Curriculum

Clinical Experience

Ortho San Antonio, Children’s Hospital of San Antonio

The “main clinic” for the fellowship will be at Ortho San Antonio, a key component of CHRISTUS Orthopedics & Sports Medicine, located at 2833 Babcock Road, Tower II, Suite 435, San Antonio, Texas, 78229. In addition, experience at CHRISTUS Children’s Sports Medicine Clinics is considered an integral and necessary component of the fellows’ education.

Orthopedics

Fellows will work weekly with the Orthopedic faculty in their respective clinics and operating rooms. Fellows will be required to evaluate patients independently and report directly to the Orthopedics faculty. Fellows will also work with Orthopedics faculty in Saturday morning clinics, sideline/event coverage, fracture clinics.

Rotations & Electives

Additionally, fellows will have a required rotational presence in the following settings: Radiology, Physical Therapy, Exercise Physiology. Fellows will be required to attend these settings in order to demonstrate clinical expertise in these fields both clinically and academically. At least ½ day per week will be allotted for residents to complete such electives. In addition, fellows will be given regular opportunities to have clinical experiences in electives of their choosing, such as electrophysiology, pediatric specialties, and research. Fellows will be allowed to build flexibility into their elective schedule so to maximize their elective exposure and maintain their required clinical components.

Continuity Clinic

Each fellow will be required to maintain a PGY-4 continuity clinic in their primary specialty for 1 half-day per week.

Saturday Sports Clinics

Fellows will be required to attend Saturday Sports Clinics, held during the school academic year. Faculty present will be a combination of Primary Care Sports Medicine, Orthopedic Sports Medicine, and Physical Therapy faculty. Fellows will be required to evaluate patients independently, present cases, and immediately strategize with faculty for patient care.

Ultrasound Didactic Component

Fellows will have access to point-of-care use of ultrasound for diagnostic and procedural training and point-of-care utilization. Fellows will be required to actively ("hands-on") demonstrate competency in diagnostic ultrasound of and ultrasound-guided procedures of the shoulder, elbow, wrist, hand, hip, ankle, and knee. Fellows may also choose elective time to further their studies in musculoskeletal ultrasound skills.

Team Physician Role

Fellows will be required to establish and maintain a supervised, year-long “Team Physician” relationship with a local high school and its respective athletic trainer. All medical care and decisions will be made in conjunction with supervisory faculty known to the athletic training team. The relationship will include regular visits to the school and training room site for medical care as well as regular presence for school athletic events. The documentation for this relationship and the fellows’ participation will be summarized in their evaluation by the respective athletic trainer.

Fellows will also work in medical consultation for CHRISTUS Health-affiliated athletic trainers working at various local schools and athletic events throughout the city. The main contact for this endeavor will be Christina Espinoza, ATC. The fellows’ participation will be documented via their evaluations.

Other Event Coverage

Fellows will be required to actively participate in the medical team planning for other events seasonally:  the HEB Run Fest (annually in the spring), San Antonio Rodeo (annually in February), and Golden Gloves boxing (intermittent throughout year).

Didactics and Scholarly Activity

Journal Club

Active involvement with didactics will be a featured portion of the Fellows time and quality teaching will be seen as a significant marker of Fellows' progress. Fellows will be required to briefly present and lead discussions on a rotating series of primary or review literature relevant to Sports Medicine.  Fellows will be evaluated on their ability to synthesize primary and review literature as well as their ability to teach and discuss as both a teacher and peer.

Grand Rounds/Resident Didactics

Fellows will be required to present at least once at Family Medicine resident didactics.  Fellows will be encouraged to present at any other multi-specialty didactics or Grand Rounds that may be appropriate (ie. Community-based Grand Rounds, webinars, informative sessions, etc). Fellows may present on a predetermined Sports Medicine topic or a topic of their choosing, limited to the field of Sports Medicine. Presentations will generally be less than 1 hour in time length.

Professional Society

Fellows will be required to be an active member in at least one major sports medicine society, either the American Medical Society for Sports Medicine or the American College of Sports Medicine. Fellows are expected to submit either a podium or poster presentation for at least one national sports medicine professional society conference or meeting. Educational funds to attend at least one national sports medicine professional society meeting will be allocated to the fellow. Fellows will be strongly encouraged to submit presentations or case presentations to local or regional professional societies such as Texas Academy of Family Medicine, Bexar County Medical Society, Texas Chapter of the American College of Sports Medicine, etc. In addition, Fellows will be required to attend the AMSSM Annual Fellows Research Conference at the start of Fellowship.

Teaching Role

Fellows will serve in as guest lecturers for medical students. Additionally, Fellows will be asked to assist in resident and student clinical skills teaching sessions.