Sports Medicine Fellowship Curriculum

Adult Sports Medicine

This rotation revolves around outpatient clinics with Drs. Jeremy Mathis and Robert Mueller. The fellow will see a wide base of patients, in the adult setting, with acute and chronic musculoskeletal needs. Learning principles of conservative treatment management, becoming proficient in joint injection principles, as well as recognizing indication for surgical treatment will be emphasized in the curriculum. As in pediatric sports medicine rotations, the fellow will be exposed to a wide range of diagnoses in musculoskeletal medicine ranging from sports injury, injury prevention education, and formulation of wellness programs for the prevention of disease and treatment of chronic disease (i.e. coronary artery disease, DM, COPD).

Pediatric Orthopedics

The pediatric orthopedic rotation is supervised by our pediatric orthopedists. This rotation will expose the fellow to a wide array of orthopedic issues seen in pediatrics (i.e. SCFE, Legg-Calve’-Perthes disease, clubfoot, metatarsus adductus, outtoeing/intoeing, developmental dysplasia of the hip, aneurismal bone cysts to name a few). As well, the fellow will gain confidence in radiographic evaluation of fractures, reduction techniques in fracture care, casting/splinting, and overall management of fractures. This will be accomplished by rotating with our orthopedic specialists and doing shifts in the Emergency Department with the moonlighting orthopedic resident (seeing acute fractures) learning how to hone these skills.

Orthopedic Spine and Physical Medicine & Rehabilitation

Orthopedic Hand

During the hand rotation, the fellow will rotate with or our orthopedic hand specialists.  The fellow will become proficient in treating hand and wrist injuries as well as fractures.  The fellow will gain experience and confidence in recognizing injuries that require more specialized care or surgery revolving around entrapment neuropathies, sprains/strains, tendonitis/bursitis, common fractures and dislocations, Dupuytren’s contracture, soft tissue injuries, flexor tendon nodules, arthritis, and overuse injuries.

Orthopedic Foot and Ankle

This rotation will allow the fellow to spend time treating patients with foot and ankle injuries needing more specialized care or surgery.  The fellow will be proficient in treating common foot and  ankle conditions affecting athletes; including fractures, stress fractures, lisfranc injury, sprains, sesamoiditis/sesamoid dysfunction, cysts, neuromas, hallux rigidus, intoeing, outtoeing, tendon injury/dysfunction/tendonitis, Sprains/strains, dislocations, Tarsal Tunnel Syndrome, arthritis, diabetic foot, heel pain/plantar fasciitis, toe deformities, bunions, corns and calluses, metatarsalgia, soft tissue masses of the foot and ankle.

Rheumatology and Cardiac Stress Testing

 The fellow’s rheumatology rotation will help to round out their musculoskeletal knowledge while learning to diagnose and initiate appropriate treatment for common rheumatologic problems until rheumatologic consultation can be obtained. These disease processes will include but are not limited to rheumatoid arthritis, osteoarthritis, psoriatic arthritis, SLE, scleroderma, polymyositis and dermatomyositis, Kawasaki’s disease, PMR and giant cell arteritis, Sjogren’s syndrome, ankylosing spondylitis and the spondyloarthropathies, Reiter’s syndrome, infectious vs. inflammatory arthritis, gout and CPP disease, fibromyalgia and fibromyositis, Complex Regional Pain Syndrome, lyme disease, common vasculitides, and cryoglobulinemia.

The cardiology portion of the rotation will revolve around observing cardiac/pulmonary stress testing in order to understand the principles of the test and indications for order the test.

Musculoskeletal Radiology

This rotation will be one half month in duration.  However, the fellow will garner experience with regular sessions, throughout the year, reading films with musculoskeletal radiologists.  In addition, the fellow will meet monthly with sports medicine faculty and radiologists for radiology rounds.  During sessions, the fellow will gain an appreciation for the various radiologic musculoskeletal diagnostic tests and understand their limitations, sensitivity, specificity, and indications in relation to musculoskeletal medicine, as well as be aware of the costs of various diagnostic modalities, their advantages and disadvantages.  The fellow will also gain exposure to musculoskeletal pathology on plain films, CTs, MRIs, ultrasound, and bone scans, and will be able to correlate clinical findings of disease with radiographic abnormalities.

• Range of motion
• Isometric exercise
• Progressive resistance exercises
• Eccentric exercise
• Isokinetic exercise
• Modalities available for the treatment of the injured athlete including Kin-com (Isokinetic equipment), ultrasound, galvanic electrical stimulation, iontophoresis, heat, and cold therapy.

Primary Care Continuity Clinic

The fellow will spend one half day per week maintaining clinical competence in the fellow’s perspective primary field of primary care medicine.  This may include pediatrics, internal medicine and pediatrics, family medicine, or internal medicine.  The rotation will take place at the South High Street Internal Medicine and Pediatric Clinic.  For fellows, with primary certification in emergency medicine; special arrangements will be made to maintain clinical competence in the emergency department. 

Fellow Run Sports Medicine Clinic

The fellow will run, one half day per week, a designated Nationwide Children's Sports Medicine fellow’s clinic.  This will be a fully functional referral clinic focused on managing musculoskeletal/sports related injuries and issues.  One of the sports medicine faculty will precept the fellow in this clinic.

Learn about additional experience including Event Coverage, Conferences, and Scholarly Activity/Research.