Sport and Exercise Medicine

 

Introduction
The University of Toronto Primary Care Sports Medicine Fellowship program is a comprehensive training opportunity in Sport and Exercise Medicine for the postgraduate resident or practicing physician in Family Medicine. This program will prepare the fellow to incorporate best practices for musculoskeletal medicine in clinical, educational and research settings. Sport Medicine is a diversified and essential set of unique skills dealing with the musculoskeletal system, nutrition, general medicine, pediatrics, women's health, geriatrics, exercise medicine, health promotion and prevention issues, sports bracing, podiatry, event coverage, and athletic emergencies.
The skills of sport and exercise medicine are in demand in the medical community due to the increasing medical importance of exercise through the life-cycle combined with waiting list for orthopedic and rheumatologic patient services. Sport and Exercise medicine training provide relevant management strategies to deal with current concerns in childhood and adult obesity, the growing epidemic of arthritis and non-surgical management of common overuse syndromes.

Curriculum Overview
Objectives:

1. To provide basic knowledge of musculoskeletal and sport medicine as it relates to primary care.
2. To help the candidate to understand the role of exercise in health promotion.
3. To teach the management of both acute and chronic injuries/illnesses and to identify prevention issues.
4. To teach the candidate what knowledge and skills are necessary to perform as a team physician.
5. To develop the role of the family physician with special skills in Sport and Exercise medicine.
6. To prepare the fellow for eligibility to challenge the Canadian Academy of Sport Medicine diploma examination.
7. To allow the Sport Medicine fellow to have the opportunity to continue their family medicine skill development with one day in an academic teaching practice with an individualized practice.

Week at a Glance:
1. 1.5 Days per week in a primary care sport medicine clinic setting.
2. 0.5 days per week in an exercise medicine setting.
3. 2 days per week in rotation and elective placements.
4. 1 day per week in Family Medicine, Research or Specialty Skill area.

Year at a Glance:
Core Rotations:
 Orthopedics
 Pediatrics
 Rehabilitation
 Imaging
 Sport Nutrition
 Rheumatology
 Medical Conditions
 Exercise Prescription and Testing
 Event Coverage
Elective Rotations:
 Women and Sport Medicine
 Neurology
 Dance Medicine
 Dentistry
 Dermatology
 Ethics and Sport
 Research Project or Masters degree option
Conferences:
 Quarterly City Wide Sport Medicine Rounds
 OMA Sport Med Conference
 Sport Medicine First Responder Course
 ACLS option

CRITERIA FOR APPLICATION
1. To provide basic knowledge of musculoskeletal and sport medicine as it relates to primary care.
2. To help the candidate to understand the role of exercise in health promotion.
3. To teach the management of both acute and chronic injuries/illnesses and to identify prevention issues.
4. To teach the candidate what knowledge and skills are necessary to perform as a team physician.
5. To develop the role of the family physician with special skills in Sport and Exercise medicine.
6. To prepare the fellow for eligibility to challenge the Canadian Academy of Sport Medicine diploma examination.
7. To allow the Sport Medicine fellow to have the opportunity to continue their family medicine skill development with one day in an academic teaching practice with an individualized practice.

The Fellow is responsible for the registration fee with the Post-Graduate office.
The prospective candidate should be aware that he/she may be asked to attend an interview, in Toronto, within four weeks of the application deadline date. Please make sure that your schedules are clear for this time period for a possible interview.

Evaluation
The director of the Sport Medicine fellowship program will be the coordinating program supervisor for the fellow. The current director is Dr. Julia Alleyne, jkalleyne@crucible.net or 416-323-6478.
Clinical supervisors will contribute to evaluation submissions on a quarterly basis and this will be reviewed with the fellow. The fellowship committee will review the candidate's final evaluations for promotional status.
Faculty's Evaluation
The fellow is expected to complete an evaluation of his/her key supervisors twice yearly. This is a mandatory requirement to be completed with the fellowship director for the purpose of improving any subsequent rotations. The fellow will be protected from any situations of direct conflict.
Funding
The U of T Sports Medicine Fellowship is a combined funding of service and grant monies which usually total between $42,000-$45,000 per year. This funding base is dependent on hospital and university availability of grants and billing opportunities. The fellows program is designed with academic goals and not funding targets. There is an opportunity to apply for additional funds to reimburse course registrations.

Vacation Time
The clinical year is 52 weeks long with three weeks of combined vacation and conference time. This is negotiable based on funding agreement. Religious/Statutory holidays will be considered separate from the four weeks designated as vacation time. The three weeks vacation time is not to be taken in bulk.

Location of the Toronto Primary Care Sports Medicine Fellowship
The TPCSMF is located in Toronto, Ontario, Canada. The Fellow will be attending multiple facilities in Toronto proper and some of its surrounding areas. It would be considered an asset to own a car, but clearly, not a prerequisite. The candidate will be registered formally as a Post Graduate student with the University of Toronto and will be afforded all the same privileges as any other Post Graduate student. The registration process must take place by no later than mid-June of the academic year.

The Fellow is responsible for the registration fee with the Post-Graduate office.
The prospective candidate should be aware that he/she may be asked to attend an interview, in Toronto, within two weeks of the application deadline date in December. Please make sure that your schedules are clear for this two week time period for a possible interview.

Agreement
The Fellow will be expected to sign a letter of agreement with The University of Toronto Primary Care Sports Medicine Fellowship Program for confirmation of funding, academic obligation and professional conduct.
Committee Members:
Dr. Julia Alleyne, Program Director
Dr. Doug Richards
Dr. Michael Clarfield
Dr. Ian Cohen
Dr. Robert Brock
Dr. Howard Winston
Dr. Gaetan Tardif
Dr. Laura Cruz

Application Process
If you are interested in further information about The University of Toronto Primary Care Sports Medicine Fellowship program please forward questions to:

Program Director:
Dr. Julia Alleyne
MD, CCFP, FCFP, McM, FACSM. CASM (Dip), CCFP
Program Director, The Toronto Primary Care Sports Medicine Fellowship, DFCM, U of T
Sunnybrook and Women's College Health Sciences Centre
Women's College Campus
76 Grenville Street
Toronto, Ontario, M5S 1B2
Tel: 416-323-6478
Fax: 416-323-6153
jkalleyne@crucible.net

All applications can be submitted to:
Heather Huckfield

Department of Family and Community Medicine (DFCM)
University of Toronto – Faculty of Medicine
500 University Ave., 5th Floor
Toronto, ON M5G 1V7
Phone: (416) 978-1019
Fax: (416) 978-8179
Email: fammed.enhanced@utoronto.ca

Application Deadline: October 15, 2013

Notification of Acceptance: December 6, 2013

Resident Acceptance of Position Deadline: December 19, 2013

The application is considered complete when the candidate has successfully delivered the following:
1. A completed application form.
2. 3 letters of reference, 1 being from your program director 
3. Certificate of Conduct (CPSO/equivalent) or medical school transcripts
4. Short Essay Outlining the Candidates Objective for the Fellowship year.