Sleep Rotation

Spending a month as a second-year fellow at the Sleep Center will allow each fellow the opportunity to receive a solid foundation in Sleep Medicine with special focus on the diagnosis and treatment of sleep-disordered breathing. During this month, the fellow will focus on learning how to interpret a polysomnographic study and will also attend several sessions of Sleep Medicine Clinic with focus on new patient evaluations. Fellows will also be educated on how to hook-up polysomnograph equipment and will also meet with a CPAP/BiPAP professional to gain knowledge about different nasal/oral mask interfaces, compliance monitoring, humidification systems, portable oximetry systems, trouble-shooting CPAP problems, and behavioral training for claustrophobic CPAP patients.

Expectations and competencies for the rotation are as follows:

  1. Tuesday - Friday, 7:30 am -9:30 am: Be available for polysomnographic record review for except during pulmonary conference (Thursday 7:30 am - 8:30 am).
  2. Tuesday - Friday, 9:30 am -12 noon, and Tuesday-Wednesday, 1:00 pm - 4:00 pm: Evaluate Sleep Clinic patients, except on days when you are in TKC Pulmonary Clinic.
  3. Learn technical aspects of polysomnography with our sleep technologists.
  4. Be able to perform a sleep history and physician exam, and devise a differential diagnosis for common sleep disorders.
  5. Devise management strategies for all aspects of sleep-disordered breathing, including upper airway resistance syndrome, obstructive sleep apnea syndrome, central sleep apnea syndrome, Cheyne-Stokes respiration, and non-invasive ventilation therapies for respiratory failure.
  6. For patients with sleep-disordered breathing, learn how to prescribe and manage CPAP and BiPAP with its different modes, oxygen, and positional therapy.
  7. Help perform a patient hookup for nocturnal polysomnography with Sleep Center staff.
  8. Complete the Sleep rotation objectives as stated in your pulmonary fellowship orientation booklet, including self- and computer-based learning, using available Sleep Center materials.

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