Sleep medicine fellows are assigned to 4-8 week rotations, each comprised of one afternoon a week in pulmonary outpatient clinic and inpatient consultations; neurology (review and interpretation of EEGs); cognitive behavioral therapy clinic; otolaryngology outpatient clinic and inpatient operating room; oral and maxillofacial surgery outpatient clinic and inpatient operating room; and a medical weight management clinic. In addition, fellows are assigned to a second clinical site at Nemours Children's Hospital in Wilmington, Delaware, where they receive training in pediatric sleep medicine.

The diversity designed into our clinical and academic programs allows fellows to experience patients and perform testing in a wide range of diagnostic entities, to utilize and learn the gamut of therapeutic options in sleep medicine, and to develop competency in the evaluation and management of inpatient and outpatient sleep disorders in all age ranges, representing a diversity of cultural and socioeconomic backgrounds. Specific aspects of the rotation and extent of involvement are tailored to the needs of the fellow. For example, a fellow with prior training in pulmonary medicine may require less extensive clinical training in that field, but may require more extensive training in other disciplines in sleep medicine.

Academic time is preserved and includes core lectures, case conferences, multidisciplinary conferences, journal clubs, polysomnographic record reading and interpretation conferences, grand rounds, and bedside rounds, among others. Fellows are required to engage in research and typically submit and present their research findings at national meetings.