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Related Concept Videos

Psychosurgery01:30

Psychosurgery

51
Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
Historical Development of Psychosurgery
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Sleep, an essential biological state, involves significant reductions in physical activity, sensory awareness, and interaction with the environment. This complex physiological process is primarily regulated by specific brain regions, notably the hypothalamus and pons, which govern the sleep-wake cycle or circadian rhythm.
The circadian rhythm, a nearly 24-hour cycle, is deeply influenced by environmental light cues. Light exposure directly affects the hypothalamus, which in turn regulates...
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Related Experiment Video

Updated: Jun 14, 2025

Drug-Induced Sleep Endoscopy DISE with Target Controlled Infusion TCI and Bispectral Analysis in Obstructive Sleep Apnea
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Analysis of Recent Sleep Surgery Fellowship Training.

Thomas M Kaffenberger1,2, Colin Huntley3, Maurits Boon3

  • 1Department of Otolaryngology, University of Pittsburgh, Pittsburgh, Pennsylvania, U.S.A.

The Laryngoscope
|September 3, 2024
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Summary
This summary is machine-generated.

Sleep surgeon training pathways vary, but graduates find strong job prospects. This study surveyed fellowship graduates, revealing diverse training and a robust employment market for sleep surgeons.

Keywords:
medical educationsleep fellowshipsleep medicinesleep surgery

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Area of Science:

  • Otolaryngology
  • Sleep Medicine
  • Surgical Education

Background:

  • Accreditation Council for Graduate Medical Education (ACGME) accredited sleep medicine fellowships are required for otolaryngologists since 2011.
  • Hybrid fellowships combining sleep medicine and surgery training have emerged.
  • Understanding training balance and surgical volume is crucial for curriculum development.

Purpose of the Study:

  • To analyze the balance between sleep medicine and surgical training in fellowship programs.
  • To assess the surgical volume and procedural experience of recent sleep surgeon fellowship graduates.
  • To evaluate the employment outcomes of surgeons completing sleep-focused fellowships.

Main Methods:

  • Survey distributed to 26 surgeons who completed sleep-focused fellowships between 2017-2023.
  • Assessed training balance, surgical procedures during fellowship, and post-fellowship practice.
  • Collected data on job offers and employment settings (academia vs. private practice).

Main Results:

  • 19 surgeons responded, with 52.6% completing hybrid fellowships.
  • Most common procedures included hypoglossal nerve stimulators, pharyngoplasty, and nasal surgeries.
  • Graduates received an average of 2.4 job offers, with 89.5% entering academic positions.

Conclusions:

  • Significant variability exists in sleep-focused surgical fellowship curricula.
  • The job market for sleep surgeons completing these fellowships is strong.
  • Findings can inform fellowship applicants and program directors for curriculum enhancement.