Sports Medicine Fellowship

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The Sports Medicine Fellowship of the Spaulding Rehabilitation Hospital (SRH) and the Harvard Department of Physical Medicine and Rehabilitation provide an integrated, multidisciplinary sports medicine curriculum.

General Information
The Sports Medicine Fellowship of the Spaulding Rehabilitation Hospital (SRH) and the Harvard Department of Physical Medicine and Rehabilitation provide an integrated, multidisciplinary sports medicine curriculum. The Massachusetts General Hospital (MGH) Sports Medicine Center is also a major teaching site for the fellowship. The fellowship is designed to meet the objectives and requirements as outlined by the American Board of PM&R for subspecialty certification in Sports Medicine.

Time frame
This is a 12-month fellowship, which commences on August 1 and ends on July 31st of the following year. Presently, one fellow per year is accepted into the program. The fellow will be eligible for an appointment at Harvard Medical School through the Department of Physical Medicine and Rehabilitation.

Clinical and Educational Objectives       

  1. Develop proficiency in obtaining a systematic history and physical examination on patients presenting with musculoskeletal complaints due to sport or athletic injury.
  2. Determine, order and accurately interpret the most appropriate diagnostic tests based on history and physical examination.
  3. Determine the most appropriate, data-driven methods of managing sports medicine diagnoses.
  4. Develop and prioritize an individualized treatment plan and rehabilitation program for all patients. Write detailed physical therapy prescriptions with specific strengthening, stretching and aerobic exercise programs, including indicated modalities
  5. Develop knowledge in the evidence-based rehabilitation protocols for the most common nonsurgical and surgical (pre and post operative) diagnoses in sports medicine.
  6. Determine the patients that require surgical intervention, and facilitate referral to the appropriate surgeon on the team. Become familiar with different surgical approaches and the associated anatomy, as they relate to the subsequent rehabilitation program. Have the opportunity to observe surgical procedures, and assist as needed.
  7. Become proficient at diagnostic and therapeutic intra-articular, tendon sheath and bursal injections.
  8. Become proficient at trigger point, botox and prolotherapy injections for indicated subacute and chronic musculoskeletal diagnoses (physiatry clinic).
  9. Become proficient at MSK ultrasound and interventional MSK ultrasound guided procedures for joint injection, percutaneous tenotomy, and platelet rich plasma injection.
  10. Become proficient at flouro guided peripheral joint injections and basic lumbar epidural, sacroiliac and facet joint injections
  11. Become proficient at EMG/NCV
  12. Follow patients through treatment to evaluate for outcome success. Work to maximize patients' functional potential in sport and at home.
  13. Manage a wide variety of sports injuries that encompass all regions of anatomy, including head injury (concussion) and nonsurgical spine diagnoses related to sport.
  14. Manage disabled athletes that present to physiatry clinic (spinal cord injury, amputee, etc).
  15. Work collaboratively and collegially with other health care professionals involved in Sports Medicine (orthopedic surgeons, radiologists, cardiologists, dermatologists, rheumatologists, pulmonologists, physical therapists, athletic trainers, strength and conditioning coaches, nutritionists, nurses, sport psychologists, etc.).
  16. Obtain a working knowledge of the biomechanics of various sport activities in relationship to injury and human performance. Use this knowledge to maximize athletic performance.
  17. Enhance understanding of the basic science of muscle and bone physiology, as they relate to strength and endurance training and stretching and flexibility in the healthy athlete, as well as in the presence of tissue injury.
  18. Communicate effectively with athletes, coaches, parents and training staff regarding the diagnosis and management of injuries and the impact on sport activity and return to play.
  19. Obtain experience in the organizational and operational requirements associated with providing for the health care needs for professional, collegiate and youth athletic teams in-season and off-season.
  20. Obtain experience and proficiency in providing acute, on-field injury management at various levels of sport participation.
  21. Discuss and participate in the prescription, application and/or fitting of appropriate protective devices for the prevention of sports injuries. Perform gait analysis, if indicated.
  22. Participate in process of scientific inquiry, publication and presentation; Develop minimum of one manuscript to submit for publication and one presentation.
  23. Attend and present at Sports Medicine Rounds to develop knowledge base and improve professional presentation skills.
  24. Educate colleagues about the scope of Physical Medicine and Rehabilitation and the role of physiatrists in musculoskeletal practice and sports medicine.

Faculty
Current academic faculty members:

  • Dr. David Binder
    MGH Spine Center and SRH Interventional Clinic
  • Dr .Joanne Borg-Stein
    Director, Sports Medicine Fellowship
    Team physician, Wellesley College
    Medical Director, Newton Wellesley Hospital Spine Center
    Medical Director, Spaulding Rehabilitation Center: Wellesley, Mass.
  • Dr. Tom Gill
    Director, MGH Sports Medicine
    Team Physician, Boston Red Sox
    Team Physician, New England Patriots
  • Dr. Kelly McInnis
    Associate Director, Sports Medicine Fellowship, MGH Sports Medicine Center
    Consultant to Boston Bruins
  • Dr Erik Ensrud
    Director, Electrodiagnosis, Boston VA Hospital

Fellows
Previous pain medicine fellows are:

  • Dr. Kelly McInnis
    2007-2008
    Residency: PM&R, Harvard Medical School / Spaulding Rehabilitation Hospital
  • Dr. Rosalyn Nguyen
    2009-2010
    Residency: PM&R, Harvard Medical School / Spaulding Rehabilitation Hospital
  • Dr. Erik Brand
    2010-2011
    Residency: PM&R, Johns Hopkins Hospital

Conditions
In general, we expect fellow(s) to be in the hospital from 7:30 AM to 5:00 PM on weekdays, excluding official hospital holidays. Weeknight and/or weekend event coverage is required. Anticipated or unanticipated absences for medical or professional reasons should be discussed with the Program Director.

Vacation time, four weeks per academic year, should be arranged well in advance and approved by the Program Director. Vacation time authorization is dependent on program needs. Unless specific approval is obtained, vacations should not be taken in increments greater than one week at a time.

Additional responsibilities and conditions of the Sports Medicine Fellowship include:

  • The fellow will attend weekly didactics sponsored by MGH and will be responsible for online CME activities.
  • The fellow will be responsible for covering telephone pages during the weeknight afterhours, on weekends and holidays, unless prior arrangements have been made. There are no in-house responsibilities on weeknights or weekends/holidays.
  • It is expected that the fellow will participate in clinical research trials and other research projects during the course of the year.

Applications
To be considered for a fellowship, you will need to submit the following materials by September 15th:

  1. A completed application
  2. A current CV
  3. A personal statement
  4. Three (3) letters of reference, including one from the program director or department chairman
  5. Completed applications should be sent via standard mail to:

    Elyse LoMonaco

    Administrative Manager for Academics
    Dept. of PM&R at Harvard Medical School
    Spaulding Rehabilitation Hospital
    125 Nashua Street
    Boston, MA 02114-1198

    For questions and application, call Elyse at: (617) 573-2758

 

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