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Department of Internal Medicine

Department of Internal Medicine

Sleep Medicine Fellowship Curriculum

Training Program Requirements

As a fellow, you will be expected to complete the following minimum requirements to graduate:

  • evaluate 200 new patients in the adult sleep medicine outpatient practice. 
  • provide continuous care to 200 follow-up patients in the adult sleep medicine outpatient practice. 
  • evaluate at least 40 new patients in the pediatric sleep medicine outpatient practice. 
  • provide continuous care to at least 40 follow-up patients in the pediatric sleep medicine outpatient practice. 
  • evaluate a minimum of 10 inpatients with sleep medicine complaints from representative demographic groups. 
  • review and interpret 200 polysomnographic studies, of which a minimum of 40 need to be pediatric-based. 
  • review and interpret 25 Multiple Sleep Latency Tests (MSLTs) and/or Maintenance of Wakefulness Tests (MWTs). 
  • score 25 polysomnograms, at least 5 of which must be in children. 
  • maintain a log of clinical activities for your ACGME portfolio that documents:
    • the clinics attended, number of patients seen in clinic and their diagnoses
    • number of PSGs interpreted
    • number of PSGs scored
    • number MSLTs/MWTs interpreted.

1. Clinical Experience

Fellows will participate in general sleep clinics at VA Mather and UC Davis Medical Center every week. All other specialty clinics are 1/2 day clinics that fellows attend anywhere from 2 - 11 months. Elective rotations can be arranged at Stanford University or any other facilities if desired.

 

OUTPATIENT

  • UC Davis Medical Center
    • General Sleep Clinic
    • ENT Clinic
    • Craniofacial Clinic
    • Pediatric Pulmonary Clinic
    • Pediatric/Adolescent Group Discussions
  • Veterans Affairs, Mather
    • General Sleep Clinic
    • Psychiatric Clinic
    • Portable Sleep Monitoring Analysis
    • Adult Pulmonary Clinic
  • Dental Clinic, Sacramento, CA

 

INPATIENT

  • General wards
  • Psychosomatic Medicine
  • Otolaryngology
  • Neurological ICU
  • Pediatric ICU
  • Pediatric Wards

ELECTIVE ROTATIONS

  • Bariatric Surgery
  • Business Aspects of Sleep Laboratories
  • Headache Clinic
  • Oral-facial Maxillary Surgery
  • Sleep Clinic at Stanford University
  • Additional experiences in adolescent sleep medicine

2. Core Conferences/Didactics

Fellows are expected to attend all Sleep conferences and didactics (bolded) and at least 60% of sleep-related interdivisional conferences.

  • Monthly Sleep Case Conference
  • Monthly Sleep Journal Club
  • Monthly Sleep Fellows' Conference
  • Monthly Multidisciplinary Conference
  • Advanced Course in Sleep Medicine DVD Lecture Series
  • Web-based material from the American Academy of Sleep Medicine.
  • Pediatric Grand Rounds & Conference
  • Pulmonary Fellows' Conference
  • ENT Grand Rounds & Conference
  • Monthly Craniofacial Conference
  • Medicine Grand Rounds
  • Psychiatry Grand Rounds
  • Neurology Grand Rounds & Conference
  • Hospital-wide and department research conferences.

3. Research

Since this is only a one-year fellowship, the research component expectation is limited and will be individually tailored to you. You will be expected to do a scholarly project for the year. That will consist of any of the following:

  • case report/abstract with submission to APSS meeting and review article submitted for publication.
  • original research project which would entail IRB submission and could include a chart review
  • prospective clinical study
  • basic science/translational project.

You are expected to develop the question for their project/review during the first month with their didactic portion of the program. If the project is a review, or clinically related project, Dr. Hardin will be the primary research mentor. If the project entails translational or basic science component, the respective faculty in the lab will be co-primary or primary mentor. You must arrange a monthly meeting with the mentor(s) and be responsible for gathering the primary articles related to the project at each level of development. So far, all of our fellows have had a 100% acceptance rate of their abstracts, posters, and manuscripts.

Suggested topics could include survey studies with questionnaires, genetics and sleep (eg. OSA, inflammatory), RLS, fibromyalgia, sleep and sepsis, GHB and sleep consolidation with oxerin, sedation vs. sleep, ventilators and sleep in the ICU, renal disease and sleep, sleep deprivation and impact, sleep deprivation and failure to wean, obesity and sleep predictors of ICU outcomes.