Sleep Medicine Subspecialty Exam     Next Exam: Fall 2013 Applications will be available by February 1, 2013 Application Requirements: To achieve certification in sleep medicine, candidates from the American Board of Otolaryngology must hold a valid certificate in otolaryngology and fulfill the following requirements: Satisfactory documentation of requisite practice experience or formal training requirements, as specified in descriptions of the practice and training pathways below. Possession of a valid, unrestricted, and unchallenged license to practice medicine in all states in which the applicant practices. Successful performance on the ABOto Sleep Medicine Certification Examination Practice Pathway: Closed in 2011 A candidate who has taken the Sleep Medicine Exam via the practice/alternate pathway and failed, will be allowed to apply for future sleep medicine examinations. Training Pathway/Requirements The training pathway for ABOto candidates requires 12 months of satisfactorily completed sleep medicine fellowship training which meets the following criteria: Sleep Medicine fellowship training undertaken July 1, 2009 and after must be accredited by the Accreditation Council for Graduate Medical Education (ACGME). Sleep medicine fellowship training taken prior to July 1, 2009 must be conducted within a program affiliated with an ACGME-accredited program. Training experience must be consistent with guidelines established by the ACMGE. The Board will require substantiation by the training program director that the fellow's clinical performance as a sleep medicine consultant is satisfactory. Fellows must obtain satisfactory ratings of their ability to interpret results of the following diagnostic tests: polysomnography, multiple sleep latency testing, maintenance of wakefulness testing, actigraphy, portable monitoring related to sleep disorders. Certification The Sleep Medicine Certification Examination will be a comprehensive one-day examination of multiple-choice questions in the single best answer format with an absolute standard for passing. The exam is administered at Pearson Vue testing centers. The examination will assess the candidate's knowledge and clinical judgment in aspects of sleep medicine required to perform at a high level of competence. These include the following (a more detailed blueprint is available on the ABOto website): Normal sleep and its variants, including the chronobiology and neurophysiology of sleep and the effects of sleep deprivation Organ system physiology in sleep, including the respiratory, cardiovascular, endocrine, gastrointestinal, hematologic, and immunologic systems Sleep evaluation, including sleep history and physical examination, polysomnography and electroencephalography, sleep staging and scoring, multiple sleep latency and maintenance of wakefulness tests, and other appropriate evaluation techniques Pharmacology, including basic sleep-wake pharmacology and drugs or other agents affecting sleep and wakefulness Disorders related to sleep-wake timing, including epidemiology, pathophysiology, diagnosis, and management of circadian rhythm disorders, effects of shift work and jet lag, and other factors disrupting sleep-wake timing Insomnia, including epidemiology, pathophysiology, diagnosis, and management Hypersomnolence unrelated to sleep-related breathing disorders, including epidemiology, pathophysiology, diagnosis, and management Parasomnias, including epidemiology, pathophysiology, diagnosis, and management of sleepwalking, sleep terrors, REM sleep behavior disorder, confusional arousals, and enuresis Sleep-related movement disorders, including epidemiology, pathophysiology, diagnosis, and management of restless legs syndrome, periodic limb movement disorder, rhythmic movement disorder, and bruxism Sleep-related breathing disorders, including epidemiology, pathophysiology, diagnosis, and management of obstructive and central sleep apnea, sleep-related hypoventilation syndromes Sleep in other disorders, including neurologic and psychiatric disorders Considerations and disorders unique to childhood, including safe infant sleep, behavioral insomnia of childhood, infant apnea, sleep-onset association disorder, and apparent life-threatening events