Details of Fellowship Program

Give a general description of your Fellowship training program

The Fellows spend the first two months of the Fellowship seeing patients with the other Primary Care physicians. After that, they see their own patients for approximately 4-5 half days per week, with ready access to both Primary Care and Orthopedic consultants as needed. They also spend several half days per week in the Orthopedic Sport Medicine Clinic, working directly with the surgeons. This gives them an understanding of the process from initial visit and preliminary treatment to surgical intervention as necessary. There is also ample exposure to the Physiotherapy side of the Clinic and the non-surgical management of sport injuries.

What educational resources do fellows have access to (e.g. videos, medline internet searching, cochrane database online, etc)?

What audiovisual services do you have available for the fellow?

Describe the academic activities of the fellow.

The academic activities include weekly Tuesday morning Sport Medicine Rounds at the Clinic. These are attended by Primary Care, Orthopedics, and Physiotherapy, as well as graduate students in the Athletic Injuries stream of the Master’s program in Kinesiology. The Fellows are responsible for organizing the schedule for these – they feature case presentations or topics of interest, as well as special presentations by guest lecturers. On Wednesday mornings Orthopedic Grand Rounds take place at the various Teaching Hospitals – followed by Orthopedic Clinical  Teaching rounds which the Fellows are encouraged to attend – particularly when they relate to areas of musculoskeletal assessment and treatment. On alternate Thursday mornings, there are Research Rounds, where the ongoing research interests of the Department are presented by those involved.  Friday morning is Orthopedic Rounds at London Health Sciences – University Campus.

What are the on-call duties of the fellow?

Describe the research responsibilities of the fellow?

We have responsibilities to teach portions of some  undergraduate courses  in Kinesiology, Physical Therapy, and other departments, such as Womens’ Studies.

The Family Practice Residents rotate through the Clinic as we have a number of options for them.  1) a month full time rotation in the clinic learning the various components of patient management and Clinical Sport Medicine 2)  ½ day Selective where the residents spends ½ day a week with a specific Physician for 6 weeks. The rotations include time with Physiotherapy, bracing, orthotics and clinical practice. As the Fellows progress through their year, they become progressively more involved in teaching of these residents.

Please list all associated teaching staff

The program is affiliated with the University of Western Ontario as are all Staff at the Clinic at the present time – the affiliation is through the School of Kinesiology (in the Faculty of Health Sciences, which also includes Physical Therapy, Occupational Therapy, Nursing and Communicative Disorders). We are also associated with the Faculty of Medicine, Departments of Surgery (Orthopedics) and Family Medicine. The Hospital affiliation is through the London Health sciences Center – University Campus.

Connie Lebrun, MD, MPE,CCFP, Dip Sport Med. – Director of Primary Care Sport Medicine/Co-ordinator of Research- Assistant Professor– Faculty of Health Sciences (School of Kinesiology); Faculty of Medicine Departments of Surgery and Family Medicine. Co-ordinator of Graduate program in Athletic Injuries.

Fulll-time Primary Care Physicians:
Antonio Cogliano, MD, M.SC, CCFP, Dip. Sport Med, Coordinator of UWO Varsity Medical Coverage

Frank Shin, MD, CCFP, Dip Sport Med – Part time physician

Sarah Eckler, MD, Dip Sport Med 

Physicians at Fanshawe Community College Clinic site:
Dr. Lisa Fischer, MD, CCFP, Dip. Sport Med
Dr. Avaleen Vopicka, MD, CCFP, Dip. Sport Med
Dr. Tracy Henry, MD, CCFP

Orthopedic Surgeons:
Peter Fowler, MD, FRCP – Medical Director of the Clinic – Professor Faculty of Medicine, Department of Surgery – Orthopedics – Honorary Professor Kinesiology , Research Areas of Interest: mechanisms of knee injury and evaluation of rehabilitation routines.

Robert Litchfield, MD, FRCP – research areas – shoulder and knee injuries

Bob Giffin, MD, FRCP

Kevin Willits, MD, FRCP

Please list all persons who help supervise the research program (if applicable).

Dr. C. Lebrun, Dr. P. Fowler, Dr. R Giffin, Dr. K Willits  , Anna Hales.

Describe the physical environment (e.g. examination rooms, one-way mirrors, etc) in which the fellow's work?

The Clinic is located on the campus of the University of Western Ontario and is associated with the Faculties of Health Sciences (School of Kinesiology) and Medicine.  This new building (completed in the Spring of 1996) is a two floor structure with the Clinic on the lower level of the building and the School of Kinesiology on the upper level.  The facility as a whole has state  of the art clinical areas with presentation and conference facilities to match. The proximity to the Sciences library and the Hospital allow for the Fellow to have ready access.  The clinic has 12 fully equipped exam rooms, 6 for Primary Care, 6 for Orthopedics, a Casting room, and a large Physiotherapy are with a therapy pool. There are 2 on-site Radiology rooms, as well as diagnostic musculoskeletal ultrasound. The staff at the Clinic consists of 5 Primary Care Physicians plus 2 Primary Care Fellows, 4 Orthopedic Surgeons and 4 Orthopedic Fellows as well as 6 Physiotherapists and a Physiotherapy Fellow and an Athletic Therapist.  We also provide on-site custom orthotic and brace fitting, and a Clinic Store .  The Orthopedic clientele range from sport and activity related injuries to Workmen’s Compensation cases. The Fellows are given a separate workstation, as well as ready access to computers, and other technological equipment.

What administrative services do you have available for the fellow?

What is the role of your fellowship program/clinic within the University?

What arrangements do you have with other Departments within the University?

How are the fellows evaluated?

How do you determine if a fellow has successfully completed the program (i.e. is it just the time spent or is there some formal evaluation)?

What happens when there is a problem with the person taking the fellowship program?

How are educational objectives updated, and how frequently?

Describe how fellows evaluate your program.

Describe how your faculty is evaluated

What are the strengths of your program?