Clerkships and Classes

 “Sleep Medicine for Medical Students”
Psychiatry and Behavioral Sciences Elective Clerkship 333A

Clerkship Coordinator

Clete A. Kushida, M.D., Ph.D.

Clerkship Directors

Clete A. Kushida, M.D., Ph.D.
Christian Guilleminault, M.D.

Description

This clerkship offers a comprehensive experience in sleep medicine not only for those interested in pursuing careers in internal medicine and family practice, but also those interested in specialties such as neurology, otolaryngology, pediatrics, psychiatry, and pulmonology.  Students shadow sleep specialists in their evaluation of patients with sleep disorders, and review polysomnography (sleep studies) of patients with sleep disorders.  Students will be offered the opportunity to attend informal discussions and case conferences regarding less common sleep disorders identified in patients; formal conferences on sleep research, sleep surgery, and sleep disorders; and journal club reviews of topical articles on sleep and sleep disorders.

Prerequisites: None

Periods Available: 2-12, full-time for 2 weeks or 4 weeks, 4 students per period

Units: 3 or 6

Drop Code: T

Call Code: 0

Open to Visiting Students

Reporting Instructions

Clete A. Kushida, M.D., Ph.D. or Christian Guilleminault, M.D., Sleep Medicine Center at the Stanford Medicine Outpatient Center, 450 Broadway Street, Redwood City, Pavilion B, 2^nd Floor, Control Room, Time: 8:00 am Monday-Friday

 “Sleep: What Are We Missing?”
Family and Community Medicine
Core Clerkship (INDE 301A)

Sleep Medicine Component Instructor

Clete A. Kushida, M.D., Ph.D.

Description

During this 3-hour session students will engage in a number of different activities (including role plays, video viewing, didactics, performing physical examinations on each other, and discussion), aimed at enhancing comfort with taking a sleep disorders history, recognizing common (and some less common) sleep problems, and recognizing when to treat patients in a primary care setting vs. referring patients to Sleep Medicine for further evaluation.  .

Session Goals

• Develop knowledge about the common sleep disorders affecting adults and children
• Develop skill in taking a sleep disorders history
• Increase skill in oropharyngeal examination
• Apply basic science knowledge about sleep disorders to clinical settings

Learning Objectives

1. Recognize and recommend treatment for the 3 most common sleep disorders affecting adults: Obstructive Sleep Apnea (OSA), Restless Legs Syndrome (RLS), and Insomnia
2. State and describe the common causes of excessive daytime sleepiness, and their treatment options
3. Distinguish between RLS and Periodic Limb Movement disorder
4. List characteristics of Narcolepsy
5. Define proper sleep hygiene techniques and apply those concepts for patients suffering from Insomnia
6. Examine and assess a patient’s oropharynx and identify risk factors for OSA
7. Interpret a polysomnogram report, highlighting salient features
8. Describe to a patient the indications and uses of CPAP
9. Describe sleep changes that occur as people age
10. Compare the clinical presentation of a child with Nightmares and with Sleep Terrors
11. Understand indications for referral to a Sleep Disorders Clinic