| Objective |
Continuity of Care |
Resources |
Mechanism / Evaluation |
CME/Noon Conf |
Rotation Cycle |
Faculty Responsible |
| 1. The QFMR resident will be able to demonstrate the ability to examine (in a timely fashion - 15 minute clinic visit) and diagnose disorders of the musculoskeletal system. |
QFMR
Sports Medicine Clinic
Orthopedic Clinic |
The QFMR Musculoskeletal CD-ROM is a program outline that leads you through this task.
The best way to start is to go to the Main Menu and select the area of interest. Example: the Knee. Go to the patient exam form. This form can be integrated into your electronic medical record or you can use it as a worksheet when examining patients.
The form has a number of functions:
1. Go to "red flags" These are questions or physical exam findings that should raise your awareness. If present, this patient could have a serious problem.
2. Go to the picture of the joint and match the area with the patient's complaint. It gives you some idea what structure is affected. Mark this area on the form. 3. Go through the physical exam and history section. You can use this section any way you wish. You may be interested in a certain exam - click it and it describes the exam, shows a short clip or gives you a reference explaining the exam. You don't have to use every exam and question on every patient, but you should know what the exam is and why the questions are asked.
4. At the end of about 5 minutes, you should be able to put the patient in one of the general categories on the algorithm. The algorithm then explains how to treat the general condition. You may not have a specific diagnosis at this point, but that is okay. You are in the ballpark and you have a treatment plan and a general diagnosis. As your skills improve, you will be able to give a more specific diagnosis and treatment plan. You are developing a thought process and skills that you will build on the rest of your life
|
You will be required to use a worksheet for each musculoskeletal area
On one of your patients or On one in sports clinic, You will fill out the physical exam form and develop a treatment, i.e. knee, ankle/foot, elbow, etc.
You will provide a videotape of one of your musculoskeletal examinations. (Mrs. Longlett and Mrs. Kewney can help with this.) |
The QFMR resident will get:
a) at least one lecture a month on primary care exam evaluation techniques
b) ACSM - CME - primary care musculoskeletal skills
c) SIU Department of Orthopedics has 1 day course each Fall. |
This is a longitudinal rotation and the forms and video are all due at the end of your second year. Start now, but you will have extra time in your sports medicine rotations and sports medicine clinic. |
Dr. J. Daniels
Sports Medicine Fellow
Documentation to Lorraine LaLond. |
| 2. Inactivity is the number one healthcare problem in our country. The QFMR resident will understand and promote physical activity in patients of all ages.. |
QFMR Clinic patients |
... |
The QFMR resident will take part in the preparticipation sports physicals that are scheduled at, but not limited to, YMCA, NYSP, Special Olympic physicals (done at QFPC), Quincy University, Advance Physical Therapy, CYO Gym, Golden Clinic
The QFMR resident will participate in at least two physical sessions per year. The athletes range from 4th grade to seniors in college. This is a program that allows QFMR to give service to the community, allows the QFMR resident didactic sessions, to provide preparticipation exam using ACSM guidelines and to organize a station-based exam session.
1. The QFMR resident will be responsible to know the community resources available to assist patients in obtaining their exercise and fitness needs and use available facilities. Example: YMCA classes; Exercise and pregnancy classes; CURVES; Blessing Hospital Health Center; Quincy University Health Center
2. During sports medicine rotation, the QFMR Resident will attend a multidisciplinary conference with faculty, PTs, OTs, ATs on Exercise and Rehabilitation. (Tuesday 12:30 - Advance Physical Therapy)
3. The QFMR resident will rotate through a rehabilitation center during sports medicine rotation.
4. The QFMR resident will demonstrate the ability to prescribe an exercise prescription program for themselves while on the sports medicine service. A written plan will be due at the end of their rotation. (You can't give an exercise prescription to a patient until you have done one on yourself!) |
1. Pre-participation sports physicals
2. Exercise Prescription |
Sports Medicine rotation
Longitudinal Sports Medicine Clinic Rotation
Longitudinal sports physicals - all 3 years |
Dr. J. Daniels
Sports Medicine Fellow
Qll QFPC Faculty
Documentation to Lorraine LaLond |
| 3. The QFMR resident will understand the importance of developmental musculoskeletal conditions, both normal and abnormal. |
QFMR patients
Orthopedic Clinics
Sports Medicine Clinic |
QFMR MS Curriculum
Library Books
CD's on server (currently on Research computer) |
A) Perform on newborn:
a) Torticolis check
b) Hip dysplasia
c) Check for fractured clavicle
d) Check birthmarks, tuft or dimple at buttock
e) Newborn posture
B) Understand and demonstrate working knowledge of injuries unique to pediatric population
a) Rotational deformities of the lower extremities
b) Scoliosis measuring (use of scoliometer)
c) Epiphyseal injuries
d) Salter Hair fracture
e) Apophysis injuries
C) Demonstrate to faculty. |
Pediatric Orthopedics |
Longitudinal |
Dr. J. Daniels
Sports Medicine Fellow |
| 4. The QFMR resident will understand the role of the team physician. |
QFMR Clinic
Quincy University
Culver Stockton Training Room |
... |
During sports medicine rotation the QFMR resident will:
a) attend a high school or college contest with faculty or help at a community athletic event (YMCA Turkey Run, etc)
b) 3rd year resident have the opportunity to act as team physician for one of the teams that QFMR Fellowship cares for |
a) Man Down on Field
b) Sports Medicine Emergencies
c) The Game Bag
d) CME - ACSM team physician course
e) ACSM |
Sports Medicine Rotation |
Dr. J. Daniels
Sports Medicine fellow
All documentation to Lorraine LaLond |
| 5. The QFMR Resident will obtain musculoskeletal skills to treat patients. |
Orthopedics
QFMR Clinic
Sports Medicine Clinic |
... |
a) QFMR will attend "Cast Party" and learn:
-thumb spica
-ulnar gutter splint
-post splinting of ankle
-post splint elbow
-post splint ankle
-application of sling, cast shoe
b) Use models to show injection techniques
-upper extremity
-lower extremity
c) Evaluation of X-rays, MRI's, and CT |
Cast Party
Radiology CNF
Upper Extremity splinting |
Longitudinal
Cast party every 3 years |
Dr. J. Daniels
Sports Medicine Fellow |
| 6. The QFMR resident will understand the role of other healthcare professionals in regard to musculoskeletal medicine |
QFMR Clinic
Orthopedic Clinic
Rehab Podiatry |
Musculoskeletal Handouts |
a) The QFMR resident will spend 1 month with orthopedic surgeon. It is important for the resident to see some in-patient activity -- total joint replacement, etc, but the rotation will emphasize clinic.
b) Understand role of family medicine and orthopedic referral indications, etc.
c) During sports medicine rotation will spend time with podiatrist, athletic trainer and physical therapist |
Primary care rheumatology
Orthopedic lecture
KCOM lectures |
1 month Orthopedics
2 Months Sports Medicine |
Dr. J. Daniels
Sports Medicine Fellow
Orthopedic Surgeon
Dr. Reed |
