AIRE飞行员计划: Innovative Sleep Medicine Training

Currently, sleep training occurs predominantly in a time-based model with a focus on process and structure as fellows are required to score a fixed number of polysomnograms, interpret a set number of sleep studies and manage a pre-determined number of patients. This is counter to the trend in medical education for competency-based training. In addition, despite success in establishing > 80 fellowship training programs since recognition of sleep medicine in 2005, current workforce projections show the number of new board-certified sleep medicine physicians is unlikely to keep up with projected losses from retirement much less increase the number of sleep specialists. A major barrier to training additional sleep physicians is the added time required for training on top of other specialty and subspecialty training. Novel training pathways are needed to lower barriers to obtaining sleep medicine training.

毕业在Resi建立了推进创新dency Education (AIRE) program in an attempt to catalyze innovation in graduate medical education (GME). The AASM submitted a proposal to develop alternate training pathways utilizing a competency-based curriculum and uniform evaluation tools. Education committees within the AASM have developed a standardized competency-based curriculum for training sleep medicine fellows to allow comparison of achievement of curricular-based milestones of clinical competency across training programs. Competency-based assessment tools will be provided to participating programs to accomplish the comparisons. A component of the proposal is exploration of the feasibility of alternate training pathways, including a Part-Time Model and a Blended Model allowing concurrent training in sleep medicine and another related subspecialty.

总体目标是通过奖学金培训中的创新来提高提供医疗保健的质量和安全。具体而言，该飞行员的参与者将利用基于能力的课程实施替代培训途径，该课程可以与其他奖学金培训计划融合在一起，并具有重叠的知识和技能（即肺部重症监护医学，儿科肺病）或在兼职并将这些途径与传统的基于时间的睡眠药物奖学金模型进行比较。第二个目标是根据AASM开发和传播的ACGME里程碑报告框架，验证标准化的能力评估工具。

参与计划必须符合以下资格标准：

• ACGME认可的睡眠医学奖学金计划良好
• Division/Department willingness to utilize AASM-provided standardized competency assessment tools for fellows in both innovative pathways and standard pathway.
• Ability and capacity to add an additional fellow slot
• 对于参与兼职模型，协议允许可变的日期，从开始日期起不超过2年。
  • Fellows participating in the Part-Time Model must have board certification or board eligibility through the American Board of Internal Medicine, American Board of Pediatrics, American Board of Psychiatry and Neurology, or the American Board of Otolaryngology – Head and Neck Surgery.
• For participation in the Blended Model
  • 相关的ACGME认可的奖学金计划（成人肺医学，成人重症监护医学，儿科肺病学）。
  • 相关亚专科的协议参与并调整同伴的时间表以允许完成这两个奖学金。

Interested programs should provide the following:

• 完成的申请表
• Support letter from sleep medicine Program Director and Division/Department Chief
• For programs applying for the Blended Model, a support letter from the Program Director and Division/Department Chief of the related fellowship program (adult pulmonary medicine, adult critical care medicine, pediatric pulmonology) will be required before completion of the selection process.
• Support letter from Institution’s Graduate Medical Education leadership/Designated Institutional Officer (DIO)
• 睡眠医学计划导演的简历
• 对于申请混合模型的计划，相关奖学金计划的计划主任（成人肺医学，成人重症监护医学，小儿肺病学）的简历
• Program Status Form

申请将提交给AASM的创新奖学金模型咨询小组，该小组将监督该计划。该小组由计划董事，前计划董事或具有无参与睡眠医学奖学金计划的教育领导经验的人员组成。AASM董事会将最终批准该委员会的建议选择。

The AASM will provide up to a total of $4 million dollars over 5 years to cover fellow salary and benefits, and the costs of development and implementation of the competency-based assessment tools.Institutional indirect costs are not allowed under this award.

对于参加Part-Time Model在培训中，AASM将为参加该机构的传统培训途径的同胞提供同等的薪水和附带，最高可达100,000美元。

对于参加Blended Model在培训中，AASM将在混合培训的头三年中每年为计划提供10,000美元。如果同伴无法在睡眠医学及其肺（成人/小儿）领域获得能力，那么AASM将提供同等的薪水和附带的奖励培训，以提供额外的研究金培训，以提供额外的时间来实现能力，直至$ 100,000。

AASM计划在未来两年内继续该项目。为飞行员选择的初始程序截至2019年AY2019/20。

• Program Status Form
• 兼职模型应用

• Program Status Form
• Blended Model Application

常见问题解答for AIRE Pilot Program Applications