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Sports Medicine Fellowship Goals and Objectives

The Cone Health Sports Medicine Fellowship is a one-year ACGME accredited program, which allows primary care physicians to develop expertise in sports medicine. This is accomplished through teaching and supervision from the Cone Sports Medicine Center faculty and staff as well as affiliated community orthopedic teaching practices.

Sports medicine fellows will gain experience in sports preparticipation and wellness, treatment of acute and chronic musculoskeletal injuries, sideline and mass participation coverage, and treatment of chronic disease in athletes. Completion of the Fellowship allows the physician to sit for the Certificate of Added Qualification in Sports Medicine.

Medical Knowledge

Goal - To gain the knowledge to evaluate, diagnose and manage common disorders seen in sports medicine and orthopedics. 
  
Objectives - The fellow will be able to understand:

  • The pathology, pathophysiology, diagnosis and treatment of acute and chronic sports medicine and orthopedic injuries, including soft tissue, bone and nerve injury.
  • The pathology and pathophysiology of acute and chronic medical illness in the active population.
  • The psychological aspects of exercise, performance and injury.
  • Preventive medicine and the athletic preparticipation exam, including the ethical and medico-legal aspects.
  • Physiology and pathophysiology of hydration, nutrition and the use of pharmacologic agents, including performance enhancing and mood-altering substances of athletes.
  • How to diagnose and treat common acute and chronic sports medicine and orthopedic injuries.
  • Normal anatomy, physiology and biomechanics of the musculoskeletal and neurologic system.

Patient Care

Goal - To develop the skills to manage common orthopedic and sports medicine disorders seen in primary care. 

Objectives - The fellow will be able to:

  • Obtain accurate histories regarding orthopedic and sports medicine diseases.
  • Perform appropriate physical examinations on patients.
  • Care for athletes with acute and chronic medical illnesses.
  • Perform preparticipation examinations, including counseling and rehabilitation for return to play and sports exclusion.
  • Perform a wellness assessment and counsel patients regarding hydration, nutrition, performance enhancing substances and rehabilitation.
  • Act as team physician for various sports teams and mass participation events, including managing acute and life-threatening injuries and illnesses.
  • Continue managing primary care patients, including continuity clinics and precepting residents and students.
  • Perform procedures appropriate for the diagnosis and management of musculoskeletal disorders.

Interpersonal & Communications Skills

Goal - To communicate effectively with physicians, staff, and patients concerning the evaluation and management of orthopedic and sports medicine conditions. 

Objectives - The fellow will be able to: 

  • Describe the diagnosis and treatment plans for diagnosed conditions to patients and their families.
  • Counsel patients regarding their injury and incorporate return to play and prevention strategies.
  • Accurately convey medical information to colleagues, specialists, athletic trainers and coaches, verbally and written.
  • Accurately document patient encounters.

Practice-Based Learning & Improvement

Goal - To appraise and utilize the best evidence in caring for patients with or at risk for various orthopedic and sports medicine conditions. 

Objectives - The fellow will be able to: 
  • Integrate evidence-based medicine and new diagnostic or therapeutic strategies into patient care within the sports medicine clinic.
  • Analyze and present current literature in the field of sports medicine and orthopedics on a local and national level.
  • Develop a research project or quality improvement project for the sports medicine patient population.
  • Teach at Journal Club, noon conference and sports medicine seminar to convey knowledge that can be applied to improve care within the sports medicine clinic.
  • Attend national sports medicine and orthopedic conferences and apply learned material to patient care.

System-Based Practice

Goal - To work well within the Health Ssytem to provide optimum care for patients with orthopedic or sports medicine conditions. 

Objectives - The fellow will be able to:

  • Appropriately utilize consultation with specialists for the co-management of sports medicine and orthopedic disorders.
  • Appropriately utilize imaging techniques at local imaging offices.
  • Appropriately utilize special services such as physical and occupational therapy.
  • Care for patients in a cost effective manner.
  • Streamline the care of athletes between school and the Health System and identify accessible resources for their care.
  • Understand coding for sports medicine and orthopedic office visits, procedures and supplies.
  • Understand insurance requirements and reimbursement for sports medicine and orthopedic conditions and supplies, including worker's compensation.

Professionalism

Goal - To demonstrate commitment to carrying out professional responsibilities, adherence to ethical principles and sensitivity to diversity when dealing with orthopedic and sports medicine problems. 

Objectives - The fellow will be able to:

  • Demonstrate respect and sensitivity in dealing with patients, regardless of race, cultural background or sexual orientation.
  • Demonstrate good work habits, including maturity, punctuality, availability and efficiency.
  • Reliably perform duties, including clinic, training room and athletic event coverage.
  • Be available for trainers, staff, colleagues and athletes.
  • Provide adequate continuity and follow-up of athletes and complex cases.