Sleep Disorders Fellowship Program
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 UF Health Shands Hospital and Clinics (the major university teaching hospital), the Malcom Randall VAMC (located across the street), and the UF Health Sleep Disorders Center at Magnolia Parke. The UF Health Sleep Disorders Center is a twelve-bed facility 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 and Diplomate of Sleep Medicine by the American Board of Internal 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 Health Sleep Disorders Center.
UF Health Shands Hospital is the major tertiary referral center for north Florida with teaching hospitals including three towers (996 beds) in close proximity. The hospital is on the University of Florida campus. UF Health Shands clinics are located in buildings in close proximity to the hospital. The weekly Sleep Clinics (adult and pediatric) are located in the clinic facility, which is an integral part of the UF Health Sleep Center at Magnolia Parke. Didactic lectures, clinical case conferences, and journal club/research conferences occur at the UF Health Sleep Center or at the Malcom Randall VAMC. The Malcom Randall VAMC is a 272-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 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 UF Health Sleep Disorders Center is a full service sleep lab with clinic facilities. The center is located in the beautiful Magnolia Parke in Northwest Gainesville approximately 5 miles from the UF Health 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, physician offices, or remotely. Facilities to read sleep studies are available at all sites.
The faculty for the fellowship includes members of the Division of Pulmonary, Critical Care, and Sleep Medicine in the Department of Medicine/VA Hospital, Division of Pediatric Pulmonary medicine in the Department of Pediatrics, Department of Neurology, Department of Otolaryngology, Department of Oral and Maxillofacial Surgery, Department of Psychiatry, the Department of Clinical and Health Psychology, and the Dental School including faculty from the Divisions of Dentistry 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 board certified in sleep by 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, Dr. Stephan Eisenschenk, Dr. Scott Ryals, Dr. Marie Dibra, Dr. Michael Jaffee, and Dr. Sreekala Prabhakaran. All faculty are Board Certified in Sleep Medicine by their respective boards. 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 core and non-core faculty. These include Neurology clinic (Epilepsy and Movement Disorders), ENT clinic, Cardiology Clinic, Pulmonary Clinic and Craniofacial Clinic. Instruction by specialists in the College of Dentistry (Orthodontics, Oral Appliances) will familiarize the fellow with all aspects of oral appliance treatment of sleep apnea. The Department of Clinical and Health Psychology provides faculty with major interests in insomnia and CBT-I.
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 six board certified sleep physicians (Berry, Wagner, Eisenschenk, Ryals, Dibra, and Jaffee). Dr. Berry, an experienced educator, spends 75% of his time devoted to clinical sleep medicine or research, and has published several textbooks on Sleep Medicine. He frequently provides 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 Program at the Malcom Randall VA Hospital.
The second outstanding characteristic is a large volume and diversity of clinical material including over 3000 sleep studies performed yearly at the associated sleep centers including 1000 pediatric sleep studies. The VA setting provides 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, 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 (OSA, RLS, insomnia, hypersomnias, parasomnias, and circadian rhythm disorders). This clinic sees referrals of difficult patients from all over northern Florida for second opinions. Experience in the use of oral appliance treatment and upper airway surgery will be provided by rotations and lectures with experienced and enthusiastic faculty including Dr. Samant and Dr. Rueda.
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 variety of nationwide trials related to the evaluation and treatment of OSA.