDS, MD, FACS

Dr. Kasey K. Li enjoys an extensive academic and credentialed career. Specializing in the treatment of obstructive sleep apnea, Dr. Li is distinguished as the only surgeon in the world board certified by the American boards of otolaryngology, oral and maxillofacial surgery, as well as facial plastic and reconstructive surgery. Based on his unique background and experience, Dr. Li has pioneered and refined many sleep apnea surgical techniques. Dr. Li co-founded the multidisciplinary treatment program with Dr. Christian Guilleminault at Stanford Sleep Disorders Clinic in 1998 and is the surgical consultant to numerous sleep disorder centers. He has published more than 100 scientific articles and book chapters on sleep apnea surgery and maxillofacial surgery. Dr. Li has, by invitation, lectured widely throughout the United States and abroad as an internationally recognized expert in sleep apnea surgery.

Suresh Kotagal, MD

Dr. Kotagal is an internationally recognized expert in pediatric sleep medicine. He currently serves on executive committee of the International Pediatric Sleep Association and is a member of the International Restless Legs Study Group.

Dr. Kotagal is a pediatric neurologist specializing in sleep disorders. He received his medical degree from Armed Forces Medical College Pune and has been in practice for more than 20 years with the Department of Neurology and the Center for Sleep Medicine, Mayo Clinic, Rochester, MN, USA.

Caroline Okorie, MD

Dr. Okorie is board certified in pediatric pulmonology, sleep medicine and general pediatrics and joined the Division of Pediatric Pulmonary, Asthma and Sleep Medicine in 2018. She obtained her medical degree and Master’s in Public Health at the University of Arizona before going on to a residency and chief residency in pediatrics at Oregon Health & Science University. She completed her fellowship training in both pediatric pulmonary medicine and sleep medicine at Stanford University. She has a passion for medical education and serves as an Associate Program Director for the Pediatric Residency Program at Stanford.

She treats children with a variety of lung diseases, including: asthma, chronic cough, cystic fibrosis, chronic respiratory failure, and chronic lung disease of prematurity. Her additional training in sleep medicine allows her expertise to treat sleep disorders, including: sleep disordered breathing, parasomnias, narcolepsy, restless legs syndrome, and insomnia.

Robyn Woidtke, RN, RPSGT, CCSH

Robyn Woidtke is a MSN, RN and registered polysomnographic sleep technologist (RPSGT #340). She is also certified in Clinical Sleep Health (CCSH). Robyn became enamored by the field of sleep in 1985. Her entry into the sleep medicine world came through the neonatal field and conducting SIDS research at Stanford to working in the medical (sleep) device industry conducting clinical research and working with marketing teams to develop educational programs and patient-centered materials, primarily in the sleep industry. She also holds a BSHS in Clinical Research Administration. She has authored numerous publications and lectured on a variety of sleep related topics. She is currently a consultant and is also the principal at Sleep for Nurses, a sleep focused educational endeavor specifically developed for practicing nurses.

Ruth Benca, M.D., Ph.D.

Dr. Ruth Benca is a Harvard graduate and received both her degree in medicine and PhD in Pathology from University of Chicago, where she completed her general psychiatry residency training followed by sleep medicine fellowship.

After completing her psychiatry training, Dr. Benca stayed at University of Chicago as Assistant and Associate Professor in Psychiatry until she moved to University of Wisconsin-Madison, where she served as the Associate Chair of Psychiatry department and Director of the University of Wisconsin Center for Sleep Medicine and Sleep Research as well as the medical director for Wisconsin Sleep.

In 2016, she moved to the University of California, Irvine to serve as the Chair of Psychiatry and continued her passion for sleep medicine by building a sleep medicine center before joining Wake Forest University in 2021 as Chair of the Department of Psychiatry.

Lourdes DelRosso, MD, M.Ed.

Lourdes DelRosso is a Sleep Physician at Seattle Children's Hospital and Associate Professor in the department of Pediatrics at the University of Washington School of Medicine. She earned her medical degree at the University of Miami; completed a residency in Family Medicine at Kaiser Permanente/UC Irvine, a Sleep Medicine fellowship at Louisiana State University and a Masters in Medical Education at the University of Pennsylvania.

Lourdes is dedicated entirely to the field of pediatric sleep medicine, in areas of education, clinical care and research. She is involved nationally in the American Academy of Sleep Medicine and internationally in Sleep Medicine courses in Latin America. Her research interests include restless sleep and consequences of sleep disorders. Lourdes is originally from Peru, moved to the United States at the age of 18 years old. She lives with her husband and enjoys hiking.

Eric Haeger, MD

Dr. Eric E Haeger is a Family Medicine Specialist in Brewster, Washington. He graduated with honors from Loma Linda University School of Medicine in 1995. Having more than 26 years of diverse experiences, especially in Family Medicine and Sleep Medicine, Dr. Eric E Haeger affiliates with Three Rivers Hospital, cooperates with many other doctors and specialists in many medical groups including the Central Washington Sleep Diagnostic Center, and serves as the liaison to the American Academy of Family Physicians for The School of Sleep Medicine, Inc.

Dr. Eric Haeger is Board Certified in Sleep Medicine and Family Medicine. He completed his Family Medicine Residency at University of Rochester in New York and became board certified in sleep medicine in 2009 and has been treating pediatric sleep patients since 2011. Dr. Haeger is a member of the American Academy of Sleep Medicine and the National Sleep Foundation. His professional interests include optimal PAP therapy and Complex Sleep Apnea. In his spare time, Dr. Haeger enjoys hiking, travel, playing ice hockey and spending time with his family.

Sharon A. Keenan, PhD, R EEG T, R PSG T, D ABSM

Before completing graduate work, Keenan became registered as an EEG technologist (REEGT, 1978) and as a sleep technologist (RPSGT) in 1979. From 1979–1989 Keenan served as Chief Technologist and Research Assistant at the Stanford University Sleep Disorders Clinic and Research Center, Department of Psychiatry, Stanford University School of Medicine, Stanford, California. Dr. Keenan completed a doctorate in clinical psychology at the Pacific Graduate School of Psychology in Palo Alto, California in 1997. Her pre-doctoral internship training was at the Department of Psychiatry, Stanford University School of Medicine, Drug and Alcohol Treatment Center, 1996–1997.

Dr. Keenan was certified by American Board of Sleep Medicine (1999) and carries the credential of Diplomate of the ABSM (D,ABSM). Dr. Keenan served as the director of the Stanford University Sleep Disorders Center, Training and Education program under the direction of William C. Dement from October 1984 to November 1989. In 1989, the University closed the training and education program, and the School of Sleep Medicine became an independent entity.

Dr. Keenan is the founder, director and one of the principal lecturers at The School of Sleep Medicine, Inc., La Honda,CA. She also served as principal lecturer at the University of Sydney Department of Medicine in Sydney, Australia from 1986-2010. She has been an invited speaker throughout North America, Europe, Asia and South America. She has contributed chapters to numerous books and has presented papers and abstracts on polysomnography both nationally and internationally. She served as president of the Association of Polysomnographic Technologists from 1983 to 1991 and is the recipient of the Weitzman Award for Outstanding Contributions and Dedication to the Association of Polysomnographic Technologists and the William C. Dement award for outstanding leadership at Stanford University Sleep Disorders Research Center. In 2013 she was awarded special recognition for her educational contributions for the sleep community in Australasia. In 2002, The American Association of Sleep Technologists established a service award in her name for recognition of educational efforts in the field of sleep medicine and polysomnography.

She has served on the Sleep Research Society board of directors and as co-chair of the education committee of the World Association of Sleep Medicine. She served on American Academy of Sleep Medicine, Task Force: Visual Scoring. She is a member of the editorial board of the journal Sleep Medicine and serves as a reviewer for Sleep. Keenan has served on the planning committee and as faculty for the World Association of Sleep Medicine and The International Pediatric Sleep Association. She currently serves as a member of the board of directors for the International Pediatric Sleep Association.

Rafael Pelayo, MD

Dr. Rafael Pelayo is a clinical professor in the Sleep Medicine Division of the Stanford University School of Medicine. He is the president of the California Sleep Society, chair of the American Academy of Sleep Medicine’s Political Action Committee and serves on the boards of both the National Sleep Foundation and Start School Later. He is the author of How to Sleep. Dr. Pelayo’s initial exposure to sleep medicine was as a medical student working with Dr. Michael Thorpy at the Albert Einstein College of Medicine. He joined the Stanford Sleep Disorders Clinic in 1993 as a fellow and never left. Dr. Pelayo’s clinical focus has been the treatment of sleep disorders in patients of all ages. He has lectured nationally and internationally and has appeared frequently in television, radio, and print. He has served as chair of the Sleep Disorders Research Advisory Board of the National Center for Sleep Disorders Research at the National Heart Lung Blood Institute at the NIH. He has also chaired the pediatric special interest section of the American Academy of Sleep Medicine. Dr. Pelayo currently teaches Dement’s Sleep and Dreams at Stanford. He co-authored the course textbook with Dr. Dement.

Shannon Sullivan, MD

Dr. Shannon Sullivan, MD is a Clinical Professor at Stanford University School of Medicine, in the Division of Pediatric Pulmonary Medicine, Department of Pediatrics, and by courtesy in the Division of Sleep Medicine, Department of Psychiary. She is board-certified in pediatrics, pediatric pulmonary medicine, and sleep medicine. She is also chair of the American Academy of Sleep Medicine Public Safety Committee and Vice Chair of the AASM COVID-19 Task Force, a member of the National Sleep Foundation's Technology Task Force, advising on standards for consumer sleep and respiratory devices, and works with Verily Life Sciences in health research. She has been teaching at The School of Sleep Medicine, Inc. for more