While insomnia and poor quality sleep can be a frustrating symptom to manage, it provides important etiological clues that the astute practitioner can use to get to the bottom of the problem – not just cover it up with sedating medication. This lecture will cover common presentations of insomnia and poor quality sleep along with their associated conditions, methods of evaluating insomnia and poor quality sleep, and strategies (both pharmacologic and nonpharmacologic) for insomnia management.  Objectives include: 

1. Explain the socioeconomic burden posed by insomnia and poor quality sleep. 
2. Define sleep state misperception. 
3. Identify at least 2 medical conditions commonly associated with insomnia and poor quality sleep. 
4. Discuss methods of evaluating insomnia and poor quality sleep. 
5. Apply at least one non pharmacologic strategy in the management of insomnia and poor quality sleep.

This lecture provides an overview of the diagnosis and management of COPD. Objectives include:

1. Describe the epidemiology, pathogenesis, and risk factors for COPD including how social determinants of health can increase risk for COPD development.
2. Identify appropriate diagnostic testing for and expected results in COPD.
3. Discuss initial maintenance pharmacotherapy for COPD based on GOLD Group as well as situations where adjunctive therapies should be considered.
4. Recognize key health maintenance recommendations for people with COPD.