The Student Room Group

Sleep Medicine- how does one become specialised?

So, as medical school draws to a finish- a journey I have loved- I think I may have found my niche.

Having become fascinated with sleep after reading the excellent Why We Sleep by Matthew Walker, and having had a few patients in my past few weeks in general practice with insomnia, I was wondering if I could specialise in sleep medicine? I'm vaguely aware that it may be an area of psychiatry, but not a psychiatric speciality in its own right in the UK.

Does anyone have any other information on routes into this fascinating area of medicine?
If you haven't got foundation jobs in anaesthetic, paediatrics and/or respiratory medicine then get yourself some taster days in these booked and try to do audit and quality improvement projects in these specialties.
Also read anything by Mike Farquhar who is an inspiring character in the field.
Reply 2
Original post by Smile88egc
If you haven't got foundation jobs in anaesthetic, paediatrics and/or respiratory medicine then get yourself some taster days in these booked and try to do audit and quality improvement projects in these specialties.
Also read anything by Mike Farquhar who is an inspiring character in the field.


Haven't secured myself jobs in any of those specialties; however, I have managed to bag myself a rotation in child and adolescent psychiatry.
Reply 3
Original post by navarre
So, as medical school draws to a finish- a journey I have loved- I think I may have found my niche.

Having become fascinated with sleep after reading the excellent Why We Sleep by Matthew Walker, and having had a few patients in my past few weeks in general practice with insomnia, I was wondering if I could specialise in sleep medicine? I'm vaguely aware that it may be an area of psychiatry, but not a psychiatric speciality in its own right in the UK.

Does anyone have any other information on routes into this fascinating area of medicine?


Most of them are neuro consultants I believe
Original post by navarre
So, as medical school draws to a finish- a journey I have loved- I think I may have found my niche.

Having become fascinated with sleep after reading the excellent Why We Sleep by Matthew Walker, and having had a few patients in my past few weeks in general practice with insomnia, I was wondering if I could specialise in sleep medicine? I'm vaguely aware that it may be an area of psychiatry, but not a psychiatric speciality in its own right in the UK.

Does anyone have any other information on routes into this fascinating area of medicine?


@ecolier will advise but I think it is manly neurology. There will be input from other specialities like anaesthetics, respiratory, psychiatry and ENT.

It depends on what type of sleep disorders you are interested in - if it's airway obstruction leading to sleep problems then respiratory / ENT / anaesthetics is the way to go.

If it is things (which @ecolier find interesting) like narcolepsy and cataplexy, than it's neurology and then sub-specialise.

Original post by Magendie
Most of them are neuro consultants I believe


Yes!
Sleep apnoea is generally managed by respiratory physicians, mostly because of the need for cpap etc. Otherwise yes as above paroxysmal sleep disorders usually are managed by neurologists with an interest. Most big sleep units will have MDT approaches though. Neurophysiology is a possibility I suppose but not commonly
I thought it was done by Resp Physicians? Could be wrong though.
Reply 7
Original post by itsbrainsurgery
@ecolier will advise but I think it is manly neurology. There will be input from other specialities like anaesthetics, respiratory, psychiatry and ENT.

It depends on what type of sleep disorders you are interested in - if it's airway obstruction leading to sleep problems then respiratory / ENT / anaesthetics is the way to go.

If it is things (which @ecolier find interesting) like narcolepsy and cataplexy, than it's neurology and then sub-specialise.



Yes!


Definitely more interested in the physiology and science of sleep and the interesting disorders like insomnia, nightmares, night terrors and cataplexy and the like, as opposed to the standard sleep apnoea, which bores me to tears.
Reply 8
Original post by fishfacesimpson
Sleep apnoea is generally managed by respiratory physicians, mostly because of the need for cpap etc. Otherwise yes as above paroxysmal sleep disorders usually are managed by neurologists with an interest. Most big sleep units will have MDT approaches though. Neurophysiology is a possibility I suppose but not commonly


Luckily, I have a neurology job in F2 in addition to my psychiatry job in F1, so hopefully will be in a position to explore this more.
Do you have any specialists in your teaching hospital (or nearby)? There's always lots of 'I'm interested in X specialty, how do I get into it' posts on TSR, but there really is no better source of info than walking into a department and speaking directly to the people doing the job.

Not only does it get you accurate information, but it's a great chance to start networking. You can try to organise a taster session / week, get involved with an audit, speak to trainees...
I'm aware. I would still argue that getting to a nearby sleep centre would be less effort than most keen students expend getting to Royal Colleges down in London or up in Edinburgh, or attending conferences, etc.

Sleep medicine is not going to suddenly become 'un-niche'. There will be an associated effort required to explore it regardless of current medical school or future foundation deanery. One could even argue that for niche areas of medicine students / jnrs need to put in above average levels of effort to build a CV.

Let's say that there is no possible way to get access to a sleep centre. The OP can think laterally and go speak to neuro/resp consultants, tell them they're interested in sleep medicine, and ask if they know anyone in that field. It's a small world, they'll likely know someone. Send some cold call emails, ask for a shadow before F1 starts, etc.

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