The University of Iowa
Primary Care Sports Medicine Fellowship

Program:  UI Primary Care Sports Medicine Fellowship

University of Iowa Hospitals & Clinics
Department of Family Medicine
200 Hawkins Drive
Iowa City, IA  52242

Phone: (319) 467-8306

Fax: (319) 467-8247

Program Director:   This e-mail address is being protected from spambots. You need JavaScript enabled to view it , MD

History:  The UI Primary Care Sports Medicine Fellowship is a new, ACGME accredited fellowship program to begin in July 2011 with two full-time, one year fellowship positions.  Graduates of the accredited program will be equipped to function as clinical providers, educators and leaders in sports medicine.

Duration:  The training program shall be twelve (12) months in duration with a longitudinal and integrated curriculum.

Prerequisite Training/Selection Criteria: Prerequisite training requirements include residency-training and board-eligible status in Family Medicine, Emergency Medicine, Internal Medicine, Pediatrics or Physical Medicine & Rehabilitation.  All applicants must be eligible to obtain a Permanent License to practice medicine in the state of Iowa. The program will participate in the National Residency Matching Program.  All applicants must apply through the American Medical Society for Sports Medicine (AMSSM) Universal Application for Fellowship Training.

http://www.amssm.org/Fellowships.html.

Selection criteria used in appointing candidates will include:

• AMSSM Universal Application for Fellowship Training
• Personal Statement
• Curricula Vita
• Three reference letters (one from current Program Director)
• Medical School Dean’s letter
• Medical School transcripts

Application deadline is October 1, 2012 

Goals & Objectives for Training:

The goal of the Primary Care Sports Medicine fellowship is to provide a comprehensive, diverse, educational experience in the field of Sports Medicine. Graduates will possess the clinical competence needed to diagnose and manage medical illnesses and injuries related to sports and exercises in a variety of athletes and physically active patient populations.  The fellowship will also provide experience in functioning in the role of Team Physician.

By the end of the 12-month training program, fellows will be proficient in all six ACGME core competencies applicable to the field of Sports Medicine.  Specifically, fellows will be able to: 

• Provide continuing, comprehensive care for health problems related to sports and exercise.
• Perform technical procedures, such as: casting and splinting, arthrocentesis and intra-articular joint injections.
• Develop pre-participation examination programs, as well as conduct thorough pre-participation exams for organized athletes of a wide range of ages.
• Identify and effectively communicate representative inpatient and outpatient orthopaedic procedures.
• Provide on-site care and management to participants at various sporting events.
• Serve as team physician to several teams which engage in seasonal sports and provide comprehensive and continuing care to team athletes.
• Plan and implement medical coverage for a mass participation event to include:  providing medical consultation, direct patient care, event planning, protection of participants, coordination with local EMS systems and other medical aspects of mass participation of events.
• Discern how a variety of disciplines impact the field of sports medicine including, but not limited to: physiology and biomechanics, nutrition, pathology and pathophysiology of illness and injury, pharmacology, sports psychology, ethics and medical/legal aspects of exercise and sports.
• Provide appropriate in-patient and, follow-up care to their own patients to include consultation with other physicians and professionals in other disciplines.
• Provide patient, medical student, resident-education regarding sports medicine to patients, families, colleagues, allied health personnel, and community sports medicine networks.
• Conduct sports medicine scholarly activity.
• Utilize evidence-based medicine in clinical sports medicine practice.
• Maintain their skills in their primary specialty.

Program Certifications:

After successful completion of the program, fellows will be eligible to take the Certificate of Added Qualifications (CAQ) in Sports Medicine through the American Board of Family Medicine.

Teaching Staff:

The program is comprised of a multidisciplinary staff that will supervise fellows at the University of Iowa Hospitals & Clinics (UIHC) Institute for Orthopaedics, Sports Medicine & Rehabilitation (IOSMR).

Family Medicine:  M. Kyle Smoot, MD, CAQ in Sports Medicine, Clinical Assistant Professor and Fellowship Program Director.

Pediatrics:
George Phillips, MD, CAQ in Sports Medicine, Clinical Associate Professor, Director of Primary Care Sports Medicine, UIHC IOSMR.
Andrew Peterson, MD, CAQ in Sports Medicine, Clinical Assistant Professor

Orthopaedics:    Ned Amendola, MD, Professor, Medical Director of UIHC-IOSMR. Head Team Physician UI Athletics
Brian Wolf, MD, Associate Professor
Matthew Bollier, MD, Assistant Professor
Carolyn Hettrich, MD, MPH, Assistant Professor

Physiatry:   Mederic Hall, MD, Clinical Assistant Professor

Pathology:    Barry DeYoung, MD, Professor,

Radiology:    Georges El-Khoury, MD, Professor, Director of Musculoskeletal Radiology

Facilities:

The UIHC Institute for Orthopaedics, Sports Medicine & Rehabilitation (IOSMR) will be the principle site of fellowship training.  The IOSMR is a multi-disciplinary academic center providing primary care sports medicine, orthopaedic sports medicine, rehabilitation and radiology services.  The University of Iowa Hospitals and Clinics (UIHC) will serve as the primary facility for inpatient, outpatient continuity clinics, and emergency department clinical training.

Educational Program – Basic Curriculum:

1. Clinical and research components – The majority of clinical time will be spent at the IOSMR in which fellows will provide continuous, comprehensive care to student-athletes and community patients with health problems related to sports and exercise.  Specialized orthopaedics clinics will be integrated into the center allowing fellows to observe and/or participant in outpatient operative orthopedic procedures and consultation.   In addition to a IOSMR clinical experience, fellows will provide on-site sports care and management for a variety of collegiate and high school teams as well as mass-participation sporting events.   Fellows are also required to spend a minimum of one, ½ day per week maintaining their skills in their primary specialty departments’ clinic.

   Through didactics and a monthly journal club, fellows will be guided through the research process (critical analysis and evaluation of the medical literature, clinical epidemiology, and clinical study &design) and have opportunities to apply these skills in scholarly activities and projects.  The IOSMR will combine excellence in education and clinical research, allowing fellows to focus on not only treatment and rehabilitation but also on prevention, outcomes, and methods of returning patients safely to activity and continual improvement.  Each fellow will be encouraged to participate in a research project or submit a manuscript.  Each fellow will be required to submit a clinical case for presentation at a national sports medicine conference (American Medical Society for Sports Medicine, American College of Sports Medicine) or a national meeting in their primary field.

2. Participant’s supervisory and patient care responsibilities – Fellow patient care and clinical activities will be supervised by fellowship faculty in the IOSMR.  In accordance to RRC requirements, fellows will maintain their skills in their primary specialty in the UIHC Family Care Center or the UIHC Emergency Department dependent upon their primary specialty training under the supervision of teaching faculty department faculty.

3. Detailed rotation schedule – The 12-month program is developed around a longitudinal, integrated curriculum and is structured in accordance with the Residency Review Committee requirements.  In order to increase patient continuity experiences and integrate a multi-disciplinary approach of sports medicine care a longitudinal approach is emphasized.  The curriculum allows fellows to build upon the foundation of their primary specialty while introducing and layering new content and perspective.  A traditional, monthly rotation will not be utilized.  Instead, the longitudinal-integrated curricula will be comprised of the following components throughout the year:
   Sports Medicine Clinic
   Orthopaedic Clinics
   Weekly Sports Medicine Meetings
   Weekly Sports Medicine Conference
   University Iowa Training Rooms
   Event Coverage
   Primary Specialty Clinics or Emergency Department dependent on primary specialty.

4. Didactic Components:  Fellows will be required to attend the weekly, one-hour multi-disciplinary Sports Medicine Conference, a weekly musculoskeletal radiology conference and a weekly meeting with primary care sports medicine faculty.

Benefits:  http://www.uihealthcare.com/depts/graduatemedicaleducation/