OCOM 8118 - Internal Medicine Subspecialty - Sleep Medicine

• Demonstrate the ability, appropriate for the level of training of the individual, to construct a differential diagnosis in patients presenting with signs and symptoms related to sleep disorders.
• Describe classification criteria and clinical features of various sleep disorders (e.g. circadian rhythm disorders, insomnia, snoring, sleep apnea, narcolepsy, restless legs syndrome, sleepwalking).
• Describe diagnostic criteria for sleep disorders.
• Discuss current treatment options for sleep disorders.
• For sleep meds, understand the dosing, pharmacokinetics, metabolism, mechanisms of action, side effects, drug interactions, compliance issues, costs, and use in patients including fertile, lactating, and pregnant women.
• Learn to interpret the results of various laboratory test used in obtaining differential diagnoses while assessing sleep disorders.
• Recognize clinical presentations, pathophysiology and rationale for the treatment of common sleep disorders.
• Recognize physical examination findings that may result from sleep disorders.
• Review stages and rhythms of normal sleep and lifestyle matters that may disrupt sleep.
• Understand principles of history-taking and assist in obtaining a clinical history, relevant review of systems, and functional status of patients with sleep disorders.
• Understand principles of physical examination and demonstrate competency in performing and interpreting a physical examination.
• Understand the impact that sleep disorders have on the overall treatment of a patient with sleep disorders and demonstrate knowledge of what can be done to assist a patient in these areas.
• Understand the use of a sleep study and observe and assist in the procedure.