David Smith, MD, FAAFP
Larry Magee, MD
This Primary Care Sports Medicine (PCSM) fellowship is a twelve month program sponsored by the University of Kansas Health System through the Sports Medicine division with support from the Family Medicine Residency Program. The fellow will be based in the Primary Care Sports Medicine clinic and spend time in a Fellow's Clinic supervised by PCSM faculty, and with different orthopedic specialties. Further clinical experience will be gained in athletic training rooms and on the sideline at high school and collegiate levels. Exposure to professional athletes will be a limited part of the fellowship year because of the health system's partnership with the KC Royals and Chiefs. Required and elective rotations will also be completed with other clinical services, including musculoskeletal radiology, to develop a well-rounded education.
The fellow will have his/her own clinic based out of the University of Kansas Health System's Sports Medicine and Performance Center at the Indian Creek Campus. Two and a half days a week the fellow will evaluate and care for his/her own patients and be precepted by each of the members of the Primary Care Sports Medicine faculty. The faculty will be available on site to review cases with the fellow and supervise procedures, including ultrasound guided injections. We see a wide array of primary care sports medicine complaints, including musculoskeletal injuries, some medical issues related to exercise and sports participation, and concussion.
The PCSM fellowship has a longitudinal curriculum where the fellow alternates between orthopedic subspecialties, musculoskeletal radiology, and electives. Rotations include working with sports orthopedic surgeons and other orthopedic specialty clinics, including elbow, hand/wrist, and foot / ankle.
Fellows will be assigned as Team Physician to a local high school contracted with The University of Kansas Health System. The fellow will spend one afternoon a week seeing student athletes in the training room working with a certified athletic trainer then attend football or other practices. The fellow will also spend one day a week in Lawrence, Kansas working in an orthopedic clinic with one of the team orthopedic surgeons seeing Division 1 collegiate athletes and in training room under the direction of the Head Team Physician for the University of Kansas. As part of this collegiate experience, the fellow will be on the sideline for home football games and other athletic events as determined by the Head Team Physician.
The fellow will be scheduled one half day per week at the University of Kansas Health System's Med West campus providing primary care and urgent care services to private patients. Family Medicine faculty will be on site to review cases as needed.
There is no call but availability to the athletic training staff is highly encouraged.
The fellow has one half day a week dedicated to work on a research or special project and any other scholarly activity. Project and research ideas can be developed with input from the Fellowship Director and the Research and Education Committee which meets every other month. The fellow is expected to present his/her research or special project at a regional or national meeting. The fellow may also assist faculty with ongoing research projects, or use the time to continue previous research of their own.
Each month physicians, athletic trainers and physical therapists within the Sports Medicine division meet to review journal articles and discuss current topics. The PCSM fellow is responsible for choosing and reviewing an article, with input from the Program Director, then presenting to the group at these meetings.
The fellow will have opportunities to provide physician coverage at a variety of different athletic events. Primary responsibility is to cover all home and away football games at the assigned high school and other events such as wrestling tournaments or other tournaments hosted by the high school. All home football games and other events requested by the Head Team Physician at the University of Kansas will also be covered by the fellow. The fellow will assist in pre-participation physicals offered to the contracted high schools as directed by the Program Director and Medical Director of Youth Sports Medicine. Other coverage opportunities may arise and in the past these have included NCAA and Big 12 events, US Figure Skating Championships, and other events at our contracted sites.
The Center for Concussion Management works in conjunction with the Sports Medicine division as an interdisciplinary team to provide concussion care. The fellow will learn a multifaceted approach for concussion diagnosis and management, including the use of ImPACT neurocognitive testing. The Sports Medicine Clinic sees a diverse athletic population and works closely with the school districts that are contracted with the health system.
Musculoskeletal ultrasound is used in the clinic for ultrasound guided injections. The fellow will receive training from the faculty and have opportunities to administer ultrasound guided injections on his/her patients in Fellow's Clinic with direct supervision from the faculty. There is a portable ultrasound machine at both the Indian Creek Campus and Arrowhead Clinic.
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