Overview
The mission of the Duke University Orthopaedic Sports Medicine Fellowship is to provide the fellows the basis to provide excellent clinical care and become research leaders in the field of orthopaedic sports medicine. There are two main facets that provide this: the clinical experience and the research experience. The clinical experience is divided into outpatient office, surgical, training room and event coverage experience. The research experience is directed towards both a clinical and basic science experience. In order for the fellows to complete the fellowship, they must satisfy the fellowship faculty in each of the above categories.
Clinically the satisfactory completion of the clinical experience requires the following:
A) Outpatient office experience: The fellow is expected to rotate with assigned attending at all outpatient office visits that the attending has scheduled which average 2 to three times weekly. The fellow will be responsible for evaluating both new and return patients, performing a comprehensive physical examination, ordering and interpreting appropriate radiographic tests, and providing a well organized and thorough patient assessment and plan. The assessment and plan, in addition to the history and physical examination gathered by the fellow, will be discussed with the attending contemporaneously with patients visit. The examination with the fellow, by the attending, will further facilitate fellow education. Schedule attached.
B) Surgical experience: The fellow will rotate with their assigned attending approximately two times weekly for surgical cases. The fellow will receive increasing responsibility under direct supervision in the operating room with fellowship faculty. The comprehensive experience will be gained at the conclusion of rotating with each of the four attendings.
C) Training room and event coverage: The fellow is required to attend training room clinic approximately 2-3 times weekly. The training rooms are held at Duke University as well as North Carolina Central University. The evaluation of injured athletes will occur under direct supervision and independently over the course of the fellowship year.Fellows care for athletes of all levels, high school through professional teams in various training rooms throughout the year. Essential skills will be emphasized, including the team approach to athletic care which involves good communication between physicians, trainers, parents and family, and coaches. Coverage sports usually include football, soccer, basketball, and lacrosse during the year. Arrangements may be made for coverage of sports of particular interest to the fellow as well. Home and away game coverage will vary depending on the school and sport. Fellows will work closely with the athletic training staff to triage orthopaedic injuries and provide medical coverage for the athletes at the various levels of competition. Injury clinics will be held on Sundays following football season in the fall.
D) The eighty hour work week limit will be enforced throughout the year. This usually limits the fellow’s ability to moonlight during the year. The program director oversees the hours worked per week by the fellow.
The research experience is divided into both a clinical and basic science component. The fellows have been provided with one day per week or two ˝ days for research. The fellows are expected to complete one clinical science, basic science or chapter research project with each faculty member prior to completing the fellowship.
The Duke University Orthopaedic Sports Medicine Fellowship will closely monitor the fellow's research participation by having monthly research meetings with the entire Sports Medicine Faculty and the fellows. At that point, progress of each clinical and basic science project will be ascertained, criticisms and advice given, and aid in completion of all projects with the appropriate faculty member. These meetings occur monthly.