Enhanced Skills Program: Sports and Exercise Medicine Interprofessional Care and Event Coverage Goals and Objectives

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

There are general goals and objectives for all CanMEDs roles in the Sport & Exercise Medicine Fellowship. The fellowship program committee has decided to focus on the medical expert role and at least 2 other roles per rotation.

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

Block 2. Interprofessional Care and Event Coverage:

The goal of this 4-week rotation is to develop skills in interprofessional athlete/patient management, and initiation of event coverage. This occurs through 6-8 days of clinics with allied health professionals, including a selection of physiotherapist, chiropractor, massage therapist, athletic therapist, and/or pedorthist. Furthermore, completion of Sport 1st Responder training and opportunity for on-the-field learning and mentoring through sport physician supervised sideline event coverage provide further support to these goals.

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

• Medical Expert
• Collaborator
• Health Advocate

Please refer to the Curriculum Map for more details.

Medical Expert:

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

1. Operate effectively as team/event physician in sport event coverage.
2. Manage common sport emergency situations on the field (e.g., appropriately apply cervical spine precautions, appropriately reduce joint dislocations, suture lacerations, etc.).
3. Formulate an appropriate, step-wise return to activity plan tailored to the sport medicine patient’s injury, activity, and stage of physical and psychological readiness to return to activity.

Communicator

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

1. Demonstrate skills in working with patients to overcome communication challenges including anger, confusion, sensory or cognitive impairment, socioeconomic or ethnocultural differences.
2. Facilitates the learning of patients and families, the public, and/or others, as appropriate.

Collaborator:

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

1. Participate effectively and appropriately in an interprofessional healthcare team.
2. Define the unique roles and skills of each allied health professional encountered, specifically athletic therapist, physiotherapist, chiropractor, pedorthist.
3. Collaborate with relevant members of athletic teams, particularly as this month involves the beginning of sport event coverage. These relevant members include the athlete, coach, families, team therapist, dietitian, psychologist, etc.

Leader

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

1. Coordinate the use of medical devices such as orthotics and braces, in a fiscally responsible manner.
2. Appropriately manage patient flow.

Health advocate:

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

1. Advocate for patients order to obtain indicated support and services.
2. Promote sport and exercise medicine health care needs to other community services, such as other sport and exercise medicine physicians, primary care physicians and residents, physician assistants, allied health professionals, and schools.
3. Identify the sport and exercise medicine needs in the populations served through the various outpatient settings, and promote its growth through ongoing communication with schools, community organizations, etc.
4. Demonstrate knowledge about the sports and exercise resources available to athletes and families through the wider health system.

Scholar

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

1. Maintain and enhance professional activities through ongoing learning.
2. Identify the level of evidence that supports common rehabilitation interventions used in musculoskeletal patient care (e.g., eccentric exercises, core strengthening, TENS, therapeutic ultrasound, acupuncture, clinical decisions rules for manipulation, etc.).
3. Critically evaluate medical information and its sources, and apply this appropriately to practice domains.
4. Facilitate the learning of students, residents, other health professionals.

Professional

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

1. Demonstrate a commitment to patients and their families, as well as to their profession and to society, through ethical practice.