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 . . . | ||
| # | Description | Milestones |
| 1 | Take a complete sleep history, including the assessment of sleep hygiene and the use of scales such as Epworth, Berlin, and STOP-BANG | PC1, PC4, MK2 |
| 2 | Identify on the polysomnogram apnea, hypopnea, periodic and non-periodic limb movements, and REM and non-REM sleep | PC9, MK2 |
| 3 | Evaluate and manage obstructive sleep apnea, including appropriate use of CPAP | PC1, PC2, PC3, PC4, MK2 |
| 4 | Evaluate and manage restless legs syndrome | PC1, PC2, PC3, PC4 |
| 5 | Evaluate and manage insomnia | PC1, PC2, PC3, PC4, PC12, MK2 |
| 6 | Evaluate and manage narcolepsy | PC1, PC2, PC3, PC4, MK2 |
| 7 | Describe the legal ramifications of sleep disorders, such as driver licensure | SP3, SP4 |
| 8 | Counsel patients and their families regarding their diagnoses, prognoses, and treatment options | SP3, 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
