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Fellowship Curriculum

The curriculum is divided into 12 one-month blocks, with two rotations completed concurrently each month (see weekly table for an overview of rotations).

Fellows spend two afternoons per week in the Seattle University training room working directly and independently with Division I student athletes and athletic training staff. They are expected to see a large number of athletes at various stages of rehabilitation and learn firsthand all modalities used to help athletes through the rehabilitation process. Afternoons during the fall and winter months are the busiest times of the year and serve as a valuable experience not commonly offered in other sports medicine fellowships.

Academic research is encouraged. Educational experiences are supported with a strong didactic series and journal club. Fellows are required to lecture or present a case or poster at one of the annual national sports medicine meetings (AMSSM or ACSM).

As is required of all accredited sports medicine programs, clinical experiences are designed for fellows to develop expertise in a wide range of medical and musculoskeletal problems in patients of all ages. The program includes longitudinal clinical experiences as well as specialty rotations.

The fellow will gain team physician experience with Seattle University and a local high school football team. They may cover other sports as desired and additional opportunities are frequently available. In addition to game coverage, the fellow will be available for phone calls and player evaluations during the football season as needed by the trainer.

Sports Coverage Taught

At Seattle University, an NCAA Division I school, each fellow will be assigned one fall and one winter sport as their primary coverage responsibility. Both fellows will make twice weekly training room rounds to evaluate athletes from all sports. In addition, fellows will help provide medical coverage for the state high school wrestling tournament. They will also assist in organizing and providing coverage for the Ballard Criterium and one Seattle marathon. In the winter, fellows rotate at the Mt. Hood on-mountain ski clinic. This is a fully functioning urgent care with imaging and opportunities for fracture and dislocation management. Other teams our fellows help cover include: Seattle Storm WNBA, Seattle Sounders MLS, Garfield High Scholl Football, Summit at Snoqualmie Ski Patrol, and Seattle Tempest and Cascades (AUDL Professional Ultimate Frisbee).

Medical groupSeattle StormSeattle U Redhawks

Summary of Scholarly Activities

During their fellowship, fellows will:

  • Produce an academic project (either a formal presentation at a national conference, a piece of academic writing, or both)
  • Attend weekly sports medicine didactics and monthly journal club
  • Give formal presentations at the weekly sports medicine didactics three times a year
  • Show proficiency in locating, appraising and assimilating evidence from scientific studies
  • Journal Club: Articles will be selected from the fellow’s cases and current topics in sports medicine
  • Attend at least one national conference in their fellowship year

Summary of Clinical Rotations

Fellowship will include the following rotations and activities:

Continuity Clinic

This is longitudinal and happens concurrently with other rotations. It includes three clinic sessions per week at the Swedish Musculoskeletal Center – three sessions of sports medicine continuity clinic and one session of procedure clinic – and one session of primary-care continuity clinic. For continuity clinics, the family medicine fellow works with the Swedish Cherry Hill Family Medicine Clinic and the PMR fellow works with an EMG provider doing electrodiagnostics.

Sports Coverage

Fellows are expected to work extensively with the Seattle University team physician and training staff to provide game coverage for soccer and basketball teams, provide coverage for one high school football team, and plan and execute medical coverage for one mass event. They will also provide coverage for any Division I conferences hosted by Seattle University over the course of the year.

Medical Imaging

This is a continuity curriculum in MSK ultrasound and reading plain-film radiographs with the sports-medicine preceptor. Two one-month blocks are also spent in medical imaging reading advanced imaging with a musculoskeletal radiologist. Monthly radiology rounds supplement this teaching and address interesting or complicated cases encountered in continuity clinic.

Ortho-Shoulder

Two one-month blocks cover the diagnosis and management of shoulder injuries with an orthopedic shoulder specialist.

Ortho-Knee

Two one-month blocks cover the diagnosis and management of knee injuries with an orthopedic knee specialist.

Ortho-Foot and Ankle

A one-month block cover the diagnosis and management of foot and ankle injuries with an orthopedic foot and ankle specialist.

Podiatry-Foot and Ankle

Two one-month blocks cover the diagnosis and management of foot and ankle injuries with a podiatrist.

PMR-Spine

Two one-month blocks cover the diagnosis and management of back and spine injuries with a PMR spine specialist.

Ortho-Hip

Two one-month blocks coverthe diagnosis and management of hip and pelvis injuries with an orthopedic hip specialist.

Ortho Hand

Two one-month blocks cover the diagnosis and management of hand, wrist and elbow injuries with an orthopedic hand specialist.

Pediatric Primary Care Sports

A one-month block in the diagnosis and management of sports injuries in a pediatric population with a pediatric sports medicine physician.

Ortho Pediatrics

A one-month block in the diagnosis and management of sports injuries in a pediatric population with a pediatric orthopedic specialist.

Exercise Physiology

A one-month block in exercise testing and its use in competitive athletes with an exercise physiologist.

Cardiology/Pulmonology

A one-month block in cardiac and pulmonary issues in athletes with a cardiologist and a pulmonologist with extensive experience working with elite athletes.

Psychology and Nutrition

A one-month block in psychology and nutrition issues in athletes with a psychologist and a nutritionist with extensive experience working with elite athletes

Physical Therapy

One half day per week during a one-month block with a physical therapist trained in treating athletes followed by time in the training room seeing athletes with various injuries throughout the recovery process.

Elective

Two one-month blocks to use, with the approval of the fellowship director, for additional experience in sports medicine.

Summary of Clinical Procedures

  • Diagnostic MSK Ultrasound of all extermities
  • Trigger point injections
  • Fracture care: splinting, casting and follow-up of non-displaced, non-operative fracture care
  • Joint injection with or without arthrocentesis of:
    • Shoulder
      • Subacromial injection
      • AC injection
      • Glenohumeral injection
      • Long head of the biceps injection
      • Calcific Barbotage
    • Elbow
      • Medial and lateral epicondyle injections and needle tenotomy
          • Radiohumeral joint injections
    • Hand/Wrist
      • Ganglion cyst
      • Carpal tunnel
      • Trigger finger
      • 1st MCP
    • Hip
      • Guided injection of the femoral-acetabular joint
      • Greater trochanter injection
      • Iliopsoas bursa injection
      • Guided sacroilliac injection
      • Sciatic nerve hydrodissection
      • Piriformis and quadratus femoris injection
    • Knee
      • Knee injection
      • Pes anserine injection
      • IT Band injection
      • Bakers cyst drainange
    • Foot/Ankle
      • Ankle Joint
      • 1st MTP joint
      • Plantar fascia
      • Compartment Testing
      • Tenex, PRP (platelet rich plasma), and prolotherapy
      • Perineural injections and hydrodissection
    • Electrodiagnostics (PM&R Fellows)
      • Guided spine injections as desired (PM&R Fellows)