2015 Meeting

2015 meeting

2015 NCASM Annual Meeting

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

Friday, November 13

Credit Statement

The School of Medicine of The University of North Carolina at Chapel Hill designates this live activity for a maximum of 11.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The BRPT has approved this live activity for a maximum of 11 CSTE credits (Program #950201510).

The AARC has approved this activity for a maximum of 11 CRCE (Course #145386000)

12:00pm - 12:50pm Registration
12:50pm – 1:00pm Welcome and Opening Remarks
1:00pm – 2:00pm

Growing Old Does Not Mean Sleeping Poorly: Dispelling Some Myths About Sleep and Aging

Michael V. Vitiello, PhD
Professor, Psychiatry & Behavioral Science, Gerontology & Geriatrics, and Biobehavioral Nursing; Co-Director, Northwest GeriatricEducation Center (NWGEC); Co-Director, Center for Research in the Management of Sleep Disturbance (CRMSD); Editor-in-Chief (for the Americas), Sleep Medicine Reviews (SMR); University of Washington, Seattle, WA


  • Provide an overview of the causes of sleep disturbance in older adults
  • Dispel several myths about sleep and aging
  • Provide evidence that growing older does not mean sleeping poorly
2:00pm – 3:00pm

Circadian rhythms: window to brain disease

Bradley V. Vaughn, MD
Professor of Neurology, Sleep Medicine, and Epilepsy, The University of North Carolina, Chapel Hill, NC


  • Review the physiology of circadian rhythms
  • Show how circadian rhythms become disordered
  • Demonstrate circadian rhythm issues in degenerative brain issues
3:00pm – 3:30pm Break with Exhibitors
3:30pm – 4:30pm

PTSD, Recurrent Nightmares, and Reverse Dream Imagery Therapy

Gray Bullard, MD, FAASM, FCCP
Wake Forest University Division of Pulmonary and Critical Care, Section Chief, Sleep Disorders Center, Salisbury VA (Salisbury/Charlotte/Winston-Salem, NC)


  • Define post-traumatic stress disorder and its relationship to recurrent nightmares
  • Review the theory behind reverse dream imagery therapy
  • Discuss the role of pharmacologic therapy (e.g., prazosin) in conjunction with reverse dream imagery therapy
  • Discuss procedure for reverse dream imagery therapy
4:30pm – 5:30pm

Technical Aspects of PAP Adherence

Alyssa Cairns, PhD, RPSGT
Research Scientist, SleepMed, Columbia, SC


  • Review the technical factors that influence adherence to PAP therapy
  • Summarize empirical support for selecting different interfaces, comfort features, and PAP modalities
5:30pm – 8:00pm Cocktail Reception


Saturday, November 14

7:00am – 8:00am Registration and Continental Breakfast
8:00am – 8:30am Welcome and Business Meeting/Awards Presentation
8:30am – 9:30am

Individual differences in predicting adherence to CPAP for OSA

Erik Everhart, PhD, ABPP, CBSM
East Carolina University


  • Describe recent research findings that pertain to individual differences (such as anxiety and behavioral inhibition) and adherence to treatment for OSA
  • Discuss the relevance of individual differences when considering options for intervention for non-adherent patients who are prescribed CPAP
  • Describe basic intervention techniques for patients who are non-adherent to CPAP
9:30am – 10:30am

Sleep Related Movement Disorders

Clete A. Kushida, MD, PhD, RPSGT
Professor of Psychiatry and Behavioral Sciences at the Stanford University Medical Center, Redwood City, CA. President, World Sleep Federation


  • To learn the characteristics (e.g., prevalence, pathophysiology, risk factors) of common sleep-related movement disorders
  • To distinguish common sleep-related movement disorders by presenting signs and symptoms that aid in their diagnoses
  • To understand management approaches for common sleep-related movement disorders
10:30am – 11:00am Break with Exhibitors
11:00am – 12:00pm

Updates on Dental Sleep Medicine: guidelines and practice

Greg Essick, DDS, PhD,
Professor, Department of Prosthodontics and Center for Pain Research and Innovation
University of North Carolina Chapel Hill, NC


  • Describe the new, 2015 Clinical Practice Guidelines for oral appliance therapy for sleep-disordered breathing and how they differ from the previously in-effect, 2005 Practice Parameters.
  • Describe the use of an oral appliance with CPAP and the existing literature that supports this combination therapy.
  • Describe evidence in support of a relationship between sleep-disordered breathing and dental / facial disorders.

11:00am – 12:00pm

(Sunflower room)

Sleep Educators Breakout Session

Beth Payne, BS, RRT, RPSGT, Polysomnographic Technology Program Director, Lenoir Community College, Kinston, NC; Mary Ellen Wells, PhD, Neurodiagnostics and Sleep Science Program Director, University of North Carolina, Chapel Hill, NC; Karen Rowe, BS, RPSGT, Executive Director, Committee on Accreditation for Polysomnographic Technologist Education (CoA PSG)


  • Discuss how the addition of two new PSG courses to the North Carolina Combined Course Library will impact the curriculums of North Carolina CAAHEP accredited Polysomnography Programs
  • Identify educational trends in CAAHEP accredited polysomnographic programs across the country
  • Discuss distance education trends in North Carolina
12:00am – 1:00pm Lunch Buffet
1:00pm – 2:00pm

Challenges in the Diagnosis of Narcolepsy

Aatif Husain, Duke University Medical Center


  • Appreciate the different clinical manifestations of narcolepsy
  • Understand the limitations of diagnostic testing
  • Recognize key features in the history that help identify narcolepsy

1:00pm – 2:00pm

(Sunflower room)

Noise Pollution

Brooke Davenport Quinn, BS, RPSGT, SleepMed Inc.


  • Identify potential health effects associate with noise pollution as well as their effects on perceived sleep quality
  • Understand the benefits of eliminating and/or reducing noise pollution in the sleeping environment
  • Evaluate noise pollution's impact on patient satisfaction Hospital Consumer Assessment of Healthcare Providers and System (HCAHPS) scores
2:00pm – 3:00pm

Sleep disorders in children with genetic syndromes

Zheng (Jane) Fan, MD, Associate Professor of Neurology and Pediatrics, University of North Carolina, Chapel Hill, NC


  • Overview of several most commonly encountered genetic syndromes seen in pediatric sleep clinics and sleep labs
  • Describe the special characteristics/presentations of sleep disorders in children with genetic syndromes
  • Understand the considerations/modifications in the evaluation and treatment of sleep disorders in children with genetic syndromes

2:00pm – 3:00pm

(Sunflower room)

Pharmacokinetics and Circadian Rhythms

Mark D. Beebe, MBA, RRT, RPSGT


  • Outline basic Chronobiologic and Circadian processes
  • Highlight basic pharmacokinetic actions associated with Chronobiology
  • Review some strategies related to disease management


3:00pm – 3:30pm Break with Exhibitors

3:30pm – 4:30pm

Teenagers: (Most) Aren’t Lazy, but Many Are Sleep Deprived

Richard M. Kravitz, MD
Associate Professor of Pediatrics, Division of Pediatric Pulmonary and Sleep Medicine, Duke University Medical Center, Durham, NC

  • What is the appropriate amount of sleep teenagers should be getting
  • Learn to distinguish true insomnia from Delayed Sleep Phase Syndrome
  • How to recognize true sleepiness in teenagers
  • Strategies to address these issues

3:30pm – 4:30pm

(Sunflower room)

Neurobehavioral Functioning in Sleep Deprived School Age Children

Amanda Ross, AAS, RPSGT, University of North Carolina Hospitals Sleep Disorders Center


  • Identify key factors that contribute to sleep deprivation in children.
  • Discuss Neurobehavioral functioning of sleep deprived children in the following age groups: Elementary, Middle, and High School.
  • Understanding the risks associated with sleep deprivation
  • Discuss ways both parents and children can help eliminate sleep deprivation.

4:30pm – 5:30pm

Sleep Disruption: Risk factor for Dementia?

Heidi Roth, MD, MA, Associate Professor of Neurology, University of North Carolina, Chapel Hill, NC


  • To be able to recognize the potential importance of treating sleep disorders for reducing risk of developing dementia
  • To understand the effects of aging and dementia on sleep and how this may impact memory

4:30pm – 5:30pm

(Sunflower room)

Mask and Oral Appliance Fitting Workshop

Greg Essick, DDS, PhD and UNC Staff


  • Demonstrate how to adjust commonly prescribed masks and mandibular advancement devices
  • Describe the different mechanisms by which commercially available oral appliances position the jaw forward
  • Describe how the sleep technologist works with physicians and dentists to eliminate residual sleep-disordered breathing during the follow-up sleep study
5:30pm Adjourn

2015 Speakers

Michael Vitiello, PhD

Michael V. Vitiello, PhD is Professor of Psychiatry & Behavioral Sciences, Gerontology & Geriatric Medicine, and Biobehavioral Nursing, University of Washington, Seattle, Washington, USA. He is an internationally recognized expert in sleep, circadian rhythms and sleep disorders in aging. His research efforts, funded by the National Institutes of Health, focus on the causes, consequences and treatments of disturbed sleep, circadian rhythms and cognition in older adults. He is the author of over 450 scientific articles, reviews, chapters, editorials and abstracts. Some of his most current work focuses on improving the sleep of osteoarthritis patients with comorbid insomnia in order to reduce their chronic pain. Professor Vitiello is currently Editor-in-Chief (for the Americas) of Sleep Medicine Reviews and a member of the Governing Council of the World Sleep Federation. He is a Fellow of the Gerontological Society of America and a founding member of the Society of Behavioral Sleep Medicine. He has previously served as: President of the Sleep Research Society and of the Sleep Research Society Foundation; Chair of the Sleep Disorders Research Advisory Board, National Institutes of Health; Scientific Program Chair of the Associated Professional Sleep Societies;  member of the Board of Directors and Scientific Program Co-Chair of the Society of Behavioral Sleep Medicine; member of the Board of Directors of the Sleep Research Society; Vice President of the International Sleep Science and Technology Association; and  member of the Board of Directors of the National Sleep Foundation.


Bradley V. Vaughn, MD

Dr. Vaughn is the medical director of the UNC Sleep Program and Bachelor’s degree program in Neurodiagnostics and Sleep Science. He has served in many administrative positions within the AASM, AAN and ACNS and his research focuses on the overlap of sleep and epilepsy. Dr. Vaughn received his MD from Hershey Medical School at Pennsylvania State University and joined UNC in 1987.


Gray Bullard, MD, FAASM, FCCP

Dr. Bullard is the Medical Director of the Salisbury VA Medical Center Sleep Disorders Center. He received his BS degree from Davidson College and his MD from the University of North Carolina at Chapel Hill. He completed an internship and residency at Vanderbilt University Medical Center and a fellowship in pulmonary medicine at Duke University.


Alyssa Cairns, PhD, RPSGT

Dr. Cairns received her doctorate in Psychology from The University of Southern Mississippi. Her doctoral research was funded through the National Institute of Health (NICHD) to investigate the physiological implications of sleep restriction during childhood. She completed a postdoctoral research fellowship at Brown Medical School which focused on the role of sleep and circadian process in the development of obesity and metabolic dysregulation. After her postdoctoral work, she transitioned to clinical work where she developed an integrated positive airway pressure (PAP) adherence program for patients diagnosed with obstructive sleep apnea syndrome (OSA). She is currently working as a research scientist at SleepMed, Inc. where she is exploring the biophysiological phenotypes of central hypersomnia through advanced signal processing of clinical polysomnographic data. Her current research is funded through industry and her interests include epidemiologic study of sleep-related breathing and central hypersomnia.


Erik Everhart, PhD, ABPP, CBSM

D. Erik Everhart, PhD is a board certified clinical neuropsychologist and certified in behavioral sleep medicine.  He is a professor of psychology at East Carolina University, where he teaches within the health psychology doctoral program.  His research interests include individual differences in adherence to CPAP, neuropsychology of emotion, and neurobiological correlates of decision making.  His areas of clinical expertise include evaluation and management of neurodegenerative diseases and behavioral sleep medicine.


Clete A. Kushida, MD, PhD, RPSGT

Dr. Kushida received B.A.S. and M.S. degrees (Stanford University), Ph.D. and M.D. degrees (University of Chicago), and completed a neurology residency (UC San Diego) and a sleep medicine fellowship (Stanford University).  He is a neurologist, a professor in the Department of Psychiatry and Behavioral Sciences at Stanford, medical director of the Stanford Sleep Medicine Center, and director of the Stanford Center for Human Sleep Research.  He is president of the World Sleep Federation, past president of the American Academy of Sleep Medicine, and founding president of the California Sleep Society.  Dr. Kushida has conducted basic and clinical sleep research since 1977, served as principal investigator for numerous large federally and industry sponsored studies, and his research interests include the anatomic and physiologic changes associated with sleep apnea, the management of restless legs syndrome, and countermeasures for sleep loss.  He has authored or edited over 150 publications, including six books.


Greg Essick, DDS, PhD

Dr. 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.  He is director of the new Dental Sleep Clinic at the UNC School of Dentistry, where he treats patients, trains students, and conducts research. He provides the school's continuing education in sleep medicine to practicing dentists in North Carolina. He authors/co-authors 115 journal articles and book chapters, the most recent ones pertaining to sleep medicine.


Beth Payne, BS, RRT, RPSGT

Beth Ann Payne is a Program Chair and Professor at Lenoir Community College, and the North Carolina Area Clinical Coordinator for Sleep Services of America. At Lenoir Community College she supervises and educates students working towards their Associates of Applied Science in Polysomnography. Beth Ann has diverse experience educating aspiring polysomnographers in traditional settings, as well as training new technologists in the field. At Sleep Services of America she managers multiple sleep labs in Eastern North Carolina that strive to provide high quality patient care. In both of her leadership roles, she continuously monitors, evaluates, analyses, and implements change when necessary. Additionally, Mrs. Payne has extensive clinical experience as a practicing RRT / RPSGT since 2007, and organizes several charitable events throughout the year to raise scholarship funds for deserving students. Beth Ann currently has one daughter in elementary school, and is a licensed foster parent. She enjoys being active with her children, and loves to boat, fish, hike, and run whenever possible.


Karen Rowe, BS, RPSGT

Karen received her BS degree in Governmental Administration in January 1978 from Christopher Newport College of William and Mary in Virginia.  Prior to entering the sleep profession, she was a Flight Attendant for many years with Piedmont Airlines.  After her flying career, she returned to school to receive her AAS Degree in Electroneurodiagnostics in 2002, and shortly thereafter, received her RPSGT credential.  She had the privilege of working under the direction of Dr. Brad Vaughn at UNC-Chapel Hill, NC.  Karen was the program director for a polysomnography program which was CAAHEP accredited.  During this time, she was a Founding Member and served as an officer of NCAST, which is now NCASM.  She assisted with writing and lobbying for legislation known as the Polysomnography Practice Act for NC sleep technologists, which passed unanimously in August 2009.  Currently, Karen is the Executive Director of the Committee on Accreditation for Polysomnographic Technologist Education (CoA PSG), and resides with her husband in New Bern, NC.

Mary Ellen Wells, PhD, RPSGT

Dr. Wells is a Clinical Assistant Professor in the Department of Allied Health Sciences at The University of North Carolina at Chapel Hill. She directs and teaches in the Neurodiagnostics and Sleep Science BS program offered through UNC Charlotte with collaborative coursework through UNC Chapel Hill.

Aatif Husain, MD

Dr. Husain is currently Professor in the Department of Neurology at Duke University Medical Center and the Director of the Neurodiagnostic Center, VA Medical Center, Durham. He is also the fellowship director of the Sleep Medicine and Clinical Neurophysiology fellowships at Duke University.


Brooke Davenport Quinn, BS, RPSGT

Brooke is a RPSGT in Wilmington, North Carolina.  Her husband, great dane, and greyhound rescues willingly keep her side of the bed warm at night while she works to improve her patient’s quality of life through the screening, detection, and treatment of sleep disorders.  She received her Associates degree in Polysomnography from Pitt Community College and a Bachelors in Neurodiagnostics and Sleep Sciences from the University of North Carolina Charlotte.  In the autumn, on Saturdays, she is most likely to be found in Dowdy-Ficklen stadium, donning her purple and gold, cheering on the ECU Pirates.


Zheng (Jane) Fan, MD

Dr. Fan is an Associate Professor in the UNC Chapel Hill Department of Neurology. She completed her MD at Fudan University in Shanghai, China and completed her residency and fellowship at the University of North Carolina, Chapel Hill. Dr. Fan is interested in clinical care and research in sleep disorders in pediatric genetic diseases including muscular dystrophies, Down syndrome, Fragile X syndrome and Angelman syndrome.


Mark D. Beebe, MBA, RRT, RPSGT

Mark Beebe is director of Heart and Vascular Non-Invasive Services/Physiology at Akron General Medical Center in Ohio. He received his MBA at Walsh University, a BS in Electrical Engineering and in Biology at Youngstown State University, and an AAS in Respiratory Therapy Technology from the University of Akron. He has many years clinical experience as a registered respiratory therapist and registered sleep technologist.


Richard M. Kravitz, MD

Dr. Kravitz is Associate Professor of Pediatric Pulmonary and Sleep Medicine at Duke University and Medical Director of the Duke Pediatric Sleep Lab.  His clinical interests are in pediatric sleep disorders, respiratory dystrophies, asthma, and complicated pneumonias.  In addition to his medical education activities and clinical research pursuits, Dr. Kravitz has been a frequent contributor to peer reviewed journals and written pulmonary chapters for general pediatric textbooks. In particular, he has helped co-author several position papers on the management of the respiratory complications of patients with neuromuscular weakness, including Duchenne Muscular Dystrophy and Pompe Disease as well as spoken nationally on these topics. Along with his professional pursuits, Dr. Kravitz serves on numerous academic and national committees, including Duke University’s Medical School Admissions Committee and Cure SMA’s Medical Advisory Council.  Dr. Kravitz has been a long standing member of the American Thoracic Society’s Pediatric and Sleep Assemblies, including serving on their Pediatric and Sleep Assemblies Web Committees.  He is also active with the AAP Section on Pediatric Pulmonology and Sleep Medicine Executive Committee, focusing on establishing pulmonary and sleep-related policy.


Amanda Ross, AAS, RPSGT

Amanda received her AAS Degree in Polysomnography as well as her RPSGT in 2010. Soon after she graduated, she began her career as a Sleep Technologist at Wake Sleep in Raleigh. While working at Wake Sleep, she also had the opportunity to precept students entering the sleep field and assist with various research projects. While continuing to work as a Sleep Technologist, she had the opportunity to work side by side with Karen Rowe as an adjunct instructor for the Polysomnography program in 2011. Since 2012, she has been a technologist with the UNC Sleep Disorders Center which has provided a learning arena to pursue additional research in pediatric sleep medicine. Over the last two years, she has worked closely with UNC's Pediatric Airway Center in caring for pediatric patients with critical airway diseases.   Amanda cares deeply about her patients and continues to advance her involvement and desire of the sleep profession. When she isn't working, she enjoys spending time with her two sweet boys, Dylan and Noah.


Heidi Roth, MD, MA

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.