Sports Medicine Fellowship

Program Overview

A fellowship at Brigham and Women’s/Harvard Medical School ensures a comprehensive education in the art and science of Sports Medicine. We believe the educational opportunity offered by our sports medicine fellowship will provide a firm foundation in the management of sports related musculoskeletal problems and the complexities of a Sports Medicine practice which should assist a graduate to rise to leadership roles within the orthopaedic community.

The sports medicine program is comprehensive and is structured around teaching clinical and psychomotor skills to be proficient in a variety of sports medicine problems involving the shoulder, elbow, hip, knee and ankle. Educational instruction will include case presentations at the weekly sports education conference, assigned lecture for the weekly sports medicine conference, weekly surgical indications conference, and presentation of research assignments.

Didactic teaching includes a weekly CORE curriculum with lectures on basic science, clinical and surgical techniques including pertinent outcome studies upon which current surgical practices of sports medicine are based. We have incorporated and emphasized the teaching of six CORE competencies into our fellowship training program as recommended by the residency review committee. On line evaluation of the sports rotations by both the fellows and the attendings occurs at quarterly periods and are reviewed by the staff and fellowship director after each review period.

Curriculum includes lectures on meniscal repair, ACL, PCL, and posterolateral reconstructions, cartilage regeneration techniques, tendon repair, shoulder and knee stabilization techniques, shoulder arthroplasty, rotator cuff repair, and knee osteotomies. The curriculum also includes an anatomy lab with prosections and weekly lectures over an eight week period in the summer, and four cadaveric prosections throughout the year. A psychomotor anatomy skills lab will concentrate on teaching arthroscopic skills to carry out a multitude of surgical procedures on both cadaveric specimens and anatomic models.

Surgical preparation includes instruction in preoperative planning, indications and contraindications for surgery, conservative treatment, and rehabilitation techniques that will enable the athlete to return to competition as quickly and safely as possible.

Inpatient surgical cases include complex ligamentous reconstruction for knee dislocation, open surgical reconstruction including Laterjet procedures, total shoulder replacement, tibial and femoral osteotomies, open tendon repairs (patellar, quadriceps, and Achilles), joint preservation techniques including autogenous cartilage implantation, osteochondral grating, mosaicplasty, microfracture, and meniscal transplantation and partial knee replacements.

Outpatient surgical procedures (in a surgicare setting day surgery) include ACL, PCL reconstruction, meniscal repairs, arthroscopic rotator cuff repair, arthroscopic shoulder stabilizations, hip arthroscopy including hip labral repair, femoral and acetabular osteoplasty, iliotibial and psoas tendon releases, and elbow arthroscopy.

Team coverage includes didactic coverage for high school, collegiate, and professional teams, weekly training room time, interaction with trainers, coaches, physical therapists and guidelines for return to play. Approximately four hours of research time will be reserved weekly for basic science and clinical projects with support from the Sports Medicine staff and Dr. Myron Spector’s soft tissue engineering lab.

The duration of the fellowship is one year and the fellow will be expected to be proficient in surgical and nonsurgical options and knowledge of the basic science and research upon which surgical procedures are based. Participation in basic science and clinical research projects will be encouraged throughout the year with instruction on study design and preparation, presentation, and manuscript preparation.

Financial support is provided for presentation of research projects at national meetings.

The Sports Medicine Fellow works closely with all faculty members in both inpatient and outpatient settings. There is a strong one-to-one mentoring that takes place between the fellow and other Sports Medicine faculty. As both the ACGME and the BWH mandate close supervision by faculty of trainees to ensure the highest quality of patient care, the Sports Medicine fellow becomes an integral member of the surgical team. In this role, the fellow consults closely with attendings, residents, medical students, and staff.

It is expected that the sports fellow will be an educator to others, including other fellows, orthopedic residents, medical students and other allied health professionals. Opportunities for teaching include:

  • At the weekly BWH Sports Medicine conference which takes place from 6:45am to 7:45 am. The attending staff, allied health professionals, and fellows are responsible for didactic lectures on a variety of sports medicine topics. Responsibilities for lecturers include slide presentation, handouts and discussion period with questions and answers.
  • In daily rounds, clinics and in the operating room.
  • In the mandated weekly Sports Medicine/Shoulder indications conference
  • In monthly Sports Medicine Journal club
  • In bi-monthly Sports Medicine research meetings.

Formal education in the Brigham sports medicine program offers a wealth of resources and ample learning opportunities for the fellow.

Within the BWH, there are three didactic meetings which the Sports fellow attends: (1) The weekly Sports Medicine indications conference. (2) The Sports Medicine lecture conference held weekly (3) The combined Sports Medicine-Radiology conference held twice a month. In addition the fellow works closely with individual attendings with monthly research conferences to discuss progress on research projects.

On Monday mornings from 6:45am to 7:45 a.m., the sports service including sports medicine residents, fellows, attendings, physician assistants, research assistants and physical therapist attend a sports medicine lecture covering all of the topics required by the ACGME. On Monday afternoons from 4:30 to 5:30p.m., the fellows attend a Sports Medicine indications conference that focuses upon upcoming sports medicine cases during the week. Cases are assessed with discussion of patient history, diagnosis, radiographic results, treatment alternatives, surgical approaches, surgical management, and physical rehabilitation. Attendings, residents, and students from radiology, orthopedics and rehabilitation attend the conference. The Sports Medicine fellow is expected to present the cases for the upcoming week and to have available a classic review article that addresses each of the cases in order to help educate the residents and students.

A quarterly fresh frozen cadaveric dissection will be provided with prosections done by fellows: new and innovative surgical techniques and will be reviewed with the Sports Medicine surgeons. The fellow is expected to organize and lead the prosections with the residents. The fellow is expected to gather a list of articles related to the anatomic region of interest.

A monthly Journal Club will be held with articles to be reviewed selected by the Sports Medicine attendings. Three articles will be clinically based and one related to sports medicine basic science research. These articles will mostly be selected from the American Sports Medicine Journal, Journal of Bone and Joint Surgery and the Journal of Arthroscopy. The fellow is expected to coordinate the presentation and review of the articles with the residents. All of the faculty will be expected to participate in these journal clubs.

The Brigham and Women’s/Massachusetts General Hospital Combined Orthopedics Residency Grand Rounds take place every Wednesday morning from 7 to 8 a.m. The rounds are organized by the Department Chiefs and focus upon various aspects of orthopedic surgery. The fellow can attend grand rounds and may also attend weekly educational offerings of the trauma service as well as weekly journal clubs and core curriculum programs.

The fellow is also expected to participate in the Harvard Combined Orthopedic Anatomy Core sessions which occur over an eight week period in July and August. The Sports fellow is expected to participate in the shoulder, knee, elbow, hip and ankle anatomy sessions and to participate as a clinical instructor to assist residents in surgical prosections and pertinent anatomical surgical exposures.

The Brigham and Women's Sports Medicine Fellowship participates in the SF Match. Therefore, all applicants should apply by logging onto www.sfmatch.org

Meghan Dionne, Sports Medicine Fellowship Coordinator, is the contact for the Fellowship. She can be reached at medionne@bwh.harvard.edu.

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