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Home » Rotations » Musculoskeletal Medicine

Musculoskeletal Medicine

Overview

The musculoskeletal medicine rotation is a preceptorial rotation. The rotation occurs in the primary care sports medicine-trained preceptor’s clinic. The teaching of sports medicine in the program includes this rotation as well as experiences in the Family Medicine Center, the noon conference series and on other rotations (see other curricula.).

Goals

  1. At the completion of this rotation, the resident will have an understanding of the practice of sports medicine in a community setting, which will facilitate appropriate referral practices in the future.
  2. At the completion of this rotation, the resident will have knowledge and skills in the areas of sports medicine pertinent to the practice of family medicine.

Objectives

At the completion of this rotation, the resident will have demonstrated to the satisfaction of the sports medicine preceptor:

  • medical knowledge in sports medicine pertinent to the practice of family medicine, including the appropriate evaluation and treatment of (MK):  athletes with various chronic medical conditions, overuse injuries, muscle strains and disruptions, ligament sprains and disruptions, inflamed tendons and tendon sheaths, fractures, head injuries, special athletic populations (children, pregnant women, the elderly, those with disabilities, etc.), and patients of all ages with risk factors for athletic participation. In addition, the resident will learn about the normal physiology of exercise and its appropriate therapeutic uses, appropriate nutrition for athletes and principles of rehabilitation of injured athletes.
  • the ability to perform an appropriate history and physical examination on the sports medicine patient and to present these findings to another physician in an appropriate manner (PC).
  • the ability to order tests appropriately and interpret data related to the sports medicine patient, arrive at reasonable diagnostic and management decisions, weighing alternatives, benefits and risks of diagnostic and therapeutic options, and co-managing patients appropriately with other specialists (PC).
  • the ability to make appropriate decisions to assure high-quality care in a cost-effective manner (SBP).
  • communication and interpersonal skills, which facilitate positive and therapeutic relationships (ICS).
  • the ability to work cooperatively with other health professionals as part of a healthcare team (ICS).
  • compassion, respect and integrity; responsiveness to the needs of patients and society that supersedes self-interest; accountability to patients, society and the profession; a commitment to excellence and on-going professional development (P).
  • a commitment to ethical principles pertaining to the provision or withholding of clinical care, confidentiality of patient information, informed consent and business practices (P).
  • sensitivity and responsiveness to a patient’s culture, age, gender and disabilities (P).
  • There are no specific procedural requirements for this rotation.  However, there is a separate Procedures Curriculum, and residents may gain experience meeting these requirements during this rotation. Procedures typically performed by residents on this rotation with the sports medicine preceptor include (PC):
  • joint/bursa injection/aspiration
  • cast/splint application
  • skin laceration repair/suturing
  • diagnostic musculoskeletal ultrasound
  • pre-participation examinations
  • dislocations and fracture reduction
  • exercise treadmill testing
  • interpretation of radiographs

Implementation

This is a preceptorial rotation, so the resident is assigned to a particular sports medicine preceptor. The resident will accompany the sports medicine preceptor during his/her professional activities in the sports medicine preceptor’s office and in other locations involved in the preceptor’s usual practice. In the course of seeing patients, the sports medicine preceptor will provide experiential learning, role-modeling and one-on-one teaching to the resident.

The resident is responsible for contacting the sports medicine preceptor prior to the start of the rotation to arrange a schedule for the rotation. The resident must continue to meet usual residency obligations to his/her Family Medicine Center population including attending scheduled clinics, caring for continuity patients admitted to Memorial Hospital and rounding in the nursing home. The resident is expected to attend noon conferences and abide by duty-hour restrictions in keeping with usual program policies. Upon completion of the rotation, the resident must complete and return the evaluation form provided by the program.

Evaluation

The sports medicine preceptor will complete an evaluation form at the end of the rotation assessing the resident’s success in meeting the rotation objectives as outlined in this curriculum.