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Obstructive Sleep Apnea (OSA) and Positional Obstructive Sleep Apnea (POSA)

Obstructive Sleep Apnea (OSA) and Positional Obstructive Sleep Apnea (POSA)



Time to Complete

2 hours


June 4, 2019


June 4, 2021
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Maximum Credits

2.00 / AMA PRA Category 1 Credit(s)TM
2.00 / AANP Contact Hours (includes 0.00 hours of pharmacology)
2.00 / ANCC Contact Hours
2.00 / AARC CRCE® Credits for Continuing Respiratory Care Education (Note: To obtain this credit, please see "Additional Credit Information" below.)

Accredited Providers

This activity is provided by Global Education Group.

Commercial Supporter

This activity has been supported by an educational grant from Philips Respironics.

Program Description

The initial purpose of this educational activity is to present background information and a general introduction on the significance of sleep position in mild, moderate and severe OSA. POSA is a phenomenon that is important in mild and moderate OSA; in severe OSA, POSA is rare. Positional therapy (PT) with new generation smart positional devices is effective, with usually good compliance. It is cheap and reversible, and patient friendly. Experience with PT as only treatment or in combination with oral devices, after upper airway surgery, or after weight loss, will be discussed.

The additional purpose of this educational activity is to present evidence for the clinical effectiveness of a position treatment device for treatment of obstructive sleep apnea. Comparison of position treatment with the gold standard of treatment (positive airway pressure) found that the position treatment device resulted in non-inferior efficacy but greater adherence in patients with positional obstructive sleep apnea. The need for proper patient selection and follow-up (including monitoring of adherence) will be discussed.

Intended Audience

This activity is intended for medical professionals who have a clinical interest in the diagnosis and treatment of obstructive sleep apnea: primary care physicians, sleep medicine specialists, dentists specializing in dental sleep medicine, neurologists, pulmonologists, ENTs, maxillofacial surgeons, bariatric surgeons, advanced Practice Nurses, Nurse Practitioners, Physicians Assistants, Managed Care Medical Directors, and other Practitioners and Payers.

Educational Objectives

After completing the activity, the participant should be better able to:

  • Compare the presenting findings of patients with positional obstructive sleep apnea (POSA) and exclusively positional obstructive sleep apnea (ePOSA).
  • State the appropriate use of positioning therapy for the subset of patients with POSA.
  • Identify the use of positioning therapy in combination with other treatment modalities for patients with obstructive sleep apnea partially treated by other therapies.
  • Recognize the limitations of positioning therapy including the patient population where POSA therapy is not the optimal therapeutic option.

Conflict Of Interest Disclosure Policies

Global Education Group (Global) requires instructors, planners, managers and other individuals and their spouse/life partner who are in a position to control the content of this activity to disclose any real or apparent conflict of interest they may have as related to the content of this activity. All identified conflicts of interest are thoroughly vetted by Global for fair balance, scientific objectivity of studies mentioned in the materials or used as the basis for content, and appropriateness of patient care recommendations.


Richard B. Berry, MD
Professor of Medicine
Medical Director UF Health Sleep Center
Division of Pulmonary, Critical Care & Sleep Medicine
University of Florida, Gainesville, Florida

Dr. Berry discloses the following:
Consultant/Independent Contractor: ABio Research Consultants
Grant/Research Support: Res Med to University of Florida, Philips Respironics to North Florida, Foundation for Research and Education

Nico de Vries, MD PhD
Dept. of Otorhinolaryngology, Head and Neck Surgery OLVG West Amsterdam, the Netherlands
Faculty of Medicine and Health Sciences. Dept. of Otorhinolaryngology Head and Neck Surgery,
Antwerp University Hospital, Belgium
Department of Oral Kinesiology, Academic Centre for Dentistry Amsterdam
MOVE Research Institute Amsterdam, University of Amsterdam and VU University Amsterdam, The Netherlands

Dr. Vries discloses the following:
Consultant/Independent Contractor: Philips Respironics
Grant/Research Support: Philips Respironics
Honoraria: Philips Respironics

Helene A. Emsellem, MD
Medical Director, The Center for Sleep and Wake Disorders
Chevy Chase, Maryland
Clinical Professor of Neurology
George Washington University
Washington DC

Dr. Emsellem discloses the following:
Consultant/Independent Contractor: Philips Respironics
Grant/Research Support: NightBalance, Philips Respironics, Idorsia Pharmaceuticals, Vanda Pharmaceuticals, Harmony Balance, Merck, Avadel, Jazz, Apnimed, Axsome, Novartis
Speaker’s Bureau: Jazz Pharmaceuticals, Philips Respironics

Accredited Provider Disclosures

Global Education Group
Ashley Marostica, RN, MSN
, has nothing to disclose.
Lindsay Borvansky has nothing to disclose.
Andrea Funk has nothing to disclose.
Kristin Delisi, NP, has nothing to disclose.




AMA PRA Category 1 Credit(s)TM

Accreditation Statement

Global Education Group is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

*This CME/CE activity complies with all requirements of the federal Physician Payment Sunshine Act. If a reportable event is associated with this activity, the accredited provider managing the program will provide the appropriate physician data to the Open Payments database.

Designation Statement

Global Education Group designates this enduring material for a maximum of 2.00 AMA PRA Category 1 CreditsTM  .  Physicians should claim only the credit commensurate with the extent of their participation in the activity.




CE for Nurse Practitioners

Accreditation Statement

Global Education Group is accredited by the American Association of Nurse Practitioners as an approved provider of nurse practitioner continuing education.

Provider number: 1561024.

Designation Statement

This activity is approved for 2.00 contact hour(s)

Activity ID #2807E.

This activity was planned in accordance with AANP CE Standards and Policies.




CNE Contact Hour(s)

Accreditation Statement

Global Education Group is an approved provider of continuing nursing education by the Colorado Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation.

Designation Statement

RNs and LPNs can receive up to 2.00 contact hours for participation in this program.

Additional Credit Information - Note to Respiratory Professionals

This non-traditional program has been approved for 2.00 contact hours of Continuing Respiratory Care Education (CRCE®) credit by the American Association for Respiratory Care, 9425 N. MacArthur Boulevard, Suite 100, Irving TX 75063.

How to Obtain AARC / CRCE® Credit
Attendees are expected to review all academic materials before attempting to apply for credit. Successful completion of this activity will lead to the issuance of a certificate for 2.00 contact hours of CRCE® approved continuing education.

To receive credit, please follow these steps:

  • Review all of the academic materials provided on myCME.
  • Complete the online post-test and evaluation on myCME. Participants must receive a post-test score of at least 70% and answer all evaluation questions to be eligible for credit.
  • At the end of the evaluation, click on the CRCE® link to apply for credit. You will be taken to a new page and will no longer be on myCME.
  • Complete the free online registration on that page.
  • Qualified applicants will be provided with an online (printable) CRCE® certificate based on their satisfactory completion of this academic activity.

Disclosure of Unlabeled Use

This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the FDA. Global Education Group (Global) does not recommend the use of any agent outside of the labeled indications.

The opinions expressed in the educational activity are those of the faculty and do not necessarily represent the views of any organization associated with this activity. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.


Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed in this activity should not be used by clinicians without evaluation of patient conditions and possible contraindications on dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities.

Fee Information & Refund/Cancellation Policy

There is no fee for this educational activity.

Privacy Policy

Global Education Group (Global) protects the privacy of personal and other information regarding participants, educational partners, and joint sponsors. Global and our joint sponsors will not release personally identifiable information to a third party without the individual's consent, except such information as is required for reporting purposes to the appropriate accrediting agency.

Global Education Group maintains physical, electronic and procedural safeguards that comply with federal regulations to guard your nonpublic personal information.

myCME privacy policy


To obtain credit, a score of 70% or better on the post-test is required. This activity is offered at no cost to participants. Please proceed with the activity until you have successfully completed this program, answered all test questions, completed the post-test and evaluation, and have received a digital copy of your credit certificate. Your online certificate will be saved on myCME within your Profile/CME History, which you can access at any time.

For information about the accreditation of this program, please contact Global at 303-395-1782 or


Hardware and Software Requirements
  • A computer with an internet connection
  • Internet Browser: Internet Explorer 7.x or higher, Firefox 4.x or higher, Safari 2.x or higher, or any other W3C standards compliant browser
  • Additional Software: Adobe Flash Player and/or an HTML 5 capable browser maybe required for video or audio playback. PowerPoint or Adobe Acrobat Reader may occasionally be required
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