0
Point/Counterpoint Editorials |

Rebuttal From Dr Fleishman et alRebuttal From Dr Fleishman et al

Sam A. Fleishman, MD; Nancy A. Collop, MD, FCCP; Amy J. Aronsky, DO, FCCP; Kathleen M. McCann
Author and Funding Information

From the American Academy of Sleep Medicine (Drs Fleishman, Collop, and Aronsky and Ms McCann); The Sleep Center (Dr Fleishman), Cape Fear Valley Health System; Emory University (Dr Collop); and Comprehensive Sleep Associates (Dr Aronsky).

Correspondence to: Sam A. Fleishman, MD, Cape Fear Valley Health System, Fayetteville, NC 28304; e-mail: safleishman@capfearvalley.com


Financial/nonfinancial disclosures: The authors have reported to CHEST that no potential conflicts of interest exist with any companies/organizations whose products or services may be discussed in this article.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians. See online for more details.


Chest. 2013;144(1):13-14. doi:10.1378/chest.13-0361
Text Size: A A A
Published online

Extract

The concept that primary care providers and physicians trained in other specialties with limited sleep medicine training possess the expertise to diagnose and treat patients suffering with sleep disorders merely because they are common is very alarming and based on a weak premise. As Dr Simon1 acknowledges, the interpretation of sleep studies is complicated and requires intensive training. Less than 2 hours of total teaching time in US medical schools, however, is allocated to sleep and sleep disorders on average.2 As reported by Rosen and colleagues,2 37 of 126 surveyed medical schools indicated no structured teaching time related to sleep. And although sleep medicine is included as part of the curriculum for fellowship training programs in neurology, otolaryngology, pediatrics, psychiatry, and pulmonary medicine, the exposure resident physicians receive is extremely limited. This limited knowledge of the pathophysiology of sleep disorders, diagnostic tools for patient testing, interpretation of sleep studies, and long-term management of patients is not sufficient to qualify as “expertise.” The training program proposed by Dr Simon is also lacking in sufficient education and training. Although he states that a recent study suggests competency in interpretation is obtained after scoring 20 to 30 tests, he does not include the full finding of the study, which also calls for 4 months of dedicated training in sleep medicine.3 Furthermore, it is unclear how his program defines appropriate training as category 1 continuing medical education in sleep disorders. Is training in the interpretation of polysomnographic data or the pathophysiology of sleep disorders required training?

First Page Preview

View Large
First page PDF preview

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Figures

Tables

References

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Related Content

Customize your page view by dragging & repositioning the boxes below.

Find Similar Articles
CHEST Journal Articles
PubMed Articles
  • CHEST Journal
    Print ISSN: 0012-3692
    Online ISSN: 1931-3543