Center for Athletic Medicine - Primary Care Sports Medicine Fellowship Program

Rotations:

Rotation Descriptions:

MSK Medicine (2 MONTHS)

The first two months of the fellowship year will be spent with the core faculty in primary care sports medicine clinic. The Fellows will work closely with the faculty at a variety of practice locations. During these rotations, Fellows will see and evaluate new patients and hone their musculoskeletal examination skills. Game coverage is also incorporated into these rotation months.

Rotation Objectives:

  • Learn basic sports medicine injury diagnostic skills and management techniques
  • Cover games and events involving the attending physician
  • Learn how to run a sports medicine clinic
  • Learn how to manage medical diseases incorporating exercise as a therapeutic modality

Components:

  • PCSM clinics with various faculty members
  • Game or even coverage

MSK Radiology (1 MONTH)

The Fellow will spend time with the musculoskeletal radiologists in a hospital setting. Emphasis will be on reading MRI, ultrasound, and CT scan of the extremities and spine, as well as proper utilization of these tests.

Rotation Objectives:

  • Be familiar with the principles of interpreting MRI<ST and US of the extremities
  • Gain experience reading spine radiographs and MRI
  • Understand how to radiographically image the musculoskeletal system
  • Be familiar with invasive diagnostic procedures (arthrograms, myelograms, discograms)

Components:

  • Hospital musculoskeletal radiology department

Sports Surgery (2 MONTHS)

This rotation is designed to give the Fellow experience with Orthopaedic surgeons in the office, OR and game coverage. To maximize diversity and experience, the Fellow will rotate with the available surgeons during the month, according to their preference.

Rotation Objectives:

  • Gain experience in surgical repair of sports injuries
  • Gain experience in surgical post-operative care
  • Fain an understanding as to the criteria for surgery on sports injuries
  • Learn surgical rehabilitation protocols for various procedures
  • Gain experience in event/game coverage with the particular surgeon

Components:

  • Orthopaedic surgical staff
  • Surgical suites at HFH or West Bloomfield
  • Orthopaedic grand rounds

Orthopedic Trauma (1 Month)

From training with Orthopaedic trauma specialists, this rotation will prepare the Fellow to manage potentially career and life-threatening traumatic injuries. A combination of clinic experiences, workshops and lectures. Will be utilized to provide the Fellow with the best possible educational experience. We also integrate neuropsychology experiences to expose Fellows to sport concussion management and sever brain injury following trauma.

Rotation Objectives:

  • Be trained to manage a traumatic neck injury in all sports, specifically football and hockey
  • Know the principles of airway management
  • Take and pass a certified ATLS course
  • Know how to manage open wounds and fractures

Components:

  • ATLS training and certification
  • Trauma clinic at Henry Ford Hospital
  • On-field emergency workshops with athletic trainers
  • Didactics, clinics with management specialist

Spine Physiology Therapy (1 MONTH)

Here, the Fellow will familiarize themselves with therapy protocol for specific injuries and surgeries. Longitudinal exposure will give the Fellows the opportunity to follow injury rehab through the various stages and phases. Exposure to therapeutic modalities will be incorporated with lectures and talks on how they should be used. Intermittently Fellows will be exposed to physical medicine and rehabilitation specialist for office consultations.

Rotation Objectives:

  • Be able to prescribe physical therapy for athletes tailored to their specific needs and injuries
  • Learn principles of injury rehabilitation
  • Fain experience with modalities and learn how to utilize them
  • Understand the operation of a physical therapy clinic
  • Gain exposure to surgical rehabilitation protocols

Components

  • Physical therapists and facilities at CAM, West Bloomfield, Columbus
  • Michelle Thibodeau, PT

Hand and Foot/Ankle (2 MONTHS)

The Fellows will spend clinical time and have the opportunity to spend operative time with both hand and foot/ankle specialists to hone their clinical exam and treatment skills for common injuries to these areas.

Rotation Objectives

  • Be able to diagnose and treat common injuries of the hand and foot/ankle
  • Be proficient in return to play guidelines for such injuries
  • Be proficient in casting and/or splinting of such injuries

Components:

  • Clinics with Orthopaedic hand surgeon and Orthopaedic foot/ankle specialist
  • Cast room experience

Sports Pediatric (1 MONTH)

The Fellow will be exposed to pediatric specialists in surgical and non-surgical Orthopaedics during this rotation. Orthopaedic Surgery will emphasize scoliosis screening, early gait abnormalities, and management of acute Orthopeadic injuries in the pediatric population.

Rotation Objectives:

  • Be able to detect gait abnormalities and scoliotic disorders
  • Be able to confidently manage acute pediatric sports injuries

Components

  • Surgical and non-surgical clinics
  • Understanding return to play guidelines

Sports Physiology (1 MONTH)

This rotation is designed to expose the Fellow to the principles of exercise physiology applied to the athlete. Aspects of fitness aerobic and strength training, and other exercise principles will be learned as the Fellow is integrated into a fitness program and works out with exercise physiologists and trainers. Fellows will be instructed on administering and interpreting exercise stress tests. Readings will supplement the training. Body fat analysis, heart rate, cholesterol, and other elements will be evaluated. A nutritionist will cover basis in sports nutrition. The Fellow will work with exercise physiologists in clinic.

Rotation Objectives

  • Learn the principles of exercise physiology
  • Learn how to prescribe a fitness program
  • Learn how to order, perform and interpret an exercise stress test
  • Learn the principles of aerobic and strength training.

Components:

  • Clinic with Steven Keteyian, Ph.D
  • Physiology lab
  • Fitness Works trainers

Curriculum Components

Weekly Requirements

1-2 half days
Primary Care Clininc
2 half days
Sports Medicine Clinic
1 half day Collegiate Training Room
1 half day
High School Training Room
2 full days
Rotation
1 half day
Administrative/Research

Regular Requirements

  • Fellow lecture – Weekly didactic experience with fellowship director 
  • Radiology Conference – Monthly
  • Primary Care Grand Rounds – Once a Month
  • Journal Club – Once quarterly
  • Orthopaedic Grand Rounds – Weekly when on Trauma rotation
  • Physical therapy and rehabilitation – 2 clinics a month

Coverage experience

  • University of Detroit Mercy, Wayne State University, Lawrence Technological University
  • Allen Park High School, Bloomfield Hills High School, University of Detroit Jesuit High School
  • Special Olympics
  • Direct experience with professional team coverage
    • Detroit Pistons, Detroit Lions, Detroit Tigers
    • Detroit City FC
    • Rock CF Half Marathon
    • Event coverage for Michigan Opera House

Research

The faculty will facilitate research projects, which will be done in conjunction with the research department at Henry Ford Hospital. Access to the research development division of Henry Ford and statistical analysis is available. Before initiation, the directors will approve the research project. The project should be written with intent to publish.

Case Presentations

The fellow will be expected to write a case to be submitted for presentation at either the American Osteopathic Academy of Sports Medicine or the American Medical Society of Sports Medicine conference in the spring of the fellowship year. The case should be documented and completed for submission by February before the conferences.

Flexibility

Significant time was spent establishing a structure for Fellows to follow. However, we encourage the Fellow to pursue their specific interest in sports medicine. The Fellow will be encouraged to adapt to the changes in rotations and schedules to meet his or her desires and needs. The continuity clinics wo;; not be as flexible.

Information for Applicants
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