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Information for the Subspecialty Certification Program in Sleep Medicine

Please see exam information below. Click here to View/Save exam information.


The Sleep Medicine program for Certification of Added Qualifications is developed by a conjoint effort of the American Osteopathic Boards of Family Medicine, Internal Medicine, Neurology and Psychiatry, and Opthalmology and Otorhinolaryngology. This program is designed to recognize excellence among physicians who are specialists in Sleep Medicine.

This information booklet has been prepared by the AOA/BOS Boards participating in the conjoint examination for its Diplomates who are applying for examination in Sleep Medicine. The program will have two components:

  1. Satisfactory completion of training.

  2. Successful performance on a comprehensive, one-day examination.


Candidates must be a Diplomate of the AOBIM and have completed a 12 month AOA approved fellowship in Sleep Medicine which was completed after July 1, 2008.


The date of the Sleep Medicine Examination is August 29, 2017. The completed application must be submitted in toto no later than April 1, 2017. Any applications postmarked after April 1, 2017 will be assessed a two hundred dollar ($200) late registration fee. No applications will be accepted after May 1, 2017. All candidates who have submitted their application prior to the deadline date will be notified whether or not they have been admitted to the examination prior to June 1, 2017.


The application/examination fee will be $1200, which must be submitted no later than April 1, 2017. There is a nonrefundable fee of $100 for withdrawals prior to April 1 and $400 for withdrawals between April 1, 2017 and May 1, 2017. No refund is granted for any withdrawal postmarked after May 1, 2017.

Instructions for Completing the Application Packet

Please read all of the information on the website under Subspecialty Certification on the dropdown “Directions and Information for Submitting the Application”.

The Examination

General Description

This examination will be a computer-based 5-hour examination consisting of multiple-choice questions of the "one best answer" type. There will be a total of 200 items on the examination which will be administered at 300 Prometric testing sites and will begin at 8:00 am and end at 1:00 pm. The examination fee is $1200 and is due no later than April 1, 2017. The Sleep Medicine Examination will cover the broad aspects of Sleep Medicine that specialists practicing in the field are expected to know. The examination will assess the candidate’s knowledge and clinical judgment in aspects of Sleep Medicine required to perform at a high level of competence. The examination will include but will not be restricted to:

Fundamentals of sleep including basic sciences related to sleep(physiology, neuroanatomy, etc.), sleep-wake cycles and stages, biologic rhythms, and dreaming; polysomnographic interpretation and scoring including interpretation of PSGs, portable PSGs, MSLTs, and MWTs and assessment of oximetry; technical aspects of operations of the sleep lab including scoring sleep and sleep-related events, scoring MSLTs, perform technical setup and initiation of studies, formal review of sleep-related testing, use and limitations of computerized PSG equipment including transducers and oximeters, administration of oxygen in the laboratory, techniques of application of CPAP/bi-level PAP, and calibration and operation of PSG recording systems; diagnosis/differential diagnosis/treatment/management/follow up of sleep disorders including insomnia, sleep-related breathing disorders, hypersomnia of central origin, circadian rhythm disorders, parasomnias, sleep-related movement disorders, isolated symptoms and apparently normal variants, and other sleep disorders; differential diagnosis of sleep disorders by age including pediatric, adolescent, adult and geriatric age groups; interpretation of pulmonary function testing, imaging procedures, esophageal pH monitoring; sleep center management, ethics and public policy including organizational structure of sleep laboratory, medical director responsibilities, medical record and regulatory requirements of a sleep laboratory and its personnel, sleep laboratory accreditation standards, sleep laboratory policies and procedures, instruction to technicians, published Practice Parameters, and ethical principles of sleep laboratory management.

Medical Content Category Relative Percentage
Fundamentals of sleep 18%
Polysmnographic interpretation and scoring 20%
Technical aspects of operations of sleep lab 10%
Diagnosis/differential diagnosis sleep disorders 25%
Treatment, management, and follow-up 22%
Sleep center management, ethics, public policy 5%


The Board can make no specific recommendation about study methods, review courses, etc., to prepare for the examination; however, extensive self study of Sleep Medicine in texts and journals and participation in continuing medical education programs and review courses in Sleep Medicine should be useful.

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