Department of Internal Medicine Pulmonary, Critial Care, and
Occupational Medicine Fellowship Program
Sleep Medicine Rotation
(2 Weeks during F 1 Year)
F aculty Responsible: Herbert A. Berger, M.D., Internal Medicine and Mark E. Dyken, M.D., Director of the Sleep Disorders Center, Neurology
Participating Faculty :
Margaret Browning, M.D., Otolaryngology
Bradley G. Phillips, Pharm. D., BCPS, College of Pharmacy
Jon Tippin, M.D., Neurology
Thoru Yamada, M.D., Neurology
Malcolm H. Yeh, M.D., Neurology
Goals:
- Develop the knowledge, attitude and skills necessary to take a sleep history that will identify patients with obstructive sleep apnea, nocturnal arousal's, excessive daytime somnolence, circadian rhythm disorders, and insomnia.
- Gain experience in managing adult patients with sleep and circadian rhythm disorders.
- Review polysomnographies and multiple sleep latency tests with the attending staff in the Sleep Disorders Center.
- Gain a basic overview of the sleep architecture and sleep stages.
- Spend 2 nights assisting in the set-up and acquisition of polysomnography data.
- Actively participate in the Sleep Disorders Center Clinic and "CPAP" Clinic.
- Assist in providing outpatient care in the Otolaryngology Clinic under the supervision of Dr. Margaret Browning to patients with sleep disordered breathing.
- Participate in didactic sessions available in the Sleep Disorders Center and the Otolaryngology Clinic.
- Utilize self-instructional material available on the Internet through the National Institute of Health Sleep Academic Award Program.
- Maintain a log of clinical patients, polysomnographies, and multiple sleep latency tests that were evaluated and reviewed under the supervision of the attending staff.
- Present at least one sleep disordered-breathing case at the pulmonary clinical conference.
Site of Instruction:
University of Iowa Hospitals and Clinics
Evaluation:
A pre-test and a post-test developed by the National Institute of Health Sleep Academic Award Program are used to assess behavior, attitudes and knowledge about sleep. Fellows are evaluated informally throughout the 2 weeks by the staff attending in the Sleep Disorders Center and the Otolaryngology Clinic. Fellows will formally be evaluated at the end of the 2 week rotation by the Sleep Disorders Center and the Otolaryngology Clinic attending staff. Feedback will be closely sought from faculty and fellows to modify the rotation.