Rotation Descriptions
General descriptions of the rotation sites are given below.
Harborview Medical Center
Harborview Medical Center (HMC) is the only designated Level 1 adult and pediatric trauma center in Washington state. Due to its central location, HMC provides care to a broad spectrum of patients throughout the Pacific Northwest including the most vulnerable residents of King County.
The UW Medicine Sleep Center is headquartered at HMC and serves as the cornerstone of clinical experience during the sleep fellowship. The Sleep Center includes an 11-bed sleep lab, robust home sleep apnea testing program, general sleep clinics, a behavioral sleep medicine clinic and dedicated educational space for the Fellowship Program.
Fellows work with nationally recognized faculty and gain experience treating the full breadth of sleep disorders. Fellows also gain experience in cognitive behavioral therapy for insomnia and inpatient sleep medicine consultation at HMC.
Schedule
Fellows typically spend Tuesdays, Fridays and sometimes Mondays and Thursdays at HMC participating in general sleep clinics, behavioral sleep medicine clinic, polysomnographic interpretation, and scholarly activity. Notably, Friday 1pm-4pm is dedicated to supervised polysomnography interpretation with the program director
Conferences
Tuesdays 12pm-1pm UW Sleep Medicine Grand Rounds – Didactic sleep lectures from UW faculty, invited speakers, and fellows.
Thursdays 1230pm-130pm Seattle Area Chest Grand Rounds (sleep fellows will present once per year)
Thursdays 130pm-230pm Pulmonary and Critical Care Fellow Didactic Conference (optional)
UW Medical Center
The UW Medical Center is a nationally ranked hospital and is the #1 hospital in Washington state according to US News and World Report. General Sleep Medicine Track fellows typically spend 6 months a year rotating through a unique sleep cardiology clinic that specializes in complex cardiology patients as well as a general sleep clinic.
Schedule
Thursday Morning: General Sleep Clinic
Thursday Afternoon: Sleep Cardiology Clinic
Seattle Children’s Hospital
Seattle Children’s Sleep Clinic
A quarternary free-standing children’s hospital providing subspecialty services for the 5-state WWAMI (Washington, Wyoming, Alaska, Montana, Idaho) region with a 12-bed pediatric sleep lab. Seattle Children’s offers the only sleep center in the region exclusively dedicated to caring for babies, children and teens with the full spectrum of pediatric sleep disorders and complex comorbid conditions.
Schedule
General Sleep Medicine Track: Mondays or Thursdays: 1/2-day clinic with 1/2-day dedicated PSG reading.
Pediatric Enhance Track: Mondays: 1/2-day clinic with 1/2-day dedicated PSG reading and Thursdays: 1/2-day clinic or inpatient sleep consult.
Conferences
Mondays: 12pm : Pediatric sleep medicine conference
VA Puget Sound Health Care System
An opportunity to work with an innovative group of clinical staff and researchers who are helping to redefine sleep care within the VA system. The Puget Sound VA Health Care System covers a large area of western Washington state with a diverse patient population. UW sleep fellows will spend their VA clinical experience entirely at the Seattle VA campus which serves as a center of excellence for spinal cord injury, ALS, MS, lung transplantation, and has robust mental health research and clinical programs.
Clinical Experience & Schedule
Wednesday mornings will be spent in the adult sleep medicine clinic providing a combination of in-person and virtual care.
Wednesday afternoons will be spent rotating through outpatient Sleep Otolaryngology clinic with Dr. Weaver, participating in sleep behavioral medicine sessions, and completing other on site education.
Optional clinical experiences include time spent with our robust Sleep Behavioral Medicine Program including targeted therapies to Veterans with PTSD.
Conferences
Trainees have protected time to attend a post-clinic conference in the afternoon which includes discussion of interesting/challenging clinical cases and didactic teaching.