Vocational Advanced Training

Thoracic and Sleep Medicine

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Thoracic Medicine
Sleep Medicine
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Sleep Medicine

Definition of Specialty

Paediatric Sleep Medicine is a new specialty area and has evolved within Paediatric Thoracic Medicine. It is a field of paediatric medicine that is still developing, and is experiencing rapid expansion. This has resulted in the need for a formalised training program to be developed, with the knowledge that the criteria chosen will evolve with time. At present this area of paediatric medicine includes sleep-related dysfunction not related to respiratory function (eg initiation and continuity of sleep, hypersomnolence and sleep phase disorders).

The essential element of paediatric sleep medicine, which distinguishes it from adult sleep medicine, is the need to understand normal changes during growth and development. Core knowledge should include changes in the development in:

respiratory control and mechanics;

neurophysiology, especially with regard to sleep-wake states;

interactions between the respiratory system and sleep state.

On the basis of the above knowledge, you will learn to interpret sleep-related abnormalities.

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