Faculty Chair:
Dolores Gomez, MD
Contacts:
Dolores Gomez, MD
Amanda Provencio, MD
David Gallegos-Southwest Sport and Spine
Mike O’Leary-NMSU Head Athletic Trainer
Tracie Stone-Mayfield Athletic Trainer
Required Experiences:
- Mayfield High School Sports Physicals
- LCHS School Sports Physicals
- Centennial High School Sports Physicals Sports
- Southwest Sport and Spine Community Sports Physicals
- NMSU Sports Physicals
- Team Sideline physician at high school football, basketball games, NMSU football, women’s volleyball and women’s basketball
Team sideline physician
As the sports medicine rotation is longitudinal, weekly schedules will vary. Games are played on Thursdays, Fridays for football August-December; basketball games are played Monday thru Friday October-March
Optional Experience:
Weekly Schedule:
| Sunday | Monday | Tuesday | Wed | Thursday | Friday | Saturday |
Requirements:
AOA
Surgery
The program must provide at least twenty weeks of training in surgical disciplines, including at least four weeks of general surgery training during the OGME-1 year.
At a minimum this shall include:
- Preoperative and post-operative care.
- Training in the following sub-specialties, which may be ambulatory or inpatient.
- Ophthalmology.
- Orthopedics.
- Urology.
- ENT.
Sports Medicine
- The program must provide at least 50 hours or two weeks of training in Sports Medicine. This is in addition to time spent in the continuity of care ambulatory site. At a minimum this must include:
- Pre-participation assessment.
- Didactic and clinical experiences.
- Management of uncomplicated sports related injuries.
- Rehabilitation of athletic related injuries.
- Injury prevention/training.
ACGME
Residents must have at least 200 hours (or two months) dedicated to the care of patients with a breadth of musculoskeletal problems. (Core)
This experience must include a structured sports medicine experience. (Detail)
Description of Rotation or Educational Experience
The approach to diseases and disorders of the musculoskeletal system requires specific attitudes, knowledge and skills. This rotation is designed to provide experiences in a variety of settings that will give residents expertise in the diagnosis, prevention, treatment and rehabilitation of musculoskeletal diseases specifically in the setting of sports medicine. These experiences should include patients of all ages and conditions that present with athletic injuries, pre-participation sports examination, and care in the sports setting.
The Sports Medicine Rotation will include that the resident complete a total of 40 hours of sports medicine involvement including preparticipation evaluations, and at least 10 of the 40 hours to include being the “team physician” for local high school and college games or other sports medicine activities.
Patient Care
Goal
Residents must be able to provide patient care that is compassionate, appropriate, and effective for the treatment of sports-related health problems and the promotion of health in the sports medicine setting. Residents are expected to:
Competencies
- Perform an evidence-based, age-appropriate and activity-specific pre-participation physical evaluation, and provide guidance for an appropriate exercise prescription
- Perform an appropriate musculoskeletal history and physical examination, and formulate an appropriate diagnosis and recommend treatment, including requisite subspecialty referrals
Objectives
- Resident will be able to demonstrate an appropriate knee, shoulder, hip, and ankle exam
- Resident will be able to diagnose and properly manage acute concussion and post concussive syndrome
- Resident will be able to diagnose and properly manage acute ankle, knee, and shoulder injuries
- Resident will participate as team member with trainers and team physicians at various sporting events
- Resident will demonstrate proper stabilization of neck after head trauma
Medical Knowledge
Goal
Residents must demonstrate knowledge of established and evolving biomedical, clinical, epidemiological, and social-behavioral sciences, as well as the application of this knowledge to patient care.
Competencies
- The resident will demonstrate importance of diagnosing and treating musculoskeletal injuries in Family Medicine
- The resident will understand exercise as an important and beneficial part of patients’ lives
- The resident will have an awareness of the special needs of patients who have acute injuries
Objectives
- The resident will be able to identify the appropriate anatomical structures of the most common sports-related injuries (i.e. ankle, shoulder, knee)
- The resident will be able to explain what is the female triad in sports related activities
Practice- Based Learning and Improvement
Goal
Residents must demonstrate the ability to investigate and evaluate their care of patients, to appraise and assimilate scientific evidence, and to continuously improve patient care based on constant self-evaluation and life long learning. Residents are expected to develop skills and habits to be able to :
Competencies
- Identify strengths, deficiencies and limits in one’s knowledge and expertise;
- Set learning and improvement goals
- Identify and perform appropriate learning activities
- Locate, appraise and assimilate evidence from scientific studies related to their patients’ health problems
Objectives
- Resident’s will identify at beginning of rotation their limitations in musculoskeletal physiology and injury and participate in the pre-test developed for the sports medicine rotation as well as the post-test at the end of the rotation
Systems Based Practice
Goal
Residents must demonstrate an awareness of and responsiveness to the larger context and system of health care, as well as the ability to call effectively on other resources in the system to provide optimal health care. Residents are expected to:
Competencies
- Coordinate patient care within the health care system relevant to their clinical specialty
- Work in interprofessional teams to enhance patient safety and improve patient care quality
Objectives
- Residents will work cooperatively with athletic trainers and orthopedic specialists on the field
Professionalism
Goal
Residents must demonstrate a commitment to carrying out professional responsibilities and an adherence to ethical principles. Residents are expected to demonstrate:
Competencies
- Compassion, integrity, and respect for others
Objectives
- Residents will work cooperatively with athletic trainers and orthopedic specialists on the field
- Resident’s will arrive in a timely fashion to pre-participation sports physicals and to games where they are the team physician
Interpersonal and Communication Skills
Goal
Residents must demonstrate interpersonal and communication skills that result in the effective exchange of information and teaming with patients, their families, and professional associates. Residents are expected to:
Competencies
- Communicate effectively with a wide range of individuals regarding musculoskeletal health care, including patients, their families, coaches, school administrators and employers
- Communicate effectively with physicians, other health professionals, and health related agencies especially in the role as a team member of a sports medicine team
Objectives
- Resident will work cooperatively and collaboratively with team trainers and other team physicians
Teaching Methods
Residents will work one-on-one with team trainers in learning the skills for care of the athlete.
Residents will receive didactics throughout the year on proper musculoskeletal exam, diagnosis and treatment of the athlete
Assessment Method (residents)
360 global assessment tool, REDI assessment tools will be used in assessment of the resident during their longitudinal exposure. Residents will log their sports medicine hours on New Innovations and residents will be required to have the 40 hours of completion during their three years to pass the rotation. This will be reviewed with the resident quarterly at their IEP meetings with their advisor.
Assessment Method (Program Evaluation)
Residents will be provided with an evaluation of their experiences and given the opportunity to provide feedback of the longitudinal rotation during their quarterly IEP assessments.
Level of Supervision
The resident is directly supervised by the team trainers while on the field for team games. The resident will also be supervised during pre-participation exams by the trainers and/or faculty of the family medicine residency.
Educational Resources
Books
McKeag DB, Moeller JL. ACSM’s primary care sports medicine, comprehensive sports medicine references geared to primary care practitioners. 2nd ed. Philadelphia, Pa: Lippincott, Williams & Wilkins, 2007.
Puffer JC. 20 common problems in sports medicine. 1st ed. McGraw-Hill Professional; 2001
Organizations/Web Resources
American Academy of Family Physicians: http://www.aafp.org
American Academy of Orthopaedic Surgeons: http://www.aaos.org
American College of Radiology: http://acr.org
American College of Rheumatology: http://www.rheumatology.org
American College of Sports Medicine: http://www.acsm.org
American Medical Society for Sports Medicine: http://www.newamssm.org
American Orthopaedic Society for Sports Medicine: http://www.sportsmed.org
Arthritis Foundation: http://arthritis.org
Society of Teachers of Family Medicine: http://www.stfm.org
SNMFMRP Curriculum 