The University of Western Ontario Primary Care Sport Medicine Fellowship

PGY 3 YEAR IN SPORT MEDICINE
UNIVERSITY OF WESTERN ONTARIO
FOWLER KENNEDY SPORT MEDICINE CLINIC

Introduction:
The goal of this educational year is to develop the necessary abilities to become a competent sport medicine physician with a comprehensive skill set to feel competent in providing MSK and non-MSK medical care as it relates to sport and activity medicine. To become a knowledgeable resource for consultation in their community offering leadership for the medical coverage of teams, community sport events and promotion of healthy living strategies as they related to participation not only sport but also in activities of daily living for a healthy lifestyle.

The Resident will develop competence in all clinical aspects of sport medicine, on field care, emergency care, consultations, organization and implementation of event coverage, teaching and research. Each Resident will have individual goals and objectives based on individual needs and interests, as well as on areas of need from past training. The PGY 3 year will be supervised by the Director of Primary Care, at the Fowler Kennedy Sport Medicine Clinic. At the end of the year the Resident will be qualified to sit the Diploma in Sport Medicine examination through the Canadian Academy of Sport Medicine.

Structure and Learning Environment:
The Fowler Kennedy Sport Medicine Clinic was established in 1974 by Dr. Jack Kennedy as a clinic to provide specialized Sport Medicine services to varsity athletes at the University of Western Ontario. Since its inception, the clinic has grown to a unique and internationally recognized multidisciplinary Sport Medicine facility with 3 locations in London and a staff of over 100. The clinic has become a valued resource to the city of London and surrounding areas and a recognized leader in the field of Sport Medicine.

The Clinic has 3 locations – UWO, Fanshawe College and downtown London. The Resident will spend the majority of time at the UWO Clinic in direct patient care, but will also spend some longitudinal time at the Fanshawe Clinic providing general medical care in a student health setting. The Resident will also spend time with Orthopaedic Surgeons and other designated Specialists as well as allied Health Professionals including physiotherapists, pedorthists, and bracing specialists. The Resident will be involved in care of varsity athletes and participate in community event coverage. He/she will also participate in clinical teaching of family medicine residents and lecture in the graduate programs in the Faculty of Health Sciences, School of Kinesiology at UWO. Research opportunities are encouraged and supported by a core group of clinic research staff and there is the opportunity for the Resident to pursue a Master’s Degree if desired.

If you have any questions please contact Dr. Lisa Fischer, Director Primary Care Sport Medicine c/o Sandra Shaw – Phone 519-661-3011 ex 88835 or email sshaw@uwo.ca

Further information is located on The Fowler Kennedy Sport Medicine Clinic Web page
www.fowlerkennedy.com follow links to Primary Care Sport Medicine PGY3 / Fellowship program

Objectives for Sports Medicine are considered under
the Four Principles of Family Medicine.

I. The Sport Medicine Physician as a Skilled Clinician
The PGY 3 Resident will become knowledgeable and competent in the following:

• The assessment and management of basic and complex musculoskeletal disorders, both acute and chronic.
• The management of non-musculoskeletal medical issues that impact a person’s ability to participate in physical activity.
• The understanding of unique issues faced by specific populations – athletes with a disability, pediatric, geriatric, athletes with chronic medical conditions, professional and elite athletes vs. “weekend warriors”, etc.
• The effect of environmental issues on athletic participation – heat/cold, pollution, altitude, etc.
• Recognition of sport specific issues and their management.
• The issues involved with traveling with teams – medical, political, environmental, etc
• The assessment and management of concussions, including the use of neurocognitive testing.
• Emergency care - both in clinic and on field.
• The management of acute on field injury , including return to play decisions
• The ability to develop an appropriate medical kit for various levels of event coverage
• The issues involved in the coordination and planning of event coverage – local, provincial, national and international.
• The availability and role of rehabilitation resources, including physiotherapy and other ancillary services. The Resident will be able to develop and recognize appropriate rehabilitation programs.
• The importance of promoting/teaching the value of physical activity for fitness and health, both for prevention and for rehabilitation.
• Gait assessment and the prescription for proper shoe wear and orthotics.
• Procedural techniques including joint aspirations and injections and the indications for each.
• Casting, splinting and bracing and the indications.
• The appropriate use of musculoskeletal imaging - indications and interpretation
• Preparticipation physical examination – components and implementation of individual and team exams.
• Doping issues – knowledge of Canadian Centre for Ethics in Sport (CCES), World Anti-Doping Agency (WADA) and International Sport Federation rules and appropriate patient management as it pertains to doping rules.

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