During the year, the fellow will participate in a continuity clinic with a community-based, sports medicine-trained, primary care pediatrician. The fellow will also have weekly clinics with each of the primary teaching faculty members throughout the year. The fellow will be responsible for organizing weekly training room and event coverage for their high school, Worthing High School, for which they are the team physician.
Month-by-Month Summary
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Teaching assistant to first-year medical students, exclusively in clinics with primary teaching faculty, training room (high schools/college), event coverage (high schools/college).
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Teaching in medical student elective in sports medicine, clinic/operating room with orthopedic attending (hip/knee/shoulder), diagnostic imaging rotation, training room (high schools/college), event coverage (high schools/college).
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Teaching in medical student elective in sports medicine, clinic/operating room with orthopedic attending (foot/ankle), training room (high schools/college), event coverage (high schools/college).
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Teaching in medical student elective in sports medicine, clinic/operating room with orthopedic attending (pediatric), training room (high schools/college), event coverage (college), event coverage for 30,000 runners in marathon/half marathon.
March
Clinic/operating room with orthopedic attending(spine), clinic with PMR (msk ultrasound/medical acupuncture), training room (high schools/college), event coverage (college).
April
Clinic/operating room with orthopedic attending (elbow/knee/shoulder), training room (high schools/college).Texans/Texas Children’s Hospital Kids Triathlon, and Texas Children’s Hospital Family Fun Run.
May
Clinic/operating room with orthopedic attending (hand/elbow), diagnostic imaging rotation, training room (high schools/college).
June
Clinic in pediatric rheumatology, elective in areas of interest related to employment in July.
Research
There are opportunities for fellows to collaborate with teaching faculty. There is an expectation to participate in scholarly activities resulting in academic publication.
Call Assignments
First call for sports medicine only with no in-house call. Four call free-duty free days/month.
Didactic Curriculum
The didactic curriculum includes the topic areas recommended by the ACGME for sports medicine. There are two to three lectures per week that include invited speakers in specialty areas such as dental trauma, special Olympics, geriatric athlete, sports psychology, etc.
Fellows have required lectures to prepare on joint exams (seven) and preseason exam and opportunities to teach on topics of choice (nutrition, adolescent physical activity, etc.)
Sample List of Lectures
- Inter-disciplinary MSK Diagnostic Imaging Rounds with Radiology, Orthopedics, Primary Care Sports Medicine, and Physical therapy- (last Wednesday of the month)
- Sports nutrition, including basic review - carb/pro/fat and mineral/vitamin/micronutrient
- Hydration - before, during and after
- Food record basics and rapid calculations
- Energy expenditure and caloric needs
- Fad diets
- Sports nutrition products - gels, bars, drinks; not so much ergogenics
- Special sports topics - female athletes, carbo loading
- Ergogenics and supplements
- Pediatric issues
The didactic curriculum also includes body composition, including measurement – individual and populations – and pediatric issues.
- Environmental - heat, altitude, cold, diving; pediatric issues
- Muscle physiology, including cellular anatomy and applied physiology, neuromuscular aspects, strength versus endurance, and more
- Physiologic responses to bouts of exercise, including cardiac, vascular and pulmonary
- V02 max concept, including GXT, use in exercise prescription, application to caloric expenditure and RPE application
- Central fatigue
- Pediatric issues
Reider's Orthopedic Exam chapters (covered by fellow as discussion/presentation/handout):
- Chapter 7 - Lower leg, Ankle, and Foot
- Chapter 6 - Knee
- Chapter 9 - Low Back
- Chapter 2 - Shoulder
- Chapter 5 - Hip and Pelvis
- Chapter 3 - Elbow and Forearm
- Chapter 4 - Hand and Wrist
- Modalities and Rehabilitation
- Concussion-Neurology
- The Female Athlete
- The Pediatric Athlete
- Bone, Muscle and Cartilage Injury
- Asthma/Respiratory
- Running Injuries and Gait Analysis
- Special Olympics Athlete
- Core Strength
- Legal and Ethical Issues
- The Disabled Athlete
- Cardiac - Sudden death - cardiologist perspective
- Geriatric Athlete
- Sports Psychology
- Dermatology
- Ophthalmology
- Dental
- Orthotics
- SI Mechanics
- NSAIDS
- Acute and Chronic Ankle
- Acute and Chronic Knee
- Acute and Chronic Shoulder
- Acute and Chronic Hip
- Acute and Chronic Back
- Acute and Chronic Elbow
- Acute and Chronic Hand and Wrist
- Preseason Exam
Responsibilities
Fellows' responsibilities include:
- Team Physician: Worthing High School – all sports
- Team Physician: Texas Southern University – women’s soccer and basketball
- Member of medical team for Texans/Texas Children’s Hospital Kids Triathlon and Texas Children’s Hospital Family Fun Run, Houston Marathon, Texas Children's Kids Tri and Family Fun Run.
Training Sites
Affiliate hospital: Texas Children's Hospital
Facilities include:
- Houston Methodist Hospital
- Texas Orthopedic Hospital
- Texas Southern University – training room facilities
- ÌÇÐÄlogo Teen Clinic at Milby
- ÌÇÐÄlogo Teen Clinic at Worthing