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Sports Medicine Curriculum
Competency-based Goals and Objectives
Curriculum
description and general goals:
The sports
medicine curriculum is somewhat longitudinal in nature, though a specific
portion of it occurs during the required orthopedics rotations. In addition to
that which is required, residents may also choose to do a one-month sports
medicine elective, which fulfills the “musculoskeletal elective” requirement
(see separate goals and objectives).
Besides the
block rotation experience described in the goals and objectives below, several
noon conferences each year are dedicated to specific sports medicine topics.
These include evaluation of on-field injuries, the pre-participation physical,
life-long fitness, evaluation of head injuries/concussions with return to play
guidelines, treatment and rehabilitation of sports injuries, and preparing
patients for a fitness program. Additionally, an annual sports medicine
conference featuring family physicians with a certificate of added qualification
in sports medicine is held at ARHS and residents are blocked out of other duties
to attend. That workshop includes lectures and hands-on demonstrations of
various joints of the body with attention to specific sports injuries.
Faculty also
teaches a series of competency-based procedural workshops at noon conferences
throughout the year. Several of these involve sports medicine topics, including
exam and injection of the knee and shoulder. Specific mention is made of
various sports injuries at those workshops. They are repeated yearly to ensure
that all residents are adequately trained.
Faculty members
often work the sidelines of high school football games, and residents are
strongly encouraged to join the faculty for hands-on teaching at some of these
games, even in their PGY-1 year.
Pre-participation physical exams and evaluations are done at both FMC’s.
Competency 1:
Patient Care:
Residents must be able to
provide patient care that is compassionate, appropriate, and
effective for the treatment of health problems and the promotion of
health. Residents are expected to:
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All Residents:
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Perform pre-participation
evaluations and physical exams on FMC patients. Initially they should
review the evaluation in detail with the preceptor until adequate experience
is achieved. |
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Provide guidance to patients
who inquire about starting an exercise program |
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Evaluate patients with
sports-related injuries and provide treatment and a rehabilitation plan
appropriate for that patient. |
Competency 2:
Medical Knowledge:
Residents must
demonstrate knowledge of established and evolving biomedical,
clinical, epidemiological and social-behavioral sciences, as well as
the application of this knowledge to patient care. Residents are
expected to:
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All Residents:
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Use readings and models of the
knee and shoulder to learn the detailed anatomy of those joints, and attend
workshops to identify aspiration and injection techniques. |
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Become aware of the specific
questions which should be asked of those who experience sports-related
injuries. |
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Understand principles of the
musculoskeletal exam, with attention to specific tests for specific injuries
and joints. |
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Learn to order and interpret
appropriate x-rays for specific sports injuries. |
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Learn the indications for more
extensive imaging such as MRI for sports injuries. |
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Diagnose and treat regional
pain syndromes with attention to causation by sports involvement. |
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Consider nutritional aspects
of sports related activities. |
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Learn to evaluate and triage
on-field sports injuries. |
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Understand the different
issues involved for specific types of athletes, specifically the
pre-adolescent, adolescent, female, elderly, physically-challenged, and
recreational athletes. |
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Identify signs of steroid
abuse and use of other performance drugs. |
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Learn the basics of casting
and splinting of sports related injuries, primarily in the orthopedic
office, and in the emergency department as well. |
Competency 3:
Practice Based Learning and Improvement:
Residents must demonstrate the ability to investigate and
evaluate their care of patients, to appraise and assimilate
scientific evidence, and to continuously improve patient care based
on constant self-evaluation and life-long learning. Residents are
expected to:
develop skills and habits to
be able to meet the following goals:
o
identify strengths, deficiencies, and limits in one’s
knowledge and expertise;
o set
learning and improvement goals;
o identify
and perform appropriate learning activities;
o
systematically analyze practice using quality improvement methods,
and implement changes with the goal of practice improvement;
o
incorporate formative evaluation feedback into daily practice;
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All residents:
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Use standard evidence-based
information such as head injury guidelines and Ottawa ankle rules to assess
patient injuries and plan for return to play. |
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Keep current on changes in
guidelines which may be published from time to time. |
Competency 4:
Interpersonal and Communication Skills:
Residents must demonstrate interpersonal and communication
skills that result in the effective exchange of information and
collaboration with patients, their families, and health
professionals. Residents are expected to:
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All Residents:
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Communicate with patients
clearly and accurately regarding treatment of sports-related injuries,
rehabilitation plans, and return to function. |
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Communicate with coaches,
parents, and other involves authorities to optimize the rehabilitation plan
for student sports injuries. |
Competency 5:
Professionalism:
Residents must
demonstrate a commitment to carrying out professional
responsibilities and an adherence to ethical principles. Residents
are expected to demonstrate:
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All Residents:
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The ability to resist pressure
from coaches, parents, and similarly involved patient advocates when
deciding appropriate return to play guidelines following a sports-related
injury. |
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Ethical behavior by refusing
to become involved with supplying of performance enhancing drugs. |
Competency 6:
Systems-Based Practice:
Residents must
demonstrate an awareness of and responsiveness to the larger context
and system of health care, as well as the ability to call
effectively on other resources in the system to provide optimal
health care. Residents are expected to:
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All Residents:
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Refer patients with
sports-related injuries to appropriate orthopedic or physical therapy
agencies as needed. |
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Assess which injuries may be
readily cared for by a family physician, versus which injuries require
specialty referral. |
Readings:
Cassas KJ,
Cassettari-Wayhs A. Childhood & adolescent sports-related overuse injuries. Am
Family Physician 2006;73:1014-22
Giese EA,
O’Connor FG, Brennan FH, Depenbrock PJ, Proscello RG. The athletic
preparticipation evaluation: cardiovascular assessment. Am Family Physician
2007;75(7):1008-14
Whiteside JW.
Management of head & neck injuries by the sideline physician. Am Family
Physician 2006;74:1357-62
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