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Rebuttal From Dr GayRebuttal From Dr Gay

Peter C. Gay, MD, FCCP
Author and Funding Information

From Pulmonary, Critical Care and Sleep Medicine, Mayo Clinic, Mayo Foundation for Medical Education and Research.

Correspondence to: Peter C. Gay, MD, FCCP, Pulmonary, Critical Care and Sleep Medicine, Mayo Clinic, Mayo Foundation for Medical Education and Research, E18B, Rochester, MN 55905; e-mail: pgay@mayo.edu


Financial/nonfinancial disclosures: The author has reported to CHEST that no potential conflicts of interest exist with any companies/organizations whose products or services may be discussed in this article.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians. See online for more details.


Chest. 2013;144(6):1758. doi:10.1378/chest.13-1700
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Extract

We debate the value of sleep-board certification necessity to prescribe CPAP in the diagnosis and treatment of straightforward OSA. As stated by the Centers for Medicare & Medicaid Services (CMS) and supported by the American Academy of Sleep Medicine (AASM) guidelines as a standard of care, “Treatment of moderate to severe OSA with CPAP must be based on a prior diagnosis of OSA established using an acceptable method,”2 but no statements were made regarding the prescribing physician’s board certification. Dr Brown’s3 contention that “physicians without board certification in sleep medicine measurably lack the knowledge and skills necessary for treating OSA” is not the appropriate conclusion.

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