SLEEP MEDICINE

Components of Training

Core Training
Clinical Sleep Medicine
Quality training should include a wide exposure to all common sleep disorders including sleep breathing disorders, disorders of daytime somnolence, insomnia, parasomnias, disorders of chronobiology and psychiatric disorders affecting sleep. Trainees will be expected to have a detailed practical knowledge of:

• Sleep physiology;
  
• The instrumentation, recording, scoring techniques and interpretation for all varieties of polysomnographic studies.

They will need to obtain detailed experience and skill in the management of sleep breathing disorders (including CPAP and nasal ventilation) and other non-respiratory sleep disorders. They should also obtain experience in the diagnosis and management of other respiratory, cardiovascular and neurological disorders affecting sleep.

Wherever possible, training should be undertaken in a multi-disciplinary sleep disorders service where interactions with other relevant disciplines are possible. At least one year must be spent in a service with a laboratory that has substantial expertise in sleep breathing disorders and their commonly associated respiratory disorders.

For non-thoracic trainees, there must be a core component of training in chronic respiratory diseases (e.g. chronic airflow limitation, respiratory failure).

Desirable Options
In addition to the core training in the fields of respiratory, cardiovascular and neurological disorders affecting sleep, it is recommended that some experience in other subspecialty fields is obtained and these include endocrinology, psychiatry, ENT surgery and paediatrics.

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