Henry Ford Hospital
Center for Athletic Medicine
Primary Care Sports Medicine Fellowship Program
Program director: Nancy White, MD
Rotations
Total weeks = 52 weeks
Rotation descriptions
Cardiology and Exercise Physiology (4 weeks)
This rotation is designed to expose the fellow to the principles of exercise physiology applied to an athlete. Aspects of fitness, aerobic and strength training, and other exercise principles will be learned as the fellow is integrated into a fitness program and works out with exercise physiologists and trainers. Fellows will be instructed on administering and interpreting exercise stress tests. Readings will supplement the training. Body fat analysis, heart rate, cholesterol, and other elements will be evaluated. A nutritionist will cover basics in sports nutrition. The fellow also will work with exercise physiologists in clinic.
Rotation objectives
Components
Medical Issues in Sports (Integrated)
This rotation will use different physicians and didactic methods to expose the fellow to medical problems that require specific treatments in athletes. The rotation will focus on such diseases as exercise-inducted asthma, diabetes, osteoarthritis, cardiovascular disease, hypertension, cancer, heat illness, cold illness, altitude illness, dermatologic issues and pregnancy.
Rotation objectives
Components
Musculoskeletal Imaging (4 weeks)
The fellow will spend time with musculoskeletal radiologists in a hospital setting. Emphasis will be on reading MRI, ultrasound, and CT scan of the extremities and spine, as well as proper utilization of these tests.
Rotation objectives
Components
This rotation is designed to give the fellow experience with the orthopedic surgeons at the Center for Athletic Medicine. They will work with the surgeons in the office, OR, and game coverage. To maximize diversity and experience, the fellow will rotate with the available surgeons during the month, according to their preference.
Rotation objectives
Components
Patricia Kolowich, MD
Terrence Lock, MD
Henry Goitz, MD
Soheil Najibi, MD
Pediatric Sports Medicine (4 weeks)
The fellow will be exposed to pediatric specialists in orthopedic surgery and cardiology during this rotation. The pediatric portion will concentrate on athletic screening, proper diagnosis of heart murmurs, and recommendations for sport participation. Orthopedic surgery will emphasize scoliosis screening, early gait abnormalities, and management of acute orthopedic injuries in the pediatric population.
Rotation objectives
Components
Physical Therapy and Injury Rehabilitation (Integrated)
Here, the fellow will familiarize themselves with therapy protocols for specific injuries and surgeries. Longitudinal exposure will give the fellow the opportunity to follow injury rehab through the various stages and phases. Exposure to therapeutic modalities will be incorporated with lectures and talks on how they should be used. Intermittently fellows will be exposed to physical medicine & rehabilitation specialist for office consultations.
Rotation objectives
Components
Primary Care Sports Medicine (8 weeks)
This will be the core curriculum for the fellow(s). The fellows will work intimately with the primary care sports physicians at CAM, Nancy White, M.D. and Steven Karageanes, D.O. The fellow sports medicine clinics will run in conjunction with Dr. White or Karageanes. During the rotations, fellows will see new patients and coattail for rechecks. Game coverage is also incorporated. Concerning didactics, Dr. White will focus on medical issues in sports medicine, while Dr. Karageanes will emphasize osteopathic manual medicine to his teachings. A wide range of sports topics will be covered in clinic, grand rounds, journal club, and informal discussions.
Rotation objectives
Components
The rotation combines the operative, clinical, and O.R. experience of an orthopedic spine surgeon, and integrative medicine practitioners, clinical experience of a non-surgical spine care specialist. Special emphasis will be on handling worker’s compensation injuries, vertebral disc disease and radiculopathy, and invasive management of back pain. Fellows will be expected to see patients in clinic and O.R. setting. The fellows will gain exposure to integrative medicine approach to the patient with back problems, i.e. acupuncture, neuron-muscular massage, chiropractic care, and movement re-education.
Rotation objectives
Components
Sports Psychology and Nutrition (4 weeks)
This rotation will have two concurrent sections. Fellows will rotate with a board certified sports physician. The rotation will provide experience with athletes and reinforcement of psychology principles. The fellow will have two or three clinics with as well as a didactic experience. A clinical nutritionist will discuss issues of overweight and underweight athletes, as well as provide clinical experience counseling patients on proper nutritional concepts. Attention will also be spent by incorporating nutritional topics into daily encounters with patients.
Rotation objectives
Components
Sports Trauma Management (4 weeks)
This rotation will prepare the fellow to handle traumatic injuries on the playing field that are career and life threatening. By a combination of class work, clinical experience, workshops, and lectures, the fellow will receive training in an area primarily focused on by surgical specialties. We also integrate neuropsychology to expose fellows to concussion management and severe brain injury following trauma.
Rotation objectives
Components
Hand and Foot / Ankle (4 weeks)
The fellow will have ample time spent with one of our hand specialists and foot/ankle specialists to hone their clinical exam and treatment skills for common injuries to these areas.
Rotation objectives
Components
1 - 2 half days primary care clinic
2 half days sports medicine clinic
1 half day collegiate training room
1 half day high school training room
2 full days rotation
1 half day administrative / research
Regular requirements
Fellow lecture = monthly
Radiology conference = monthly
Primary care grand rounds = once monthly
Journal club = once monthly
Orthopedic grand rounds (when on ortho surgery rotation) = weekly
Physical therapy and rehabilitation = 2 clinics a month
Coverage experience
Research
The faculty will facilitate the research project, which will be done in conjunction with the research department at Henry Ford Hospital. Access to Henry Ford’s research development division and statistical analysis is available. Before initiation, the directors will approve the research project. The project should be written with intent to publish.
Case presentations
The fellow will be expected to write a case to be submitted for presentation at either the American Osteopathic Academy of Sports Medicine or the American Medical Society of Sports Medicine conference in the spring of the fellowship year. The case should be documented and completed for submission by February before the conferences.
Flexibility
Significant time was spent establishing a structure for fellows to follow. However, we encourage the fellow to pursue their specific interest in sports medicine. The fellow will be encouraged to adapt to changes in rotations and schedules to meet his or her desires and needs. The continuity clinics will not be as flexible.