Self Regional Healthcare Primary Care Sports Medicine Fellowship aims to give attending physicians a broad spectrum of sports and activity related medical skills and knowledge sets. As it is the mandate of the associated residency to prepare physicians for the rural and small town setting, the fellowship acknowledges the need to prepare primary care sports medicine physicians the appropriate skills to use in all settings extending from the Friday night fall football game to the scuba diver returning from travel with latent decompression sickness. Faculty coverage is broad and offers an abundance of expertise. The program is accredited by the ACGME and the ABFP.
The Program Director has been certified in Sports Medicine since certification started in 1993. The Associate Director was certified in 1994 and directed the fellowship at the University of South Carolina as well as being the team physician there for nine years. Both physicians also have extensive private practice experience and significant research accomplishments as well. The primary faculty will be present in the sports medicine clinic and at most but not all training room settings. At least one faculty will be available by pager or phone at all times.
The clinical practice setting is the foundation of this fellowship. Musculoskeletal injuries, sports injuries, human performance and rehabilitation and medical issues related to sports, share the major emphasis. The sports medicine fellow sees patients that are representative of all age groups, gender and level of experience in sporting/exercise interests or activities in the Sports Medicine Center.
The curriculum is designed to meet all the ACGME requirements for Primary Care Sports Medicine fellowship. Curriculum activities include:
Direct pre-participation physicals on site at five local high schools One half-day per week Sports Medicine Center Orthopedic faculty attending One half-day continuity primary care at the Montgomery Center for Family Medicine Primary care Sports Medicine Center 7 half days per week – average twelve patients per half day College/university and high school team and weekly training room coverage Mass participation events Sports nutrition, biomechanics, exercise physiology through Lander University faculty Neuropsychology and concussion management One half day per week first assist orthopedic surgery Four half days per year human anatomy musculoskeletal dissections One half day per week busy procedural clinic – Fellow averages 400–500 ultrasound-guided injections over year Two weeks per year Winter Park, CO Ski Area with Intense Fracture Management One hour per week imaging didactics One week per year High Andes Peru with intense procedural experience Two nights per year of open-water PADI instruction course Division 1 football sideline experience – Wofford College Pre and intra-fellowship intraining exam for CAQ preparation 25 hours direct ultrasound didactic education 25 hours direct fracture management education Annual AMSSM conference
Our Sports Medicine Experience In addition the fellowship has educators from Orthopedic Surgery, Clinical Pathology, Physical Medicine & Rehabilitation, Clinical Imaging, Exercise Physiology/Sports Nutrition, Physical Therapy, Pharmacology, Cardiology, Coaching/Athletic Training, Family Medicine, Dive Medicine, and Procedures/Injections. Their responsibilities include but are not limited to the following: consultation, direct teacher to the fellow, supervision of procedures and research, and lecturing on topics such as NSAIDs, NCV/EMGs and issues relating to the relationship with team physician.
The educational impact the fellowship offers will be executed in a variety of sports medicine care settings. The setting for the fellowship training will primarily be in an ambulatory care Sports Medicine Center 55% of the time. This clinic currently sees approximately 10-15 patients in the half day and runs 6-7 half days per week. In addition, on-site sports care comprises 30 % of the time, and the remaining 15 % will be spent in the following settings: acute hospital in-patient care, mass participation events sports care, private ambulatory family medicine clinic, research, didactic conferences, and dive medicine training and certification. Our fellowship currently has nine locations providing institutional support. These locations include Self Regional Healthcare, Optimum Life Center, The Sports Medicine Center at Self Regional Healthcare, MCFM, Lander University Athletics Training Room, Lakelands Orthopaedic Clinic, Erskine College Training Room, McCormick High School football field and training room, Calhoun Falls High School football field and training room, Dixie High school football field and training room, and the Self Regional Healthcare Imaging Center. In addition, the fellow will continue his/her family medicine practice one half day per week with faculty precepting as well. At these locations the fellow will be responsible for clinical decisions which will include but not be limited to injections, casting, laceration repair, taping and strapping, making of orthotics, physical therapy, x-rays, athletic injuries, chronic pain and musculoskeletal ultrasound.
Additional and unique experiences of the fellowship are: Scuba certification and dive medicine teaching Ski area two week emergency room experience for fracture and acute injury management International medicine experience in Peru with >100 injections and minor surgeries in one week Multiple mass participation events including a half ironman and two Olympic length triathlons that the fellow directs Amateur boxing ringside doctor Wofford College football coverage