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Sleep Disorders Fellowship Program

Overview

The University of Florida Sleep Disorders Fellowship is sponsored by the Department of Medicine and is a cooperative effort among the Departments of Medicine, Pediatrics, Neurology, Otolaryngology, Psychiatry and Clinical/Health Psychology.   The sponsoring academic institution is the College of Medicine of the University of Florida. The program  includes 3 geographic centers all in close proximity. The centers are Shands at UF Hospital and Clinics (the major university teaching hospital), the Malcolm Randall VAMC (located across the street), and Shands and UF Sleep Disorders Center at Magnolia Parke. The Shands/UF Sleep Disorders Center is a twelve bed facility that has been accredited by the American Academy of Sleep Medicine.  The facility has four beds dedicated for monitoring pediatric patients. The sleep center medical director is Dr. Richard B. Berry, a Diplomate of the American Board of Sleep Medicine. Dr. Berry is also co-director of the sleep fellowship. The other co-director is Dr. Mary Wagner, also a Diplomate in Sleep Disorders of the ABSM and the American Board of Pediatrics. . Dr. Wagner is the associate medical director of the UF sleep Disorders Center.

Facilities

Shands at UF is a 600 bed teaching hospital and the major tertiary referral center for northern Florida. The hospital is on the University of Florida campus. Shands at UF clinics are located in buildings in close proximity to the hospital. The weekly Pulmonary Sleep Clinic, Neurology clinics, and biweekly Pediatric Sleep Clinic are located in the clinic facility which is an integral part of the Shands/UF Magnolia Parke Sleep Center.  Didactic lectures, clinical case conferences, and journal club/research conference are held at facilities at Shands/UF Sleep Center or in conference rooms at the Malcolm Randall VAMC. The Malcolm Randall VAMC is a 250 bed full service VA hospital and is a major teaching affiliate. A four bed sleep laboratory with state of the art equipment and a busy Thursday afternoon VA sleep clinic are located in this hospital. Durable medical equipment for treatment of sleep disorders (CPAP, Bi-level PAP) is provided by the Prosthetics Service and dispensing of the equipment, patient education, and changes in prescription pressure are performed by respiratory therapists in the VA Pulmonary, Respiratory, Sleep Section. The Shands/UF Magnolia Parke Sleep Disorders Center is a full service sleep lab with clinic facilities.  The center is located in the beautiful Magnolia Parke Center approximately 5 miles form the Shands and VA Hospitals.  The sleep center consists of 12 sleep rooms with hotel décor and state of the art monitoring equipment.  Sleep studies are read at the center or at physician offices. Facilities to read sleep studies are available at all sites.

Faculty

The faculty for the fellowship includes members of the Division of Pulmonary, Critical Care, and Sleep Medicine in the Department of Medicine/VA Hospital, the Division of Pediatric pulmonary medicine in the Department of Pediatrics, the Department of Neurology, the Division of Otolaryngology in the Department of Surgery, the Department of Psychiatry, the Department of Clinical and Health Psychology and the Dental School including faculty from the Divisions of Maxillofacial surgery and Orthodontics.  As noted above, the co-directors of the Sleep Fellowship include Dr. Berry a pulmonologist and Dr. Mary Wagner a pediatric pulmonologist. Both are Diplomates of the American Board of Sleep Medicine as well as by the American Boards of Medicine and Pediatrics, respectively.  Other core faculty include: Dr. Emily Beck, a board eligible sleep physician,  Dr. Stephan Eisenschenk, Board Certified in Sleep Medicine by the American Board of Neurology,  a neurologist and expert on Epilepsy, and Dr. Sreekala Prabhakaran, Board Certified Pediatric Pulmonologist who is board eligible in sleep medicine.  All faculty read sleep studies with the fellows and supervise them in sleep clinics. The sleep fellow will rotate through a number of specialty clinics under the direction of non-core faculty. These include Neurology clinics (Dr. Hubert Fernandez), Epilepsy (Dr. Eisenschenk), and dementia (Dr. David Burks). The surgery clinics include Otolaryngology (Dr. William Collins and Dr. John Harwick) and Maxillofacial surgery (Dr. Franklin Dolwick).  Rotations with a local dentist Dr. Pavi Samant will familiarize the fellow with all aspects of oral appliance treatment of sleep apnea. The Department of Clinical and Health Psychology will provide faculty with major interests in insomnia (Dr. Christina McCrae). The fellow will rotate through insomnia clinics with Dr. McCrae and learn the basic aspects of neuropsychological evaluation.

 

Outstanding features

This program has a number of outstanding features including a large and diverse multidisciplinary faculty, a large volume of clinical material, and ongoing funded research offering opportunities for fellow participation. The core faculty includes three board certified sleep physicians (Berry, Wagner, Eisenschenk). Dr. Berry has published several textbooks on Sleep Medicine and is an experienced educator spending 75% of his time devoted to clinical sleep medicine or research. He is frequently asked to give talks at National Meetings and Sleep Courses. He was awarded the American Academy of Sleep Medicine Excellent in Education award in 2010.  Dr. Wagner is an experienced pediatric pulmonologist who devotes 75% of her time to sleep medicine. She is an expert on ventilatory support of chronic respiratory disorders. Dr. Eisenschenk is a neurologist devoting 40% of this time to sleep medicine and 60% to patients with Epilepsy. He provides valuable expertise in video PSG with extended EEG. He is director of the Epilepsy monitoring Unit at Shands at UF.    The second outstanding characteristic is a large volume and diversity of clinical material including over 2000 sleep studies performed yearly at the associated sleep centers including 800 pediatric sleep studies. The VA setting will provide an exceptional experience in learning practical aspects of positive pressure treatment of sleep apnea as well as the emerging field of portable monitoring. All durable medical support (CPAP machines, masks, adjustments) is performed by VA respiratory therapists. This includes onsite involvement in the sleep clinic.  The VA sleep clinic also evaluates patients with narcolepsy, the restless legs syndrome, and the REM sleep behavior disorder. In the University Pulmonary Sleep Clinic the entire spectrum of sleep disorders are evaluated and treated including insomnia and circadian disorders.  This clinic sees referrals of difficult patients from all over northern Florida for second opinions. Direct experience in the use of oral appliance treatment and upper airway surgery will be provided by rotations with experienced and enthusiastic faculty including Dr. Samant.  The third outstanding feature is the opportunity of the fellows to become involved in either basic or clinical research involving sleep disorders. Dr. Berry has ongoing research in portable monitoring and use of auto-titrating positive airway pressure devices.  He was a principal investigator in a nationwide multicenter trial of nasal EPAP, a new treatment for sleep apnea.. Dr. Christina McCrae is funded to study behavioral interventions for patients with insomnia.

For More Information Contact

Fellowship Program Assistant
Division of Pulmonary, Critical Care and Sleep Medicine
1600 SW Archer Road, Room M452
Gainesville, FL 32610-0225
Phone: 352-273-8734
Fax: 352-392-0821