Abstract
Introduction
Despite significant advancements in sleep medicine, its integration into formal medical
education remains uneven. While structured programs exist in some regions, a standardized
framework for postgraduate education is notably lacking in Latin America. This study
assesses the availability of sleep medicine training programs, how specialists gain
expertise, and the current clinical practice across the region.
Methods
A descriptive, cross-sectional survey was conducted among Latin American sleep medicine
specialists via a WhatsApp group of 443 professionals. The questionnaire covered formal
education programs, training locations, and public and private healthcare coverage
for sleep disorder treatments. Descriptive statistical analysis was performed.
Results
Seventy-four physicians from 11 Latin American countries participated. Only four countries—Mexico,
Brazil, Argentina, and Chile—had formal postgraduate programs, leading many specialists
to seek training abroad. Mexico was the most cited destination for further education.
Public healthcare coverage varied: five countries provided sleep surgeries, while
others did not, and CPAP device access was inconsistent. Private insurance generally
did not cover sleep disorder treatments, including DISE, which was only covered in
Argentina and Colombia with mixed responses.
Discussion
Significant disparities exist in sleep medicine education and healthcare access in
Latin America. The lack of structured training limits local expertise development
and increases reliance on international education. Raising awareness is a crucial
step toward improving education and ensuring broader access to standardized sleep
disorder care. Continued research is necessary to bridge existing gaps and enhance
opportunities for specialized sleep medicine care.
Keywords
sleep medicine - postgraduate training - latin america - sleep disorders - healthcare
access - medical training programs
