Dedhia Raj C, Yaremchuk Kathleen L
Department of Otolaryngology, University of Washington School of Medicine, Seattle, Washington Division of Pulmonary & Critical Care Medicine, University of Washington School of Medicine, Seattle, Washington
Department of Otolaryngology, Henry Ford Health System, Detroit, Michigan, USA.
Otolaryngol Head Neck Surg. 2015 Mar;152(3):381-2. doi: 10.1177/0194599814562721. Epub 2014 Dec 18.
Since 2011, otolaryngologists have been required to complete a 1-year fellowship in sleep medicine in order to be eligible for the ABOto Sleep Medicine Certification Examination (ASMCE). Resultantly, the number of sleep medicine board-certified otolaryngologists has plunged since that time. This push toward extinction comes at a time when otolaryngologists have been cast into the spotlight for the diagnosis and treatment of obstructive sleep apnea, the prevailing disorder in sleep medicine. To reverse the trajectory of this subspecialty, 2 changes need to occur: increase the exposure to sleep medicine/surgery during residency and improve access to sleep medicine fellowships featuring a strong otolaryngology presence.
自2011年以来，耳鼻喉科医生必须完成为期1年的睡眠医学进修，才有资格参加美国耳鼻喉科委员会睡眠医学认证考试（ASMCE）。因此，自那时起，获得睡眠医学委员会认证的耳鼻喉科医生数量大幅下降。在耳鼻喉科医生因阻塞性睡眠呼吸暂停（睡眠医学中最常见的疾病）的诊断和治疗而备受关注之际，却出现了这种走向消亡的趋势。为了扭转这一亚专业的发展轨迹，需要发生两个变化：在住院医师培训期间增加对睡眠医学/手术的接触，并改善获得有强大耳鼻喉科背景的睡眠医学进修项目的机会。
