Clinical Track

The University of Michigan Sleep Medicine Fellowship is a one-year, ACGME-accredited program that provides comprehensive training in the diagnosis and management of sleep disorders in patients of all ages. Fellows participate in interdisciplinary patient care that incorporates aspects of pediatrics, psychiatry, neurology, pulmonary, internal medicine, epidemiology, otolaryngology, oral and maxillofacial surgery, and dentistry. Fellowship training includes the clinical evaluation and management of adults and children with sleep disorders in outpatient and inpatient settings. The Sleep Disorders Clinics receive referrals from Michigan and adjoining states.

Comprehensive Sleep Medicine Clinics:

  • Adult Comprehensive Sleep Clinic
  • Pediatric Comprehensive Sleep Clinic
  • Veterans Affairs Medical Center Comprehensive Sleep Clinic

Multidisciplinary Sleep Medicine Clinics:

  • Alternatives to CPAP Therapy Clinic
  • Pediatric Sleep and Behavior Clinic
  • Behavioral Sleep Medicine Clinic

In the multidisciplinary clinics, patients are seen by fellows and staffed with faculty from a variety of disciplines. Each multidisciplinary clinic culminates in a patient conference, in which the providers discuss their assessments and collectively develop a management plan for each patient. These clinics provide exceptional learning experiences that are critical to obtaining a thorough understanding of a detailed sleep medicine evaluation.

Polysomnography Interpretation:

Fellows receive a broad experience with outpatient and inpatient polysomnography. We have four sleep laboratories, the Michael S. Aldrich Sleep Disorders Laboratory, South State Street Laboratory, Domino's Farm Laboratory, and the Brighton Center for Specialty Care. Research studies are performed at the Aldrich Laboratory and at the Sleep and Chronophysiology Laboratory at the University of Michigan Depression Center.

Fellows first read a sleep study on their own, then review the study epoch-by-epoch with a faculty sleep medicine specialist. Fellows gain experience with adult and pediatric nocturnal polysomnography (sleep laboratory studies and home studies), Multiple Sleep Latency Tests, and other types of studies including those with end-tidal carbon dioxide monitoring, 16-lead EEG, and esophageal pressure (Pes) manometry. Personalized review of sleep studies in the one-on-one sleep study teaching conferences refines fellows' interpretive skills and diagnostic acumen.

Fellows also receive a strong foundation in the technical aspects of sleep medicine. Our fellows have monthly meetings with a senior technologist to review staging, scoring, equipment evaluation, mask fitting, common artifacts, and other technical issues. Early in the fellowship year, each fellow works with technologists in the sleep laboratory to observe and participate in three study hook-ups. Each fellow also has their own sleep study performed, to gain a better understanding of a patient's experience.

Conferences:

  • Daily Sleep study teaching conferences
  • Core Lecture Series
  • Sleep Medicine Grand Rounds
  • Departmental Grand Rounds
  • Technical conference
  • Sleep Medicine Journal Club
  • Biological Rhythms and Sleep Seminar Series
  • Annual Michael S. Aldrich Commemorative Lectureship
  • Quality Improvement
  • American Academy of Sleep Medicine (AASM) Webinars
  • Board Review and other Didactics

Research Opportunities:

Sleep Medicine fellows are required to present a poster (case presentation or research abstract) at the University of Michigan Neuroscience Day and/or the annual SLEEP meeting. For those fellows who are interested in research, ample opportunities exist for clinical and preclinical sleep research. Many Sleep Disorders Center faculty conduct sleep research, and additional clinical, human, and basic sleep research opportunities are available with many of the 45 faculty who are members of the campus-wide Center for Sleep Science . The Sleep Disorders Center is accredited by the American Academy of Sleep Medicine. The Center for Sleep Science has been recognized by the American Academy of Sleep Medicine as a Comprehensive Academic Sleep Program of Distinction, one of the first three to be designated as such in the U.S.