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, Nicholas Shaffer UT Health San Antonio Search for other works by this author on: Oxford Academic Telyn Peterson UT Health San Antonio Search for other works by this author on: Oxford Academic Karen Hentschel-Franks UT Health San Antonio Long School of Medicine Search for other works by this author on: Oxford Academic
Sleep, Volume 47, Issue Supplement_1, May 2024, Page A460, https://doi.org/10.1093/sleep/zsae067.01070
Published:
20 April 2024
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Nicholas Shaffer, Telyn Peterson, Karen Hentschel-Franks, 1070 Awakening Insights: Increasing Sleep Medicine Education for Psychiatry Residents, Sleep, Volume 47, Issue Supplement_1, May 2024, Page A460, https://doi.org/10.1093/sleep/zsae067.01070
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Abstract
Introduction
Sleep is integral to mental health. For example, it is estimated that 40 to 50% of individuals with insomnia have co-occurring mental illness. Despite this, only ~3.31% of current sleep medicine fellows enter from a psychiatry residency, ~4.89% of sleep medicine fellowship alumni are psychiatrists, and 4.25% of sleep faculty members have a psychiatry background. At the present time, the Accreditation Council of Graduate Medical Education has no curriculum requirement for sleep education within psychiatry residency programs. A past study has shown that less than 40% of psychiatry programs have faculty with training in sleep medicine. If sleep medicine is not prioritized amongst psychiatry residents, psychiatry is at risk of losing representation in the field.
Methods
From November to December 2023, a voluntary & anonymous online 15-minute, 32 question survey was given to psychiatry residents in the third largest psychiatry residency program in the country. The survey evaluated psychiatry residents' knowledge on guidelines from the American Academy of Sleep Medicine, as well as attitudes, behaviors, and barriers towards sleep medicine.
Results
A total of 31 psychiatry residents completed the survey. Results show perceived and objective opportunities to improve sleep education amongst psychiatry residents. Residents demonstrated discomfort in counseling patients regarding topics including sleep related breathing disorders (43%), non-REM parasomnias (53%), and REM behavior disorders (45%). Barriers were identified regarding discussing sleep with patients included limited training (43%), lack of time (37%), and decreased prioritization (17%).
Conclusion
More can be done to promote sleep medication education for psychiatry residents. While analysis is ongoing, it is the hope that the results of this survey will lead to the development of applicable curricula with expected completion within 12 months. We anticipate identifying specific educational needs to inform the development of a standardized sleep medicine training protocol for residents in hopes of increasing the number of psychiatry residents willing to consider sleep medicine as a possible future career. With research establishing a bidirectional relationship between sleep and psychiatric disorders, it is imperative that curricular improvements are targeted, so that psychiatrists can continue to contribute to the field of sleep medicine.
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UT Health San Antonio Department of Psychiatry
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© The Author(s) 2024. Published by Oxford University Press on behalf of Sleep Research Society. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com
This article is published and distributed under the terms of the Oxford University Press, Standard Journals Publication Model (https://academic.oup.com/pages/standard-publication-reuse-rights)
Issue Section:
XI. Healthcare Delivery, Implementation, and Education
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