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The University of Western Ontario Primary Care Sport Medicine Fellowship

Detailed Outline

Frequently Asked Questions
Question	Response
Give a general description of your Fellowship training program.	The Fowler Kennedy Sport Medicine Clinic has 2 streams for the Primary Care Sport Medicine program – one a PGY3 Enhanced skills year for eligible Residents through Family Medicine at UWO and the other a Clinical Fellowship. The program is a one year Clinical training program, providing a high quality educational and research experience for graduates of Family Medicine or other disciplines wishing to acquire focused Primary Care Sport Medicine experience. The program is designed to train physicians in the multiple facets of Sport Medicine. It is structured to provide a broad basic curriculum, but is flexible enough to accommodate the needs of the individual Residents/Fellows. Residents/Fellows also have responsibilities to provide medical services for the University of Western Ontario varsity teams for home games and tournaments. The Clinic is also involved in volunteer coverage for a number of community events (London Marathon, 3 on 3 Basketball etc.)
How much direct supervision (clinic with preceptor or direct patient review) is there?	The Residents/Fellows spend time in clinic with the Primary Care Physicians with increasing independence over time. At all times there is a consultant on site. After that, they see their own patients for up to 5 half days per week, with ready access to both Primary Care and Orthopedic consultants as needed. They also spend several half days per week in the Orthopedic Sport Medicine Clinic, working directly with the surgeons. This gives them an understanding of the process from initial visit and preliminary treatment to surgical intervention as necessary. There is also ample exposure to the Physiotherapy side of the Clinic and the non-surgical management of sport injuries. At least one half day per week is spent in Clinic with the Fellowship Director or a senior Primary Care physician, in order to allow for ongoing teaching and evaluation, as well as the opportunity to review difficult cases together. The remaining half days are reserved for research and education, and can also be spent with other specialists in the city (Hand and Upper Limb Centre, Centre for Activity and Ageing, Pediatric Orthopedics, etc.)
What educational resources do fellows have access to (e.g. videos, medline internet searching, cochrane database online, etc)?	There are a number of educational sport medicine videotapes for the Fellows to go through during the research and education time. Most of the major sport medicine journals are easily available in the Clinic, as are numerous Orthopedic and Primary Care textbooks. The Fellows also have access to computers, the Internet etc., and the libraries at the University of Western Ontario and the London Health Sciences system.
What audiovisual services do you have available for the fellow?	Lecture theatre with seating for 175 people as well as a Conference Room with the ability to be divided for small group sessions or use as a presentation room. In each of these conference rooms AV equipment includes VCR with remote and ability to project onto large screen or for viewing on standard TV, Computer technology allowing for slide presentation directly from a laptop. Computer programming and hardware for scanning images and x-rays. Support staff for assistance in using any of the presentation programs and /or materials.
Describe the academic activities of the fellow.	The academic activities include weekly Thursday morning Sport Medicine Rounds at the Clinic. These are attended by Primary Care, Orthopedics, Research and Physiotherapy, as well as graduate students in the Athletic Injuries stream of the Master's program in Kinesiology. On Wednesday mornings Orthopedic Grand Rounds take place at the various Teaching Hospitals - followed by Orthopedic Clinical Teaching rounds which the Residents/Fellows are encouraged to attend - particularly when they relate to areas of musculoskeletal assessment and treatment. Friday morning is Orthopedic Rounds at London Health Sciences - University Campus.
What are the on-call duties of the fellow?	There is no specific on-call duty for Sport Medicine, however the Residents/Fellows are expected to participate in preparticipation physical examinations, and after hours coverage for Varsity Sport Teams, as well as community event coverage.
Describe the research responsibilities of the fellow?	The Clinic as an academic teaching center at the University has a mandate to be involved in Primary and Clinical Research. At this time they are primarily orthopedic in nature. These can be seen on the Fowler Kennedy Sport Medicine Clinic website. We are anticipating more Primary Care based projects in the years to come. Research projects can be undertaken in conjunction with any Clinic division. The Fellows have the option of pursuing the Master's degree in Kinesiology through the Faculty of Health Sciences at UWO. Since this usually takes more than one year, there is a commitment to give them some clinical fee-for-service work for the year following the Fellowship, in order that they may finish up the program.
Do medical students/family medicine residents/specialty residents ever rotate through your clinic (please specify)? If so, is the fellow responsible for teaching them and how much?	We have responsibilities to teach portions of some undergraduate courses in Kinesiology, Physical Therapy, and other departments, such as Womens’ Studies. The Family Practice Residents rotate through the Clinic as we have a number of options for them. 1) a month full time rotation in the clinic learning the various components of patient management and Clinical Sport Medicine 2) ½ day Selective where the residents spends ½ day a week with a specific Physician for 6 weeks. The rotations include time with Physiotherapy, bracing, orthotics and clinical practice. As the Residents/Fellows progress through their year, they become progressively more involved in teaching of these residents. Over the last few years, we have also had a number of Residents from other programs including Emergency Medicine, Pediatrics Rheumatology and Physical Medicine and Rehabilitation spend a month on rotation in Primary Care Sport Medicine.
Please list all associated teaching staff.	The program is affiliated with the University of Western Ontario as are all Staff at the Clinic at the present time - the affiliation is through the School of Kinesiology (in the Faculty of Health Sciences, which also includes Physical Therapy, Occupational Therapy, Nursing and Communicative Disorders). We are also associated with the Schulich School of Medicine and Dentistry, Departments of Surgery (Orthopedics) and Family Medicine. The Hospital affiliation is through the London Health sciences Center - University Campus. Our own Clinic operates out of three locations. The main location is on Campus at the University of Western Ontario with satellite Clinics at Fanshawe College and Downtown Galleria Mall. Primary Care Physicians Dr. Lisa Fischer, MD, BScPT, CCFP, Dip Sport Med. Director of Primary Care Dr. Antonio Cogliano, MD, M.SC, CCFP, Dip. Sport Med. Coordinator of UWO Varsity Medical Coverage Dr. Jeff Freeman, MD CCFP(EM) Dip Sport Med. Dr. Tatiana Jevremovic MD, CCFP(EM), Dip Sport Med Dr. Melaine Bonin, MD, CCFP Dr. Frank Shin, MD, CCFP, Dip Sport Med Dr. Wanda Millard, MD, FRCP (Emerg) Dip Sport Med. Dr. Avaleen Vopicka, MD, CCFP, Dip. Sport Med. Dr. Mike Peddle, MD Orthopedic Surgeons Dr. Robert Litchfield, MD, FRCS(C) Dr. R. Giffin, MD. FRCS(C) Dr. Kevin R. Willits BPE, MA, MD, FRCS(C) Dr. M.E. LeBel, MD, FRCS(C)
Please list all persons who help supervise the research program (if applicable).	Dr. R. Litchfield, Diane Bryant, PhD Dr. K. Willits, Dr. R. Giffin, Dr. M.E. Lebel The publications list

Fellowship for Ontario Licensed Physicians

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