UNM FAMILY MEDICINE RESIDENCY

ROTATION OBJECTIVES

SPORTS MEDICINE

GOALS

The goal of the Sports Medicine rotation is to provide learning opportunities that will enable residents to develop or refine the knowledge, skills, and attitudes necessary to:

1. Understand the philosophy of sports medicine from a Family Medicine

perspective.

2. Apply the scientific knowledge of sports medicine in clinical practice.

3. Understand the pathophysiology and management of athletic injuries.

OBJECTIVES

PATIENT CARE OBJECTIVES

The resident demonstrates the ability to:

§  obtain, document and report developmentally, age and specialty appropriate history

§  perform, document and report developmentally, age and specialty appropriate physical examination

§  generate an appropriate differential diagnosis

§  make informed decisions about diagnostic and therapeutic interventions based on patient information and preferences, up-to-date scientific evidence, and clinical judgment

§  develop and carry out patient management plans

§  counsel and educate patients and their families in a clear, respectful and culturally conscious manner

§  use information technology to support patient care decisions and patient education

MEDICAL KNOWLEDGE OBJECTIVES

Upon completion of this rotation, residents will demonstrate understanding of:

General considerations

1.  The integration of the philosophies of Family Medicine and Sports Medicine.

2.  The family physician’s role as a member of the sports medicine team: PT,OT, orthopaedic surgery.

3.  The integration of the basic sciences

·  Exercise physiology

·  Anatomy

·  Biomechanics

4.  The principles of nutrition, fluids and electrolytes

Health promotion and prevention

5.  The role of exercise in health promotion.

6.  Principles of pre-participation evaluation.

7.  Principles of injury prevention.

8.  Principles of conditioning and training techniques (basic).

9.  Principles of exercise prescriptions

·  Age related

·  Patients with chronic illness

10.  Community resources and their accessibility

11.  The epidemiology of exercise and injury.

12.  Principles of patient education.

13.  Principles of exercise in pregnancy (with our maternal/child health consultation)

Patient care aspects

14.  The role of the family physician as a team or event physician.

15.  Assessment of acutely injured athletes and transport issues.

16.  Management of athletes, and sports related issues.

17.  Principles of the rehabilitation of athletes.

18.  Principles of exercise as a treatment, including physical and psychologic problems.

19.  Considerations for athlete subgroups:

·  Children

·  Women

·  Geriatric

·  Physically challenged

·  Recreational

·  Athletes with chronic conditions

21. Medical equipment and supplies

22. Team liaisons: coach, parents, orthopaedic surgeons

Problems associated with exercise

23.  Upon completion of this rotation, residents will demonstrate understanding of the following problems associated with exercise:

Exercise addiction. Steroid abuse.

“66 under pressure" performance Intermittent exerciser

Expectations of athletes Substance abuse and athletics

Eating disorders Exercise-induced asthma

Specialized issues of women athletes

Osteoporosis

Amenorrhea

Eating disorders

PRACTICE-BASED LEARNING AND IMPROVEMENT OBJECTIVES

The resident:

§  recognizes his/her own strengths and limitations

§  asks questions as an engaged, critical learner

§  locates, appraises, and assimilates evidence from scientific studies related to their patients’ health problems

§  uses information technology to manage information, access on-line medical information, and support their own education

INTERPERSONAL AND COMMUNICATION SKILLS OBJECTIVES

The resident:

§  makes organized and effective oral presentations

§  elicits and provides information using effective listening, nonverbal, explanatory, questioning, and writing skills

§  communicates with the patient, family and members of the healthcare team in a timely, developmentally and culturally appropriate manner

§  works effectively and respectfully with others as a member or leader of a health care team or other professional group

PROFESSIONALISM OBJECTIVES

The resident:

§  accepts responsibility for patient care

§  never misrepresents patient care information

§  consistently performs in a punctual, reliable and collegial manner

§  demonstrates dress, hygiene and manner of speech that consistently reflect appropriate standards

§  demonstrates a commitment to excellence and on-going professional development

§  demonstrates sensitivity and responsiveness towards patients’ , colleagues’ and team members’ gender, age, culture, disabilities, ethnicity and sexual orientation.

SYSTEMS-BASED PRACTICE OBJECTIVES

The resident:

§  practices cost-effective health care and resource allocation that does not compromise quality of care

§  advocates for quality patient care and assist patients in dealing with system complexities to minimize discomfort or confusion

§  recognizes that the patient is part of greater system and provides care in a manner that supports continuity.

PROCEDURAL SKILLS

Upon completion of this rotation, residents will:

24.  Demonstrate proficiency in performing the following techniques and procedures:

·  Focused history of musculoskeletal and cardiovascular systems.

·  Focused examination of musculoskeletal and cardiovascular systems.

·  Assessment and management of sports-specific injuries

·  Taping and strapping

·  Immobilization

·  Bracing

·  Joint aspiration

·  Pre-performance assessment (Sport’s Physical)

25. Demonstrate understanding of the following techniques and procedures:

·  Physical training

·  Treadmill testing

·  Body fat determination

·  Flexibility determination

·  Safety of exercise environment

·  Managing the medical aspects of an athletic event.

·  Managing acutely injured athletes

·  Managing acutely ill athletes

·  Sports physiotherapy

·  Home rehabilitation techniques

·  Equipping a team’s physicians bag

Page 3 of 3 June 2006 (NIG&O4-06)