Sports Medicine Track

Sports Medicine Track at Trinity Health Livonia Family Medicine Residency

The intent of a sports medicine track within a family medicine residency program is to prepare and train family medicine residents to prepare them for a sports medicine fellowship and become proficient, well-rounded sports medicine physicians. This specialized training equips them with the knowledge, skills, and experience needed to provide comprehensive care to athletes and active individuals. The program aims to cover a broad spectrum of sports-related topics, from injury assessment and diagnosis to musculoskeletal ultrasound, exercise prescription, nutrition, and sports psychology. Additionally, it emphasizes Osteopathic Manipulative Medicine (OMM) techniques relevant to sports injuries. The sports medicine track ensures residents are capable of delivering high-quality care to athletes and contributes to the overall promotion of health and well-being in the community.

Eligibility for the Trinity Health Livonia Family Medicine Residency's Sports Medicine Track:

The Sports medicine track is open to incoming family medicine interns with a keen interest in pursuing a sports medicine fellowship after their three-year residency. Out of a yearly class of seven residents, the track can accommodate only two, selected based on demonstrated initiative through volunteering for extracurricular sports sideline coverage and maintaining good standing within the program. Ultimately acceptance into the track will be made by the Program director near the end of their intern year based on a holistic review of the interested residents. This exclusive track offers a three-year curriculum, aiming to equip residents with comprehensive skills and knowledge in sports medicine through a combination of didactic education, hands-on rotations, self-guided courses, and community outreach experiences. Successful candidates will benefit from the mentorship of experienced sports medicine physicians, orthopedic surgeons, and physical therapists within a supportive and resource-rich environment.

Program Goals and Objectives:

Goal 1: To train family medicine residents to become competent and skilled sports medicine physicians, capable of providing comprehensive care to athletes and active individuals.

Objective 1.1: Residents will gain proficiency in diagnosing and managing sports-related injuries and conditions, including sprains, strains, and fractures.

Half-day rotations with Trinity Elite throughout the first year, sideline sports coverage, and rotations with sports medicine physicians.
Residents will also be expected to give 1 didactics session a year focusing on a particular injury. (i.e rotator cuff injuries, OA, ect.)
- Sessions to include epidemiology, MOA, pertinent PE findings, workup, and treatment plans.

Objective 1.2: Residents will develop the ability to assess and treat concussions and other head injuries commonly seen in sports.

Required self guided CME course; "HEADS UP to Healthcare Providers Online Training for Medical Professionals" https://www.train.org/cdctrain/course/1091388/details
Required two-four week rotation at a concussion clinic serving pediatric and adult patients
Utilize the above training when attending sports activities

Objective 1.3: Residents will become proficient in using musculoskeletal ultrasound for diagnostic purposes.

Lectures and guided training along with mentorship with a local Sports Med physician (Dr. Karageanes)

Objective 1.4: Residents will understand the principles of exercise prescription and rehabilitation for athletes.

Half-day rotations with physical therapist (Trinity Elite) while on FMC months
Augmented with OMM clinic and a two-four week PMR rotation

Objective 1.5: Residents will learn about nutrition, hydration, and performance-enhancement strategies for athletes.

Required self-directed study using WAVE Sport Nutrition Curriculum (https://catalog.extension.oregonstate.edu/em9218)
Education to local high schools yearly. (i.e. South Lyon High School wrestling team)

Objective 1.6: Residents will acquire proficiency in Osteopathic Manipulative Medicine (OMM) techniques relevant to sports injuries and musculoskeletal conditions.

Interactive didactics sessions throughout the year by Dr. Cheema or other osteopathic faculty
Participating (conducting full history/OMM exam/developing treatment plan) in the continuity OMM clinic
Shadowing a local D.O Sports medicine physician for additional OMM experience

Curriculum Development:

Year 1:

Didactic education on sports injury assessment and diagnosis.
Musculoskeletal ultrasound training.
Basic principles of exercise prescription.
OMM curriculum with an emphasis on sports-related techniques (clinic and didactics).
Participation in community/High school sports events and games including football, hockey, and sports physical days

Year 2:

Advanced musculoskeletal ultrasound training with SonoSim/Dr. Karageanes
Comprehensive concussion management.
Two-four week concussion clinic and other required rotations
Clinical rotation with a local orthopedic clinic.
Research project on a sports medicine topic.
Time allocated for a poster presentation at a national conference.

Year 3:

Time for an audition rotation with sports medicine programs at the beginning of the year.
Attendance at a national sports medicine conference.
Community outreach at local high schools giving lectures on sports-related topics (Impetigo/tinea corporis/Nutrition)

Faculty and Resources:

The program recruits experienced sports medicine physicians, orthopedic surgeons, and physical therapists as core faculty. Local partnerships with the Community Sports Medicine Center, Orthopedics Clinic, and the local community college sports provide clinical exposure and training opportunities. Residents have access to musculoskeletal ultrasound machines, sports psychology resources, and a well-equipped sports medicine library. OMM training is provided by experienced osteopathic physicians on the faculty.