MEDU-4053 - Sleep Medicine

MEDU-4053 - Sleep Medicine

Elective Title: Sleep Medicine
Course Number: MEDU-4053
Elective Type: clinical Duration/Weeks: 1 Max Enrollment: 2
Prerequisites: Successful completion of Year 2
Additional Requirements: C-form required; Students will need to list the specific dates of the 1-week rotation when registering for the course. Up to 2 students will be allowed each week during the 4-week period. Email questions or concerns to Dr. Sultana (risultan@
Responsible Faculty Director: Rizwana Sultana MD Periods Offered: 1AB-7AB, 9AB-13AB including holiday period 8 
Coordinator: Kiki Baldwin Other Faculty:
Location to Report on First Day:
VLTC Sleep Clinic

To gain the knowledge of basic sleep medicine, sleep apnea and polysomnography.

1. Learn about what is sleep and why we need sleep.
2. Learn about sleep apnea and its health implication.
3. Learn about basics of polysomnography, different stages of sleep, sleep related EEG and how to interpret sleep study report.
4. Students will learn sleep requirements at different stages of life.

Description of course activities
1. Student will be assigned reading about sleep and sleep apnea. 2. There will be one on one sessions with faculty. 3. The sessions at sleep lab in the evening will teach students about polysomnography. In addition to the weekly clinic schedule below, the students will go to sleep lab once in the afternoon to learn about PSG in a week long rotation. They will also go to sleep lab once in the week long rotation in the evening around 7-8 pm to learn the hook up for sleep study. Afternoon sessions and sleep lab visit will be coordinated based on availability of sleep lab staff in every rotation. Students will spend about 20 hours in clinic and 10+ hours of self-reflection.

Type of students who would benefit from the course
Sleep medicine elective is a week-long elective useful for most of the medical students but especially for those who are entering primary care such as pediatrics, family medicine and internal medicine, or psychiatry, and neurology. All other students are welcome to join too.

Weekly Schedule
  Clinical Activities (estimated schedule)  
Day of Week   AM   PM
Monday 8:00 5:00
Tuesday 8:00 5:00
Wednesday 8:00 - 12:00pm
Thursday Sleep Lab in the evening

 Average number of patients seen per week: 10-12
 Call Schedule: None

Research Activities (estimated schedule)
Activity Hours per Week
Faculty Contact-Time
Self-Directed Study

Method of Student Evaluation
1.  Clinical Observation
  A. Where are students observed on this elective?
    Inpatient Service   Ambulatory   Surgery   Standardized patients
Patients simulators   Other
  B. Frequency - How often are students observed clinically?
    as this is only a week-long rotation, students will shadow the faculty. on the last day of rotation they are expected to see one sleep patient and write one H&P.
  C. Format - What method(s) are used to document the student's clinical performance?
    Daily oral feedback   End of period oral feedback   Written feedback

2.  Oral Presentation
  A. Audience - To whom does the student present?
    peers and faculty
  B. Frequency / Duration of Presentation(s)?
    once at the end of course/ 15 minutes
  C. Format - What guidelines are set for the student's presentation?
    10 minutes presentation and 5 minutes for discussion
  D. Assessment - Who assesses the student's presentation performance?
    Self-assessment   Peer assessment   Faculty assessment
  E. Method of content selection
    Current cases  Student-selected topic   Assigned topic

3.  Written Assignment (H&P's, notes, papers, abstracts, etc.)
  A. Frequency of written assignment(s)?
    One H&P at the end of week
  B. Format - What guidelines are set for the student's written work?
  C. Length of written assignment(s)?
    Abstract   Annotated bibliography   1 - 2 page paper   3+ page paper
  D. Are recent references required?   No    If yes, how are they selected?
    student selected
  E. Method of content selection - e.g. student-selected, relate to cases, etc.?
    student selected
  F. Audience - Who assesses the student's written performance?
    Peer Assessment     Faculty Assessment     Other

4.  Examination
    Oral   Written multiple choice   Written essay / short answer   OSCE

5.  Extra Course Activities
  What expectations do you have for the student to demonstrate participation in the elective (e.g. small group activities, seminars, thoughtful questions, providing resources, journal club, resident lecture attendance)?
    Students are required to spend 2-3 hours in sleep lab on Thursday's to witness patient hook up and how sleep studies are conducted.

6.  Additional Costs
  Please list any additional costs and/or purchases (books, materials, movies to watch, etc.) that are required for this course. Include an estimated total cost. If there are no additional costs, please enter "None".

7.  Other Modes of Evaluation
  Please explain below.

8.  If this course is an Acting Internship, please complete the following:
  A. Objectives for the AI should relate directly to the Entrustable Professional Activities (EPAs). Each AI should describe how the four key Year-4 EPAs that our school has identified as being Year-4 skills are assessed. The Year-4 objectives are:
1. Entering and discussing orders/prescriptions.
2. Give or receive patient handover to transition care responsibility.
3. Recognizing a patient requiring urgent or emergent care and initiating management.
4. Obtaining informed consent for tests and procedures.
Specify how the student will be given formative feedback on their clinical skills.

Year-4 students should demonstrate mastery of EPAs they developed in the clerkship year, including recommending and interpreting common diagnostic and screening tests, and performing general procedures of a physician. They should be able to demonstrate masterfully and independently skills they mastered in Years 2-3, including efficiently performing comprehensive admission-notes and succinct daily progress notes and perform accurate, concise, and hypothesis-driven clinical presentations, form clinical questions and retrieve evidence to advance patient care. They should be able to demonstrate basic understanding of and beginning mastery of collaborate as a member of the interprofessional team and identify system failures and contribute to a culture of safety improvement.

List advanced clinical skills that a student will be assured an opportunity to practice.

How specifically will this AI build on developing skills from the clerkship year to prepare students for internship?

What opportunities will typically be available to all students who take this AI (procedures, required presentations, etc.)? What opportunities may be available based on patient load/presentation or student initiative (ie. Writing a case report)?

An AI should have expectation of a minimum of 32 hours per week of clinical responsibilities. Duty hours should be capped at ACGME limits for an intern, thus up to 24 hours followed by 4 hours of activities related to patient safety, education, and handoff. Students cannot work more than 80 hours per week averaged over 4 weeks. They can only have 1 day off in a 7-day work week with 8 hours off between shifts.

Clinical responsibilities will vary depending on specialty, but how is the student functioning with work commensurate to a PGY1 with an appropriate level of training?

How is the student demonstrating drawing clinical conclusions and/or developing a management plan and documentation as an intern would do?

How and by whom will midpoint feedback be provided to the student? How will you remediate deficiencies identified at midpoint?

Acting Internship students often seek letters of recommendation following their experience. How many different Faculty will work directly with the student and have knowledge of the student's abilities to detail in a written evaluation? Describe the degree of supervision and interaction with faculty vs. residents or other providers and how feedback will be obtained if more direct work is with residents or other providers.