Center for Athletic Medicine - Primary Care Sports Medicine Fellowship Program

Rotations

  1. Cardiology and Exercise Physiology (4 weeks)
  2. Medical Issues in Sports (4 weeks)
  3. Musculoskeletal Imaging (4 weeks)
  4. Orthopedic Surgery (8 weeks)
  5. Pediatric Sports Medicine (4 weeks)
  6. Physical Therapy and Injury Rehabilitation (integrated)
  7. Primary Care Sports Medicine (8 weeks)
  8. Spine Management (4 weeks)
  9. Sports Psychology and Nutrition (4 weeks)
  10. Sports Trauma Management (4 weeks)
  11. Hand/Foot & Ankle (4 weeks)
  12. Elective Rotation (4 weeks)

Total weeks = 52 weeks

Click here for Curriculum Components

Rotation descriptions

Cardiology and Exercise Physiology (4 weeks)

This rotation is designed to expose the fellow to the principles of exercise physiology applied to an 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 basics in sports nutrition. The fellow also 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

Medical Issues in Sports Medicine (4 weeks)

This rotation will use different physicians and didactic methods to expose the fellow to medical problems that require specific treatments in athletes. The rotation will focus such diseases as exercise-induced asthma, diabetes, osteoarthritis, cardiovascular disease, hypertension, cancer, heat illness, cold illness, altitude illness, dermatologic issues and pregnancy.

Rotation Objectives

  • Learn about specific disease entities in sports medicine
  • Learn to manage chronic disease while incorporating exercise as a modality
  • Learn to give exercise prescriptions to patients with cancer and CV disease
  • Learn to utilize pulmonary function tests appropriately

Components

  • Didactics with Athletic Medicine Staff
  • Didactics with specialists
  • Exposure to medical issues of professional sports teams

Musculoskeletal Imaging (4 weeks)

The fellow will spend time with 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, CT 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

Orthopedic Surgery (8 weeks)

This rotation is designed to give the fellow experience with the orthopedic 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
  • Gain 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

  • CAM orthopedic surgical staff
  • Surgical suites at HFH or West Bloomfield
  • Orthopedic grand rounds

Pediatric Sports Medicine (4 weeks)

The fellow will be exposed to pediatric specialists in surgical orthopedics and non-surgical during this rotation. Orthopedic surgery will emphasize scoliosis screening, early gait abnormalities, and management of acute orthopedic 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 & non-surgical clinics
  • Understanding of return to play guidelines

Physical Therapy and Injury Rehabilitation (integrated)

Here, the fellow will familiarize themselves with therapy protocol for specific injuries and surgeries. Longitudinal exposure will give the fellow 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 & 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
  • Gain 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, or Novi facilities
  • Didactics
  • Sarah McDade, M.D. sports medicine trained psychiatrist

Primary Care Sports Medicine (8 weeks)

This will be the core curriculum for the fellow(s). The fellows will work closely with the primary care sports physicians at CAM, Nancy White, M.D. The fellow sports medicine clinics will run in conjunction with Dr. White. During rotations, fellows will see new patients and coattail for rechecks. Game coverage is also incorporated. A wide range of sports topics will be covered in clinic, grand rounds, journal club and informal discussions.

Rotation Objectives

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

Components

  • CAM and West Bloomfield clinics with Nancy White, M.D.
  • Fellow sports medicine clinics
  • Game or event coverage

Spine Management (4 weeks)

The rotation combines the operative, clinical, and O.R. experience of an orthopedic spine surgeon, and integrative medicine practitioners, clinical experience of a non-surgical spine care specialist. Special emphasis will be on handling worker's compensation injuries, vertebral disc disease and radiculopathy, and invasive management of back pain. Fellows will be expected to see patients in clinic and O.R. setting. The fellows will gain exposure to integrative medicine approach to the patient with back problems, i.e., acupuncture, neuron-muscular massage, chiropractic care, and movement re-education.

Rotation objectives

  • Understand the principles of spine evaluation
  • Gain operating room experience on spine surgery cases
  • Be familiar with minimally invasive procedures for back pain
  • Be competent in handling worker’s compensation cases
  • Be able to competently manage low back pain conservatively
  • Be able to understand the role of alternative medicine in their patient & back pain

Components

  • Orthopedic spine surgery clinic (Stephen Bartol, M.D.)
  • Conservative spine care clinic (Shlomo Mandel, M.D.)
  • Operating room at Henry Ford Hospital
  • Special procedures - Pain Clinic HFH
  • Center for Integrative Medicine

Sports Psychology and Nutrition (4 weeks)

This rotation will have two concurrent sections. Fellows will rotate with a board-certified sports physician. The rotation will provide experience with athletes and reinforcement of psychology principles. The fellow will have two or three clinics with as well as a didactic experience. A clinical nutritionist will discuss issues of overweight and underweight athletes, as well as provide clinical experience counseling patients on proper nutritional concepts. Attention will also be spent by incorporating nutritional topics into daily encounters with patients.

Rotation Objectives

  • Learn basic psychology principles applied to sports
  • Learn psychology techniques for improving performance and focus
  • Learn the basic nutritional principles in sports and exercise
  • Learn how to construct a basic diet for a training athlete
  • Be able to address basic nutritional topics for all suitable patients

Components

  • Sports psychology clinic
  • Nutritionist in clinic or didactic session
  • Didactics

Sports Trauma Management (4 weeks)

This rotation will prepare the fellow to handle traumatic injuries on the playing field that are career and life threatening. By a combination of class work, clinical experience, workshops, and lectures, the fellow will receive training in an area primarily focused on by surgical specialties. We also integrate neuropsychology to expose fellows to concussion management and severe brain injury following trauma.

Rotation Objectives

  • Be trained to handle 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

Hand and Foot/Ankle (4 weeks)

The fellow will have ample time spent with one of our hand specialists 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 orthopedic hand surgeon and orthopedic foot/ankle specialist
  • Cast room experience

Curriculum components

Weekly requirements

1-2 half days primary care clinic
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 - monthly
  • Radiology conference - monthly
  • Primary care grand rounds - once monthly
  • Journal club - once monthly

Orthopedic grand rounds (when on ortho surgery rotation) - weekly

Physical therapy and rehabilitation - 2 clinics a month

Coverage experience

  • University of Detroit Mercy
    • Men and women's basketball, soccer, baseball
  • 1-2 High Schools designated by director, including one weekly training room
  • Special Olympics
  • Detroit Skating Club figure skating
  • Direct experience with professional team coverage
    • Detroit Tigers
    • Detroit Ignition Soccer Team
    • Gymnastics, dance and other various sports clubs
    • Event coverage for Michigan Opera House, Fox Theatre, Fisher Theatre, Masonic Temple through the center for Performing Arts

Research

The faculty will facilitate the research project, 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 America 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 will not be as flexible.

Information for Applicants
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