Sleep Medicine Fellowship
Our Mission and Curriculum
To develop Sleep Medicine physicians who will provide comprehensive and collaborative care that is patient-centered, within a culturally and socio-economically diverse working environment throughout all phases of care. The program will bring together a wide variety of healthcare professionals who will work together to mold and transform our fellows into balanced and holistic physicians who will go on to provide high quality Sleep Medicine care in the communities they serve.
Clinic
In order to gain robust experience with multidisciplinary aspects of the diagnosis and management of sleep disorders, our fellows spend time in the following clinics throughout the training year:
- Adult Comprehensive Clinic (includes fellow continuity clinic)
- Pediatric Comprehensive Sleep Clinic
- Otolaryngology Clinics
- Pediatric Sleep and Behavior Clinic at Rady Children’s Hospital
Clinical Sites
- Rady Center for Healthy Sleep* is an AASM accredited, eight-bed (Pediatric) Sleep lab facility. The site has two certified sleep physicians who provide high-quality patient care. The faculty has years of experience training residents and fellows. Services offered include pediatric consultations, follow-ups, in-lab polysomnogram, and multiple sleep latency testing. Fellows will have the opportunity to gain experience in the management of pediatric sleep disorders, interpretation of polysomnogram, and behavioral interventions for insomnia management. Fellows will complete a one-month rotation in the academic year.
- Complete Sleep Solutions (Continuity Clinic) is an AASM accredited, four-bed (Adult and Pediatric) Sleep lab facility established in 1993. The site has two certified sleep physicians who provide high-quality patient care. The faculty has years of experience training residents on all aspects of Sleep Medicine. Many residents have gone on to complete a sleep fellowship after their experience at our facility. Services offered include consultations, follow-ups, in-lab polysomnogram, multiple sleep latency testing, home sleep studies and a DME department (CPAP initiation and treatment). The wide breadth of service lines, dedicated faculty and staff, and diverse patient population provide the residents/fellows with all the tools and resources they need to become highly functioning, independent physicians. Fellows will complete 3-4 days/week at this site.
- United ENT is a facility that has offered various surgical treatment interventions for sleep disordered breathing. Dr. Leach (ENT) has an interest in Sleep Medicine and is a leading local community physician in Hypoglossal Nerve Stimulator implantations. At this site, fellows will have the ability to consider alternative treatment options to PAP therapy including various surgical modalities, laryngoscopes and Hypoglossal Nerve Stimulation implantation and follow-ups. They will also be exposed to pediatric management of sleep disordered breathing. Fellows will complete two days/month at this site.
- Temecula Valley Hospital is where fellows will conduct inpatient sleep medicine consultations.
- Integra is an AASM accredited, three-bed (Adult) Sleep lab facility. The site has three certified sleep physicians who provide high-quality patient care. The faculty has years of experience training residents. Services offered include adult consultations, follow-ups, in-lab polysomnogram, multiple sleep latency testing, home sleep studies and a DME department (CPAP initiation and treatment). The wide breadth of service lines, dedicated faculty and staff, and diverse patient population provide the residents/fellows with all the tools and resources they need to become highly functioning, independent physicians. Fellows will complete two days/month at this site.
* The program will fund and secure lodging for all remote rotations to include a weekly meal stipend, and reimbursement for mileage.
Polysomnography Interpretation
- Fellows gain experience with a wide variety of adult and pediatric cases, using nocturnal polysomnography, home sleep apnea testing, advanced positive airway pressure modalities, and multiple sleep latency tests (MSLTs). Fellows have a personalized review of each study they read via epoch-by-epoch review and teaching with a faculty sleep medicine specialist.
- Our fellows also receive a strong foundation in the technical aspect of sleep medicine including staging, scoring, equipment evaluation, mask fitting, common artifacts and other technical factors that affect patient evaluation.
Education
Each week, Complete Sleep Solutions will hold educational experiences for our fellows. These include:
- Sleep Disorders Center Grand Rounds
- Interactive workshops reviewing different aspects of sleep medicine with faculty
- Polysomnogram reviews led by our faculty
- “Morning Report” style fellow-led case conferences