A Sleep Medicine Curriculum for Pulmonary and Pulmonary/Critical Care Fellowship Programs: A Multisociety Expert Panel Report

Chest: The Journal of Circulation, Respiration and Related Systems

Eric Stern^10¹  Kingman P. Strohl^11²  Sunita Kumar^5³  Neil Freedman^4⁴  Babak Mokhlesi^7⁵  Mir M. Alikhan^3⁶  David A. Schulman^1⁷  Effie Singas^9⁸  Craig A. Piquette^2⁹  Kenneth R. Casey^12^1,10  Jennifer McCallister^6^1,11  Jean Santamauro^8^1,12 

[1]Community Medical Center, Missoula, MT^10

[2]Department of Medicine, Case Western Reserve University, Cleveland, OH^11

[3]Department of Medicine, Loyola University Stritch School of Medicine, Maywood, IL^5

[4]Department of Medicine, Northshore University Health System, Evanston, IL^4

[5]Department of Medicine, the University of Chicago Pritzker School of Medicine, Chicago, IL^7

[6]Department of Pulmonary and Critical Care Medicine, Houston Methodist West Hospital, Houston, TX^3

[7]Division of Pulmonary, Allergy, Critical Care and Sleep Medicine, Emory University School of Medicine, Atlanta, GA^1

[8]Division of Pulmonary, Critical Care and Sleep Medicine, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, New Hyde Park, NY^9

[9]Division of Pulmonary, Critical Care, Sleep and Allergy, University of Nebraska School of Medicine, Omaha, NE^2

[10]Division of Pulmonary, Critical Care, and Allergy, University of Wisconsin School of Medicine and Public Health, William S. Middleton Memorial Veterans Hospital, Madison, WI^12

[11]Division of Pulmonary, Critical Care, and Sleep Medicine, The Ohio State University Wexner Medical Center, Columbus, OH^6

[12]Pulmonary Service, Memorial Sloan Kettering Cancer Center, Weill Cornell Medicine, New York, NY^8

关键词: curriculum development;    education;    sleep medicine;    CSA;    central sleep apnea;    HSAT;    home sleep apnea testing;    PAP;    positive airway pressure;    PCCM;    pulmonary and critical care medicine;    PLMD;    periodic limb movement disorder;    PSG;    polysomnography;    RLS/WED;    restless legs syndrome/Willis-Ekbom disease;    SDB;    sleep-disordered breathing;   

DOI  :  10.1016/j.chest.2018.10.024

学科分类：呼吸医学

来源: American College of Chest Physicians

【 摘 要 】

Background Pulmonary medicine specialists find themselves responsible for the diagnosis and management of patients with sleep disorders. Despite the increasing prevalence of many of these conditions, many sleep medicine fellowship training slots go unfilled, leading to a growing gap between the volume of patients seeking care for sleep abnormalities and the number of physicians formally trained to manage them. To address this need, we convened a multisociety panel to develop a list of curricular recommendations related to sleep medicine for pulmonary fellowship training programs. Methods Surveys of pulmonary and pulmonary/critical care fellowship program directors and recent graduates of these programs were performed to assess the current state of sleep medicine education in pulmonary training, as well as the current scope of practice of pulmonary specialists. These data were used to inform a modified Delphi process focused on developing curricular recommendations relevant to sleep medicine. Results Surveys confirmed that pulmonary medicine specialists are often responsible for the diagnosis and treatment of a number of sleep conditions, including several that are not traditionally considered related to respiratory medicine. Through five rounds of voting, the panel crafted a list of 52 curricular competencies relevant to sleep medicine for recommended inclusion in pulmonary training programs. Conclusions Practicing pulmonary specialists require a broad knowledge of sleep medicine to provide appropriate care to patients they will be expected to manage. Training program directors may use the list of competencies as a framework to ensure adequate mastery of important content by graduating fellows.

【 授权许可】

CC BY