Clinical Year Rotation Experiences
IP = Inpatient
OTO = Adult Otolaryngology Sleep Disorders Clinic
AN = Adult Neurology Sleep Disorders Clinic
PSG = Sleep lab
Pul = Adult Pulmonology Sleep Disorders Clinic
PedPul = Pediatric Pulmonary Sleep Disorders Clinic
RES = Research
Institutions
FH (site #1) | Froedtert Hospital
Children's (site #2) | Children’s Wisconsin
VAMC (site #3) | Clement J. Zablocki VA Medical Center
The fellow is assigned a continuity clinic ½ day/week for 6 to 12 month blocks at one of the three sites.
Rotation 1
AN / Pul / OTO / PSG – adult & ped / RES/ PedPul
Institution / site: Sites 1 and 2
Duration: 2 months
Rotation 2
Pul / IP / RES/ PSG – adult and ped/PedPul
Institution / site: Sites 2 and 3
Duration: 2 months
Fellows will alternate between these 2 rotations throughout the year.
During rotation 1, the fellow works with board certified sleep specialists in their department clinics including adult Otolaryngology, pulmonology (adult and pediatric) and adult neurology sleep clinics. This provides the fellow experience with wide variety of patients. The fellow is responsible for reviewing sleep studies and other sleep related testing under faculty mentorship for 3 half days.
During rotation 2, the fellow works with board certified sleep specialists in adult pulmonology. In addition to sleep clinics, fellows receive experience in CPAP desensitization and cognitive behavioral therapy. The fellows also participate in inpatient sleep study. They also receive experience in electronic-consultation (telemedicine). This requires a thorough chart review to determine the first step in the patient’s care (sleep study, home study, physician clinic visit, CPAP clinic, etc.). The fellows also review sleep studies (portable monitoring studies) and their non-clinic time.
The Friday afternoon block across all three rotations is used by the fellows and faculty for education and practice development as well as research. Depending on the week during the month, there are 1-3 hours of activities that the fellow participates in with one or more faculty present.
Introductory Course Series
Sleep Faculty are assigned didactics and this faculty member will meet with all the fellows. Attendance is mandatory. Fellows are asked to provide discussion and do required reading pertinent to the topic. This assigned reading is provided by the faculty speaker. This conference schedule is set up prior to the start of the July/August rotation and the fellows are provided with the time, location, and dates for the talks. Examples of the topics are endocrine and GI physiology and pathophysiology in sleep, respiratory physiology and pathophysiology in sleep medicine, cardiovascular physiology and pathophysiology in sleep and sleep disorders, chronobiology and sleep/wake mechanisms, sleep across the life span, neurochemical physiology of sleep, portable monitoring, polysomnography, actigraphy, psychometrics in sleep evaluations, etc. In addition, all the fellows are provided time to learn sleep study scoring under supervision of sleep technicians.