Adult Neurology Residency

Adult Neurology Residency

Sleep Medicine

Introduction and Goals

For senior neurology residents, sleep medicine is a 1 week to 1 month elective rotation; residents and fellows from the departments of psychiatry, internal medicine, pediatrics, and surgery may rotate for 3 or 6 month longitudinal experience. The supervising physician is Dr. Mihaela Bazalakova.

The goals of this rotation are to equip trainees with the basic clinical knowledge and skills to evaluate primary and co-morbid sleep disorders including sleep apnea, insomnia, and nocturnal movements (e.g. restless legs syndrome).

Residents must contact Shannon Shields, shannon.shields@uwmf.wisc.edu, in addition to filling out the onine elective form. With multiple rotators, the sleep clinic prefers at least 4-6 weeks notice before a resident is able to be scheduled for a rotation.

Objectives and Evaluation Matrix

As with all of the neurology rotations, the specific objectives are reflected in the entrustable professional activities and individual milestones listed below. These form the basis for the end-of-rotation evaluation. (Please see the section End-of-Rotation Evaluations above for the list of milestone abbreviations).

Rotation Objectives
Upon completion of the curriculum, residents will . . .
#DescriptionMilestones
1Take a complete sleep history, including the assessment of sleep hygiene and the use of scales such as Epworth, Berlin, and STOP-BANGPC1, PC4, MK2
2Identify on the polysomnogram apnea, hypopnea, periodic and non-periodic limb movements, and REM and non-REM sleepPC9, MK2
3Evaluate and manage obstructive sleep apnea, including appropriate use of CPAPPC1, PC2, PC3, PC4, MK2
4Evaluate and manage restless legs syndromePC1, PC2, PC3, PC4
5Evaluate and manage insomniaPC1, PC2, PC3, PC4, PC12, MK2
6Evaluate and manage narcolepsyPC1, PC2, PC3, PC4, MK2
7Describe the legal ramifications of sleep disorders, such as driver licensureSP3, SP4
8Counsel patients and their families regarding their diagnoses, prognoses, and treatment optionsSP3, SP4, PR1, IC1
Milestones
Please grade the resident on any of the following milestones you were able to evaluate during this rotation:
PL1

Schedule

Shannon Shields, (sleep coordinator) will create a personalized schedule for the resident rotating and will be sent out a week in advance of the rotation.

Work Hours

The estimated work hours is 40 hours per week.

Suggested Reference

Kryger, M. H., Roth, T., & Dement, W. C. (2011). Principles and practice of sleep medicine. St. Louis: Saunders/Elsevier.

 

Latest revision: 05-14-2021

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