Cleveland Clinic's Sleep Medicine Fellowship is a one-year, ACGME-accredited program designed to provide trainees with a range of competencies in Sleep Medicine. The fellowship provides eligibility for the American Board of Sleep Medicine. Trainees are provided with a broad exposure to Sleep Medicine including polysomnographic technology and the treatment of adult and pediatric patients with sleep disorders. Over 9000 studies are performed annually, including routine polysomnography (PSG), multiple sleep latency tests, maintenance of wakefulness tests, home sleep testing, actigraphy, positive airway pressure titrations, neonatal and pediatric studies, esophageal pressure monitoring and combined PSG with extended EEG/EMG for the evaluation of nocturnal seizures and parasomnias. The center is multidisciplinary, with sleep experts from the Departments of Neurology, Psychiatry, Pulmonary and Critical Care Medicine, Psychology, Internal Medicine, Family Medicine and Otolaryngology who supervise trainees.
The program begins with the Introductory Sleep Medicine Course which takes place during the initial three weeks of the fellowship. The course consists of didactic lectures on all of the major topics in sleep medicine as well as lectures in understanding neurophysiological signals, electrical safety, normal EEG, benign EEG variants, epileptiform discharges and review of laboratory protocols and procedures. Workshops are dedicated to group scoring and staging sessions of pediatric and adult studies, how to generate reports, how to protocol sleep studies, and understanding montages, polarity and localization of EEG signals. In addition, there are several lectures from the Resident Educator and Life-Long Learner (REALL) Program which are intended to prepare trainees for a career in academics. Trainees manually score four sleep studies during the Introductory Sleep Medicine Course and review them with a designated technologist. During the first month of the fellowship, trainees spend three evenings in the sleep laboratory in order to become familiar with the machine calibration, patient set-up, patient hook up and recording techniques.
Throughout the year, fellows attend the Neurological Institute Core Conference series which reviews wide ranging topics covering all of the ACGME core competencies. Fellows attend the weekly Sleep Medicine Grand Rounds which reviews various sleep medicine topics with discussion of the most recent literature and best practices. At the quarterly Medical Directors Meeting, fellows gain an awareness of the larger context of the system of health care. This includes an understanding of the American Academy of Sleep Medicine laboratory standards, management issues of a sleep laboratory, reviewing laboratory protocol changes, new policies, quality assurance parameters and results and lab accreditation issues. At the monthly Sleep Business Review meeting, fellows learn about practical day to day sleep center business management issues.
The fellowship is organized into outpatient clinic and laboratory core rotations. During the clinic rotations, fellows evaluate patients of all ages with sleep disorders under the supervision of a Sleep Medicine staff physician. Trainees also participate in two weekly longitudinal care clinics where new and former patients are evaluated and treated by the same fellow over the course of the year. During the laboratory rotation, Sleep Medicine fellows learn to score and stage sleep studies. Fellows are responsible for reviewing raw data and clinical information and generating a sleep report. Studies are reviewed daily with a Sleep Medicine staff physician in afternoon reading sessions.
Sleep Medicine trainees also spend time evaluating patients with ancillary staff in the Departments of Otolaryngology and Psychology. The Otolaryngology Sleep Clinic provides exposure to the surgical management of sleep-disordered breathing. The Sleep Psychology Clinic provides exposure to cognitive and behavioral therapy for insomnia (CBTi) and the use of biofeedback for patients with sleep disorders. Sleep fellows participate in group sleep skills meetings and learn to apply CBTi in group settings.
Sleep Medicine fellows are required to participate in research. Research proposals are presented in periodic research meetings, and completed studies are presented at the Department of Neurology Neuroscience Day, as well as, at the annual national sleep medicine meeting, Association of Professional Sleep Societies (APSS).
A variety of educational opportunities are available to Sleep Medicine trainees. Each month, four cases are presented by the fellows to the staff in case conferences. On a monthly basis, fellows attend the journal club. Visiting professorships are held each quarter in which prominent individuals in the field are invited to spend a half day with the fellows discussing interesting cases. Sleep Medicine fellows share the on-call duties of the sleep laboratory. Call is rotated on a biweekly basis and taken from home.
The ACGME guidelines specify that training in Sleep Medicine must be preceded by the completion of a residency program in neurology, child neurology, general psychiatry, internal medicine, family medicine, anesthesiology or otolaryngology. Please note, in order to apply for our program candidates must have successfully completed a residency in the US, Canada or Puerto Rico. All International Medical Graduates must submit a certified copy of their current ECFMG certificate and qualifying exam results.
- Personal Statement
- Letter from Residency Program Director in lieu of Dean’s Letter
- At least 3 letters of recommendation from physicians whom have supervised you in a clinical setting, one of which must come from the Residency Program Director
- USMLE/COMLEX Score Reports
- Certificate(s) of previous training
- Medical School Diploma
We begin accepting applications on July 1 and we will stop reviewing applications on October 1.
Carlos Rodriguez, MD
Sleep Disorders Center
Department of Neurology, FA20
9500 Euclid Ave.
Cleveland, OH 44195
9500 Euclid Ave.
Cleveland, OH 44195