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THORACIC
MEDICINE
Components
of Training
Core
training
Clinical Thoracic Medicine
Training should include a wide exposure to all common respiratory diseases
including lung cancer, tuberculosis and experience in respiratory intensive
care. All advanced trainees in clinical thoracic medicine should also
gain sufficient first-hand experience in a respiratory function laboratory
to be familiar with the performance and application of commonly used respiratory
function tests in the management of patients with respiratory disease
Clinical Sleep
Medicine
All thoracic medicine trainees must undertake the equivalent of at least
three months training in sleep medicine, as part of their core training
in thoracic medicine. This training should occur in an institution with
a sleep laboratory and its associated clinic(s) where the trainee should
obtain:
- knowledge of basic
sleep physiology;
- experience in the
diagnosis and management of cardiorespiratory sleep disorders; and
- knowledge of the
symptomatology and management of nonrespiratory sleep disorders, particularly
those that enter into the differential diagnosis of sleep apnoea (e.g.
disorders that cause excessive daytime sleepiness).
Trainees should obtain
experience in the clinical application of polysomnography and should receive
basic training in the polysomnographic techniques used to measure and
score sleep, and abnormal sleep-related respiratory events.
Desirable
Options
It is recommended that some experience with subspecialty and related disciplines
is obtained and these include thoracic surgery, infectious diseases including
pulmonary infection in the immunocompromised, adult cystic fibrosis, lung
transplantation, ENT surgery, clinical allergy and immunology and occupational
lung disease.
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