Sports Medicine Fellowship
General Information
The Sports Medicine Fellowship of the Spaulding Rehabilitation Hospital (SRH) and the Harvard Department of Physical Medicine and Rehabilitation provide an integrated, multidisciplinary sports medicine curriculum. The Massachusetts General Hospital (MGH) Sports Medicine Center is also a major teaching site for the fellowship. The fellowship is designed to meet the objectives and requirements as outlined by the American Board of PM&R for subspecialty certification in Sports Medicine.
Time Frame
This is a 12-month fellowship, which commences on August 1 and ends on July 31st of the following year. Presently, one fellow per year is accepted into the program. The fellow will be eligible for an appointment at Harvard Medical School through the Department of Physical Medicine and Rehabilitation.
Clinical and Educational Objectives
- Develop proficiency in obtaining a systematic history and physical examination on patients presenting with musculoskeletal complaints due to sport or athletic injury.
- Determine, order and accurately interpret the most appropriate diagnostic tests based on history and physical examination.
- Determine the most appropriate, data-driven methods of managing sports medicine diagnoses.
- Develop and prioritize an individualized treatment plan and rehabilitation program for all patients. Write detailed physical therapy prescriptions with specific strengthening, stretching and aerobic exercise programs, including indicated modalities
- Develop knowledge in the evidence-based rehabilitation protocols for the most common nonsurgical and surgical (pre and post operative) diagnoses in sports medicine.
- Determine the patients that require surgical intervention, and facilitate referral to the appropriate surgeon on the team. Become familiar with different surgical approaches and the associated anatomy, as they relate to the subsequent rehabilitation program. Have the opportunity to observe surgical procedures, and assist as needed.
- Become proficient at diagnostic and therapeutic intra-articular, tendon sheath and bursal injections.
- Become proficient at trigger point, botox and prolotherapy injections for indicated subacute and chronic musculoskeletal diagnoses (physiatry clinic).
- Become proficient at MSK ultrasound and interventional MSK ultrasound guided procedures for joint injection, percutaneous tenotomy, and platelet rich plasma injection.
- Become proficient at flouro guided peripheral joint injections and basic lumbar epidural, sacroiliac and facet joint injections.
- Become proficient at EMG/NCV.
- Follow patients through treatment to evaluate for outcome success. Work to maximize patients' functional potential in sport and at home.
- Manage a wide variety of sports injuries that encompass all regions of anatomy, including head injury (concussion) and nonsurgical spine diagnoses related to sport.
- Manage disabled athletes that present to physiatry clinic (spinal cord injury, amputee, etc).
- Work collaboratively and collegially with other health care professionals involved in Sports Medicine (orthopedic surgeons, radiologists, cardiologists, dermatologists, rheumatologists, pulmonologists, physical therapists, athletic trainers, strength and conditioning coaches, nutritionists, nurses, sport psychologists, etc.).
- Obtain a working knowledge of the biomechanics of various sport activities in relationship to injury and human performance. Use this knowledge to maximize athletic performance.
- Enhance understanding of the basic science of muscle and bone physiology, as they relate to strength and endurance training and stretching and flexibility in the healthy athlete, as well as in the presence of tissue injury.
- Communicate effectively with athletes, coaches, parents and training staff regarding the diagnosis and management of injuries and the impact on sport activity and return to play.
- Obtain experience in the organizational and operational requirements associated with providing for the health care needs for professional, collegiate and youth athletic teams in-season and off-season.
- Obtain experience and proficiency in providing acute, on-field injury management at various levels of sport participation.
- Discuss and participate in the prescription, application and/or fitting of appropriate protective devices for the prevention of sports injuries. Perform gait analysis, if indicated.
- Participate in process of scientific inquiry, publication and presentation; Develop minimum of one manuscript to submit for publication and one presentation.
- Attend and present at Sports Medicine Rounds to develop knowledge base and improve professional presentation skills.
- Educate colleagues about the scope of Physical Medicine and Rehabilitation and the role of physiatrists in musculoskeletal practice and sports medicine.
Faculty and Fellows
Current academic faculty members:
Dr. David Binder
MGH Spine Center and SRH Interventional Clinic
Dr. Joanne Borg-Stein
Director, Sports Medicine Fellowship.
Team physician: Wellesley College.
Medical Director: Newton Wellesley Hospital Spine Center.Medical Director: Spaulding Outpatient Center Wellesley
Dr Tom Gill (orthopedic surgery)
Director, MGH Sports Medicine.
Medical Director: New England Patriots; Team Physician: Boston Bruins
Dr Kelly McInnis
Associate Director, Sports Medicine Fellowship.
MGH Sports Medicine Center: Consultant to Boston Bruins
Dr Erik Ensrud
Director, Electrodiagnosis, Boston VA Hospital
Sport Medicine Fellows:
2007-2008
Dr Kelly McInnis
Residency: PM&R: Harvard Medical School / Spaulding Rehabilitation Hospital
2009-2010
Dr Rosalyn Nguyen
Residency: PM&R: Harvard Medical School / Spaulding Rehabilitation Hospital
2010-2011
Dr. Eugene Roh
Residency: PM&R: Stanford University Medical Center
2011-2012
Dr. Erik Brand
Residency: PM&R: Johns Hopkins Hospital
Conditions
In general, we expect fellow(s) to be in the hospital from 7:30 AM to 5:00 PM on weekdays, excluding official hospital holidays. Weeknight and/or weekend event coverage is required. Anticipated or unanticipated absences for medical or professional reasons should be discussed with the Program Director.
Vacation time, four weeks per academic year, should be arranged well in advance and approved by the Program Director. Vacation time authorization is dependent on program needs. Unless specific approval is obtained, vacations should not be taken in increments greater than one week at a time.
Additional responsibilities and conditions of the Sports Medicine Fellowship include:
- The fellow will attend weekly didactics sponsored by MGH and will be responsible for online CME activities.
- The fellow will be responsible for covering telephone pages during the weeknight afterhours, on weekends and holidays, unless prior arrangements have been made. There are no in-house responsibilities on weeknights or weekends/holidays.
- It is expected that the fellow will participate in clinical research trials and other research projects during the course of the year.
Applications
To be considered for a fellowship, you will need to submit the following materials by September 15th:
- A completed application (Download the application form now) (PDF doc: 90k)
- A current CV
- A personal statement
- Three (3) letters of reference, including one from the program director or department chairman
Completed applications should be sent via standard mail to:
Elyse LoMonaco
Administrative Manager for Academics
Dept. of PM&R at Harvard Medical School
Spaulding Rehabilitation Hospital
125 Nashua Street
Boston, MA 02114-1198
For questions, e-mail Elyse at elomonaco@partners.org
Neurorehabilitation Fellowship
General Information
Program Description
The Neurorehabilitation fellowship is a one year program that provides clinical and research training in the rehabilitation of patients with stroke, brain injury, multiple sclerosis, and other neurologic disorders. The program is organized as 9 months of clinical rotations, at Spaulding Rehabilitation Hospital (SRH), Massachusetts General Hospital (MGH) and Brigham and Women’s Hospital (BWH) and 3 months of clinical research.Rotation Schedule for the Fellowship:
July –Sept - SRH Inpatient Stroke Rehabilitation
September – November – MGH Design and Conduct of Clinical Trials course, CITI certification (approx. 5 hrs/week, concurrent with other listed rotations)
October – MGH Neuroradiology
November – SRH Outpatient Neurorehabilitation clinics/Research
December- PM&R Brain Disorders Consultations at MGH or BWH/Research
January - PM&R Brain Disorders Consultations at MGH or BWH/Research
February – April - SRH Inpatient Brain Injury Rehabilitation
May – Elective
June – Research
Overall Goals
The Neurologic Rehabilitation Fellowship program seeks to develop physiatrists with clinical and research skills that will enable them to become leaders in clinical neurorehabilitation programs in academic settings.Medical Knowledge and Patient Care
The fellow will devote 9 of the 12 months of this fellowship developing expertise in the clinical management of patients undergoing in- and outpatient rehabilitation after stroke, brain injury, and other neurologic diseases. He/she will develop a sophisticated understanding of salient issues in the acute management of patients with these conditions. The fellow will gain expertise in traditional and newer rehabilitation modalities and in the management of medical comorbidities and complications of patients undergoing rehabilitation in the context of neurologic impairment. The fellow will become knowledgeable regarding standard rehabilitation and neurologic outcomes assessment tools and their clinical and research uses.Interpersonal and Communication Skills:
The fellow will develop clinical team leadership skills and the ability to interact with patients and families in a compassionate and effective manner. He/she will learn to discuss medical issues with patients and families in ways respectful of their level of medical knowledge. The fellow will become a skilled leader of program team meetings and family conferences. He/she will learn what each member of the rehabilitation team contributes to patient care and will become skilled in engaging all in the common enterprise of delivering optimal patient care.Professionalism:
The fellow will demonstrate consistent timely completion of required clinical documentation. He/she will address, in a thorough and timely manner, requests from clinical staff, patients, and families to address clinical and other issues. They will obtain and document consent for all procedures. They will exhibit sensitivity to cultural and ethnic differences.Practice Based learning and Improvement:
The fellow will identify and present teaching cases at rotation based conferences and rounds. The fellow will use online and library resources to research clinical questions regarding their patients on a daily basis and will use these investigations as teaching exercises for other members of the clinical team. It is anticipated that the fellow’s research projects will arise from and be informed by issues encountered in their clinical practice.Systems Based Practice:
The fellow will learn the differences among the several levels of post-acute care in the Partners system, and how to triage patients to the most appropriate level. The fellow will learn to communicate frequently with referring physicians and hospitals to maximize patient care and to create complete and clear handoff documents for the next level of care. Fellows will attend program management meetings for the Stroke and Brain Injury programs at Spaulding Rehabilitation Hospital to gain an understanding of program development issues and constraints.
Applications
Applications are accepted during the months of July through mid-October and interviews are held on a rolling basis as candidates are reviewed. Acceptance decisions are made by the end of November.To be considered for a fellowship, you will need to submit the following materials:
- Curriculum Vitae
- TBI/Neurorehabilitation Fellowship Application
- Personal Statement
- 3 Letters of Recommendation with 1 letter from candidate's core residency Program Director or Dept. Chair
Completed applications should be sent via standard mail to:
Elyse LoMonaco
Administrative Manager for Academics
Dept. of PM&R at Harvard Medical School
Spaulding Rehabilitation Hospital
125 Nashua Street
Boston, MA 02114-1198
For questions, e-mail Elyse at elomonaco@partners.org
Spinal Cord Injury Fellowship
The ACGME accredited Harvard Medical School/ Spaulding/ VA Boston Fellowship Program in Spinal Cord Injury (SCI) Medicine is a 12-month training program that offers advanced clinical training in SCI, a strong didactic component, and opportunities for research with protected elective time. The curriculum is designed to provide exposure to the full spectrum of SCI care and includes rotations at VA Boston, Spaulding Rehabilitation Hospital, and Brigham & Woman’s Hospital. Requirements include prior completion of an approved residency program in a specialty such as physical medicine and rehabilitation, neurology, internal medicine, family practice, surgery, or other specialties relevant to spinal cord injury. For additional information the Fellowship Program Director, Sunil Sabharwal, MD, can be reached at 857-203-6574 or email Sunil.Sabharwal@med.va.gov
