Circadian Rhythm Dis
Best Practices in Recognition, Diagnosis, and Treatment of Circadian Rhythm Disorders: An Online Activity for Primary Care Clinicians
CME Information
Learning Objectives: 
After completing this activity, the learner should be better able to
- Formulate a comprehensive and accurate approach to initial assessment of CRDs (circadian rhythm disorders), based on the pathophysiology of circadian rhythm dyssynchrony and its consequences on sleep symptoms, as well as on metabolism, cardiac function, cognition, and mood
- Perform focused initial assessments with patients identified to have shift work disorder and other CRDs based on their telltale symptomatology
- Formulate initial treatment plans for shift work disorder, advanced sleep phase disorder, and delayed sleep phase disorder based on etiology and pathophysiology, and assessment of patient comorbidities, age, medical history, and level of impairment
- Monitor treatment responsiveness (improved Epworth Sleepiness Scale score and/or sleep log, affect, cognition, and function) for patients with shift work disorder and other CRDs at one month follow-up from initial visit, and as needed, for improved long-term management and patient outcomes
Underlying human physiology and behavior are rhythms which wax and wane with 24-hour periodicity, regulating core body temperature, insulin secretion, alertness, mood, and other biologic parameters. To ensure homeostatic balance these and other circadian rhythms must be synchronized by various timekeepers, particularly the environmental light/dark cycle.
Nice article, but I couldn’t find it. Found only link to the quiz. Please tell me how to access this article. Thanks, Bill
Mr. Solberg,
Hello, I received your note on the CME article “Circadian Rhythm Disorders.” Actually what you found was a pre-test. You will need to take it first and then it will lead you right on in to the article. I hope you continue, it’s a great activity.
Thank you.
Enjoyed the case studies with the interactive slides. Solid approaches to very common cases. Would have liked more information presented about the effects on alcohol and cannabis on disrupted sleep.
I am at step 5. Byclicking Continue button following message pops up:
liff:LockedObjectMess0
So frustrating
Any help
Dr. Motalib, we are looking into this and as soon as we have an answer I will let you know. Thank you for informing us of this issue.
Dr. Motalib,
We were not able to recreate the problem, so we are not sure what was happening. Please be sure you fill out the answer box under the question before submitting. The error popup you received isn’t the one that you get when you do not fill it out, so I assume you did that, but I just wanted to reiterate that each answer box must have content in it before submitting. If you have any other problems, please be sure to let me know. Any and all information you can give me at the time of the error will be helpful in resolving the issue. Thank you again, and enjoy the activity.
Same to me, same error message, and yes, I did input an answer into the box. Frustrating for sure! May not return for CMEs to this site b/c of unreliablity
Hello to all who are having trouble,
We have found what is causing the glitch that doesn’t allow you to advance at times. We are working on it, but it might take some time to correct. We apologize for causing you frustrations and ask that you bear with us during this time, this is the only activity with this problem due to its complexity where we allow you to exit and be able to come back in without losing your place because of the activity’s length. If you do run into this problem while taking the activity, please email me immediately at pieditor@primaryissues.org and I will ensure that the record is closed out so you can continue on with the activity. If I am not available, you might try closing out and trying again within the hour. Again, my apologies. We are working steadfast on fixing this and hope to get it corrected soon.
I hope you come back to our site.
When I opened the web site, after reading the objectives, it skipped right to step 2! I can not get step1 to show up. Can this be reset?
I attended the Best Practices in Primary Care in Orlando FL June 10-11, 2011 where I believe this CME was included, but I am not sure. Please advise. Thank you.
Ms. Ford,
We did have a sleep program at our live meeting this year on OSA and delayed sleep phase, but neither one was the same activity as the Circadian Rhythm Disorders. So you can take this activity and get extra credit. Thank you.
Started the class, unable to get past page 3: error message.
Tried multiple times and restarted several times without luck getting past that page.
see note by Mohammed Motalib
Finished the slide show then got the same error message as above.
You should be able to finish now.
the same thing happened to me as the gentleman above..pressed continue after the slides and got the same error message..very frustrating