Sleep medicine is a multidisciplinary subspecialty of family medicine, internal medicine, psychiatry, pediatrics, neurology and otolaryngology. It is a discipline of medical practice in which sleep disorders are assessed, monitored, treated and prevented by using a combination of techniques (clinical evaluation, physiologic testing, imaging and intervention) and medication.
Specialists in sleep medicine are expected to:
Participate in an interdisciplinary care of patients of all ages that incorporates aspects of psychiatry, neurology, internal medicine, epidemiology, surgery, pediatrics and basic science
Acquire detailed knowledge of the sleep and respiratory control centers, physiology, and neurobiology underlying sleep and wakefulness
Diagnose and manage sleep disorder patients in outpatient and inpatient settings
This subspecialty includes the clinical assessment, polysomnographic evaluation and treatment of sleep disorders, including insomnias, disorders of excessive sleepiness (e.g., narcolepsy), sleep-related breathing disorders (such as obstructive sleep apnea), parasomnias, circadian rhythm disorders, sleep-related movement disorders and other conditions pertaining to the sleep-wake cycle.
Specialists in sleep medicine possess a detailed knowledge of sleep-wake physiology, including neural systems that control sleep and wake processes and their respective neurotransmitters; sleep- and circadian rhythm–related changes in physiology (autonomic nervous, cardiovascular, respiratory, renal, gastrointestinal, endocrine, immune, etc.); medications and their effects on sleep and wakefulness; and the bidirectional relationship between sleep and medical, neurologic and psychiatric disorders.
Sleep medicine specialists treat sleep-/wake-related disorders using devices, surgical interventions, medications and behavioral therapies. They utilize diagnostic tools in their treatment such as validated sleep questionnaires, actigraphy, polysomnography and portable sleep apnea monitors in outpatient and inpatient settings.
Career opportunities in sleep medicine include academic, private practice and/or research positions.
American College of Chest Physicians (CHEST)
2595 Patriot Blvd.
Glenview, IL 60026
President of Association
Clayton T. Cowl, MD, MS, FCCP
Mission Statement of the CHEST
CHEST is the global leader in advancing best patient outcomes through innovative chest medicine education, clinical research, and team-based care. Its mission is to champion the prevention, diagnosis, and treatment of chest diseases through education, communication, and research. It serves as an essential connection to clinical knowledge and resources for its 19,000+ members from around the world who provide patient care in pulmonary, critical care, and sleep medicine.