The University of Western Ontario Primary Care Sport Medicine Fellowship

Printable Application Forms
Application Form for Fellowship in Primary Care Sport Medicine

Past Fellows | Learning / Teaching | Administration | Evaluations

Past Fellows
Year	Fellow
1986	Jim Sproule
1987	Avaleen Vopicka
1988	Bob Lee
1989	Bruce Stanners
1991	Janice Harvey
1992	Maya Harari
1993	Grant Chamberlain
1994	Margaret Burghardt
1994	Gary Barwitzki
1995	Tony Cogliano
1995	Frank Shin
1996	Richard Goudie
1996	Sanjay Gupta
1997	Steve Gawron
1998	Steve Coupland
1999	Patricia Kudo
2000	Sarah Eckler
2000	Devin Nielsen
2001	Jeff Barrett
2002	David Mai
2002	Laura Purcell
2003	Tatiana Jeremovic
2004	Jeff Freeman
2004	Wanda Millard
2005	Marie Claire Denis
2005	Michael Peddle
2006	Melanie Bonin
2007	David Fecteau

Learning Teaching
Question	Response
Give a general description of your Fellowship training program.	The Primary Care Sport Medicine Fellowship is a one year Clinical training program, providing a high quality educational and research experience for graduates of Family Medicine or other Primary Care residencies. 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 Fellows. 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, 24 Hour Relay, etc.)
How much direct supervision (clinic with preceptor or direct patient review) is there?	The Fellows spend the first two months of the Fellowship seeing patients with the other Primary Care physicians. After that, they see their own patients for approximately 4-5 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 and cassettes 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 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 two slide projectors with dual remote control VCR with remote and ability to project onto large screen or for viewing on standard TV ELMO presentation unit which allows for three dimensional items to be viewed as well as the standard overhead material. Computer technology allowing for slide presentation directly from the computer or from a laptop. Computer programming and hardware for scanning images and x-rays.Capability to produce the slides at the Clinic. Support staff for assistance in using any of the presentation materials.
Describe the academic activities of the fellow.	The academic activities include weekly Tuesday morning Sport Medicine Rounds at the Clinic. These are attended by Primary Care, Orthopedics, and Physiotherapy, as well as graduate students in the Athletic Injuries stream of the Master's program in Kinesiology. The Fellows are responsible for organizing the schedule for these - they feature case presentations or topics of interest, as well as special presentations by guest lecturers. On Wednesday mornings Orthopedic Grand Rounds take place at the various Teaching Hospitals - followed by Orthopedic Clinical Teaching rounds which the Fellows are encouraged to attend - particularly when they relate to areas of musculoskeletal assessment and treatment. On alternate Thursday mornings, there are Research Rounds, where the ongoing research interests of the Department are presented by those involved. Friday morning is Orthopedic Rounds at London Health Sciences - University Campus.The option is also available for the Fellow to pursue a Master's degree in Kinesiology or related fields.
What are the on-call duties of the fellow?	There is no specific on-call duty for Sport Medicine, however the 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. There are currently some 25-30 ongoing projects. 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 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 Pediatric Emergency Fellows (PGY-5) 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 Faculty of Medicine, Departments of Surgery (Orthopedics) and Family Medicine. The Hospital affiliation is through the London Health sciences Center - University Campus. Full-time Primary Care Physicians Dr. Antonio Cogliano, MD, M.SC, CCFP, Dip. Sport Med. Coordinator of UWO Varsity Medical Coverage Dr. Jeff Freeman, MD CCFP(EM) Dr. Laura Purcell, BSc MSc MD FRCPC Dip Sport Med Dr. Tatiana Jevremovic MD, CCFP(EM), Dip.Sport Med Dr. Frank Shin, MD, CCFP, Dip Sport Med - Part time physician Physicians at Fanshawe Community College Clinic site Dr. Lisa Fischer, MD, CCFP, Dip. Sport Med Dr. Avaleen Vopicka, MD, CCFP, Dip. Sport Med Orthopedic Surgeons R. Giffin , MD. FRCC Robert Litchfield, MD, FRCP - research areas - shoulder and knee injuries Dr. Kevin R. Willits BPE, MA, MD, FRCS(C)
Please list all persons who help supervise the research program (if applicable).	Dr. R. Litchfield, Sharon Griffin, Anna Hales. The publications list

Administration
Question	Response
Describe the physical environment (e.g. examination rooms, one-way mirrors, etc) in which the fellow's work?	The Clinic is located on the campus of the University of Western Ontario and is associated with the Faculties of Health Sciences (School of Kinesiology) and Medicine. This new building (completed in the Spring of 1996) is a two floor structure with the Clinic on the lower level of the building and the School of Kinesiology on the upper level. The facility as a whole has state of the art clinical areas with presentation and conference facilities to match. The proximity to the Sciences library and the Hospital allow for the Fellow to have ready access. The clinic has 12 fully equipped exam rooms, 6 for Primary Care, 6 for Orthopedics, a Casting room, and a large Physiotherapy are with a therapy pool. There are 2 on-site Radiology rooms, as well as diagnostic musculoskeletal ultrasound. The staff at the Clinic consists of 5 Primary Care Physicians plus 2 Primary Care Fellows, 4 Orthopedic Surgeons and 4 Orthopedic Fellows as well as 6 Physiotherapists and a Physiotherapy Fellow and an Athletic Therapist. We also provide on-site custom orthotic and brace fitting, and a Clinic Store . The Orthopedic clientele range from sport and activity related injuries to Workmen's Compensation cases. The Fellows are given a separate workstation, as well as ready access to computers, and other technological equipment.Physicians see a wide variety of patients of all ages who have activity or sport related injuries. They also have responsibilities for the University of Western Ontario Varsity teams. Each Physician is assigned to cover a number of the varsity sports, as we are required to provide medical coverage for home games and tournaments. The types of problems range from sprains and strains to dislocations and fractures to dealing with chronic problems patients have developed over a number of years.
What administrative services do you have available for the fellow?	The Fellows have access to support staff for the various projects they might get involved with (preparation of research projects, presentations, etc.) The Clinic is responsible for booking patients for them and submitting billings on their behalf to OHIP. Dictations are done through the hospital system.
What is the role of your fellowship program/clinic within the University?	We have responsibilities to the Faculty of Medicine, Department of Family Practice in accepting Family Practice residents for rotations in the 1st & 2nd year. They spend one month periods in the clinical setting assisting the Primary Care Physicians. We are also involved in teaching Graduate students in the Kinesiology Masters program. - Athletic Injuries stream.
What arrangements do you have with other Departments within the University?	We are involved primarily with Family Practice residents and on occasion with Medical students in the Undergraduate program as time and space allow. More recently, we have had several Pediatric Emergency Fellows (PGY-5) rotate through the Clinic for a month to obtain exposure to sport medicine problems.

Evaluations
Question	Response
How are the fellows evaluated?	Several times/year a formal evaluation form is circulated to all physicians that have been involved in teaching the Fellows. The Director of Primary Care Sport Medicine meets with the Fellows to go over these. All Fellows are expected to take the CASM Diploma Examination in Sport Medicine, either during or immediately after their Fellowship.
How do you determine if a fellow has successfully completed the program (i.e. is it just the time spent or is there some formal evaluation)?	See above. The Fellows are also asked at the beginning of the year to identify 10 learning objectives. These are also reviewed with them periodically, both formally and informally.
What happens when there is a problem with the person taking the fellowship program?	Problems are reviewed as they arise by the Director of Primary Care Sport Medicine. There have not been any significant problems with previous Fellows.
How are educational objectives updated, and how frequently?	Yes, the process is evaluated with the past and present Physicians, as well as the Fellows on a continual basis. We ask them for the input to enhance their learning experience, and expect that each Fellow will be involved in setting his/her own goals. We have recently added the option for a Masters Degree and are evaluating this as an educational experience.
Describe how fellows evaluate your program.	They are asked for their input on the structure of the program, including teaching, electives, workload, etc. Fellows who have completed the program add comments to the Fellowship Orientation Manual.
Describe how your faculty is evaluated.	The Orthopedic Surgeons have a Bidirectional Annual Review (BARD) through their own Department. Dr. Lebrun has an Annual Performance Review through the School of Kinesiology . The rest of the physicians are evaluated informally on their clinical and teaching skills.
What are the strengths of your program?	Our facility is a large, multidisciplinary Clinic, with links to Orthopedics, Family Medicine, and Kinesiology. We are centrally located on the campus of The University of Western Ontario. The Fellow is exposed to a wide variety of clinical experiences, as well as educational tools. He/she has the flexibility to pursue areas of sport medicine that are diverse, and which satisfy his/her personal educational and professional goals.
What are the weaknesses of your program?	The major weakness of our program is the lack of external funding (although we are currently actively pursuing this). It means that we are limited to choosing candidates who are eligible for an Ontario billing number, as the billings from the patients that the Fellows see during the year go to finance the salary. Compared to current resident salaries, our Fellowship salary is much lower, so this is an ongoing problem.

The University of Western Ontario Primary Care Sport Medicine Fellowship

Past Fellows

Learning Teaching

Administration

Evaluations