FELLOWSHIP PROGRAM DETAILS

LOS ANGELES - SPORTS MEDICINE FOUNDATION

This Primary Care Sports Medicine Fellowship provides a truly unique teaching and learning environment.  The Sports Medicine fellow is exposed to high school, collegiate and professional athletes.  The primary care sports medicine fellow is required to complete one-half day of continuity care in the fellow’s primary field of practice.
Harbor-UCLA:  While at Harbor-UCLA, the fellows participate in clinics that perform cardiovascular risk stratification with exercise ECG and exercise prescription, primary care evaluation of recreational and athletic injuries, and sports medicine surgical evaluation.  Proficiency is gained in multiple soft tissue and joint injections at this site
Kaiser Permanente:  While at Kaiser Permanente, the fellows participate in clinics that evaluate recreational and athletic injuries and allow the use of ultrasound for diagnosis and directed therapy.  The fellows also participate in the orthopedic sports and hand clinics in surgical evaluation of patients.
WCSMF: While at the WCSMF the fellow works throughout the year in conjunction with Dr. Feder, Dr. Frey and Dr. Hohl providing coverage of multiple high schools, junior colleges, college Div I – lll:  Los Angeles Southwest College, Los Angeles Harbor College and California State University Dominguez Hills, and the Los Angeles Rugby Club.
The Sports Medicine fellows oversee a high school sports medicine clinic that provides care for 23 high schools (13,000 male & female athletes).
The WCSMF fellowship is unique in providing a through clinical and surgical orthopedic foot & ankle learning experience with Carol Frey, MD that includes extensive exposure to both open and arthroscopic small joint surgical procedures.  Keith S. Feder, MD provides, in addition to the basic arthroscopic sports medicine procedures, exposure to articular restoration and meniscus transplantation.
Shoulder/Upper Extremity
  1. Perform complete history and physical exam of shoulder, and elbow to include subtle and provocative exam testing.
  2. Understand the indications for diagnostic imaging of soft tissue injury and degeneration.
  3. Demonstrate proficiency in interpreting magnetic resonance images of the shoulder, and elbow.
  4. Understand indications for surgical arthroscopy and reconstructive surgery of the shoulder, and elbow in managing joint and soft tissue trauma and degenerative disorders.
  5. Understand the biomechanics of shoulder function to include mechanisms of stability and cuff function.
  6. Understand the rationale and basis of shoulder rehabilitation in non-operative patients.
  7. Demonstrate technical proficiency in routine and complex arthroscopic and arthroscopic assisted surgery of the shoulder (acromioplasty, distal clavicle resection, instability surgery, labral surgery, rotator cuff disease, complex revision and Hemi/total shoulder arthroplasty.)
Knee/Lower Extremity
  1. Perform complete history and physical exam of the knee and provocative exam testing.
  2. Understand the indications for diagnostic imaging of soft tissue injury and degeneration.
  3. Demonstrate proficiency in interpreting magnetic resonance images and bone scans of the knee.
  4. Understand indications for surgical arthroscopy and reconstructive surgery of the knee in managing joint and soft tissue trauma and degenerative disorders.
  5. Understand the biomechanics of knee function to include menisci, cruciate & collateral ligaments and patellofemoral joint.
  6. Understand the rationale and basis of knee rehabilitation in non-operative patients.
  7. Demonstrate technical proficiency in routine and complex arthroscopic and arthroscopic assisted surgery of the knee (Meniscectomy, loose body, chondroplasty, lateral release, meniscal repair, ACL, PCL and multiple ligament construction, OATS procedure.)
  8. Demonstrate proficiency in ability to develop an appropriate initial non-operative treatment plan for the knee disorders – traumatic and degenerative.
Foot/Ankle
  1. Perform complete history and physical exam of the foot/ankle provocative exam testing.
  2. Understand the indications for diagnostic imaging of the soft tissue injury and degeneration.
  3. Demonstrate proficiency in interpreting magnetic resonance images CT scans and bone scans of the foot/ankle.
  4. Understand the indications for foot/ankle arthroscopy and reconstructive surgery of the foot/ankle in managing joint and soft tissue trauma and degenerative disorders.
  5. Understand the biomechanics of foot/ankle/subtalar joint
  6. Understand the rationale and basis of foot/ankle rehabilitation in non-operative –patients.
  7. Demonstrate technical proficiency in routine and complex arthroscopic and arthroscopic assisted surgery of the foot/ankle (arthroscopy of ankle, subtalar joint, lateral ligament reconstruction, OAT procedure and microfracture).
  8. Demonstrate proficiency in ability to develop an appropriate initial non-operative treatment plan for foot/ankle disorders – traumatic and degenerative.
Sports Team Coverage
  1. Demonstrate understanding of principles of team coverage including pre-season, post-season issues.
  2. Understand principles behind treatment of C-spine & head injuries during games & returning to play considerations.
  3. Demonstrate the ability to diagnose acute athletic soft tissue injuries during games & in the training room & initiate appropriate care.
  4. Demonstrate knowledge of rehabilitation principles following injuries and surgeries.