What Does a Day in Our Fellowship Look Like
Where do our Fellows train?
- Continuity clinic at New Center One
- Each of the three Sleep fellows have ambulatory continuity clinics, where they conduct consultations and follow up care for patients assigned to their clinics. They benefit from being exposed to a large number of referred patients, who present with a wide range of sleep disorders.
- Satellite clinics at Henry Ford Medical Center - Columbus where fellows are exposed to patients with insomnia and with more complex sleep disordered breathing and chronic respiratory failure.
- Satellite clinic at Henry Ford Medical Center - Sterling Heights, where fellows work with our neurologist to gain more insight into EEG and conditions such as RBD and RLS.
- Hypoventilation/ALS clinic at the Henry Ford Hospital where fellows gain experience managing non-invasive positive pressure ventilation in patient with neuromuscular illnesses.
- Children's Hospital of Michigan for additional dedicated pediatric sleep medicine experience.
- Cognitive Behavioral Therapy for Insomnia clinic with our sleep psychologist.
- ENT/sleep medicine clinic rotation with our ENT physician. Experience with drug induced sleep endoscopy, uvulopalatopharyngoplasty, Trans Oral Robotic Surgery (TORS) for hypopharyngeal surgery, and hypoglossal nerve stimulator (Inspire therapy) can be part of the fellowship.
- Inpatient consultations at the Henry Ford Hospital, the flagship of the Henry Ford Health.
How much are fellows involved in polysomnogram interpretation?
- Our 6 sleep laboratories offer plenty of polysomnograms for interpretation, including overnight and daytime studies, Multiple Sleep Latency, Maintenance of Wakefulness Test, Inspire titrations and Matrix studies.
- Our sleep labs also conduct home sleep testing, including WatchPAT and nocturnal oximetry.
- Fellows have dedicated reading time to independently review sleep studies and then discuss one-on-one with our sleep medicine physicians.
- Fellows also have weekly sessions with our sleep technologists to stage studies epoch-by-epoch and regular sessions with pediatric sleep technologists to review pediatric studies.
What are the formal didactics?
- During the first 2 weeks of the fellowship trainees take part in an intense “boot camp” focusing on learning the basics of sleep medicine, reviewing sleep studies, and seeing patients in the sleep medicine clinic.
- One morning a week is dedicated for didactics to deepen trainee's basic knowledge of sleep neurobiology and sleep medicine and includes:
- Lectures presented by senior staff
- Lectures led by fellows
- Case-based learning and case presentations
- Board preparation sessions
- Journal club with a formal curriculum
- Research lectures
- Sleep medicine grand rounds
- Practice-based learning and improvement sessions including participation in Quality Improvement projects, M&Ms, and peer review
- Fellows also attend pediatric sleep medicine lectures and scoring sessions at Children’s Hospital.
- Fellows also attend Culture of Medicine Rounds presented by the GME department.
- Fellows attend national and regional sleep conferences.
What are the research opportunities?
- All fellows are required to participate in on-going or original research projects to graduate from the program.
- The research faculty, as well as the physicians, serve as mentors for these projects.
- Presentations at national meetings and manuscript submissions are anticipated from these activities.
- All presenting fellows attend the annual American Academy of Sleep Medicine (AASM) and Associated Professional Sleep Societies LLC (APSS) meeting.
- Fellows also participate in Section Quality Assurance projects.
Our fellows are well prepared to practice on their own!
Upon completion of our program, fellows are certified as having the knowledge base and clinical skills to independently practice Sleep Medicine. They will be well prepared to sit for the Sleep Boards!