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Practicing sleep medicine/sleep medicine fellowship


iyin0991

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On 12/4/2020 at 3:24 PM, LostLamb said:

Lots of GP sleep specialists out there--popular in Alberta it seems. 

Many do extra training in US, but their sleep medicine specialization isn't recognized in Canada apparently.

Cannot comment on the billing codes since I am not family med.

Is the specialization is not recognized, how can they call themselves GP sleep specialists and have a practice like that?

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  • 11 months later...

Commonly part of Respirology and easiest to do after Resp as OSA is the most common sleep disorder and Respirologist suits naturally given CPAP is therapy of choice.

In many provinces you don’t need sleep fellowship to do sleep as a Respirologist.

In Ontario, need extra training to do sleep, either 1 year fellowship-based or dedicated year in sleep medicine. Or, you can train in sleep medicine while working, usually Respirologists do in community.

99% of the job is reading PSGs and treating OSA / prescribing CPAP. A lot of insomnia but usually nothing much to do except non-pharm mgmt.

narcolepsy is rare.

restless leg syndrome is fairly common

Academic sleep physicians see more complex cases - may take on neuromuscular patients requiring NIV, pediatric cases etc.


billing wise, you bill consults using your primary specialty codes (Resp bill resp consult, GP bill GP consult code, Neuro/Psych bill their respective billing codes)

you bill for reading PSGs

otherwise it’s not much diff from normal clinic work / purely outpatient + reading PSG. 

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  • 2 weeks later...
On 3/30/2022 at 11:40 PM, futureGP said:

Commonly part of Respirology and easiest to do after Resp as OSA is the most common sleep disorder and Respirologist suits naturally given CPAP is therapy of choice.

In many provinces you don’t need sleep fellowship to do sleep as a Respirologist.

In Ontario, need extra training to do sleep, either 1 year fellowship-based or dedicated year in sleep medicine. Or, you can train in sleep medicine while working, usually Respirologists do in community.

99% of the job is reading PSGs and treating OSA / prescribing CPAP. A lot of insomnia but usually nothing much to do except non-pharm mgmt.

narcolepsy is rare.

restless leg syndrome is fairly common

Academic sleep physicians see more complex cases - may take on neuromuscular patients requiring NIV, pediatric cases etc.


billing wise, you bill consults using your primary specialty codes (Resp bill resp consult, GP bill GP consult code, Neuro/Psych bill their respective billing codes)

you bill for reading PSGs

otherwise it’s not much diff from normal clinic work / purely outpatient + reading PSG. 

can GPs with a fellowship in sleep medicine read/bill for PSGs? I thought it was an act reserved for pulm and neuro

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The strongest aid helping most people is taking melatonin as it is a naturally occurring hormone that regulates the sleep cycle. I have taken it since I started having insomnia, which helped me a lot. Though I also followed many rules like sleeping in a perfectly dark room, on a firmer surface, keeping a cooler temperature, and no screen time before going to sleep. It is hard to distinguish what has helped me the most, but I think you could also find more info on www.sleepunderground.com  about it. Good luck!

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