Purpose of the Primary Care Sports Medicine Fellowship:
The Long Beach Memorial Primary Care Sports Medicine Fellowship strives to train family medicine physicians to provide quality and comprehensive care to the community. Trainees will continue to provide excellent care in their primary specialty but will gain expertise in medicine as it applies to the athlete. Our team approach to sports medicine emphasizes working with primary care physicians, orthopaedic surgeons, physical therapists, athletic trainers and other specialists to provide quality care to the athlete.
Overall Educational Goals of the Program:
The Long Beach Memorial Primary Care Sports Medicine Fellowship consists of seven major areas of training: (1) ambulatory sports medicine clinic; (2) team physician responsibilities at the high school and collegiate levels; (3) sports medicine didactics; (4) operative and clinical orthopedics; (5) scholarly activities; (6) faculty development; and (7) continuity clinics in Family Medicine.
The ambulatory sports medicine clinic assists the fellow in acquiring the skills and knowledge commensurate with a primary care sports medicine specialist. Specifically, the clinic provides fellows exposure to pre-participation examinations, exercise prescription, medical problems related to exercise participation, and ambulatory orthopedics. The fellow is also expected to acquire the following skills: joint aspiration and injection; musculoskeletal ultrasound for guided injections and diagnosis; proper utilization of bracing, splinting and athletic taping; exercise stress testing and many more.
The fellow is given unique team physician responsibilities at multiple levels of athletic skill, including high school and collegiate sports. These exposures allow the fellow to participate in pre-participation examinations; acute injury management; event coverage with return to play decision-making; interactions with coaches, trainers, and parents; and preparation planning for event coverage.
The didactic curriculum is designed to increase the fellow’s knowledge base in all aspects of Primary Care Sports Medicine. There are lectures, musculoskeletal radiology rounds, journal clubs and CAQ review to enhance learning. The fellow will attend the Fellows Research and Leadership conference which includes an ultrasound course. They will also attend the annual meeting of the AMSSM.
The orthopedic experience is designed to assist the fellow in acquiring superior orthopedic assessment skills, increasing knowledge of pertinent clinical anatomy, improving skills in the use and interpretation of diagnostic imaging, learning indications for surgical interventions and gaining valuable orthopedic OR time.
Scholarly activities are another component to the program. The fellow will be involved in a scholarly project which may include the development of a grant proposal for a research project, involvement in an ongoing research project, writing either a review article or medical textbook chapter for publishing and presenting a clinical case report or scientific study at an annual meeting as above.
The goal of the faculty development curriculum is to increase the fellow’s teaching skills. The fellow will acquire those skills necessary to teach in small groups, prepare and deliver lectures and precept various levels of health care learners. This is accomplished by didactic instruction and supervised participation in various teaching venues. Fellows provide instruction of third and fourth year medical students and Long Beach Memorial Family Medicine residents at Sports Medicine workshops and clinics, give regular lecture presentations and have opportunities to assist the faculty in precepting learners at the Family Medicine Clinic.
The experience in Family Medicine clinics is essential for maintaining continuity with the fellow’s principal specialty. Each sports medicine fellow will have one-half day per week of a continuity clinic at the Long Beach Memorial Family Medicine Clinic.
TEAM AND EVENT COVERAGE
The Fellow will be assigned to a high school (Cabrillo High School) for the football season, a community college (Cypress College) for the fall, winter and spring seasons, and a larger, 4-year university (California State University, Long Beach) for the fall, winter and spring seasons as part of the comprehensive management of their sports medicine program. This includes organizing the pre-participation examinations, training room sessions, and competition coverage for multiple sports. The Fellow works closely with the athletic trainer to communicate event coverage, injury assessment, coach and parent communication, and injury management during the exam and follow-up.
The Fellow has full access to all of the intramural and intercollegiate sports available at CSULB, including the division 1 men’s and women’s basketball teams. The Fellow will also be responsible for covering the men’s and women’s rugby teams. The sports medicine faculty will be assigned and supervise the Fellow’s game coverage.
The Fellow takes a principal role planning, implementing, and attending the following mass-participation events: the UC Irvine Zot Trot Triathlon, Disney half marathons and the Long Beach Marathon. The fellow will be responsible for attending planning sessions, advising competition management on safety issues, coordinate communications with EMS and provide event day on-site direct patient care. The fellows are also responsible for communications and press education regarding heat illness and marathon safety issues.
The Fellow will also have the opportunity to cover several Action Sports events, including the Winter X Games, US Open Surfing/BMX/skateboarding, mountain bike events and street league skateboarding.
The Fellow has also covered the Asics World Series of Beach Volleyball, the Tour of Long Beach bicylce ride, and youth boxing with USA Boxing.