Â鶹AV

Â鶹AV.CA / Department of Emergency Medicine / Education / Fellowship

Sport Medicine Fellowship

Dr. Delaney, Dr. Lacroix and Dr. Baylis with the Grey Cup

Fellowship Program Directors

Penny-Jane Baylis, MBBS, CCFP (penny-jane.baylis [at] mcgill.ca)
J. Scott Delaney MDCM,CCFP,FRCPC, (jscott.delaney [at] mcgill.ca)
Address: 475 Pine Avenue West Montreal, PQ, Canada, H2W 1S4
Tel.: 514.398.7007
Fax: 514.398.4035
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Type of Fellowship

One-year clinical fellowship program.
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Introduction

The year will be divided between Â鶹AV Sports Medicine Clinic including sports event coverage (80% of the training) and MUHC-affiliated (20% of the training).

Goals and objectives:

  1. Enhances residency training by increasing knowledge and skill in a set of injuries and issues seen commonly in Emergency Medicine practice.
  2. Provide basic knowledge of sport and exercise medicine
  3. Teach the knowledge and skills necessary to perform as a team physician including sport profiling, pre-participation examination, implementation of prevention strategies and event coverage.
  4. Acquire experience to be an expert in musculoskeletal, sports and exercise medicine.
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Educational Program

Curriculum Rotations (1 block = 4 weeks. Total 13 blocks = 52 weeks)

The curriculum is divided into longitudinal block rotations and horizontal rotations.

Longitudinal Block Rotations:

  • Â鶹AV sports medicine clinics (8 blocks)
  • Rheumatology consults and clinics (1 block)
  • Orthopedic Trauma at The MGH (1 block)
  • MSK radiology (2 weeks)
  • Plastic surgery, hand clinics (2 weeks)
  • Pediatric orthopedics (1 block)
  • Elective (1 block)

Horizontal Rotation:

  • 3 to 4 shift at Â鶹AV university Emergency Department, and Act as junior Staff.
  • Research
  • Event converge

Vacation (1 block taken as 0.25 block per block throughout the year)
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Fellow Duties and Responsibilities

  • Fellow is first call during sporting events to triage and guide the therapist covering that event (if needed, fellow then can consult team doctor)
  • Help teach sports medicine to residents and medical students rotating monthly through the Sports Medicine Clinic (teaching by real case discussion and small group format).
  • As skill and experience develop, the fellow is encouraged to review cases with resident and students.
  • Expected to give a relevant presentation on one or two sports medicine rounds (mandatory attendance for students and fellows)
  • Coordinates the weekly resident and student schedule (fixed monthly schedule of clinics)
  • Be available to present didactic lectures within the Department of Family Medicine, Athletics, and Physical and Occupational Therapy.
  • Help develop educational materials for course, rotations, and patient education Learning Outcomes
  • Acquire the knowledge and develop the skills to consistently, proficiently and confidently diagnose, prevent and treat musculoskeletal injuries encountered by athletes of all age groups
  • Acquire the knowledge and develop the skills to consistently, proficiently and confidently diagnose, prevent and treat medical conditions encountered by athletes of all age groups (hypertension, obesity, osteoporosis, osteoarthritis, diabetes, atherosclerosis, and depression)
  • Acquire the knowledge and develop the skills to consistently, proficiently and confidently diagnose physical activity to athletes of all ages
  • Practice a team-oriented, empathetic, and ethical approach to sports medicine
  • Complete the Canadian Association of Sport Medicine (CASM) exam (national standard offered yearly)
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Sport Medicine Staff

  • Penny-Jane Baylis, MBBS, CCFP, Dip Sport Med., Family Medicine
  • Mark Burman MDCM, FRCPC, Orthopedic Surgeon
  • Monica Cermignani MDCM, FRCPC, Dip. Sport Med., Emergency Medicine
  • J. Scott Delaney MDCM, FRCPC, FACEP, Emergency Medicine
  • Bill Doulas, MD, CCFP, Family Medicine
  • Fany Fallenbaum pht, MD, CCFP, Family Medicine
  • Vincent Lacroix, MDCM, CCFP, Dip Sport Med., Family Medicine and Emergency Medicine
  • Paul Martineau MDCM, FRCPC, Orthopaedic Surgery
  • Mohan Radhakrishna MD, FRCPC, Dip. Sport Med., Physiatrist
  • Dr Sanjeet Singh Saluja MDCM, CCFP(EM), Emergency medicine
  • Kathryn Sun MDCM, CCFP, Dip. Sport Med., Family Medicine
  • Monica Volesky MDCM, FRCSC, Orthopaedic Surgeon

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Specific Objectives

SPECIFIC OBJECTIVES

Medical Expert and Clinical Decision-maker

The Fellow is expected to be able to:

  • Obtain a history that is accurate, pertinent and concise for the nature of the problem.
  • Perform physical examination and detail orthopedic examination.
  • Perform appropriate differential diagnosis and further diagnostic imaging.
  • Understand the mechanisms of injury and the associated injuries that must be excluded.

Complete the following procedures and understanding their indications, contraindications, and complications:

  • Reduction of fracture dislocations.
  • Joints aspiration and injections.

Also demonstrate an understanding of the medications used, indications, contraindications, complications.

The Fellow is expected to demonstrate an approach to interpreting the following radiologic interventions:

  • C-spine x-ray and CT C-spine
  • Shoulder and pelvic x-rays.
  • Hand and ankle x-rays.
  • Long bone and thoracolumbar x-rays.

The Fellow is expected to understand when to appropriately involve orthopedic sports medicine surgeon, and be able to apply the difference in sports epidemiology and management for adult and pediatric populations.

Demonstrate knowledge in:

  • Concussion symptoms, management, and prevention.
  • Common ligamentous injuries and their mechanism of injury and rehabilitation.
  • Muscle strains and injuries.

Communicator

The Fellow is expected to demonstrate effective communication skills by his/her ability to:

  • Work harmoniously within the team including the medical students, resident, and physiotherapy team.
  • Formulate a clear plan of action and convey information to other colleagues
  • Deliver information to patient and families in a sensitive manner using the appropriate vocabulary for their understanding of the situation.
  • Liaise effectively with the other health care providers and transfer of information and summarize the evidence to allow for better consultation and follow-up on the cases.
  • Write legible and pertinent documentation enabling another professional to access the information about the case.
  • Provide clear and constructive written feedback to the referring MDs.

Collaborator

The Fellow is expected to be able to:

  • Act as a leader in sports medicine events and coverage.
  • Effectively collaborate with all the consulting services required for the management of an athletic injuries.

Manager

The Fellow should understand and be able to apply in their practice:

  • Principles of mass sports coverage.
  • Cost effective use of investigative tools and therapeutic modalities including complementary and alternative therapies and procedures.
  • Effective time management for patient care and lifestyle balance.

Health Advocate

The fellow should be able to

  • Identify and advise on risk factors for prevention of injury including issues specific to gender, age and return to activity
  • Counsel athletes on the risks and side effects of performance enhancing drugs and substance abuse

Scholar

Fellow should be able to

  • Incorporate evidence-based decision making in caring for sports medicine patients
  • Critically evaluate information and its sources, and apply this appropriately to practice decisions
  • Teach and supervise patients, students, colleagues and other healthcare professionals Participate in sports medicine

Professional

Fellows must demonstrate

  • A commitment to carrying out professional responsibilities and an adherence to ethical principles.

Fellows are expected to demonstrate

  • The ability to resist pressure from coaches, parents, and similarly involved patient advocates when deciding appropriate return to play guidelines following a sport related injury.

How to Apply

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