Quincy Sports Medicine Fellowship

Table of Contents

    Longitudinal Rotations

    • Primary Care Continuity Clinic at SIU Center for Family Medicine - Quincy. The continuity clinic is the core of our sports medicine program. It allows the sports medicine fellow to maintain much needed primary care skills while learning musculoskeletal skills. The continuity clinic will include patients of all ages and scope in family medicine. The continuity care clinic will occur throughout the year of training and will occur two (2) half days a week during the year. The sports medicine fellow will be supervised by faculty at the SIU QFMR.
    • The Primary Care Sports Medicine Clinic. This clinic will provide the main primary care sports medicine experience for the sports medicine fellow. There are three types of clinics that the sports medicine fellow will attend.
      1. The Be Well at Work and Sports Medicine Clinic(BMC) at Blessing Hospital. This will occur two (2) half days a week. The sports medicine clinic is limited to musculoskeletal problems or medical problems that are related to sports. It is a referral-based clinic from other primary care physicians from SIU Center for Family Medicine - Quincy (18 resident physicians, 9 faculty physicians, and 2 mid-level providers), Quincy Medical Group physicians, Blessing Physician Services, private physicians and athletic trainers. The bulk of the sports medicine fellow patients seen in the clinic will be high school athletic population with an approximate 50-50 mix of male to female ratio. There will be a small number of college athletes from the Culver Stockton College and Quincy University. The BMC has specific ties to the local Runners Club and a number of health and fitness centers in the area. The sports medicine clinic also cares for patients with occupationally related injuries. Occupationally related injuries will be limited to musculoskeletal injuries and medical problems related to exercise or the environment. The program director, also Board Certified in Occupational Medicine, has a significant part of his practice in this area to allow a good exposure to upper extremity repetitive trauma type of injuries and back injuries that will give the sports medicine fellow a unique experience that is broader in range than a traditional experience. The sports medicine clinic will be staffed by Dr. James Daniels, Dr. Merle Muller and Ms. Erica Miller, a physician assistant. The senior family practice residents will do a musculoskeletal medicine rotation for a 4-week block during the year to fulfill their sports medicine requirement for their family medicine residency. On occasion a medical student and/or athletic trainer student will be present. During the musculoskeletal medicine rotation a special didactic musculoskeletal session led by Dr. Paula Mackrides will be held for the resident which ensures review of hands on physical exam skills in which the sports medicine fellow may participate.
      2. Training Room Rounds. This experience is supervised by sports medicine faculty. They will visit Culver Stockton College and Quincy University at least once a week in addition to the sports medicine clinic. This may occur daily as the need arises. At this time the sports medicine fellow will have contact with his/her team coach/trainer.
      3. Quincy University Training Room. The Quincy University has a $10.5 million, 100,000 square feet student health and recreation center. At this center there is approximately a 1,000 square feet training room to treat student athletes from 15 varsity sports. Attached to the training room is a patient exam room/office equipped with an exam table, procedure area, and an x-ray view box. The sports medicine fellow will attend a sports medicine clinic every Monday evening and/or Tuesday afternoon. The clinic is limited to the Quincy University student athletes. The resident will be supervised by Dr. Daniels, Dr. Muller, or one of the other primary care sports medicine teaching staff. The injuries seen at the clinic include musculoskeletal-related cases or problems related to exercises. There occasionally will be sports physicals and illness evaluation provided. The athlete will always be evaluated in conjunction with one of the trainers employed by Quincy University. This experience allows for evaluation and rehabilitation of injuries with state of the art equipment.
    • Culver Stockton College Training Room. Culver Stockton College has an on-site 1,100 square feet training facility. At the Center there is a trainer's office and exam room to treat student athletes from 16 varsity sports. The sports medicine fellow will attend training room rounds on Monday afternoons with Dr. Muller and the athletic training staff at Culver Stockton. Culver Stockton College also has an Athletic Training Program so the sports medicine fellow along with Dr. Muller may have teaching rounds and provide lectures for these students.
    • Midwest Orthopedics. This experience will be coordinated by the sports medicine fellowship coordinator and the office manager at Midwest Orthopedics. The primary physician is Dr. Christopher Bieniek, who is Board Certified in General Orthopedics and Fellowship trained in hand and upper extremity surgery. The vast majority of the general and upper extremity orthopedic teaching will be done in this setting. Dr. Bieniek has a half-day office time in Quincy, Illinois. The main campus of Midwest Orthopedics is in Hannibal, Missouri, which is an easy 20-minute maximum commute from Quincy, Illinois. This experience allows the sports medicine fellow to observe state of the art musculoskeletal medicine in a small town. The primary care sports medicine fellow will obtain casting skills, joint aspiration skills, joint injection skills, and observe both inpatient and outpatient surgeries in this rotatiom. Midwest Orthopedics has a broad base of patients of all ages in various areas of orthopedic problems. The sports medicine fellow will also spend time with Dr. Curtis Burton and Dr. Richard Bauman, both Board Certified orthopedic surgeons, at Midwest Orthopedics who will also teach and supervise the sports medicine fellow.
    • Physical Therapy and Rehabilitation. The sports medicine fellow will rotate with physical therapists and athletic trainers at Advance Physical Therapy, a multi-state neuron-rehab sports center. The sports medicine fellow will attend the bi-monthly multidisciplinary conference headed by the program director when scheduling allows. This conference reviews complex patient cases in a multidisciplinary way. The sports medicine fellow may rotate through Advance Physical Therapy's neuron-rehab center on East Broadway Street in Quincy, Illinois and the sports medicine center that is part of the Body Motion Center. The sports medicine fellow will observe and assist patient rehabilitation from both surgical and non-surgical musculoskeletal problems. During this time the sports medicine fellow will also spend time with Dr. John DeGuzman and Dr. Carol Espejo who are both PMR specialists in their outpatient clinics.
    • Game Coverage. The sports medicine fellow will be assigned a number of teams in which he/she is to function as the team physician, in consultation with the sports medicine faculty. Collegiate and high school teams will be followed at all times. The teams will be from Quincy University's 15 varsity sports and Culver Stockton College's 16 varsity sports. Palmyra High School football will also be covered by the sports medicine fellow under the direct supervision of Dr. Gina Pontius. The sports medicine fellow will provide care for an even mixture of men and women, as well as contact and non-contact sports.
    • SIU Center for Family Medicine - Quincy Inpatient Service. This experience is supervised by faculty of the QFMR. When a patient is admitted to the hospital by the sports medicine fellow from the continuity clinic, game coverage or training room experience, he/she will be supervised (if at all possible) by one of the primary care sports medicine teaching faculty. If this is not possible, the faculty at the QFMR in charge of the QFMR inpatient service will supervise that resident. The QFMR inpatient service consists of an attending physician who rotates weekly. The remainder of the team consists of a senior QFMR resident, two junior QFMR residents and one or two medical students who rotate monthly. Weekly rounds are made with a clinical pharmacologist. When the sports medicine fellow is away on rotation, on vacation, or on time off, his/her patients will be handled by the QFMR inpatient service.
    • The sports medicine fellow will be scheduled to do Inpatient Service four times a year and will be on call for occasions such as faculty and resident retreats. Every attempt will be made to coordinate these weekly calls with the retreats. The sports medicine fellow may be required to assist in the call schedule of the QFMR. If the sports medicine fellow has a specific interest in academics, extra time on the service and teaching rounds can be arranged. At no time is the primary care sports medicine fellow required to provide patient care or supervise the residents without supervision by an attending.

    Blocked Rotations

    During these rotations, the sports medicine fellow is excused from longitudinal duties and calls.

    • The University in Missouri Sports Medicine Experience. The sports medicine fellow will be exposed to a tertiary care center and have ample opportunity to interact with orthopedic residents, family medicine residents and trainers. A four week block out of the year to be determined by the sports medicine fellowship coordinator and Dr. Patrick Smith's office manager. The sports medicine fellow will be in Columbia, Missouri, (approximately 2 hours away from Quincy, Illinois) at the University of Missouri-Columbia. This distance is short enough to allow the resident to return to Quincy, Illinois to not cause the sports medicine fellow's family any undue stress.
    • The sports medicine fellow must find housing (suggest Motel 6 which allows for extended stay) near the University of Columbia and has been given an allowance in his/her educational monies to help offset the cost. The sports medicine fellow will be given one day off a week during this time, most likely on Sunday, but this may vary at the discretion of Dr. Patrick Smith who will be the coordinator of this rotation.
    • Most of the rotation time will be spent at the Columbia Orthopedic Group which is a multi-specialty orthopedic physician group in the Columbia, Missouri area. Time will also be spent with Dr. BJ Schultz, Dr. Chris Farmer and Dr. Matt Thornburg who are all fellowship trained in orthopedic sports medicine. Upper extremity fellowship trained surgeons, spine fellowship trained surgeons, physical medicine rehabilitation specialists and a number of general orthopedists are also in this group. The sports medicine fellow will observe both inpatient and outpatient surgical procedures done at the Institute for Outpatient Surgery which is adjacent to Columbia Orthopedic Group Outpatient Clinic.
    • The sports medicine fellow will also spend time with radiologists that have complete practices dedicated to musculoskeletal radiology and imaging. Part of the experience would be considered invaluable to the program and would otherwise not be available even in the Springfield, Illinois metro area. The sports medicine fellow will also spend time at the University of Missouri Athletic Training Room and have ample opportunity to attend conferences and interact with the University of Missouri's residents. In addition to this the University of Missouri has a nationally recognized research department in the Department of Family & Community Medicine in which the sports medicine fellow can be exposed to. The sports medicine fellow will also be exposed to at least one Division I athletic event as to the experience for elite athletes in a sporting event. Arrangements must be made by the sports medicine fellow to attend one athletic event with Dr. Patrick Smith, team physician.
    • SIU Orthopedic Department, Springfield, IL. A block elective experience which averages ten (10) days will be spent with the preceptors who specialize in pediatric orthopedist, cast clinics and a rheumatology clinic. The SIU Orthopedic Clinic in Springfield, Illinois is approximately 90 minutes away.
    • Podiatry Clinic. A block experience with approximately ten (10) half days will be spent in a podiatry clinic in Quincy, Illinois, which is staffed by Dr. Linda Wensing. The sports medicine fellow will evaluate forefoot pathology, orthotics, preventive care, and evaluation of the diabetic foot and ankle problems. It will be observational at first but as faculty gains confidence with the sports medicine fellow, various outpatient podiatry procedures will be learned such as toenail removal, evaluation of patient's prescription of orthotics, wart removal, callous and corn removal.
    • Cardiovascular Rotation. This rotation will be coordinated by Dr. Merle Muller with the Quincy cardiologists. The exercise tests are done on high risk cardiac patients, as well as, lower risk, asymptomatic patients but this would be the exception rather than the rule. The sports medicine fellow would start out by observing and after demonstrating competence in such skills as EKG interpretation and understanding of various protocols will be allowed to participate in the part of exercise testing.

    Skill-based Rotations

    • ACSM Fellow Research Workshop. The sports medicine fellow will receive a stipend to attend the American College of Sports Medicine Fellow Research Workshop, typically held the first weekend in August. This allows the fellow an opportunity to interact with fellows from all disciplines and gives them the tools to work on a research project if they so choose during their fellowship.
    • ACSM Exercise Specialist. The sports medicine fellow will receive a stipend to attend the American College of Sports Medicine exercise specialist class. The sports medicine fellow will be expected to obtain certification. If the sports medicine fellow fails the first certification test, retesting of these, etc., will not be covered by the program unless the sports medicine fellow had mitigating circumstances as deemed by the program director.
    • AMSSM Conference. The sports medicine fellow should prepare a study, poster presentation, or free standing paper. This will allow the sports medicine fellow to present a scientific paper or case study to a national audience of their future peers.
    • Moonlighting Opportunity. Moonlighting opportunities exist for the sports medicine fellow. This allows the sports medicine fellow a full day off on Sunday and unless an athletic event needs to be covered, a half-day on Saturday. It is strongly encouraged that the sports medicine fellow does NOT do moonlighting during the football season. This experience is completely voluntary and can be terminated by either party given proper notice per SIU School of Medicine protocol.
    • Mass Pre-Participation and Sports Exam Responsibilities. This is supervised by sports medicine faculty. As a community service the QFMR, in cooperation with Blessing Hospital Sports Care and Advance Physical Therapy, provides over 1000 pre-participation physicals to the community each year without charge. Physicals are completed in accordance with the monograph of joint sponsorship with the American Academy of Family Physicians, Academy of Orthopedic Surgeons, etc. The sports medicine fellow will participate in all of these sessions and coordinate the above. The sports physicals are provided to but are not limited to area high school and grade school athletes, Catholic Youth Organization athletes, YMCA, and sports program physicals. The sports medicine fellow will understand how to organize physicals, what health professionals are necessary, and what facilities are needed to run these types of physicals. Also, following the QFMR protocol, they will understand how to collect research data during these physicals.

    Mass participation events

    The sports medicine fellow will participate in and be involved in planning medical coverage, EMS coordination, etc. for one of the community's mass participation events. This could include but is not limited to:

    • The Quincy YMCA Annual Turkey Run, the Jingle Bell Run, or Bridge the Gap is open to runners of all ages and skill level.
    • The National Youth Sports Program which is a month long mass participation event originally set up in conjunction with Quincy University and the NCAA, is now being sponsored by Quincy High School. This program was developed for "high-risk" children in rural areas and those below the poverty level. The city of Quincy provides a month long hiatus during the summer in which the student is picked up at their door by bus, provided with hot meals, and esteem-building skills coupled with athletic activities.
    • The Gus Macker 3-on-3 basketball tournament is open to all ages and skill levels. It occurs in downtown Quincy which is cordoned off to run this tournament. The basketball courts are set up around the city square. The program is sponsored by the Exchange Club in conjunction with Blessing Hospital and occurs every Memorial Weekend.

    The Chicago Marathon is an opportunity given to the sports medicine fellow. They will work as a member of the medical team providing medical coverage to the runners as well as aid in the setup and takedown of medical tents. The cost has been covered in the past several years. (Travel - SIU School of Medicine and Lodging - Chicago LaSalle Bank Marathon)