Sleep Medicine

14,000,000 Leading Edge Experts on the ideXlab platform

Scan Science and Technology

Contact Leading Edge Experts & Companies

Scan Science and Technology

Contact Leading Edge Experts & Companies

The Experts below are selected from a list of 30540 Experts worldwide ranked by ideXlab platform

Annie Thompson - One of the best experts on this subject based on the ideXlab platform.

Stuart F. Quan - One of the best experts on this subject based on the ideXlab platform.

  • graduate medical education in Sleep Medicine did the canary just die
    Journal of Clinical Sleep Medicine, 2013
    Co-Authors: Stuart F. Quan
    Abstract:

    it is for this reason that the admission ticket for recognition as a new medical specialty by the Accreditation Council for Graduate Medical Education and the American Board of Medical Specialties includes a suffi cient number of active training programs and trainees in the prospective specialty. Because without practitio-ners, there is no specialty. In the most recent Sleep Medicine fellowship match, 64 programs offered 129 positions to start in July 2013. Thus, it is alarming that 31 positions or ~25% went unfi lled. It is possible that in some cases programs deliberately did not rank any candidates leading to seemingly unfi lled positions on the match list. Conversely, candidates may have per-ceived that some programs were of insuffi cient qual-ity. However, given the openings in some prestigious programs, it is likely that there is a paucity of demand. This begs several questions. Is this the beginning of a trend, i.e., the proverbial “Canary in the coal mine”? And if so, why?Unfortunately, it is impossible to know if this past year’s match is a blip in the radar or a harbinger of future results. However, if these results portend the outcome of future matches, several explanations are possible. First, potential trainees have become aware that there is decline in polysomnography use and re-imbursement, thus making specialization in Sleep Medicine less fi nancially attractive. Second, many trainees enter the fi eld after having already completed 4 to 6 years of post graduate medical training. Thus, some may view the extra year of training required for Sleep Medicine as neither intellectually nor fi nancial-ly worthwhile. Third, and perhaps the most potential-ly worriesome, Sleep Medicine may not be perceived as intellectually stimulating with most patients being evaluated and treated for Sleep disordered breathing problems.What can be done? Obviously, there must be in-creased efforts to develop new practice paradigms to make Sleep Medicine fi nancially viable and not com-pletely dependent on performing laboratory polysom-nography. More importantly, we as Sleep Medicine practitioners need to promote our fi eld to potential trainees. Large numbers of the general populace suffer from Sleep disorders and thus the potential to improve the quality of life for many is great. Furthermore, there is diversity to the fi eld. It is not just about treat-ing Sleep disordered breathing although some believe this to be the case. Moreover, there are few disciplines where medical devices, pharmaceuticals and behav-ioral modalities are all used as primary treatments for patients. We should be communicating to potential trainees that Sleep Medicine is a diverse and complex specialty with the potential to help many patients. If we can do this, our fi eld will have a promising future. If not, there will be uncertainty.

  • Return from the darkside--Sleep Medicine fellowship training: past, present and future.
    Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2011
    Co-Authors: Stuart F. Quan
    Abstract:

    At the time this editorial comes to press, I will be nearing completion of my 6½ years of service on the Internal Medicine Residency Review Committee (IMRRC) of the Accreditation Council of Graduate Medical Education (ACGME). Six and a half years is a long time to serve on any committee, and the IMRRC is no exception. I will not miss the hours of hard work, time away from home or the sometimes heated debate, but I always will cherish the camaraderie among fellow educators and the privilege of representing the Sleep Medicine community on this important body. The IMRRC a frequently misunderstood committee. I have been told by some that serving on the IMRRC is analogous “going over to the dark side,” and that the IMRRC and the ACGME are the “enemy.” This cannot be further from the truth. Although the IMRRC does sanction Sleep Medicine and other training programs that are non compliant with its requirements, the IMRRC in virtually every instance tries to improve the medical educational experience at the programs it accredits. With respect to Sleep Medicine, it is not commonly appreciated that accredited training and American Board of Medical Specialties (ABMS) board certification would not be possible today without the action taken by the ACGME. For years, organized Sleep Medicine had petitioned the ABMS for a certification examination, but had been consistently rebuffed. However, the ACGME, under the leadership of the late Dr. Marvin Dunn, agreed that Sleep Medicine was an emergent medical specialty and ACGME accredited Sleep Medicine training was born.1 Because the ABMS generally does not wish to have accredited training without a parallel examination process, ABMS board certification in Sleep Medicine became possible. Thus, during my service on the IMRRC, I have witnessed and participated in the development of the training requirements for Sleep Medicine fellowships and observed the accreditation of 71 Sleep Medicine fellowships.2 These events would not have been possible without the understanding and assistance of the IMRRC which solicited input from our community in the developing policy and program requirements. What then is the immediate future for Sleep Medicine training? In July 2012, in parallel with implementation of new program requirements for Internal Medicine subspecialties, there will be new program requirements for Sleep Medicine. Although the format of the program requirements will be different and will include the new ACGME common requirements with their focus on duty hours, core educational content related to Sleep Medicine will not be markedly different. There will be greater flexibility for training programs that emphasize pediatrics and a requirement for all key clinical faculty including the program director to be certified in Sleep Medicine by an ABMS member board. It also is likely that a provision to allow residents trained in Anesthesiology to enter Sleep Medicine training will be added to be consistent with their eligibility to take the ABMS certification exam. Moreover, the IMRRC will continue review all Sleep Medicine programs irrespective of their sponsoring specialty. However, the greatest changes will occur in assessment of fellows' meeting the six ACGME competencies: Medical Knowledge, Patient Care, Practice-based Learning, Communications, Professionalism and Systems-Based Practice. Evaluation methods will now require direct observation of these skills, solicitation of opinions from patients and staff and objective assessment tools. In general, the leadership of the ACGME is attempting to move to a less proscriptive and more outcomes-based accreditation process with longer accreditation cycles for programs in good standing. In the long-term, Sleep Medicine training will reflect the practice of Sleep Medicine. The IMRRC never makes changes in training program requirements without input from its constituent specialty communities. Thus, as the practice of Sleep Medicine evolves more toward ambulatory testing, and emphasizing the cognitive value of a Sleep Medicine specialist in the evaluation and treatment of all Sleep disorders, not just Sleep disordered breathing, fellowship training will need to mirror these changes in practice. It will be important for Sleep Medicine educators to provide input to the IMRRC for these changes to occur. Finally, as I return unscathed from the dark side, remember, the IMRRC is not your enemy, and in most cases it wants to be your friend.

  • Development and results of the first ABMS subspecialty Certification Examination in Sleep Medicine.
    Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2008
    Co-Authors: Stuart F. Quan, W. Vaughn Mccall, Richard B. Berry, Nancy A. Collop, Daniel J. Buysse, Madeleine Grigg-damberger, Susan M. Harding, Conrad Iber, Michael J. Sateia, Stephen H. Sheldon
    Abstract:

    The Certification Examination in Sleep Medicine was administered in November 2007 for the first time under cosponsorship of five member boards of the American Board of Medical Specialties (ABMS)—the American Board of Internal Medicine (ABIM), which is the designated administrative board, the American Board of Family Medicine (ABFM), the American Board of Otolaryngology (ABOto), the American Board of Pediatrics (ABP), and the American Board of Psychiatry and Neurology (ABPN). Preceding this administration was a 28-year history of testing by the American Board of Sleep Medicine (ABSM), beginning in 1978 with an examination in clinical polysomnography, passed by 21 candidates, and ending with the 2006 ABSM examination. During the 28-year period ending with the 2006 ABSM examination, 3,445 individuals were certified as diplomates of the ABSM. For the 1978 examination, candidates answered written true-false questions and oral questions posed by an examiner. In 1980, candidates completed a two-part examination given on separate dates. The first part consisted of 3 sections of multiple-choice questions. Candidates who successfully passed the first part took the second part, in which they completed essays based on interpretation of polysomnograms and multiple Sleep latency tests. By 1991, the second part had evolved into an examination that required short written answers instead of essays, and a computer-based presentation of polysomnogram samples in lieu of paper recordings was introduced in 2002. Eventually, in 2005, a single-day computer-administered examination consisting only of multiple-choice questions was utilized. This format was very similar to that used for the 2007 Certification Examination in Sleep Medicine.1 The American Academy of Sleep Medicine and the ABSM prepared the way for certification by ABMS member boards, applying for recognition of Sleep Medicine training by the Accreditation Council for Graduate Medical Education (ACGME) and taking a major role in seeking ABMS approval of the certification process.1 Accreditation requirements for Sleep Medicine training programs were established in 2004, and the ABMS approved Sleep Medicine certification in 2005, leading to development of the 2007 Certification Examination in Sleep Medicine.

  • Sleep Medicine Fellowships—Accomplishments and More Issues
    Journal of Clinical Sleep Medicine, 2007
    Co-Authors: Stuart F. Quan
    Abstract:

    This year marks a relatively obscure event for most of us. It is the end of the initial accreditation cycle for those Sleep Medicine programs who were the vanguard of the ∼20 institutions that were the first to receive approval by the Accreditation Council for Graduate Medical Education (ACGME) for Sleep Medicine training. Obviously, for these institutions, it means considerable time spent by the program director and faculty in the preparation of the “PIF” (Program Information Form) and “dreaded” anticipation of the inevitable site visit. However, for the rest of us who fortunately will not have to complete a PIF, it is a marker of the gradual maturation of Sleep Medicine as a specialty of Medicine. ACGME accreditation of our training programs means acceptance by the medical community that we have both a distinct base of scientific knowledge and a focused area of medical practice. The accreditation process also became the impetus for the development of an American Board of Medical Specialties (ABMS) certification examination in Sleep Medicine with the first examination to be given next month. These events are a result of hard work by colleagues who are too numerous to be recognized in this abbreviated message. Several years ago, I was fortunate to serve you as a member of the AASM (American Academy of Sleep Medicine) Board of Directors and was a participant in a discussion of what to include in our strategic plan. At that time, there were slightly over 25 AASM accredited fellowships, and there was considerable debate concerning whether a goal of 50 fellowship programs was achievable. Some of us, myself included, thought that this was unlikely to occur. Fortunately, I am not making my living as a psychic, and I am happy to report that I was quite wrong. At the current time, there are 57 ACGME accredited fellowship programs with 142 training positions1. However, our field's success in developing training programs raises an additional important issue. How many Sleep Medicine clinicians does this country require? If we conservatively count only those individuals who become ABMS certified and those who will be eligible for certification, there will be 142 people entering the field each year plus those who will become certified by taking the examination through practice/American Board of Sleep Medicine eligibility (over 1900 will be taking the first exam). Will this be sufficient to sustain our field? Do we need to encourage the development of more training programs? In comparison, there are 183 adult Pulmonary and/or Critical Care Medicine training programs with ∼550 first year positions and 91 Clinical Neurophysiology training programs with 282 positions in one year programs similar to Sleep Medicine training1. At a time when there is a debate in our field as to the role of the Sleep Medicine clinician in the delivery of patient care, these are critical questions, and ones that should be addressed in the near future. Another issue related to fellowship training is the content and length of training. In the next year, there will be a scheduled revision of the training requirements for Sleep Medicine. The Sleep Medicine community will be asked for input regarding the relevance of the current requirements for the practice of Sleep Medicine now and over the next several years. Should there be additions or deletions to the requirements? Is a one year training program appropriate? Should training be at least two years, similar that required by virtually all the Internal Medicine and Pediatric subspecialties? This latter question has significant cost and person power implications, but may be important in development of academic Sleep clinicians. This two year anniversary of initial accreditation of Sleep Medicine training programs may not directly affect most of us. Nonetheless, it serves as a reminder that important issues related to person power and the practice of Sleep Medicine remain unresolved and should be addressed in the near future.

Ahmed S. Bahammam - One of the best experts on this subject based on the ideXlab platform.

  • Asian Accreditation of Sleep Medicine Physicians and Technologists: Practice Guidelines by the Asian Society of Sleep Medicine
    Sleep medicine, 2021
    Co-Authors: Ahmed S. Bahammam, Fang Han, Ravi Gupta, Sy Duong-quy, Mohammed A. Al-abri, Haitham Jahrami, Pamela Song, Tayard Desudchit, Seung Bong Hong
    Abstract:

    Abstract Due to the rapid growth in Sleep Medicine’s professional content, several countries have recognized Sleep Medicine as an independent specialty. The practice of Sleep Medicine and the demand for this service in Asian countries are expanding. At this point of growth, the accreditation of Sleep Medicine specialists is paramount to patient care and the training of physicians and technologists. The Asian Society of Sleep Medicine (ASSM) mandated a taskforce committee for the accreditation of Sleep Medicine practice. This taskforce developed Asian accreditation practice guidelines for Sleep Medicine physicians and technologists. This paper presents the newly approved Asian accreditation practice guidelines for Sleep Medicine physicians and technologists by the ASSM.

  • Sleep Medicine in Saudi Arabia
    Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2017
    Co-Authors: Aljohara S. Almeneessier, Ahmed S. Bahammam
    Abstract:

    The practice of Sleep Medicine in Saudi Arabia began in the mid to late 1990s. Since its establishment, this specialty has grown, and the number of specialists has increased. Based on the available...

  • Sleep Medicine services in Saudi Arabia: The 2013 national survey
    Annals of thoracic medicine, 2014
    Co-Authors: Ahmed S. Bahammam, Mashni Alsaeed, Mohammed D. Alahmari, Ibrahim Albalawi, Munir M. Sharif
    Abstract:

    Background : We conducted this national survey to quantitatively assess Sleep Medicine services in the Kingdom of Saudi Arabia (KSA) and to identify obstacles that specialists and hospitals face, precluding the establishment of this service. Materials and Methods: A self-administered questionnaire was designed to collect the following: General information regarding each hospital, information regarding Sleep Medicine facilities (SFs), the number of beds, the number of Sleep studies performed and obstacles to the establishment of SFs. The questionnaire and a cover letter explaining the study objectives were mailed and distributed by respiratory care practitioners to 32 governmental hospitals and 18 private hospitals and medical centers in the KSA. Results: The survey identified 18 SFs in the KSA. The estimated per capita number of beds/year/100,000 people was 0.11 and the per capita polysomnography (PSG) rate was 18.0 PSG/year/100,000 people. The most important obstacles to the progress of Sleep Medicine in the KSA were a lack of trained Sleep technologists and a lack of Sleep Medicine specialists. Conclusion: The Sleep Medicine services provided in the KSA have improved since the 2005 survey; however, these services are still below the level of service provided in developed countries. Organized efforts are needed to overcome the identified obstacles and challenges to the progress of Sleep Medicine in the KSA.

  • Saudi regulations for the accreditation of Sleep Medicine physicians and technologists
    Annals of thoracic medicine, 2013
    Co-Authors: Ahmed S. Bahammam, Hamdan Al-jahdali, Adel S. Alharbi, Ghazi Alotaibi, Saad M Asiri, Abdulaziz Alsayegh
    Abstract:

    The professional content of Sleep Medicine has grown significantly over the past few decades, warranting the recognition of Sleep Medicine as an independent specialty. Because the practice of Sleep Medicine has expanded in Saudi Arabia over the past few years, a national regulation system to license and ascertain the competence of Sleep Medicine physicians and technologists has become essential. Recently, the Saudi Commission for Health Specialties formed the National Committee for the Accreditation of Sleep Medicine Practice and developed national accreditation criteria. This paper presents the newly approved Saudi accreditation criteria for Sleep Medicine physicians and technologists.

  • Sleep Medicine: Present and future.
    Annals of thoracic medicine, 2012
    Co-Authors: Ahmed S. Bahammam
    Abstract:

    A Sleep Medicine is a relatively new specialty, it has evolved greatly over the past three decades. The introduction of positive airway pressure therapy as a noninvasive method to treat obstructive Sleep apnea (OSA) in 1981 resulted in a significant increase in interest in Sleep apnea and all Sleep disorders in general.[1] Since then, the professional makeup of Sleep Medicine has grown significantly enough to justify the recognition of Sleep Medicine as an independent specialty. As a new specialty, Sleep Medicine encounters several challenges that evolve as the recognition of and demand for the service increase. Recently, the American Academy of Sleep Medicine (AASM) issued a task force report titled “The Future of Sleep Medicine” that aimed to define a strategy and vision for the field of Sleep Medicine for the future.[2] However, such recommendations may not suit developing countries such as Saudi Arabia, in which the specialty is not well recognized or established. Therefore, we need to develop strategies and a vision that will increase the recognition of the specialty in Saudi Arabia and improve the education and practice of Sleep Medicine. However, the available local data and experience must be considered.

Ghizlane Aarab - One of the best experts on this subject based on the ideXlab platform.

  • A Further Introduction to Dental Sleep Medicine.
    Nature and science of sleep, 2020
    Co-Authors: Frank Lobbezoo, Nico De Vries, Jan De Lange, Ghizlane Aarab
    Abstract:

    Dental Sleep Medicine traditionally focuses on Sleep-related breathing disorders, such as snoring and obstructive Sleep apnea. However, everyday practice shows that also other Sleep disorders touch on dentistry, including Sleep-related orofacial pain, xerostomia, hypersalivation, gastroesophageal reflux disease and bruxism. A new definition, which covers all the diagnostic and treatment aspects of these disorders, has therefore been formulated for dental Sleep Medicine. This article describes why this development started and sketches the current state of affairs regarding the discipline of dental Sleep Medicine. The different dental Sleep disorders are also described briefly, with special focus on the more remarkable associations between them.

  • Dental Sleep Medicine: A further introduction to an emerging dental discipline
    Nederlands tijdschrift voor tandheelkunde, 2020
    Co-Authors: Frank Lobbezoo, Ghizlane Aarab
    Abstract:

    Dental Sleep Medicine is a discipline traditionally focusing on Sleep-breathing disorders like snoring and obstructive Sleep apnea. In everyday clinical practice, however, such disorders rarely occur in isolation. Rather, they frequently co-occur with other Sleep disorders linked to dentistry, such as orofacial pain, dry mouth, hypersalivation, gastroesophageal reflux, and Sleep bruxism. Therefore, a new definition has been formulated in which dental Sleep Medicine has been described to include the diagnostic and treatment aspects of all dental Sleep disorders. In this article, the reasons why this development was initiated and the current status of dental Sleep Medicine as a broader discipline are described, along with a brief description of the various dental Sleep disorders.

Charlene E. Gamaldo - One of the best experts on this subject based on the ideXlab platform.

  • Incorporating Sleep Medicine content into medical school through neuroscience core curricula.
    Neurology, 2018
    Co-Authors: Rachel E. Salas, Roy E. Strowd, Imran Ali, Madhu Soni, Logan Schneider, Joseph Safdieh, Bradley V. Vaughn, Alon Y. Avidan, Jane B. Jeffery, Charlene E. Gamaldo
    Abstract:

    Objective To present (1) justification for earmarking Sleep Medicine education as an essential component of all medical school curricula and (2) various avenues to incorporate Sleep Medicine exposure into medical school curricula through (primarily) neuroscience and neurology courses. Methods Per consensus of a team of leading neurology and Sleep Medicine educators, an evidence-based rationale for including Sleep Medicine across a 4-year medical school curriculum is presented along with suggested content, available/vetted resources, and formats for delivering Sleep Medicine education at various points and through various formats. Results Growing evidence has linked Sleep disorders (e.g., Sleep-disordered breathing, chronic insufficient Sleep) as risk factors for several neurologic disorders. Medical educators in neurology/neuroscience are now strongly advocating for Sleep Medicine education in the context of neurology/neuroscience pre and post graduate medical education. Sleep Medicine education is also a critical component of a proactive strategy to address physician wellness and burnout. The suggested curriculum proposes a Sleep educational exposure time of 2–4 hours per year in the form of lectures, flipped-classroom sessions, clinical opportunities, and online educational tools that would result in a 200%–400% increase in the amount of Sleep Medicine exposure that US medical schools currently provide. The guidelines are accompanied by the recommendation for use of technological education, to facilitate more seamless curricular incorporation. Conclusion Even in this era with limited flexibility to add content to an already packed medical school curriculum, incorporating Sleep Medicine exposure into the current medical school curriculum is both justified and feasible.

Related terms

Sleep Medicine - 15 days free trial to Access Experts & Abstracts