Our program provides a wide variety of regular and required didactics and educational sessions.
The didactic curriculum is designed to increase the fellow’s knowledge base in all aspects of Primary Care Sports Medicine and to help prepare the fellow to sit for the Sports Medicine In-Training Examination and successfully obtain the Certificate of Added Qualification in Sports Medicine (CAQSM).
Each week there are approximately four hours of lectures and small group discussions.
The curriculum includes but is not limited to the following topics:
- Musculoskeletal Anatomy and Physiology
- Exercise Biomechanics
- Pre-participation Evaluation
- Principles of Sports Nutrition
- Pathology and pathophysiology of illness and injury
- Effects of therapeutic, performance-enhancing, and mood-altering drugs
- Psychological aspects of exercise, performance and competition
- Ethical principles
- Medico legal aspects of exercise and sports
- Exercise Prescription
- The Team Physician
- Female Athlete Triad
- Emergency Preparedness
- Environmental Illness
- Hematological Conditions in Sports
- Rehabilitation of Sports Injuries
- Special Considerations related to age, gender, and disability
- Physical Conditioning
- Effects of disease on exercise and the use of exercise in the care of the medical patient
- Promotion of physical fitness and healthy lifestyles
- Growth and development related to exercise
- Sports Medicine Billing and Coding
1) Monday Academic Session: 1.5 hours weekly.
Orthopaedic/Sports Medicine/Primary Care Sports Medicine topics. This combined conference of Orthopaedic Surgeons, Primary Care Sports Medicine physicians, physical therapists, and athletic trainers is supervised by Dr. Richard Hawkins and other key Orthopaedic and Primary Care Sports Medicine faculty. Orthopaedic and Primary Care Sports Medicine fellows present and lead the discussion on an assigned topic each week.
Our fellows are required to prepare and present each year on the following topics. Each fellow gives a presentation on four of the topics below. For the fellow not presenting on a specific topic, he/she is required to read about that topic before the conference.
- Pre-participation Examination
- Environmental Illness
- Emergency Preparedness
- Sports Nutrition/Hydration
- Female Athlete
- Special Populations: Aging Athlete/Children
- Medical Aspects of Sports
Other topics/educational content discussed by the group during the year include the following:
- Orthopedic History Taking
- Examination of the Shoulder
- Examination of the Knee
- Rehabilitation of the Shoulder and Knee
- Sideline Preparedness for the Team Physician
- On-Field Emergencies/Event Coverage/Cervical Spine Injury and Prevention
- Cardiac Collapse and Heat Illness
- Research Design and Statistics
- Cartilage Basic Science
- Meniscus Basic Science and Injury
- Meniscal Tears: Diagnosis and Treatment
- ACL Basic Science
- ACL Injury and Treatment
- Multiligamentous Knee Injuries
- Femoroacetabular Impingement
- Hip and Pelvis Injuries
- Rotator Cuff Basic Science
- Rotator Cuff Injury and Treatment
- Shoulder Instability
- Throwing Shoulder
- Labral Injuries
- Shoulder Arthoplasty and Arthritis
- AC/SC and Clavicle Injuries
- Patellofemoral Problems
- Ankle Injuries
- Elbow Injuries
- Sports Spine: Spondylolysis and Spondylolisthesis
- Hand and Wrist Injuries
- Orthopedic Coding
Please click here to view an example of these sessions.
2) Wednesday Primary Care Sports Medicine Didactic Session: During these weekly Wednesday sessions the faculty and fellows discuss the fellows’ research projects (monthly), journal club articles (monthly), and 2-4 Primary Care Sports Medicine topics.
Most sessions are 1-2 hours. However, in the July orientation month musculoskeletal examination sessions and ultrasound workshops are typically three-hour sessions. The month of July is spent teaching the fellow the exam of the knee, shoulder, foot/ankle, and spine. The fellow is required to prepare a lecture on these examinations. The fellow also demonstrates the examination techniques and discusses the evidence supporting each technique, where evidence is available. Musculoskeletal Ultrasound is taught as well during these sessions to correlate with the above topic.
Goals and objectives have been implemented for each topic session. The fellow is required to have researched the topic, lead the discussion, and answer the clinically focused goals and objectives.
The following is an outline of the educational content of these weekly Wednesday sessions:
Neck & Shoulder Exam, Shoulder Ultrasound
Back & Hip Exam, Hip Ultrasound
Knee Exam, Knee Ultrasound
Intro to MSK Radiology I: Spine and Hip
Foot & Ankle Exam, Foot and Ankle Ultrasound
Intro to MSK Radiology II: Lower Extremity
Elbow & Wrist, Elbow and Wrist Ultrasound
Intro to MSK Radiology III: Upper Extremity
Team Physician/Preparticipation examination
Heat Illness/Hydration and Hyponatremia
Sudden Cardiac Death
Supplements and Ergogenic Aids
Endurance Athlete Issues/Hyponatremia
Exercise and Aging
Children and Exercise: Recommendations/Weight Training and Research
Woman and Sports: Female Athlete Triad, Pregnancy
Pulmonary: Exercise induced bronchospasm and vocal cord dysfunction
Gastrointestinal and Genitourinary Concerns
Infectious Disease/Minor Illness
Sports Hematology (Sickle Cell, Sports Anemia)
Fellowship Annual Program Evaluation
Special Populations/Disabled Athlete
Wilderness Medicine Topics
Psychology of Sports, Exercise and Performance
Sports Medicine Ethics/Medico-legal Aspects
Exercise Induced Anaphylaxis/Urticaria
3) Fracture Conference: Held every other month for 2 hours. This occurs in the evening allowing all key faculty to attend. The fellow is required to attend and to prepare, present and lead an open discussion and review of common fractures, fracture description, radiographic interpretation, initial and definitive management, common pitfalls and complications. This session is supervised by Orthopaedic faculty and Primary Care Sports Medicine faculty.
Fracture Conference Schedule
Date: 4th Thursday of each month
- August: General Principles/Fracture Description/Acute Management
- September: Radius & Ulna/Ankle
- October: Foot (Calcaneous, tarsal, metatarsal)
- November: Wrist and Hand (Carpel, metacarpal, phalanges)
- December: Clavicle/Scapula/Humerus
- January: Elbow/Pediatric Considerations (elbow, clavicle, tibia, radius)
4) Anatomy Conference is held monthly for 1.5 hours in the morning prior to clinical rotations or duties allowing fellows and faculty attendance. This session is led and supervised by faculty from the department of Orthopaedics. This session begins with a 20-minute review of anatomy followed by hands-on time with a cadaveric specimen reviewing surgical approaches, relevant anatomy and surgical techniques. This is a time of interaction for our fellows with Orthopaedic residents and fellows and also allows for practice of procedural techniques such as joint and bursal injections.
University of South Carolina School of Medicine Greenville
- November: Upper Extremity Anatomy and Dissection
- December: Lower Extremity Anatomy and Dissection
- January: Review of Upper and Lower Extremity
- March: Ultrasound Guided Injections
- April: Upper Extremity Part II
- May: Lower Extremity Part II
5) Vascular Medicine/Sports Medicine Rounds: This session is held quarterly with faculty from the department of Vascular Medicine and the Vascular Medicine fellowship. These are 1-hour sessions and fellows are assigned topics for discussion and are supervised by key program faculty. Attendance is required. These conferences are planned specifically for the Sports Medicine fellows. Topics have included:
- Approach to the Athlete with Exertional Leg Pain
- Exercise Effects on Coagulation
- Entrapment Neuropathies
- Deep Vein Thrombosis in Athletes
- Thoracic Outlet Syndrome
- Rheumatologic Issues, Testing, and Spondyloarthropathies
6) Sports Medicine Journal Club: This session is held monthly during our Wednesday didactic time. During this time the fellow develops an understanding of concepts such as study design, levels of evidence, data and statistics, diagnostic reasoning, and understanding approaches to interpreting and applying the medical literature in the context of their clinical practice or patient specific condition.
7)Introduction to Medical Decision Making: This session is lead by key Sports Medicine faculty and is designed to teach fellows research and biostatistics in order to take evidence-based medicine to the exam room.
8) Sports Medicine Ethics: We discuss clinical cases and discuss ethics and medical-legal issues related to Sports Medicine and being a team physician. This session is led by Stuart Sprague, PhD who is also available for consultation during the year.
9) Coaches Clinic: the fellows interact and are involved in teaching during a coaches’ clinic held twice a year. During the educational forum the fellows attend and give lectures alongside behavioral medicine, sports nutrition, athletic trainers, and sports performance specialists. Audience and participants include coaches and athletic directors from Greenville County High Schools, physicians, and athletic trainers. Attendance is required.