The Greenville Health System/University of South Carolina School of Medicine Greenville fellowship is a one or two-year ACGME accredited program sponsored by the Department of Family Medicine. The fellowship is designed to provide comprehensive sports medicine training in musculoskeletal and non-musculoskeletal disease in athletes and active individuals. We provide coverage for professional, collegiate, and high school athletes, as well as, the typical “weekend warrior.” Our fellows have ample opportunity to work with athletes through prevention, diagnosis, treatment, and rehabilitation of a variety of injuries. Our program is part of an academic health center and as such our physicians are held to a higher standard. They provide not only patient care, but also contribute to education, scholarly activity, and service.
The programs curriculum has been carefully created and organized to provide a diverse, well rounded and supervised experience for the Sports Medicine fellow to gain competence in the field of sports medicine. The program is part of a Multidisciplinary Musculoskeletal Institute that cares for a large number of patients in Upstate South Carolina, including over 20,000 athletes in 24 high schools, 25 middle schools, North Greenville University (NGU), USA Karate, and the Greenville Drive Professional Baseball Club (Boston Red Sox-Class A Affiliate) Across a wide variety of clinical experiences, the fellows diagnose and manage medical illnesses and acute injuries such as sprains and strains, contusions, overuse injuries, and fractures/dislocations. The fellows also gain experience in injury prevention, sports nutrition, pre-participation evaluation, care of the older/aging athlete, special populations, management of acute/chronic illness or injury, and injury rehabilitation. This includes the following experiences in more detail:
1. Fellows’ Sports Medicine Continuity Clinic and Primary Care Sports Medicine Continuity Clinic: the fellow’s develop a diagnosis and treatment plan along with arranging appropriate testing, rehabilitation and referrals when indicated. In this setting the fellow will gain competency in communication with referring physicians, athletic trainers, and other ancillary staff. The fellows address and promote physical fitness and wellness. They also educate patients on the benefits of exercise and provide exercise prescriptions.
2. Muscuoloskeletal Ultrasound and MSK Radiology. All of our primary teaching sites have MSK ultrasound units available to our fellows and are taught both diagnostic and ultrasound guided injection techniques by our faculty. The fellow interprets plain films and reviews MRI’s, which are readily available in all clinical settings through a digital imaging system.
3. The fellow has direct clinical experience in covering high school, college, professional and community sporting events, which provides a wide range of injuries and illnesses.
4. The fellow gains experience in an acute injury clinic (Bump and Bruise Clinic) on Saturday’s during the fall season which ensures exposure to the acutely injured athlete to include but not limited to spine, knee, shoulder, foot/ankle, and hand injuries. The fellows evaluate acute fractures, and perform casting and splinting. The fellows utilize early rehabilitation principles. The fellows evaluate and manage concussions, including use and interpretation of computerized neuropsychological testing.
5. The fellow provides both medical and musculoskeletal care to athletes and students with clinical time spent in the student health center, high school, collegiate, and professional training rooms. In all these settings the fellows gain experience functioning as a team physician with appropriate and meaningful responsibility. This setting also provides access to team sports, injuries and illnesses encountered in athletes.
6. The fellow cares for elite and recreational endurance athletes during the USA professional cycling championships and local triathlons/running events/cycling events (mass participation events).
7. From the longitudinal and rotation specific Orthopaedic Surgery experiences, the fellow participates in outpatient and inpatient management of surgical cases with fellowship trained Sports Medicine Orthopaedists.
8. Acute Injury Clinic: the fellow spends time in the Steadman Hawkins Injury and Fracture Treatment clinic (SHIFT). This is a walk-in clinic held at the Steadman Hawkins Clinic of the Carolinas Patewood location for patients with acute injuries and fractures. The volume for this clinic is approximately 15 patients per session (fellow will see 6-8 patients) and provides a valuable learning experience in dealing with the acutely injured athlete, acute musculoskeletal injuries, evaluation and interpretation of radiographs, initial splinting and acute fracture management. The fellow will also educate and teach other primary care residents participating in this clinic.
9. Sporting Events, Mass Participation, and Endurance Events: the fellow provides care of acute injury and illness through coverage of local triathlons, cycling events, and rodeos. The fellow has meaningful responsibility and is also required to prepare and plan staffing and organization of at least one mass participation event each year.
10. Special Populations: the fellow works with special populations and gains experience in caring for these athletes through attending lectures, performing pre-participation physicals, and providing event coverage (Annual Goal Ball Tournament), Adaptive Sports Medicine through the Roger C. Peace Facility at GHS, and from our relationship with the South Carolina School for the Deaf and the Blind.
11. Human Anatomy and Bio-skills Lab: This is a combined lab and anatomy experience with the Greenville Health System’s Department of Orthopedic Surgery residency. This lab is held monthly and allows the fellow to learn about pertinent musculoskeletal anatomy. The experience is enhanced by interaction with the residents in Orthopaedics and the fellows in Orthopaedic Sports Medicine. The fellow will generate a checklist and identify the anatomic structures commonly injured in the shoulder, knee, elbow, and foot/ankle. The fellows also spend dedicated didactic time in the medical school anatomy lab performing dissections and practicing ultrasound guided injections.
12. Exercise Physiology: This course occurs at Furman University in the Health and Exercise Science Department. Fellows are given goals and objectives for the course including clinical problem sets reviewed with Furman Exercise Physiologists and clinical laboratory time learning about assessment of body composition and metabolic testing (VO2 max and lactate threshold).
Program Director: Irfan M Asif M.D.
About Greenville Health System
GHS employs over 15,000 people including 950+ physicians on staff. The system includes clinically excellent facilities with 1,662 beds on 7 campuses. We offer 14 residency and fellowship programs, as well as one of the nation's newest 4-year medical education programs: University of South Carolina School of Medicine–Greenville, located on GHS’ Greenville Memorial Medical Campus. We are a designated Level I Emergency Trauma Center and also have a separate research facility.