- 50+ hours radiology training (30 in first month)
- Biweekly rotations with St. Luke’s radiologists beyond first month
- Daily contact with the clinic physicians while assisting with patient care as a physician extender
- Casting application and techniques
- Operating room observation
- DME application/techniques
- DME education on business revenue source as ancillary to clinic
- Diagnostic ultrasound application/procedures for musculoskeletal injuries
- Rural family practice and primary care medicine
- Quarterly case presentations to hospital and clinic faculty
- Questions/topics of the week assignments and presentation to faculty
- Exposure to rehabilitation concepts throughout the treatment process
- Participation in monthly Radiology MSK Grand Rounds
- Participation in St. Luke’s Sports Medicine monthly conferences
- Participation in weekly educational meetings with physicians and allied health staff across St. Luke’s Sports Medicine program
- Participation and/or attendance at conferences sponsored by St. Luke’s Sports Medicine
- Representation of St. Luke’s Sports Medicine at designated athletic venues by providing medical coverage
- Event coverage:
- Boise Ironman Race
- Boise Twilight Criterion
- Possible travel with U.S. Men’s Soccer team and/or U.S. Ski/Snowboard team
- Complete evaluations after each rotation
- Shadow outgoing fellows for one week
Physician Clinic Rotation
Working directly with physicians, you'll learn:
- How to complete an appropriate medical history on each patient, including:
- History of injury or condition
- Mechanism of injury
- Primary complaint
- Pain assessment
- Current treatments
- Past medical history
- Associated factors of injury (Quality of Life)
- Review of medications and allergies
- How to perform an appropriate physical examination on each patient, including:
- Range of motion/palpation
- Strength/manual muscle
- Sensation/motor testing
- Functional testing
- Ligamentous testing
- Special tests
- Proper ordering of diagnostic studies or other referrals:
- EMG studies
- CT scans
- Diagnostic/interventional ultrasounds
- Lab/specimen orders
- Physician referrals
- How to educate patients and answer questions according to their individual needs, including:
- Therapeutic exercise instruction and education
- Personalized plan of care
- Application and removal of casting materials
- DME fitting of patient with splints, crutches, braces, wraps, and other various equipment directed by the attending physicians; as well as instruction and education for the patient on the appropriate use of the equipment
- Post-operative procedures: removing sutures and changing post-operative bandages as directed by physician
- Preparation of patients for diagnostic ultrasounds, including proper draping, set-up of ultrasound, stocked necessities (alcohol swabs, ultrasound gel), and patient input into ultrasound
- Preparation for ultrasound interventions, including intra-articular injections and calcific lavage procedures, preparation of patient (refer to diagnostic ultrasound procedures), medications, syringes, and other items required by attending physician
- How to prepare patients for injections to be performed by the attending physician, including cleaning and disinfecting the area to be injected both prior to and after the injection
The residency program also includes a focus on encouraging your contribution to advancements in the field.
St. Luke’s Sports Medicine Journal Review
Weekly lecture or journal article review starting in August and running through the first quarter (November). Participants include ATC resident(s), staff athletic trainers, attending MDs, and physician assistants.
Question of the Week
Residents will be given a medical question of the week and will be required to write a short, one-page answer to the question, including references. Questions may include radiology, pathology, surgical procedures, non-operative care, and treatments of musculoskeletal related injuries.
St. Luke’s Sports Medicine Grand Rounds
Once a month, St. Luke’s Sports Medicine staff (attending MDs, physician assistants, athletic trainers, physical therapists, and medical assistants) attend presentations on topics such as orthopedic pathologies, evidence-based medicine, clinical efficiency, and rehabilitation of specific pathologies.
Case Study Presentations
Residents are required to present four case studies throughout their year of residency. They will work closely with the four primary sports medicine physicians associated with the residency (one case study per primary physician) and present to attending MDs, staff athletic trainers, physical therapists, medical assistants, and other medical office staff.
After obtaining 30 hours of observation/study with the musculoskeletal radiologists, residents will attend monthly radiology grand rounds and conferences with St. Luke’s radiologists, residency physicians, and program director to discuss interesting cases and important radiology pearls that may lead to a specific diagnosis. Daily clinic duties include follow-up imaging for patients (MRI/X-ray). The resident will be required to study a patient’s MRI prior to the appointment to understand and be able to tell and show the attending physician the pathology presented on the report.
- Resident will be able to identify appropriate use of X-ray vs. MRI vs. diagnostic ultrasound vs. CT in musculoskeletal injury pathologies.
- Resident will be able to identify and describe commonly used views in X-ray and MRI studies.
- Resident will be able to identify normal anatomy and musculoskeletal X-ray and MRI.
- Resident will be able to identify and describe typical musculoskeletal pathology on X-ray and MRI (i.e., fractures, dislocations, basic malalignment, ligament tears, meniscal injuries, osteochondral lesions, muscle injury, tendonopathy, degenerative joint disease, labral tears, and other common diagnoses of the musculoskeletal system).
- Resident will be able to properly identify and name fractures.
- Resident will be able identify when further advanced imaging would be necessary to evaluate musculoskeletal pathologies.
Residents are invited to attend the annual St. Luke’s Sports Medicine Concussion Symposium and the annual St. Luke’s Sports Medicine conference with the possibility of being asked to present to the attending audience (MDs, athletic trainers, and physical therapists). They are also given the opportunity to attend the NATA annual conference and annual Northwest Athletic Trainer’s Symposium.
Residents are required to choose research topics within the first month of their residency. They will work closely with their attending surgeon to obtain IRB approval and present the work they have completed towards the project at the end of the residency year. The number of research topics may be more than one topic to include any additional help required by physicians and clinical staff.
Casting and Durable Medical Equipment (DME)
The resident will be trained by staff athletic trainers and other medical staff associated with the practice on proper techniques for application of casting and splinting. This also includes the training of proper fitting in regards to DME, and the steps associated for billing purposes. This will continue on a daily basis in clinic as needed, where the resident will be exposed to various pathologies that require this type of service.
Performance evaluations will be completed on a quarterly basis by directing physician, other attending physicians, program director (and assistant director), and staff ATCs.
We’ll be evaluating:
- Advanced knowledge of clinical examination and diagnosis in orthopedic injuries
- NATA educational domain
- Establish ability to assess information associated with the patient’s status
- Demonstrate professionalism and good communication skills between patients, attending physicians, and other clinic staff
- Establish the ability to understand relevant information to identify factors associated with a patient’s care requirements
- Accurately document the results of evaluations completed by attending staff physicians
- Demonstrate a proactive attitude and approach to assist other staff members as requested in clinic
- Deliver patient care in a positive, caring, and empathetic manner while working to ensure all patient questions are answered in a helpful manner