Pulmonary, Critical Care, Sleep & Allergy

747 Sleep Medicine M4 Student Rotation

Faculty: Teri J. Barkoukis, M.D.
Periods Offered: September, December and February ONLY
Semester Hours: 4
Student Limit: 1 student

  1. Learn the approach to patient sleep disorders
  2. Learn the procedures involved in sleep medicine
  3. Lean about sleep breathing disorders
  4. Communicate educational information to patients

The objective of the Sleep Medicine rotation is to provide sufficient exposure and experience in the field of sleep medicine to understand how to approach, work up and treat the sleep disordered patient. The Sleep Medicine Department of The Nebraska Medical Center will provide access for the student to become familiar with the performance of the following studies:

  1. Polysomnography
  2. Multiple sleep latency test
  3. Maintenance of wakefulness test
  4. Oximetry test
  5. Auto-titration positive airway pressure tests

The sleep medicine physicians of The Nebraska Medical Center will allow the student to evaluate patients referred for potential sleep disorders and to assist in their management of these patients.

Responsibilities of the student

Sleep Laboratory
The student will spend sufficient time in the sleep lab or with the sleep medicine attending to become familiar with the performance and scoring of tests, which are performed in the lab.

The student is responsible for learning the interpretation of sleep studies with the attending sleep specialist.

Sleep Clinic
The student will meet with The Nebraska Medical Center sleep physicians to schedule mutually agreeable times to review sleep studies applicable to return patients seen in the sleep clinics.

The student will attend the UNMC sleep clinics on a weekly basis as assigned by the sleep medicine program coordinator.

Sleep Medicine Conferences
The student will be responsible for attending the sleep medicine case conference and journal club during this month.

The student must present 1-2 sleep articles to the attending sleep physician as assigned in an informal didactic manner.

Lectures for Sleep Medicine Orientation Month for Medical Student Rotation

  1. Approach to the Patient with Disordered Sleep; Chap. 48, 49*
  2. Differential Diagnosis of Hypersomnolence***
  3. Differential Diagnosis of Insomnia; Chap. 59*
  4. Polysomnography Scoring Rules and Recognition **
  5. Clinical Tools and Tests in Sleep Medicine; Chap. 50*
  6. Drugs that Disturb Sleep and Wakefulness; Chap.40*
  7. Positive Airway Devices & Therapeutic Intervention for Sleep Apnea; Chaps 87, 88 & 89*
  8. Hypoventilation syndromes
    1. Casey KR, Cantillo KO, Brown LK, Sleep Related Hypoventilation/Hypoxemic syndromes. CHEST 2007, 131(6);1936-48
    2. Mokhlesi B, Tulaimat A. Recent Advances in Obesity hypoventilation Syndrome. CHEST 2007; 132(4);1322-36.
  9. Narcolepsy Syndrome; Chap. 65*
  10. Circadian Rhythms and Sleep Disruption; see review article reference below****
  11. Restless Leg Syndrome & Periodic Limb Movement Disorders; Chap. 70*
  12. Central Sleep Apnea; Chap. 81*(to Dr. Summers)
  13. Evaluation and Management of Obstructive Sleep Apnea Chap. 87, 117*

* Kryger MH, Roth T, Dement WC: Principles and Practice of Sleep Medicine: 4th Ed., Elsevier Saunders Co., Phil., PA 2005

** The AASM Manual for the Scoring of Sleep and Associated Events: Rules, Terminology and Technical Specification

*** International Classification of Sleep Disorders: Diagnostic and Coding Manual, 2nd Ed. American Academy of Sleep Medicine 2005

**** Lu BS, Zee, PC. Circadian Rhythm Sleep Disorders. Chest 2006;130:1915-23.