Sleep Medicine Fellowship Curriculum

Fellowship Overview

One year ACGME-accredited program
Two positions per year
Diverse patient population and comprehensive sleep study interpretation experience.
Diverse faculty- The teaching faculty are comprised of:
- Adult pulmonary and pulmonary critical care, neurology, psychiatry, internal medicine, otolarnyngology, dentistry, and psychology
- Pediatric pulmonary, neurology, psychiatry, and psychology

Curriculum Structure

July- Sleep Medicine Bootcamp
7 months of adult sleep medicine
2 months of pediatric sleep medicine
2 months of multi-specialty sleep medicine elective
Scholarship/Quality Improvement projects
Sleep Fellowship Education Conferences
Sleep study interpretation education

Sleep Medicine Bootcamp

The month of July is dedicated to educating the fellows on sleep study interpretation and introduction to clinical sleep medicine. It is comprised of online learning modules, live didactics, and sleep study scoring sessions with sleep technologist and faculty.

Adult Sleep Medicine Rotations

These rotations are comprised of weekly sleep medicine conference, sleep medicine clinics, and sleep study interpretation time. The sleep medicine clinics are staffed by sleep medicine physicians with backgrounds in pulmonary, neurology, and psychiatry.

Pediatric Sleep Medicine Rotations

During this rotation, fellows are at Nationwide Children's Hospital Sleep Center where they will attend pediatric sleep education conferences, pediatric sleep clinics and interpret pediatric polysomnograms with the pediatric sleep specialists. Since it is one of the top children's hospitals in the region, a range of patients are seen with sleep disordered breathing, narcolepsy, sleep movement disorders, insomnia, and children with congenital abnormalities. There is also exposure to neonates with sleep disordered breathing.

Multi-Specialty Sleep Medicine Electives

During this elective, fellows rotate in otolaryngology, dentistry, psychology and neuromodulation clinics.

Scholarship and Quality Improvement

The fellows participate in scholarship and quality improvement projects. They have regular meetings with their faculty mentor(s) regarding their projects and present at SLEEP in June.

Scholarly work done by fellows during our Sleep Medicine Fellowship are in bold

Brahmandam, S., Brahmandam, S, Galvis, J. “The Invisible Marauder” Poster Presentation at CHEST 2022, Nashville, TN.

Brahmandam, S., Chan, L. “Sleep Attacks- Undiagnosed Kleine Levin Syndrome” Poster Presentation at ATS 2023, Washington, DC.

Brahmandam, S., Chase, M., Chan, L., Pan, X., Khan, M. “Retrospective review of a single institution’s experience with upper airway stimulation obstructive sleep apnea” Poster Presentation at SLEEP 2023, Indianapolis, IN.

Chase, M., Brahmandam, S., Chan, L., Khan, M. “Upper Airway Stimulation for OSA: A case series of patients developing intolerance to a previously well tolerated setting” Poster Presentation at SLEEP 2023, Indianapolis, IN.

D. Drees, A. Mahdi, M. Khan, S. Holfinger, R. Donald. Telemedicine Encounter Invite Response Times in the Sleep Clinic: A Quality Initiative. Accepted for poster presentation by SLEEP 2022.

A. Kurup, S. Adu-Yeboah, R. Urbanowicz, B. Keenan, P. de Chazal, D. Mazzotti, T.Penzel, P. Cistulli, N. Chen, N. McArdle, B. Singh, T. Gislason, A. Pack, U.J. Magalang, S. Holfinger. Utility of Heart Rate Variability Measures During Sleep in the Prediction of Obstructive Sleep Apnea. Accepted by OSU DOIM and SLEEP 2021.

D. Drees, L.M. Ulrich, R.M. Ortenberg, SJ Pinto. Sleep disordered breathing in pediatric patients with Joubert syndrome- A case series. Currently under review by Sleep and Breathing.

S. Adu-Yeboah, A. Kurup, M. Melissa, M. Lyons, M. Khan, R. Donald. Social disparities and CPAP adherence. Accepted by SLEEP 2021.

Rosenthal MR, Lyons MM, Schweller J, Yidiz VO, Khan MS. Association of Emotional Distress and Adherence with the Hypoglossal Nerve Stimulator. Poster Presentation at the Internal Medicine Trainee Research Day- May 23rd, 2019 and 33rd Annual Meeting of the Associated Professional Sleep Societies- June 8-12, 2019.

Rosenthal MR and Donald R. Second Degree Heart Block in a Young Man. Poster Presentation at the 33rd Annual Meeting of the Associated Professional Sleep Societies- June 8-12, 2019.

Holfinger S, Lyons M, Mindel J, Cistulli P, Sutherland K, Chen N, McArdle N, Gislason T, Penzel T, Han F, Li Q, Mazzotti D, Keenan B, Pack A, Magalang U. Diagnostic Performance of a Machine-Learning-Derived Symptomless Obstructive Sleep Apnea Prediction Tool in Large Clinical and Community-based Samples. Oral and poster presentation. Sleep 2019, the AASM and SRS Annual Meeting.

Holfinger S, Lyons M, Mindel J, Cistulli P, Sutherland K, Chen N, McArdle N, Gislason T, Penzel T, Han F, Li Q, Mazzotti D, Keenan B, Pack A, Magalang U. Diagnostic Performance of a Machine-Learning-Derived Symptomless Obstructive Sleep Apnea Prediction Tool in Large Clinical and Community-based Samples. Oral presentation. Department of Internal Medicine Research Day, May 23, 2019.
Holfinger S, Roy A, Schmidt M. Stevens-Johnson Syndrome After Armodafinil Use. Journal of Clinical Sleep Medicine. 2018, 14(05):885-887.
Achieng E., Negatu, Y., Kowatch, R. NREM Parasomnias and Response to Imipramine in Children with and without Motor Tics: A Case Series.
Achieng E., Pinto, S. Narcolepsy Presenting after Mycoplasma Pneumonia (M. Pneumoniae). Sleep Medicine 2018, Baltimore, MD, June 2018.
Negatu Y, Das A: Treatment Failure Related to Change of Mask Interface in a Patient with Chronic Respiratory Failure and Obstructive Sleep Apnea APSS 2018 Baltimore, MD Sara Dong, MD, Cristina Tomatis, MD, Jordi B. Torrelles, PhD, Yihenew Negatu, MD, Karthik Kondapally, MPH, Ivy Quar shie MPH, Angela Allen PhD, MPH, Sarah Mitchell MS, Garrett Hunt, MD, Shu-Hua Wang, MD, MPH & TM. Pediatric Tuberculosis in Ohio: Changing Epidemiology from 1994 to 2014, Academic Pediatric Association 2018.
Healy, WJ; Aouad, R; Khan, M; Magalang, U. Sleep-Disordered Breathing in Normal Pressure Hydrocephalus. Sleep Medicine 2017, Boston, MA, June 2017.

Khan M, Aouad R. The Effects of Insomnia and Sleep Loss on Cardiovascular Disease. Sleep Medicine Clinics. 2017. Vol 12 (2): 167-177.

Healy, WJ; Khayat, R. Sleep Disordered Breathing and Heart Failure Interactions and Controversies. Encyclopedia of Cardiovascular Research and Medicine. 2017. In Press.

Physical Activity and Insomnia, Short Sleep and Insulin Resistance and Effect of Poor Sleep on Children's Academic Performance. Iftikhar IH, Albisher E, Challapallisri V, Paul G.
Am J Respir Crit Care Med. 2016 May 1;193(9):1058-60. doi: 10.1164/rccm.201512-2347RR. No abstract available
Pleister AP, Soriano SI, Mindel JW, Das AM, Khan MS, Magalang UJ. Comparison of Adherence to CPAP Therapy in OSA Patients Diagnosed by In-Home versus In-Laboratory Sleep Tests. Abstract Presented at SLEEP June 2015 Meeting Seattle, WA
Dzodzomenyo S, Stolfi A, Splaingard D, Onadeko O, Erdley E, Splaingard. ML. Urine toxicology screen in multiple sleep latency test: the correlation of positive tetrahydrocannabinol, drug negative patients and narcolepsy. J Clin Sleep Med 11(2):93-9,2015
Iftikhar IH, Donley MA, Mindel JW, Pleister AP, Soriano SM, Magalang UJ. Sleep Duration and Insulin Resistance: A Meta-analysis. SLEEP 2015; 38: A298
Iftikhar IH, Donley MA, Mindel JW, Pleister AP, Soriano SM, Magalang UJ. Sleep Duration and Metabolic Syndrome: A Dose-Risk Meta-analysis. Ann Am Thora Soc (in revision).
Pleister AP, Khayt RN. Sleep-disordered breathing as a modifiable risk factor for cardiovascular disease. Curr Pulmonol Rep. 2015 Mar;4(1):34-41
Khayat R, Jarjoura D, Porter K, Sow A, Wannemacher J, Dohar R, Pleister A, Abraham WT. Sleep disordered breathing and post-discharge mortality in patients with acute heart failure. Eur Heart J. 2015 Jan 29. [Epub ahead of print]
Varadharaj S, Porter K, Pleister A, Wannemacher J, Sow A, Jarjoura D, Zweier JL, Khayat RN. Endothelial nitric oxide synthase uncoupling: a novel pathway in OSA induced vascular endothelial dysfunction. Respir Physiol Neurobiol. 2015 Feb 1;207:40-7
Pleister A, Kahwash R, Haas G, Ghio S, Cittadini A, Baliga RR. Echocardiography and heart failure: a glimpse of the right heart. Echocardiography. 2015 Jan;32 Suppl 1:S95-107
Pleister AP, Kawash R, Khayat RN. Article Review of Hospital Sleep Medicine: The Elephant in the Room? (J Clin Sleep Med) for the American College of Cardiology Clinical Topic Collection (www.acc.org/SleepApnea). [accepted for online publication]
Oza NM, Patel D, Taylor M, Breathett K, Pleister A. Why Am I So Tired? A 45-Year Old, Morbidly Obese Man Presents With Worsening Fatigue. January 23, 2015. Accessed February 15, 2015. http://www.acc.org/education-and-meetings/patient-case-quizzes/why-am-i-so-tired-a-45-year-old-morbidly-obese-man-presents-worsening-fatigue?w_nav=LC
Pleister A, Khayat R, Abraham WT. Sleep Impairment and Prognosis of Acute Myocardial Infarction. December 9, 2014. Accessed January 15, 2015. http://www.acc.org/latest-in-cardiology/articles/2014/12/09/09/07/sleep-impairment-and-prognosis-of-acute-myocardial-infarction
Gustave J, Splaingard ML. Sleep Disordered Breathing in Children with Craniofacial Abnormalities. Parent Guide: Atlas of Plastic Surgery ed. Losse,Kirschner 2015
Gustave. J.E. and Splaingard, M. (2014). Sleep Disordered Breathing. Family Companion to Comprehensive Cleft Care, Edition 1 (in publication)
Mieczkowski BP, Gustave J, Mindell J, Khan M, Magalang U. Comparison of OSA Clinical Prediction Tools in Patients Referred for Home Sleep Tests. Poster presentation accepted for: SLEEP 2014. 28th Annual Meeting of the Associated Professional Sleep Societies, LLC; 2014 May 31-June 4; Minneapolis, MN
Mieczkowski BP: Lambert AA, et al. Beyond the Blue: What Fellows are Reading in Other Journals. Am J Respir Crit Care Med. 2014 Vol 189(2): 223–224
Mieczkowski BP: Trainee Abstract/Case Report Submissions. CHEST 2014. Annual Meeting of the American College of Chest Physicians; 2014 October 25-30; Austin, Texas
Mieczkowski BP, Oduguwa A, Kowatch RA, Splaingard M. Risk Factors for Sleep Apnea in Children and Adolescents with Bipolar Disorder. Poster presentation accepted for: SLEEP 2014. 28th Annual Meeting of the Associated Professional Sleep Societies, LLC; 2014 May 31-June 4; Minneapolis, MN
Mieczkowski BP, Oduguwa A, Kowatch RA, Splaingard M. Risk Factors for Sleep Apnea in Children with Bipolar Disorder. Manuscript submitted to The Journal of Affective Disorders
Mieczkowski B, Ezzie ME. Update on obstructive sleep apnea and its relation to COPD. Int J Chron Obstruct Pulmon Dis. 2014 Apr 9: 349-362
Mieczkowski BP: Martínez-García MA, et al. Effect of CPAP on blood pressure in patients with obstructive sleep apnea and resistant hypertension: the HIPARCO randomized clinical trial. JAMA. 2013 Dec 11; 310(22):2407-15 Accessed at: http://f1000.com/prime/718204805
Ictal Asystole captured on PSG. Albert D, Mindel J, Vidaurre J, Splaingard ML J Peds Neuro 2015
Iftikhar IH, Khan MF, Das A, Magalang UJ. Meta-analysis: Continuous Positive Airway Pressure Improves Insulin Resistance in Patients with Sleep Apnea without Diabetes. Ann Am Thorac Soc. 2013;10(2):115-20
Mindel J, Ajaz F, Teferra R, Afaq T, Iftikhar I, Khan M, Das A, Grant BJB, Magalang UJ. OSUNet: An Artificial Neural Network Sleep Apnea Prediction Tool for In-Home and In-Lab Polysomnography. SLEEP 2013; 36:A418
Ajaz F, Mindel J, Onadeko O, Aliling J, Khan M, Das A, Bhatt N, Magalang UJ. Relationship Between Hours of CPAP Use and Daytime Function Beyond Three Months. Abstract presented at the 2013 APSS (Associated Professional Sleep Societies) meeting. June, 2013. Baltimore, MD
Mindel JW, Splaingard ML, Vidaurre J. Unusual Case of Cardiac Dysrhythmia or Heart-Stopping Case of Nocturnal Spells. 2013 (Submitted to Ann Am Thorac Soc)
Ajaz F, Mizelle KM, Splaingard ML. Does a Pentalogy with a Tetralogy = Ennealogy? 2013 (Submitted to Ann Am Thorac Soc)
Afaq T, Magalang UJ, Das AM. An unusual cause of insomnia. Central sleep apnea(CSA). J Clin Sleep Med. 2012;8(5):623-5
Afaq T, Khan M. Narcolepsy. In: Lynn DJ, Newtin HB, Rao-Grant AD, editors, The 5-Minute Neurology Consult 2nd Edition. Philadelphia: Lippincott Williams & Wilkins. 2013. ISBN/ISSN: 9781451100129
Iftikhar I, Khan M, Durkin M, Das M, Blankfield R, Magalang UJ. Meta-Analysis: Continuous Positive Airway Pressure Therapy Improves Insulin Resistance In Patients With Obstructive Sleep Apnea. Am J Respir Crit Care Med. 2012; 185:A2162
Teferra R, Afaq T, Iftikhar I, Dhawan K, Khan M, Grant BJB, Magalang UJ. Likelihood Ratios for Clinical Predictions Of Obstructive Sleep Apnea Using AASM Polysomnography Scoring Rules. Am. J. Respir. Crit. Care Med. 2012; 185: A6432
Onadeko O, Aliling J, M. Khan, G. Phillips, U. Magalang. CPAP Use, Daytime Sleepiness, and Daily Functioning: long-term follow-up. Abstract presented at the 2012 APSS (Associated Professional Sleep Societies) meeting. June, 2012. Boston, MA
Afaq T, Das AM, 2011. Cognitive Decline in an Elderly patient. American Thoracic Society Sleep and Respiratory Neurobiology Assembly’s Sleep Fragments
Iftikhar I, Khan, M Commentary on Plasma Levels of MCP-1 and Adiponectin in Obstructive sleep apnea; Best of Sleep Medicine 2011
May A, Splaingard ML. Sleep Disturbances. In: Mclerny TK, Adam HM, Campbell DE, Kamat DM, Kelleher KJ, eds. American Academy of Pediatrics Textbook of Pediatric Care. Elk Grove Village, IL (In Press)
May A, Splaingard ML. Central Sleep apnea. In: Bushbacher R, Nelson MR, editors. Pediatrics. Common Problems in Rehabilitation Medicine. New York: Demos Medical Publishing. 2010
May A, Splaingard ML. Obstructive Sleep apnea. In: Bushbacher R, Nelson MR, editors. Pediatrics. Common Problems in Rehabilitation Medicine. New York: Demos Medical Publishing. 2010
Desai T, Khan, M, Bhatt NY. PAP Treatment of Adult Patients with OSA. Sleep Medicine Clinics 2010;5(3);. 347-359
Magalang UJ, Richards K, McCarthy B, Fathala A, Khan M, Parinandi N, Raman S. Continuous positive airway pressure therapy reduces right ventricular volume in patients with obstructive sleep apnea: a cardiovascular magnetic resonance study. J Clin Sleep Med 2009;5:110-114
Khan M, Wood KL, Bhatt NY. Obesity hypoventilation syndrome. Sleep Med Clinics 2008;3: 525-539

Sleep Fellowship Education Conference

The conferences occur weekly for the entire year. They typically consist of an hour-long case conference followed by an hour didactic lecture.

The case conference is an interactive conference where both sleep faculty and fellows present interesting cases and polysomnography findings.
The didactics provide comprehensive coverage of topics in sleep medicine.
Monthly journal club
Monthly board review session.
Parts of the curriculum also have pre-recorded online modules that fellows view in advance of the lectures to serve as an introduction to the topic.

Sleep study interpretation

The month of July is dedicated to teaching the fellows sleep study interpretation via learning modules, live interactive didactic sessions, and sleep study reading sessions with our sleep technologists and sleep medicine faculty. In august, fellows start their clinics and interpreting patient sleep studies with a goal of reading 10-15 studies a week. There are structured reading session with faculty throughout the year as well.