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By the end of my pediatrics residency in 1995, only once did an issue surrounding normal sleep patterns in children ever arise. This occurred when my continuity clinic preceptor cautioned me not to judge a family too harshly for allowing the infant to cosleep. She reminded me that much of the world outside the United States still practices cosleeping and that our job simply is to make sure that the baby is kept safe. In my residency program, we were taught how to recognize the symptoms and signs of obstructive sleep apnea syndrome (OSAS); beyond that, however, like many other programs, issues such as normal sleep habits, the normal number of hours of sleep at various ages, and when certain sleep disorders might occur and dissipate generally were not addressed. It is not clear why such a gap in training exists,...
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