The primary care sports medicine experience is divided between Dr. Bytomski and Dr. Squire throughout the year. Two half-days of clinic per week are spent with Dr. Bytomski each week, while one to two half-days per week are spent with Dr. Squire, depending on the rotation that month. Clinics are held at the Duke Sports Medicine Center and involve both acute and chronic care of musculoskeletal injuries as well as medical issues in athletes.

 

Training room and game coverages will also be supervised throughout the year at the high school, collegiate, and professional levels with primary care and orthopaedic attendings. 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 games during the fall.

 

The eighty hour work week limit will be enforced throughout the year. This usually limits the fellows ability to moonlight during the year. The program director will oversee the hours worked per week by the fellow.

 

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Fellows rotate monthly through the various specialties of orthopaedics throughout the year. Rotations available include: sports medicine, hand, foot and ankle, hip, spine and pediatrics.

 

Fellows assist in patient care in the clinics and the operating room during the orthopaedic rotations throughout the year. Common procedures include joint injection and aspiration, cast application and removal, and compartment pressure testing. Radiograph interpretation is also emphasized during the various rotations.

 

Fellows are also able to spend time in the cast room throughout the year. Fluoroscopy is available at the Duke Sports Medicine Center cast room for post-reduction views and to aid with difficult injections.

 

Fellows may rotate through Sports Physical Therapy during the year as well. Introduction to modalities, stretching and strengthening programs, home exercise programs, and aquatherapy are available.

 

The sports physical therapy fellow will also assist in game coverage and outreach programs with the primary care sports medicine fellow throughout the year. Fellows may also attend monthly physical therapy conferences.

 

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Fellows will spend at least one-half day in their primary care specialty per week. Fellows may cover in the Student Health Clinic for their primary care commitment. Student Health responsibilities include both acute and chronic care as well as health maintenance visits for the student body at Duke University.

 

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