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That's because when you do internal medicine-> pulm & crit care-> you only need an additional 1 year of your fellowship to add on sleep medicine, but you can do sleep medicine without pulm & crit care (I work in a pulmonary department, and the physician I worked for was pulm & crit care, and I went to department meetings with pulm, crit care & sleep)Most sleep specialists are pulm
I have a family member who saw a sleep/neuro doc who is a DO, so N=2N=1 but my husband’s neuro/ sleep doc is a DO!