Clinical Training

The mission of the Sleep Medicine Fellowship Program is to provide a strong clinical and basic science foundation in adult and pediatric sleep medicine while promoting scholarly research among trainees. The clinical training of the Sleep Medicine Fellowship Program takes place at four sites:

  • MetroHealth Medical Center
  • Louis Stokes Cleveland VA Medical Center
  • University Hospitals Cleveland Medical Center
  • University Hospitals Rainbow Babies & Children's Hospital

Sleep Medicine Training and Specialty Experiences

Fellows train predominantly in outpatient clinic and participate in the Sleep Center activities, including reading diagnostic tests, in-patient consultations and quality assurance - at each of the training sites. In addition, there are interactions in clinical research and patient management with the following specialties:

  • Cardiology
  • Dentistry
  • Epilepsy/neurology
  • Otolaryngology
  • Pulmonary medicine
  • Psychology
  • Pediatrics and pediatric subspecialties

Program Competency Areas of Emphasis

While learning and competency assessments accrue in all areas of the discipline, the Sleep Medicine Fellowship Program places emphasis on:

  • First Quarter: neurophysiology/neuropharmacology, patient assessment, differential diagnosis, international classification and research
  • Second Quarter: techniques of monitoring (PSG, MWT, MSLT), neurology for non-neurologists and pulmonology for non-pulmonologists
  • Third Quarter: sleep disorders of medical and psychiatric illness, psychology and psychological testing and psychiatry for non-psychiatrists
  • Fourth Quarter: sleep medicine systems (administrative and societal issues) and presentation of yearly scholarly work

Clinical Experience across a Range of Sleep Disorders

Clinical training covers multiple aspects of sleep medicine training, including:

  • Hypersomnia
  • Insomnia
  • Neurobiology and pharmacology of sleep
  • Parasomnia
  • Pediatric sleep
  • Sleep-disordered breathing
  • Sleep related movement disorders
  • Circadian Sleep-wake Rhythm disorders
  • Restless Legs Syndrome
  • Interpretation of a variety of sleep studies and testing
  • Multi-disciplinary care of sleep disorders
  • Non-PAP management of sleep apnea including sleep surgery

Also, recent and current trainees address the following topics:

  • Management of Insomnia in depression and suicidiality
  • Impact of sleep on education and behavior
  • Alternatives to CPAP therapy for OSA
  • Objective vs. Psychologic Factors deciding patient adherence to positive airway pressure