Curriculum

CURRICULUM
PSG/SCORING

  • Basics of polysomnography
  • Operation of polysomnographic monitoring equipment
  • Trouble shooting and artifacts
  • Adult and pediatric scoring rules (stages, respiratory events, movements)
  • Multiple sleep latency testing (MSLTs) and maintenance of wakefulness testing (MWT’s
  • Normal PSG values
  • Actigraphy
  • Portable monitoring

BASIC NEUROLOGIC AND CHRONOBIOLOGIC SLEEP MECHANISMS

  • Ontogeny of sleep.
  • Sleep across the life span.

OBSTRUCTIVE SLEEP APNEA

  • Overview: epidemiology, pathophysiology, diagnosis and significance.
  • Airway anatomy.
  • Positive airway pressure treatment: CPAP/ BiPAP. Titration, compliance, troubleshooting and benefits.
  • Non PAP treatments of OSA: Oral Devices and surgical options (maxillofacial and other upper airway surgery).
  • Positional education.
  • Obesity Hypoventilation Syndrome.

MOVEMENT DISORDERS

  • Etiologies, prevalence, diagnosis, and treatment of all subtypes of sleep related Movement Disorders
  • Periodic limb movement disorder
  • Restless leg syndrome
  • Other sleep related movement disorders

SLEEP AND NEUROLOGY/PSYCHOLOGY

  • Seizures and sleep
  • REM behavior disorder, Parkinsons and other alpha synucleinopathies.
  • Dementia
  • Cerebrovascular disease and sleep medicine
  • Administration and interpretation of psychological tests.
  • Psychiatric related sleep disorders

PEDIATRIC SLEEP MEDICINE

  • Obstructive Sleep apnea.
  • Central sleep apnea: apnea of prematurity and infancy, central hypoventilation
  • Treatment options for OSA in the pediatric population
  • Insomnia syndromes and therapies specific to children
  • SIDs and related respiratory distress.

PARASOMNIAS

  • Etiologies, prevalence, diagnosis, and treatment of all subtypes of parasomnia
  • Sleep walking and sleep talking
  • REM behavior disorder
  • Bruxism
  • Nightmares and confusional arousals
  • Enuresis

INSOMNIA

  • Etiologies, prevalence, diagnosis, and treatment of all subtypes of Insomnia
  • Treatment approaches for insomnia, including cognitive-behavioral therapies and pharmacological therapy.

HYPERSOMNIAS

  • Narcolepsy: etiology, diagnosis and treatment
  • Idiopathic hypersomnia: diagnosis and treatment

CIRCADIAN RHYTHM DISORDERS

  • Etiology, prevalence, diagnosis, and treatment of Circadian Rhythm Disorders
  • Delayed  and Advanced circadian rhythm disorders
  • Free running and irregular circadian rhythm disorders
  • Jet lag and shift work sleep disorders
  • Treatment options: Chronotherapy and pharmacotherapy

PHARMACOLOGY OF SLEEP

  • Neurotransmitters and the function of sleep
  • Antidepressants: effects on sleep
  • Pharmacotherapy of insomnia
  • Pharmacotherapy of restless leg disorder
  • Miscellaneous drugs

CARDIOVASCULAR PERSPECTIVES OF OSA

  • Cardiovascular physiology during sleep and pathophysiology.
  • Congestive heart failure and Cheyne Stokes Breathing
  • Treatment with CPAP and Auto Servo Ventilation (ASV)
  • Cardiovascular consequences of OSA

PULMONARY PERSPECTIVES OF SLEEP

  • Respiratory physiology during sleep and pathophysiology.
  • Physiology of the control of breathing
  • COPD and asthma
  • Neuromuscular diseases and consequences during sleep
  • Hypoventilation Syndromes and treatment with AVAPs

SLEEP DEPRIVATION

  • Consequences of sleep deprivation on sleep and wake

SLEEP PROBLEMS IN THE ELDERLY

  • Insomnia in the elderly
  • Obstructive sleep apnea in the elderly
  • Age related changes in sleep architecture
  • Pharmacotherapeutic considerations in the elderly

GASTROINTESTINAL PERSPECTIVES AND SLEEP

  • Gastrointestinal physiology and sleep
  • GERD and pH monitoring

ENDOCRINE PERSPECTIVES AND SLEEP

  • Endocrine physiology during sleep and pathophysiology.
  • Thyroid disease and sleep
  • Growth hormone and sleep
  • Cortisol and sleep
  • Prolactin and sleep

MISCELLANEOUS

  • Effects of impaired sleep on bed partners.
  • Medical, neurologic, and psychiatric disorders displaying symptoms likely to be related to sleep disorders (e.g., the relationship between hypertension and snoring).
  • The nature of the interactions between treatment for sleep disorders and other medical, neurologic, and psychiatric treatment.
  • Biological, psychological, social, economic, ethnic, and familial factors which significantly influence the evaluation and treatment of sleep disorders.
  • Financing and regulation of sleep medicine.
  • Medical ethics and its application in sleep medicine.
  • Legal aspects of sleep medicine.
  • Impact of sleep disorders on family and society.
  • Epidemiological issues:
  1. Research methods in the clinical and basic sciences related to sleep medicine; and
  2. Critically appraising the professional and scientific literature, and applying new contributions to management and care of patients.