Program Overview
Sleep is increasingly being recognized as an important contributor to health. A growing body of evidence is supporting an association between poor sleep quality and duration with reduced quality of life as well as adverse cardiometabolic effects, including obesity, hypertension, type 2 diabetes, and cardiovascular disease. Appropriate management of sleep disorders can potentially improve management of chronic medical conditions, such as improved glycemic control in patients with type 2 diabetes mellitus. Though cognitive behavioral therapy is commonly considered first-line treatment, the use of pharmacologic agents is needed in a large proportion of patients with sleep disorders. With the rapid decline in the number of sleep labs and certified sleep physicians over the past few years, diagnosis and management of sleep disorders is increasingly being relied upon by primary care providers (PCPs). However, PCPs may not be aware of the broad impact of poor sleep quality in their patients. This program addresses these unmet needs in primary care in order to improve patient outcomes.

Learning Objectives

At the conclusion of the educational activity, the learner should be able to:

  • Recognize the association between poor sleep quality and patient quality of life and its impact on chronic medical conditions
  • Identify strategies to improve communication with patients to assess sleep quality
  • Evaluate current pharmacologic options to improve patient quality of sleep

Target Audience
This activity is designed as a comprehensive approach to address the practice needs of primary care providers, including primary care physicians, doctors of osteopathy, physician assistants, nurse practitioners, and allied healthcare professionals, who are at forefront of caring for adult patients with chronic conditions. 


Release Date: Monday, December 11, 2017
Expiration Date: Tuesday, December 11, 2018


Educational Format
This Online Presentation is based on a 2017 primary care sleep series. It includes the following topics:

  • Impact of sleep disorders on quality of life and chronic medical conditions
  • Importance of communicating with your patients about sleep
  • Non-pharmacologic approaches to improve sleep quality
  • Overview of current sleep medications and their modes of action
  • Matching the appropriate sleep medication with each patient type



Paul P. Doghramji, MD, FAAFP

Medical Director
Wellness Center
Ursinus College
Family Physician
Collegeville Family Practice
Collegeville, PA





This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education through the joint providership of the Center for Independent Healthcare Education and Vemco MedEd. Center for Independent Healthcare Education (Center) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Center for Independent Healthcare Education designates this Enduring material for a maximum of 1.0 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Physician Assistants
AAPA accepts AMA PRA Category 1 Credit™ for the PRA from organizations accredited by ACCME.

Nurse Practitioners
Nurse Practitioners will receive certificate of AMA PRA Category 1 Credit™ as this is an ACCME accredited program and its accreditation is recognized by Nurse Practitioner boards.

For questions regarding accreditation, please contact


Method of Participation and Instruction for Credit

  1. Review the entire CME information including target audience, learning objectives, and disclosures.
  2. Review the activity in its entirety.
  3. Complete the Online Post Test, Evaluation, and Credit Application form
  4. Please note that to receive credit you must achieve a score of at least 75%.
  5. Certificate of Credit will be emailed within 4 weeks of successful completion of the activity.


Disclosure of Conflicts of Interest
In accordance with policies set forth by the Accreditation Council for Continuing Medical Education (ACCME), Center for Independent Healthcare Education requires all faculty members and spouses/significant others with an opportunity to affect the content of a continuing education activity to disclose any relevant financial relationships during the past 12 months with commercial interests. A commercial interest is any entity producing, marketing, reselling or distributing health care goods or services consumed by or used on patients. Relationships with commercial interests and conflicts of interest resulting from those relationships must be revealed to the audience and resolved prior to the activity.

Relevant relationships include roles such as speaker, author, consultant, independent contractor (including research), employee, investor, advisory committee member, board member, review panelist, and investigator. If a potential speaker or author indicates a possible conflict of interest, the conflict will be resolved by choosing another speaker or author for that topical area, or the slides, handouts, and/or monograph will be reviewed and approved by a qualified commercially-disinterested peer.


Dr. Paul Doghramji, MD has relevant financial relationships with the following commercial interests:
  Advisory Board: Merck & Co., Inc., Takeda Pharmaceuticals, Ironwood, Allergan
 Shareholder: Pfizer Inc.
 Speakers Bureau: Merck & Co., Inc.
Dr. Doghramji does not discuss the off-label uses of any products.

No (other) speakers, authors, planners or content reviewers have any relevant financial relationships to disclose.

Content review confirmed that the content was developed in a fair, balanced manner free from commercial bias. Disclosure of a relationship is not intended to suggest or condone commercial bias in any presentation, but it is made to provide participants with information that might be of potential importance to their evaluation of a presentation.


There is no fee to participate in this activity.

Hardware/Software Requirements
Microsoft Internet Explorer, Mozilla Firefox, Apple Safari or Google Chrome with the QuickTime Plug-in
Note: Please disable any “pop-up blocker” features.

Adobe® Reader version 7 or above to view PDF files (If you do not have Adobe® Reader, you can download it for free from
Adobe Flash Player version 10 or above to view multimedia content (If you do
not have Adobe Flash Player, you can download it for free from

Connection Speed
Cable, DSL, or better of at least 300 kbps

System Check
Please e-mail any questions or concerns to

Copyright Statement
Copyright © 2017 Vemco MedEd. All Rights Reserved. Permission for accreditation use granted to Center for Independent Healthcare Education.

Privacy Policy

Joint Providership
This activity is jointly provided by Center for Independent Healthcare Education and Vemco MedEd.


Commercial Support

This activity is supported by an educational grant from Merck & Co., Inc.


By clicking on the activity icon below, I acknowledge that I have read the entire CME information.