Year Four Courses

Primary Care Electives

PCMED 749 - Primary Care Sports Medicine, Hershey (4th year)

 

Credits: 5

 

Program Directors:

  • Matthew Silvis, M.D.

 

Administrative Coordinator:

Jeanne Laicha (jlaicha@hmc.psu.edu), 531-8752

 

Contact Information:

Phone 531-6305

Fax 531-5024

Mail Code H154

msilvis@hmc.psu.edu

 

 

Description:

Primary Care Sports Medicine, Hershey (4th year)

This course provides exposure to concepts utilized in the evaluation and initial treatment of common sports medicine conditions.

This course will introduce the fourth year medical student to the basic concepts in the evaluation and initial treatment of common sports medicine conditions.  Students will care for both pediatric and adult sports medicine patients.  The learning environment will include a variety of clinical arenas including:  primary care sports medicine, orthopedic sports medicine, musculoskeletal radiology, and sports physical therapy.  Students will be evaluated through direct observation of skills including examinations of the shoulder, knee, and ankle and the proper technique of two common sports medicine procedures.  Students will also be evaluated by their participation in assigned weekly sports medicine topic reviews.  Students will be assessed on their fund of knowledge, patient care skills, professionalism, and interpersonal skills as noted during their clinical interactions.

1.)  Initial evaluation, diagnosis, and treatment of common sports related shoulder, knee, and ankle injuries and their expected outcomes.

2.)  The proper technique of intra-articular knee injection, subacromial bursa injection, on-the-field cervical spine stabilization, short arm/leg splinting, and/or short arm/leg casting.

3.)  Evaluation, diagnosis, and treatment of sports medicine conditions such as concussion, environmental illness (heat illness, cold injury), and sudden cardiac death.

4.)  Currently debated aspects of the pre-participation physical examination.

5.)  Sports supplements.

6.)  Sports physical therapy and the different modalities offered to injured athletes.

7.)  Various imaging studies utilized in sports medicine including radiography, ultrasound, bone scan, computed tomography, magnetic resonance imaging, and magnetic resonance arthrography.

This course is designed to introduce the fourth year medical student to the basic concepts in the evaluation and initial treatment of common sports medicine conditions.  Many individuals of all ages participate in sporting activities.  Sports-related musculoskeletal complaints are very common in primary care and are treated by a variety of medical specialties.  Mastery of the basics in musculoskeletal medicine is therefore quite important for many, if not all, medical students. 

This outpatient elective builds directly upon musculoskeletal knowledge gained in Year I (Foundations of Clinical Medicine, "Upper and Lower Extremity Evaluation"), Year II (Musculoskeletal Block), Year II/III (Island I Musculoskeletal Section), and Year III (Primary Care and Orthopedic Subspecialty Clerkships).  The learning environment will include a variety of clinical arenas including:  primary care sports medicine, orthopedic sports medicine, musculoskeletal radiology, and sports physical therapy, caring for both pediatric and adult sports medicine patients. 

The focus of this elective will be clinical time spent in primary care and orthopedic sports medicine where the students will be expected to achieve an understanding of the initial evaluation, diagnosis, and treatment of common sports related shoulder, knee, and ankle injuries as demonstrated by their patient presentations in sports clinic.  Active engagement will be promoted throughout the rotation consistent with the goals of a fourth year clinical elective.  Students will be expected to practice their musculoskeletal examination skills under supervision in order to become competent by the end of the four week elective.  Students will be expected to learn the proper technique of two common sports medicine procedural skills under direct supervision (intra-articular knee injection, subacromial bursa injection, on-the-field cervical spine stabilization, short arm/leg splinting, or short arm/leg casting).  Students will also be expected to complete assigned readings and worksheets on sports medicine topics (concussion, environmental illness, sudden cardiac death, and sports supplements) to prepare for weekly standardized educational sessions with the course director.  Throughout the rotation, students will develop an understanding of the multiple disciplines of the sports medicine team and how their collaboration benefits care of the injured athlete. 

Evaluation methods will include:  performance of standardized shoulder, knee, and ankle exams defined on a cheek sheet (developed by consensus amongst sports medicine faculty at Penn State Hershey) done at the beginning and end of the elective, clinical evaluations by at least two attending sports medicine faculty based on student?s fund of knowledge, patient care skills, professionalism, and interpersonal skills (delineated on elective evaluation form), and weekly preparation and participation in educational sessions with course director. 

Current, evidence-based, peer reviewed literature on the following topics will be required:  concussion, environmental illness, sudden cardiac death, and sports supplements.