Sleep Medicine

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ACGME Competency Goals

Patient Care

Goals: Fellow will learn to effectively care for patients with sleep related diseases using practice guidelines.

Medical knowledge

Goals: The fellow will learn the diagnosis and treatment of common sleep related disorders including the use of sleep diagnostic testing, MSLT, maintenance of wakefulness, PSG.

Interpersonal and Communication Skills

Goals: Communicate with patients, allied staff, and referring providers with empathy, professionalism, and by effective transfer of knowledge.

Practice-Based Learning and Improvement

Goals: The fellow will be involved in improving the quality of the care of sleep through QI projects, scholarly activities, and/or participation in clinical patient care.


Goals: The fellow will be professional in verbal communications and in timely reporting of neurophysiology studies.

Systems-Based Practice

Goals: The fellow recognizes that he/she is part of a treatment team and participates within the treatment group effectively. The treatment groups including neurology/neurocritical care, sleep technologists, pulmonologist, PT/OT, and social work.

Objectives and Evaluation Matrix

As with all of the individual rotations described in this section, the specific objectives of the continuity clinic are reflected in the entrustable professional activities and individual milestones. These form the basis for the fellow’s evaluation, which is completed by his or her clinic attending twice each year. (Please see the section End-of-Rotation Evaluations for the list of milestone abbreviations).

Sleep Medicine Rotation Objectives

Upon completion of the curriculum, fellows will . . .

EPA #EPA DescriptionMilestones
1Evaluate patients who have been diagnosed with sleep disorders or have symptoms consistent with sleepiness, cataplexy, fatigue, formulate their cases, and propose appropriate diagnostic and therapeutic plansPC1, PC2, MK4, SP4, PL1
2Appropriately order and interpret neuroimaging, sleep studies, EEG, and laboratory studiesPC3, PC8, MK4, PL1, PR2, IC4, IC5
3Counsel patients and their families regarding their diagnoses, prognoses, and treatment optionsPC1, PC2, PC3, MK1, MK3
4Clearly document and place orders in Health Link and follow up on the results of testsPC1, PC2, PC3, MK1, MK3
5Learn the performance and interpretation of various sleep studies including polysomnogram, multiple sleep latency, and maintenance of wakefulnessMK4, PC8
6Learn to titrate CPAP and other treatments for sleep apneaMK4, PC8

Latest revision: 10-28-2022, Aaron Struck, MD

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