Division of Sports Medicine
The curriculum for the orthopedic sports medicine fellows include a very busy clinical experience:
The fellow participates in approximately 1,000 operative cases during the year.
The fellow actively sees patients in the clinical setting under the guidance of an attending. The fellow is the first person to see new patients and is responsible for taking a thorough patient history, performing a physical exam, reviewing imaging modalities and coming up with a treatment plan for each patient seen.
The fellow then reviews the patient's case with the appropriate attending and a management plan is decided upon. The attending then personally sees and examines all patients in the presence of the fellow and reviews pertinent exam findings while discussing the management plan with the patient.
In pediatric sports medicine in particular, many problems are managed with non-operative interventions such as physical therapy, orthotics, activity modification or bracing. The opportunity to see a young gymnast or soccer player at their first presentation of sports related pain and follow them through the entire sequence of their diagnosis, assessment and management is particularly important. We also see many pediatric patients with non-traumatic etiologies of the pain including tumor, reflex sympathetic dystrophy or pauciarticular rheumatoid arthritis.
90% of the clinical experience of the fellows in the clinic setting is related to the care of children and adolescents involved in sports. Attending faculty also provide care to physically active adults. Many of these patients are surgical consultations (often referred from other faculty members) which leads to a higher operative rate in these patients.
- Although we expect the fellow to be particularly well versed in the care and management, including operative management, of pediatric and adolescent athletes, we feel there is very adequate exposure to adult surgical interventions including arthroscopic procedures of the knee, shoulder, elbow, ankle and hip.
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