PREREQUISITES AND PLACEMENT IN THE CURRICULUM: None.
Sleep medicine incorporates other specialties like neurology, pulmonary medicine, preventive medicine, psychiatry, psychology, pediatrics, oral and bariatric surgery. A sleep elective rotation for M3-M4 students will expose them to all these fields and help understand and coordinate care for this particular patient population. The patients they will be learning from not only suffer from a multitude of diseases ranging from psychiatric mood disorders to anatomic deformities of the jaw and brain lesions. The medical students will need a multi-prong approach which requires knowledge and coordination for a multi-modality treatment approach.
Students during this rotation will be expected to see new consults for evaluation of sleep-related issues. This will require a thorough history taking and physical examination, impact of medications on sleep, undiagnosed sleep disorders, and its impact on other comorbid conditions. Students will be exposed to different types of sleep disorders ranging from insomnia, narcolepsy, circadian rhythm disorders and sleep apnea. Students will have the opportunity to participate in review of different types of sleep studies with the faculty. Students will learn to devise a treatment plan which will include counseling about sleep hygiene, medications affecting sleep or positive airway pressure therapy for sleep apnea.
• Obtain a full history and perform a skillful physical examination, formulate a differential diagnoses and clinical investigations necessary to diagnose or narrow the differential.
• Develop a management plan based on patient preferences and available options considering patient’s socioeconomic restrictions and different family/work needs.
• Counseling and education about the impact of sleep related diseases in patient safety. work related productivity and effects on comorbid conditions.
• Understanding of sleep disorders and its pathophysiology based on evidence based medicine.
• Epidemiology of sleep disorders in different age groups, different comorbid medical conditions and of different medications.
• Interpretation of investigations to diagnose different sleep , neurological and cardiac conditions.
• Evaluation of sleep disorders prior to jobs in people involved with public safety like bus/train drivers, pilots and those operating heavy machinery.
Practice Based Learning:
• Understanding that sleep medicine like other medical specialties is an ever-changing field; how the practice is changing based on new research and changes in reimbursement. How this can affect the patient population and can be expected as an independent care provider.
LEARNING ACTIVITIES: Interesting case reviews, interesting and uncommon PSG findings, conferences at the sleep center, outpatient evaluation, interpretation of PSG, mean sleep latency testing, actigraphy and home sleep studies.
ASSESSMENT: Students will be evaluated by their progress during the rotation which will be assessed by the faculty and feedback from sleep fellows. In addition, the students will be assessed for their communication and counseling skills by patients via feedback form
Program Number: TBD
Location: Sleep Science Center, 2242 W. Harrison St.
Program Director: Bharati Prasad, M.D. [email protected]
Coordinator: Karen Gordon [email protected]
Duration: 4 Weeks
Night Call: No
Students Accepted: Min. 1 Max. 21
Housestaff Used as Faculty: Yes
Laboratory (interpretation) hours per week: 4
Independent Study hours per week: 10 Outpatient hours per week: 22
Total Hours /Week: 36