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Psychiatry resident here going into Sleep Fellowship and can't wait. Field is changing rapidly!
Who are the big names in sleep right now? How difficult also is it to get into a sleep fellowship? thanks!
The sleep guys in our health system our Mark Mahawold and Conrad Iber...I'm wondering if their big enough names to get letters from, oe would pulmonary guys be ebtter.
I was serious in the post. Having just recently gotten interested in sleep I don't know who is big in the field etc. Of the two, who do you think is the bigger name? I know Iber well, but have actually never met Mahawald.
as an aside, the chief of Neurology here (whos sort of nutty) once referred to Iber as "god's pulmonologist"
what fields are eligible to apply for sleep fellowships
what fields are eligible to apply for sleep fellowships
You can do a sleep disorders fellowship from many primary residencies now...medicine, peds, psych, neuro, ENT, and FP. Even though anesthesiologists put patients to sleep, I do not think they are eligible for a sleep fellowship.
You also have to consider what you want to do after the fellowship - all sleep or part-time sleep, part-time primary residency. Full time sleep spots are relatively rare and you will not have your pick of location. There are a large number of Pulm/CC/sleep jobs, a fair number of neuro/sleep jobs, and very few psych/sleep jobs.
Do psych docs so a different job than pulm docs in sleep med? Can't they both diagnose all disorders?
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I hate to keep flogging this dead horse, but basically what I'm hearing is that if I did Psych--> Sleep I'd have to be willing to move far and wide to get a Sleep Job. Is that right?
Personally, I'd really be interested in staying in Northern Climes.
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If you are looking for 100% sleep, yeah, that's hard to come by anywhere, but I can tell you that not long ago I did run across someone (child psych background, sleep fellowship) who is doing 100% sleep med for a large neurology practice, so it is (remotely, perhaps) possible.
Right now I am doing about 85% sleep, and could easily do 100%. Several years ago I started a sleep center in Jackson MS with several non-physician business partners. At that point, my career was about 40% sleep and 60 % psychiatry. Gradually the sleep center expanded and I decreased the psych I was doing. In addition, several small sleep labs (150-225 miles from me) contacted me over the last 2 years and I now read studies remotely for 2 as well as go out to another sleep center 2 days a month, along with reading its sleep studies remotely. I also contacted a rural hospital 50 miles from me, started going out there to do sleep consults (initially the patients were sent to my sleep lab in Jackson MS for their studies), and about 1 year ago started a 2 bed hospital-owned sleep center there.
The psych I formerly did was part-time state hospital work as well as brief locum tenens work in a prison. Now the only psych I do is some suboxone patients, a few outpts with depression, and I consult at some group homes for the mentally ******ed.
I am in solo practice.
There are a few 100% sleep jobs out there for psychiatrists. You could either move to an undesirable location and take one of those or, over several years, create your own 100% sleep job.
Sounds like it wouldn't be too hard then for me to get a sleep job, eventually.
The sleep guys in our health system our Mark Mahawold and Conrad Iber...I'm wondering if their big enough names to get letters from, or do I have to go to the University.
Nice. Good for you. Good Luck!
I seriously thought there will be something like a cure or a method to sleep better with this threads title....
I do wanna join this field. how can I do this.
you could do a pulmonary residency, neurology residency or psychiatry residency, then do a sleep fellowship.
The field is becoming more and more competitive right now, but I think it is still less competitive than dermatology or radio oncology. Good Luck
Those of you who are in sleep practice (or know about it), what do Sleep docs generally do besides reading studies? What's clinic like? Do you order and manage CPAP? ANy other examples of what you do would be much appreciated.
A typical schedule is a half day in clinic, a half day reading studies. In clinic;I do initial evaluations, see patients after sleep studies, order and manage cpap, prescribe meds for narcolepsy, treat insomnia and restless legs
Half a day dedicated to in my just reading box .studies? Damn, that's a sweet deal. How do I get a schedule like that? . .