Enhanced Skills Program: Sport & Exercise Medicine Rural Rotation Goals & Objectives

The goal of this rotation is to develop skills that will promote competency as a sports medicine consultant functioning across the various clinical areas of care typical of a rural setting. This will involve performing efficient and comprehensive diagnostic assessments and building broad, evidence-based treatment plans for patients spanning the entire spectrum of age and activity level in multi-disciplinary consultant sports medicine clinics, community family medicine offices, the emergency department, orthopedic fracture clinic and as an orthopedic surgical assistant. Furthermore, the enhanced skills SEM resident will develop skills in patient assessments and formulate management plans in a manner that relates to the rural setting and that is appropriate to patients, families, coaches, professional colleagues, consultant staff, and supervising staff. As the local specialist in the area of sport and exercise medicine, the SEM resident will also take on a leadership role in supporting the musculoskeletal education of other learners and colleagues in the community. With a focus on community sport and exercise medicine in a region known for its breadth of outdoor activities that is home to an older and active patient population as well as high level athletes, this rotation will help provide early breadth of exposure to life as a rural Sport and Exercise Medicine physician.

For this rotation, please focus the evaluation on the following CanMEDs roles: Medical expert, Communicator, Health Advocate and Professional.

Please refer to the Curriculum Map for more details.

Medical Expert

By the end of this rotation, the resident will be able to:

1. Demonstrate appropriate knowledge base of sports medicine
2. Perform an accurate and appropriate assessment of a sport medicine patient across the spectrum of acuity, showing an ability to manage and synthesize the input of all participating parties along with other collateral sources
3. Make appropriate referrals and order investigations that take into account the nature of a community based, rural sports medicine practice
4. Formulate an appropriate, step-wise return to activity plan tailored to the sport medicine patient’s injury, activity, social circumstances and stage of physical and psychological readiness to return activity
5. Develop an approach to the assessment and management of the older athlete and non-athlete with musculoskeletal pathology and recognize the importance of optimizing function to improve overall health and quality of life.
6. Appropriately assess and develop an approach to acute MSK injuries and the management of common fractures, including demonstration of appropriate casting/splinting techniques.

Communicator

By the end of this rotation, the resident will be able to:

1. Perform an accurate and appropriate assessment of a sport medicine patient, showing an ability to manage and synthesize the input of all participating parties along with other collateral sources
2. Demonstrate an ability to present a case history, in oral and written forms, which includes a history, physical examination, differential diagnosis, formulation of the patient and a treatment plan that is relevant to the clinical setting
3. Deliver clear and instructive feedback to patients and other relevant related parties around diagnosis, relevant etiological factors, other required investigations, and the potential risks and benefits of various management options
4. Demonstrates counselling skills in discussing the benefits of physical activity and weight loss on the management of chronic musculoskeletal conditions, including adjusting the complexity of language used when collaborating with patients and families, based on their level of understand
5. Independently coordinate and complete clear, timely and comprehensive documentation

Collaborator

By the end of this rotation, the resident will be able to:

1. Demonstrate the ability to accept, consider and respect the opinions of other team members
2. Collaborate effectively with other health professionals
3. Demonstrate an understanding of the unique role of other health professionals (specialists, referring family physician, allied health) in sport and exercise medicine patient car

Leader

By the end of this rotation, the resident will be able to:

1. Manage patient flow appropriately
2. Coordinate the use of medical devices such as, orthotics and braces, in a fiscally responsible manner
3. Become familiar with and appropriately recommend community resources and programs that may be of benefit to a patient, especially those with financial or other resource limitations
4. Demonstrate time management skills to reflect and balance priorities for patient care, sustainable practice, and personal life
5. Recognize own contribution to differences and act to professionally resolve them. Reflects on actions.

Health Advocate

By the end of this rotation, the resident will be able to:

1. Support health of patients/families by appropriate referrals, support and information on health maintenance, lifestyle and community/home resources, specifically as it relates to the rural setting and to the older athlete.

Scholar

By the end of this rotation, the resident will be able to:

1. Maintain and enhance professional activities through ongoing learning. Critically evaluate medical information and its sources and applies this appropriately to practice domains.
2. Facilitate the musculoskeletal education of other learners and colleges through opportunities for both informal teaching and more structured presentations (e.g., journal club, resident teaching, CME presentations, allied health professional teaching)

Professional

By the end of this rotation, the resident will be able to:

1. Demonstrate a commitment to their patients and their families, as well as to their profession and to society through ethical practice
2. Demonstrate a commitment to their patients and their families, as well as to their profession and to society through participation in profession-led regulation
3. Demonstrate insight into his/her limitations. Responsive to constructive feedback.
4. Demonstrates a commitment to excellence in clinical care and personal ethical conduct. Exhibits proper professional behaviour (e.g. meeting deadlines and being punctual)
5. Demonstrate the ability to respectfully delineate the parameters of the doctor-patient office relationship, including compassionate delivery of bad news, maintenance of personal-professional boundaries with patients, residents, and faculty, and appropriate use of tone/posture in sensitive clinical situations.