ABOHNS Sleep Medicine study plan
ABOHNS Sleep Medicine · Give each week a clear focus.
8 weeks · About 6 hours per week
Sleep-Disordered Breathing in Adults: Obstructive Sleep Apnea
Map the full diagnostic criteria for adult OSA, including severity thresholds by AHI and ODI, from memory
Differentiate central vs obstructive vs mixed apnea events on a described polysomnogram tracing
List and explain the major cardiovascular, metabolic, and neurocognitive sequelae of untreated OSA
Compare the leading adult OSA screening instruments and state their sensitivities and limitations
Your checkpoint
A one-page OSA diagnostic criteria and severity reference sheet written without notes
Sleep-Disordered Breathing in Adults: Obstructive Sleep Apnea
Explain the mechanisms and expected findings of the key adult OSA phenotypes (anatomical, loop gain, arousal threshold, muscle responsiveness)
Interpret a described PSG report to select appropriate positive airway pressure settings and interface
Outline the indications, contraindications, and outcomes for the main non-PAP adult OSA therapies (oral appliance, positional therapy, hypoglossal nerve stimulation, weight management)
Describe the preoperative airway evaluation and perioperative risk stratification for an adult OSA patient undergoing upper airway surgery
Your checkpoint
A written case analysis of a moderate-to-severe adult OSA patient with a justified treatment plan
Sleep Evaluation and Diagnostic Testing (Polysomnography, Home Sleep Apnea Testing, Actigraphy)
State the AASM scoring rules for sleep stages, arousals, and respiratory events
Distinguish the indications and limitations of in-lab polysomnography, home sleep apnea testing, and actigraphy
Calculate AHI, RDI, and ODI from a provided set of event counts and total sleep time
Identify common artifacts and technical pitfalls on a described PSG recording and propose corrections
Your checkpoint
A scored practice PSG summary with computed indices and a written interpretation
Sleep-Disordered Breathing in Children & Central Sleep Apnea and Hypoventilation Syndromes
Contrast pediatric OSA diagnostic criteria, scoring rules, and severity thresholds with adult criteria
Explain the role of adenotonsillectomy versus CPAP in pediatric OSA and the indications for each
Classify central sleep apnea syndromes by mechanism and describe appropriate evaluation for each
Differentiate obesity hypoventilation syndrome from other hypoventilation syndromes using clinical and blood gas findings
Your checkpoint
A comparison table of pediatric versus adult OSA criteria plus a central apnea classification summary
Normal Sleep and Sleep-Wake Regulation & Insomnia and Circadian Rhythm Sleep-Wake Disorders
Describe the two-process model of sleep regulation and the neuroanatomy of the sleep-wake switch
Explain normal sleep architecture changes across the lifespan
Apply cognitive behavioral therapy for insomnia principles and contrast them with pharmacologic approaches
Distinguish the circadian rhythm sleep-wake disorders and state the diagnostic and treatment approach for each
Your checkpoint
A written insomnia and circadian disorder management plan for a described patient
Hypersomnias of Central Origin and Narcolepsy & Parasomnias and Sleep-Related Movement Disorders
Apply the diagnostic criteria for narcolepsy type 1 and type 2, including MSLT interpretation rules
Differentiate narcolepsy from idiopathic hypersomnia and insufficient sleep syndrome
Classify NREM and REM parasomnias and describe the clinical features that distinguish them from nocturnal seizures
Explain the diagnosis and management of restless legs syndrome and periodic limb movement disorder
Your checkpoint
A case-based differential diagnosis write-up for a patient with excessive daytime sleepiness and a separate one for a patient with nocturnal events
Sleep and Medical/Psychiatric Comorbidity & Surgical and Non-Surgical Management of Sleep Disorders
Describe the bidirectional relationships between sleep disorders and psychiatric, cardiovascular, and metabolic disease
Explain how comorbid conditions alter the evaluation and treatment of sleep-disordered breathing
Compare surgical options for OSA in adults by patient selection, success rates, and complications
Outline the perioperative and practice-management considerations for sleep surgery, including documentation and reimbursement basics
Your checkpoint
A structured management algorithm for an OSA patient with a major comorbidity and a written surgical options comparison
Sleep in Otolaryngology Practice: Upper Airway Anatomy, Perioperative Considerations, and Practice Management & Normal Sleep and Sleep-Wake Regulation & Sleep Evaluation and Diagnostic Testing (Polysomnography, Home Sleep Apnea Testing, Actigraphy) & Sleep-Disordered Breathing in Adults: Obstructive Sleep Apnea & Sleep-Disordered Breathing in Children & Central Sleep Apnea and Hypoventilation Syndromes & Insomnia and Circadian Rhythm Sleep-Wake Disorders & Hypersomnias of Central Origin and Narcolepsy & Parasomnias and Sleep-Related Movement Disorders & Sleep and Medical/Psychiatric Comorbidity & Surgical and Non-Surgical Management of Sleep Disorders
Review upper airway anatomy and its surgical landmarks as they relate to sleep surgery
Complete a timed mixed-domain practice set and analyze errors by domain
Revisit the two lowest-scoring domains from prior weeks and correct specific knowledge gaps
Consolidate high-yield facts into a single review document
Your checkpoint
A timed practice exam score report with a written remediation list of weak domains and corrective actions
Milestones
Week 2: Score 80% or higher on a self-written 20-question adult OSA quiz covering diagnosis, severity, and treatment
Week 4: Correctly compute AHI, RDI, and ODI from raw counts and accurately interpret a practice PSG without reference material
Week 6: Correctly differentiate narcolepsy, idiopathic hypersomnia, and insufficient sleep in three written case vignettes
Week 8: Achieve 75% or higher on a timed mixed-domain practice exam and document a remediation plan for any domain below 70%