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GME > Fellowship Programs > Sleep Medicine > Welcome From the Director
About Rush University

The Sleep Disorders Center at Rush University Medical Center has an established, national reputation for clinical excellence. Founded in 1978, the Sleep Disorder Center was the first in the region to receive accreditation from the American Academy of Sleep Medicine (formerly the American Sleep Disorders Association). The Sleep Disorders team is comprised of specialists from pulmonary/critical care medicine, neurology, and psychology who are board-certified experts in sleep. The team also consults with specialists in internal medicine, pediatrics, psychiatry, otolaryngology, and bariatric surgery. With this multi-disciplinary team, we are dedicated in providing superior training to the next generation of sleep professionals.

The Sleep Medicine Fellowship Program is accredited by the Accreditation Council for Graduate Medical Education (ACGME). There are 2 fellowship positions offered each year. Fellows in Sleep Medicine rotate with attending physicians from pulmonary/critical care and neurology. Evaluations include both new patient intake evaluations as well as follow-up evaluations. In an effort to provide a balanced and comprehensive clinical experience, fellows in Sleep Medicine also observe patient care with attending psychologists who are certified in Behavioral Sleep Medicine. In addition, fellows have a 1-month elective rotation in pediatric sleep medicine. The facilities at the Rush Sleep Center include 8 hotel-like bedrooms with private bathrooms, a state-of-the-art computerized monitoring room, 4 patient evaluation and examination spaces, and reception and waiting areas. There is a separate conference room for didactics, journal club, and grand rounds.

Technical aspects of the fellowship are centered on sleep studies. Polysomnography (PSG) is the most common diagnostic procedure of our Sleep Center and involves monitoring of brain wave activity (EEG), eye movements (EOG), muscle activity (EMG), heart rate and rhythms (EKG), breathing patterns, oxyhemoglobin saturation, body movements, and respiratory sounds through a sophisticated audiovisual system. PSG studies are ordered to evaluate for nocturnal sleep disorders and to evaluate the effectiveness of continuous or bilevel positive airway pressure, as needed. Certain sleep disorders require evaluation of daytime sleepiness or vigilance, in which a Multiple Sleep Latency Test (MSLT) or a Maintenance of Wakefulness Test (MWT) is performed. . As per ACGME requirements, fellows review a minimum of 200 polysomnograms and 25 MSLT/MWT studies.

We believe that our Sleep Medicine Fellowship Program is one of the finest and most comprehensive training programs available in the country. Our multi-disciplinary approach to Sleep Medicine offers a unique training opportunity for individuals dedicated to providing the best possible care to patients with sleep disorders.

James Herdegen, MD
Sleep Disorders Fellowship Program Director

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