Campbell University Health Center
This is a free-standing outpatient clinic located within Campbell University’s campus. The Fellows spend time with Core Sports Medicine Faculty as they services all students on campus, including student athletes. The clinic is operational Monday through Friday. This site serves as the continuity clinic as well as the site for half-day clinic within the Fellows’ primary specialty. The volume varies with the season of sports and number of injuries; volume for a half day is typically 5-15 patients. The clinical site houses resources utilized in sports medicine care including MSK Ultrasound, injections, x-ray, and common tools used in the physical exam. This rotation serves as a core experience for athletic coverage as their sports medicine clinics are exclusive to Division 1 athletes. Weekly didactics, Journal Club, and research also take place on campus, which includes access to the Human Performance Lab that offers access to research grade equipment.
Fellows get a clinical outpatient experience with a basic cardiology knowledge base. The aim of the rotation is to introduce the Fellows to current cardiac clinical guidelines and appropriate use criteria for diagnostic testing and interventions and familiarization with current ACC/AHA Clinical Guidelines along with ECG reading and the more specific nuances associated with the athletic population.
This rotation is hospital-based at Cape Fear Valley Medical Center in Fayetteville and provides Fellows with a better understanding of the central role of diagnostic radiology in the evaluation and management of sports medicine patients through participation in reading room readouts. This site was specifically chosen to allow Fellows an opportunity to work alongside MSK Fellowship-Trained Radiologists, with a spectrum of diagnostic imaging (e.g., ultrasound, CT, MR, nuclear medicine, angiography, and x-ray) and diagnostic and therapeutic image guided interventional techniques. An appreciation of the role of the radiologist as consultant to the clinician and importance of providing detailed clinical information in the radiology consult is also emphasized. Fellows learn to recognize the indications and appropriateness of imaging studies for common clinical problems and be able to describe the risks of medical imaging (including radiation induced cancer, MRI safety, contrast nephropathy, and contrast reactions). Fellows also learn the appropriate sequencing of exams and the limitations of diagnostic imaging tests, including cost-effectiveness of imaging studies. Fellows also participate in imaging interpretation, including basic study identification, recognition of normal radiographic and cross-sectional anatomy, and common pathology as depicted on common studies.
This rotation further exposes the Fellows to the growing field of regenerative therapy that includes platelet-rich plasma injections and bone marrow stem cell therapy. The clinic offers a full spectrum of therapeutic interventions including x-ray, ultrasound, physical therapy and injections. Fellows work one-on-one with the board certified sports medicine at-tending.
- Surgical Sports Medicine
- Wrist and Hand
- Foot and Ankle
These rotations are based at both the Emerge Orthopedic Outpatient Clinic and their Surgical Center and provides an opportunity for Fellows to participate in a large number of outpatient clinical visits and arthroscopic and open surgeries in the lower extremity with a Fellowship-Trained Foot and Ankle Surgeon, Wrist and Hand Surgeon, and Sports Medicine Surgeon. In addition to using the operative experience to improve their understanding of surgical techniques, Fellows participate in weekly outpatient clinics with direct supervision of the attending staff.
Fellows work with a physical therapist specializing in the treatment of athletes. The Fellows learn the indications for physical therapy referral and the modalities and treatment plans that are available in the physical therapy setting. Fellows work alongside the physical therapy attending to assess and discuss therapeutic treatment options. Fellows learn the about the role that physical therapy plays in the rehabilitation of the athlete and how to write an appropriate prescription for referral.
Physical Medicine and Rehab (PM&R)
This is a privately-owned Orthopedic specialty group site where Fellows get exposure in an outpatient setting. Dr. John Neidecker is the Associate Program Director and has his practice located at this site; he serves as the site director to the Fellows for the rotations of Primary Care Sports Medicine and Physical Medicine and Rehabilitation. Fellows receive exposure and training regarding injections, fracture care and MSK ultrasound procedures.
Orthotics and Prosthetics
This rotation is designed to familiarize the Fellows with the profession of orthotics and prosthetics and apply knowledge and skills in the work setting. Work experience in dealing with the indication and fabrication of orthoses and prostheses are emphasized. Fellows are mentored by practitioners in the field and develop an understanding of the resources available to both athletes and non-athletes in this specific area of medicine. This site has two clinicians with 30 – 35 patient encounters per week.