Sleep Medicine

• Elective and site director: Dr. Brent Haberman (Brent.Haberman@health.slu.edu)

• Faculty:

  • Dr. Brent Haberman

  • Dr. Rocio Zeballos-Chavez

  • Dr. Homer Johnson (SSM physician/adjunct slu faculty)

  • Praveen Nandamuru (8/1/21) (Fellow)

• Nurse practitioner: Angela Orlando

• +/- fourth year students on sleep medicine elective (2w)

• +- third year clerkship or career exploration student (1w)

Multidisciplinary healthcare team providers: nurses, social workers, sleep technicians, and psychologists

• Personalize your experience

  • Contact Dr. Haberman at least a week prior to the start of your rotation to discuss your rotation goals, objectives, strategies, dates of sleep medicine grand rounds (variable), as well as any schedule requests. Sleep medicine activities include pediatric sleep medicine clinics, adult sleep medicine clinics, multidisciplinary cleft clinic, sleep study interpretation, as well as Ranken Jordan visit (Monday morning if no sleep clinic is held). If you are interested in visiting Ranken Jordan during your elective, please let the student education office know as soon as possible.

  • Review EPIC for the “clinical landscape” during your time on sleep medicine

    • Sleep medicine clinics: CG Sleep, CG CLEFT Pal

    • Pulmonary medicine clinic: CG Pulmonary, CG CF

  • Review the Learners on Pediatrics sleep medicine tab.

    • Consider touching base with any outgoing learners and/or those scheduled with you.

    • Use the insert comment feature to designate experiences you wish to participate in during a given half day. Often multiple options: clinics, intern academic half day (for M4s) are available. Potential considerations include your own goals and interests, presence of other learners, how busy a clinic is (Eg. if two clinics held during a given half day session, you might want to pick one with greater number of patients), variety of experience, and/or continuity with a specific attending. We request no more than 2 learners per clinic/attending.

    • The expectation for all mini electives is a full work week in clinic potentially with a caveat that on half days a clinic is not held, you may be assigned to other tasks (Ranken Jordan visits) etc at the discretion of the site director.

  • Individual Study

    • Sleep medicine individual study resources

• White Coat: optional

• Circadian Rhythm Disorders

• Hypersomnia Disorders (Narcolepsy, etc.)

• Nocturnal Seizures

• Sleep Disordered Breathing (Obstructive Sleep Apnea, Snoring, etc)

• Insomnia

• Sleep Related Movement Disorders

• Parasomnias

• Psychiatric Disorders affecting sleep

*Topics recommended for early review in bold

• Sleep Medicine Clinics

  • After actively observing 1-2 patient visits, you may see a patient independently. Obtain a focused history from the patient and caregiver and perform a focused physical exam

  • Present the history, physical exam, as well as your assessment, differential, and plan to the attending physician

  • Go back with the attending physician to discuss the assessment and plan with the family

  • Document a note for all encounters

  • Cardinal Glennon Ambulatory Care Center (ACC)

    • Dr. Haberman. Tuesdays AM/PM

    • Dr. Johnson. 1st and 3rd Wednesday of the mo AM/PM

    • Dr. Zeballos. 2nd and 4th Wednesday of the mo AM/PM; Friday AM. 1st and 3rd Wed PM telehealth

    • First floor - Blue or Orange Halls

    • Work rooms are either at the end of the Blue Hall or behind the check-in desk in the Orange Hall near rooms 1073, 4, and 5.

    • EPIC: CG ACC Sleep

  • South County (SoCo)

    • Dr. Haberman: 2nd Monday of the mo PM

    • 1300 Butler Crest Dr, St. Louis, MO 63128

    • 314-268-6439

    • 22 min from CG

    • EPIC: CG SOCO Sleep

• North County (NoCo)

  • Dr. Zeballos: 3rd Thursday of the month AM/PM

  • Dr. Johnson: Fridays AM/PM

  • 3878 Pershall Rd

  • 314-268-6439

  • 27 min from CG

  • EPIC: CG NOCO Sleep

• Sleep Study Interpretation

  • Fridays

  • Sleep lab. 5th floor of the main hospital

  • Actively observe supervising physicians interpret polysomnograms including sleep staging, scoring respiratory events, and leg movements

  • EPIC: CG Sleep Lab

• Notes

  • Dr. Haberman has CG clinic on Tuesday afternoons unless he is on service.

  • Dr. Zeballos is doing video visits on the 1st and 3rd Wednesday afternoons, and full day in person clinics on the 2nd & 4th

• Observed history and physical problem based encounter possible IF working with a resident or fellow

• Document required clerkship encounters (OASIS)

  • Problem based complaints

  • Qualtrics self-assessment and formative feedback. Possible if working with the same attending during numerous days

Keep a log of pediatric sleep disorders and therapies seen throughout the elective.

• Sleep Medicine Grand Rounds

  • Fridays 1-3PM

  • Salus Center (3545 Lafayette Ave), 4th Floor conference room

  • May not take place every Friday, confirm with attending

• American Thoracic Society Pediatric Sleep Case Conference

  • Third Wednesday, noon-1PM, Sleep Tech Room, 5th Floor Cardinal Glennon, main hospital

*Elective students strongly encouraged to participate. Optional for others

• ACC Sleep medicine workroom often changes location. If in doubt, ask the nurses or front desk staff. They will always know where to send you

• Dr. Haberman also sees patients in pediatric pulmonary clinic Wednesday afternoons. The number of learners in pulmonary clinic is limit to 2 with learners on pulmonary having priority. Learners on sleep medicine are welcomed to join him unless two other learners are already scheduled. Please review the Learners on Pediatrics/pulmonary, confirm clinic in EPIC, and use the insert comment feature to sign up both on the sleep medicine tab and the pulmonary tab.

• Dr. Zeballos sees adult sleep medicine patients on Tuesdays. Students on pediatric sleep medicine and especially those considering IM or FM are welcomed to join her.

• Clinic with Dr. Johnson is only an option during weeks Dr. Haberman or Zeballos are off.

• Actively read journal articles!

• Arrive with a smile! You’re about to make a difference in a child’s life!

• Recent changes

  • Pediatric sleep medicine fourth year elective (2020-21 academic year)

  • Pediatric sleep medicine added as a clerkship site (Block 2, 2020-21)

  • Planned projects

    • We welcome additional ideas and student involvement!