Sleep Fellowship Curriculum

FMC

Clinical Activities

Out-patient Clinics

Up to four sleep medicine clinics (1/2 day) per week, under the supervision of a board- certified sleep medicine physician. 

In addition, subspecialty clinics will be arranged in the following areas at AHS clinics: 

  • Alternative Care Provider clinic – with Sleep Registered Respiratory Therapists
  • Neurology
  • Neuromuscular / ALS / Chronic Ventilation
  • Pediatrics
  • Psychology

Electives off site:

  • Dental Clinic
  • OSA Surgical Clinic
  • Psychiatry
  • Weight Management Clinic

Inpatient Sleep Medicine Consultations

Within the Calgary Zone of Alberta Health Services, consultations from respirologists will be directed to the Sleep Medicine fellow who, under the supervision of attending physicians at the FMC Sleep Centre, will direct further investigation and management.

Polysomnography (PSG) / MSLT Interpretation

The Sleep Medicine fellow will interpret all PSG’s generated by his/her own out-patient sleep clinics. Additional PSG interpretations (up to 200 studies) will be completed to achieve competence. A minimum of 25 MSLT’s will be interpreted. 

Interpretation of Level 3 Ambulatory Sleep Studies (HSAT)

The Sleep Medicine fellow will interpret all home sleep apnea tests generated by his/ her own sleep clinic. Additional HSAT interpretations will be completed to achieve competence.

Actigraphy

The Sleep Medicine fellow will interpret 20 actigraphs.

Polysomnography Set-up

The Sleep Medicine fellow will participate in the set up and monitoring of overnight PSG in order to acquire the necessary skills to perform the test and interpret the results. This includes but is not limited to:

  • PSG set-up
  • Troubleshooting all physiologic recordings, including TcCO2, during PSG
  • Application of nasal and oro-nasal masks during PSG
  • Titration of oxygen, CPAP, BiPAP S and ST, and other modes of ventilation
  • Set up and performance of tests of daytime function, including MSLT and MWT

Academic Activities

Presentation

  • Journal club will be organized and led by the Sleep Medicine fellow. These rounds are held once per month during the academic year. 
  • Sleep and Respiration rounds are held twice per month during the academic year. The Sleep Medicine fellow will present at these rounds twice per year. 
  • The Pediatric Sleep Medicine Fellow will provide 4 - 6 academic rounds on a sleep related topic at the respirology academic half day. 

Attendance

Attendance is required at the following rounds:

  • Sleep and Respiration rounds: noon-1pm, 1st and 3rd Wednesday of the month 
  • Fellow case/Journal club: 8:00-9:00am, 3rd Wednesday of the month 
  • Sleep Board: 8:00-9:00am, 4th Wednesday of the month 
  • Sleep Disorder Medicine AFC Program Grand Rounds Friday’s 1/ month during the academic year

Teaching

The Sleep Medicine fellow is expected to contribute to teaching at all levels including medical students, internal medicine residents, and pulmonary fellows (academic half day and during rotation through the FMC Sleep Centre). 

Academic Project

The Sleep Medicine fellow is expected to initiate and complete an academic project during the Sleep Medicine fellowship in an area of research, quality improvement or medical education. The project should be presented at local academic rounds and a national or international meeting and should be submitted for publication to a high impact academic journal.

The FMC Sleep Centre has an active research program with original research performed by Sleep Medicine physicians alone or in collaboration with other clinical researchers and/or basic scientists at the University of Calgary. The Sleep Medicine program directors will provide mentorship and direction to assist fellows to approach relevant pediatric or adult faculty members to discuss participation in research, QI or education projects.