Enhanced Skills Program: Sports and Exercise Medicine Curriculum Rotation Goals and Objectives

Curriculum Rotational Goals & Objectives
Program Coordinator: Dr. Mark Leung

Rotations are numbered according to their Block Number - see Curriculum Map for more details.

Block 11. Exercise Medicine:

The goal of this rotation is to develop skills in identifying pre-participation risk, appropriately prescribing exercise in that context, and promoting the health of patients, communities, and populations regarding musculoskeletal well-being. Furthermore, enhanced skills residents also will gain confidence with complex medical patients, understand medications and their limits on exercise capacity, and recognize the importance and benefit of exercise in rehabilitation. This occurs through 8 days in the Toronto Rehabilitation Institute Cardiac Rehabilitation program; self-reflection on the ACSM position statements Guidance for Prescribing Exercise, Exercise and Type 2 Diabetes, Exercise and Physical Activity for Older Athletes, and self-directed learning related to the effects of medical conditions on exercise performance after common heart surgeries, and the impact of pre-existing heart conditions on exercise (BP and HR).

For this rotation, please focus the evaluation on the following CanMEDs roles:

Medical Expert, Health Advocate, and Leader

Please refer to the Curriculum Map for more details.

Medical Expert:

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

Interpret exercise testing for sport and medical conditions.
Write an exercise prescription according to the F.I.T.T. principle that is goal oriented and adapt to foreseen issues related to medical conditions (PVD, OA, COPD, CVA etc.).
Generate specific dose-response exercise prescriptions for common chronic medical and musculoskeletal conditions.

Communicator

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

Demonstrate skills in working with patients and their families/supporting members to overcome communication challenges including anger, confusion, sensory or cognitive impairment, socio-economic or ethnocultural differences.
Independently coordinate and complete clear, timely and comprehensive documentation.

Collaborator

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

Participate effectively and appropriately in an interprofessional healthcare team.

Leader:

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

Coordinate the work of all professionals involved in the care of an athlete or musculoskeletal patient.
Effectively plan and use available time to attend to all necessary clinical duties.
Effectively lead or contribute to the healthcare team; delegates and distribute tasks fairly; uses time wisely.
Recognize own contribution to differences and act professionally resolve them. Reflect on actions.

Health advocate:

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

Demonstrate an ability to promote sport and exercise medicine health care needs to other community services involved in a sport and exercise medicine care, such as other sport and exercise medicine physicians, cardiac rehabilitation physicians and allied health professionals.
Demonstrate knowledge about the sports and exercise resources available to athletes and families through the wider health system.
Advocate effectively for the biopsychosocial needs of patients and their families within the health care system and community.

Scholar

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

Maintain and enhance professional activities through ongoing learning.
Critically evaluate medical information and its sources, and apply this appropriately to practice domains.

Professional

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

Demonstrate a commitment to patients and their families, as well as to their profession and to society, through ethical practice.
Exhibit proper professional behaviour (e.g. meeting deadlines and being punctual).