Integrative Management of Insomnia

Integrative Management of Insomnia


This online course is designed to help oncology clinicians acquire necessary skills to assess, triage, communicate, and provide treatment recommendations for cancer-related insomnia. Chronic sleep loss is a symptom of distress that is both very common, but also severely underreported among people treated for cancer. The course will focus on key issues about insomnia, including recognizing normal sleep habits from disrupted behaviors, why this condition is under-diagnosed, and the biological impact of short-term and chronic insomnia on individuals in their care.

Clinicians will learn from experts in the field of integrative oncology about the latest advances for non-pharmacologic treatment of insomnia. develop a personalized treatment plan based on an individual’s preferences, severity of their insomnia, and other factors. This CME course will use an interactive combination of speaking presentations, case-studies, readings, and question-and-answer sessions. The learning material will highlight the challenges busy clinicians experience when faced with distressed patients and/or caregivers and provide strategies to overcome such difficult situations.

While emphasizing insomnia in cancer care, this content will be applicable to any practice setting and not limited to the oncology population. Through this learning activity, clinicians will be able to:

  • Assess sleep at every new visit and each long term follow up (>= 6 months)
  • Correctly identify insomnia and refer for treatment as appropriate
  • Provide individualized recommendations for the management of insomnia inclusive of non-pharmacologic
  • approaches
  • Make several evidence-based suggestions for insomnia treatment
  • Speak confidently to each modality so that patients can make informed treatment decisions.

Learning Objectives

  1. Collect information from individuals to assess sleep behaviors for possible diagnosis of sleep disturbance, including insomnia.
  2. Describe normal sleep architecture and the 3P model of insomnia
  3. Recognize distinguishing characteristics of insomnia among people with cancer and cancer survivors.
  4. Identify insomnia and distinguish its characteristics from other sleep disorders.
  5. Identify appropriate integrative modalities for the treatment of insomnia and indicate which modality is best suited to provide personalized care.

Course Agenda

  • Sleep & The Human Body:
    • Sleep & Biology
    • Definition of Insomnia
    • Common Sleep Disturbances in Oncology Patients
  • Integrative Therapies to Treat Insomnia
    • Cognitive Behavioral Therapy for Insomnia (CBT-I) as Targeted Treatment for Insomnia in Cancer
    • Tai Chi, Yoga, and Mindfulness-Based Stress Reduction Approaches for Enhancing Sleep Quality
    • The Case for Acupuncture to Treat Insomnia in Cancer Patient
    • Pharmacotherapy for Sleep
  • Sleep and the Whole Person
    • Conducting a Sleep History and Patient Assessment
    • Putting it All Together for Our Patients


  • Michael R. Irwin, MD
    Director, Cousins Center for Psychoneuroimmunology, UCLA
  • Sheila Garland, PhD
    Assistant Professor, Psychology. Memorial University, Newfoundland
  • Jun Mao, MD, MSCE
    Laurance S. Rockefeller Chair in Integrative Medicine. Chief, Integrative Medicine, Memorial Sloan Kettering
  • Gary Deng, MD, PhD
    Medical Director, Integrative Medicine Service, Memorial Sloan Kettering
  • Shelly Latte-Naor, MD
    Director, Mind-body Medicine, Integrative Medicine Service, Memorial Sloan Kettering
  • Eugenie Spiguel, ANP-BC, Holistic Nurse Practitioner
    Integrative Medicine Nurse Practitioner,  Memorial Sloan Kettering
  • Jason Hou, PharmD
    Manager, About Herbs Program, Memorial Sloan Kettering

Target Audience

  • Oncologists
  • Advanced Practice Providers
  • Doctors of Osteopathic Medicine
  • Hospitalists
  • Family Medicine Physicians
  • Hospice and Palliative Medicine Specialists
  • Registered Nurses
  • Social Workers
  • Psychiatrists and Psychologists


  • MD, DO, Phd, PsyD: $125
  • Advanced Practice Providers (NP, PA), Residents, and Fellows: $85
  • Nurses, Social Workers, and Other Healthcare Providers: $65

About Our Online Learning Website

Our Integrative Medicine Service enlists Bridge, a native cloud Learning Management System, to offer a unique engagement platform to host our online courses. Bridge’s intuitive design and mobile platforms will allow you to complete your course on your mobile phone, tablet, or laptop.

Once your payment of the course fee is processed successfully, you will receive a receipt from MSK sent directly to the email account you entered during registration. Within 48 hours, the Integrative Medicine Education Coordinator will upload your name, email, and course selection into Bridge. Once completed, you will receive an email from Bridge containing a link to access the Bridge app. You will be asked to create a username and password to establish your personal Bridge account. Every time you wish to watch a lecture, you will return to the Bridge app and enter the username and password you created.

For questions and assistance with the registration process, please email [email protected]

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