Sport and Exercise Medicine

Introduction

 

    The University of Toronto Primary Care Sports Medicine Fellowship program is a one year full-time program beginning July 1st. It offers 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, sport bracing, podiatry, sporting 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 lengthy waiting lists 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:

  • To provide basic knowledge of musculoskeletal and sport medicine as it relates to primary care.
  • To help the candidate to understand the role of exercise in health promotion.
  • To teach the management of both acute and chronic injuries/illnesses and to identify prevention issues.
  • To teach the candidate what knowledge and skills are necessary to perform as a team physician.
  • To develop the role of the family physician with special skills in Sport and Exercise medicine.
  • To prepare the fellow for eligibility to challenge the Canadian Academy of Sport & Exercise Medicine (CASEM) diploma examination.
  • To allow the Sport Medicine fellow to have the opportunity to continue their family medicine skill development with a supervised half-day back in an academic family medicine site with an individualized practice.

 

Week at a Glance:

One of the most popular aspects of this program is its horizontal curriculum. Core clinics in primary care sport medicine take place on two full-days per week over the entire year. This allows fellows to develop continuing relationships with faculty, patients, and their families. A weekly half-day back in an academic family medicine teaching practice enables fellows to continue developing their family medicine skills. Monthly block rotations and electives are seamlessly integrated into this horizontal curriculum. Being a fellow in Toronto allows for a wide variety of sporting event coverage opportunities at the amateur and professional level, with local, national, and international events. These are further integrated into the schedule.

  • 1.5 Days per week in a Longitudinal Primary Care Sport Medicine Clinic.
  • 2.5 days per week in Rotation and/or Elective placements.
  • 0.5 day per week in Family Medicine Clinic.

 

Year at a Glance:

The fellowship starts with a single four-week block entitled introduction to Sports Medicine to introduce the fellow to all the faculty and a variety of primary care Sport Medicine clinic environments across Toronto. Thereafter, the horizontal fellowship curriculum involves 13 four-week blocks that occur simultaneously with the longitudinal Sport and Family Medicine clinics. The curriculum map below is one example of how our fellowship year progresses. Our curriculum is evaluated regularly for improved learning opportunities and to remain flexible to emerging learner needs. As such, it is subject to change without notice on this website.

 

Sample Fellowship Curriculum - One-year at a glance

Number of Months (or 4-week blocks)

 

Block

1

2

3

4

5

6

7

8

9

10

11

12

13

 

Intro

Longitudinal Sport Medicine Clinic (Preceptor #1)

Longitudinal Sport Medicine Clinic (Preceptor #2)

 

Intro

IPC

Rad

Phy

Ort

Ort/E

HSM

Life

In/Sp

Rhe

Ex Med

E/S

S

 

   

Block Labels

Intro

Introduction to Sport Medicine

IPC

Interprofessional Care

Rad

Musculoskeletal Radiology

Phy

Physical Medicine & Rehabilitation

Ort

Orthopedic Surgery

Ort/E

2-weeks Orthopedic Surgery, 2-weeks Elective

HSM

High Performance Sport Medicine

Life

Lifespan Special Population Focus

In/Sp

2-weeks Inpatient Musculoskeletal Rehabilitation, 2-weeks Spine Surgery

Rhe

Rheumatology

Ex Med

Exercise Medicine

E/S

2-week Elective, 2-week Specialty Clinic Selective (Hand Surgery, Foot/Ankle Surgery, Orthopedic Oncology, or Dermatology)

S

Specialty Clinic Selective (Hand Surgery, Foot/Ankle Surgery, Orthopedic Oncology, or Dermatology)

 

Elective Rotations:

  • Women and Sport Medicine 
  • Neurology 
  • Dance Medicine 
  • Dentistry 
  • Dermatology 
  • Ethics and Sport
  • Emergency Medicine 
  • 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

 

  • Certificate of College of Family Physicians of Canada, CCFP (pending for July 1st start day).
  • CPSO General License to practice in the province of Ontario is required to do event coverage.
  • A current Curriculum Vitae
  • 3 professional reference letters, one of which is to be from a Residency Program Director
  • A short letter outlining personal learning goals for the fellowship year. Specify how these goals may be applied to your future practice (please be as specific as possible). 

 

    PLEASE NOTE: Applicants eligible for Ontario Ministry of Health and Long-Term Care PGY3 funding must be currently enrolled in their 2nd year of a Canadian Family Medicine Residency Program. Applicants with re-entry funding, external agency funding or other Canadian residency funding may apply and will be considered in the same application process.

 

 

Academic Teaching 

 

    Fellows are required to attend the University of Toronto City-Wide Sport Medicine Rounds, held on the first and third Tuesday monthly from September to June. Speakers present on a broad range of sports and exercise medicine topics. Fellows are expected to organize and present City-Wide Sport Medicine Rounds at least once during their fellowship. Fellows are also required to organize and attend monthly Primary Care Sport Medicine Journal Club between September and May.

 

 

Location of the Toronto Primary Care Sport Medicine Fellowship

    

The fellowship 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 certainly 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 Sport Medicine Fellowship Program for confirmation of funding, academic obligation and professional conduct. The Committee Members for 2014 - 2015 are:

  • Dr. Mark Leung, Program Director
  • Dr. Laura Cruz, Assistant Program Director 
  • Dr. Ian Cohen, Event Coverage Coordinator 
  • Dr. Hemen Shukla, Family Medicine Program Coordinator/Liason 
  • Dr. Michael Clarfield 
  • Dr. Doug Richards
  • Dr. John Theodoropoulos
  • Dr. Howard Winston 

 

 

Application Process

 

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

 

Dr. Mark Leung MD, CCFP

Program Director, The Toronto Primary Care Sport Medicine Fellowship, Department of Family and Community Medicine, University of Toronto

Tel: 416-978-4678

mark.leung@utoronto.ca

 

All applications can be submitted to:

 

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 1, 2014

Notification of Acceptance: December 5, 2014

Resident Acceptance of Position Deadline: December 18, 2014

 

The application is considered complete when the candidate has successfully delivered the following:

  • A completed application form
  • 3 letters of reference, 1 being from your program director
  • Certificate of Conduct (CPSO/equivalent) or medical school transcripts
  • Short Essay Outlining the Candidates Objective for the Fellowship year.