Musculoskeletal Primary Care Sport & Exercise Medicine Program


This program at the Pan Am Clinic is a 12 month comprehensive training opportunity for the postgraduate Family Medicine Resident or practicing Family Physician. The program falls under the auspices of the Enhanced Skills Program Committee of the Department of Family Medicine of the University of Manitoba.

Family physicians are well suited for the practice of sport and exercise medicine due to their primary care background and their commitment to the promotion of health and prevention of disease.  However, the knowledge and comfort level in treating common musculoskeletal problems are not always adequate.

The skills of sport and musculoskeletal medicine are in demand due to the increasing medical importance of exercise as medicine to maintain the quality of life and for  musculoskeletal patient services.  Sport and excercise medicine training will provide relevant management and patient centered strategies to deal with musculoskeletal problems.

This program will incorporate optimal practices for musculoskeletal and sport and exercise medicine in clinical, educational and research settings.  The program has core rotations of required training.

Goals and Objectives:

Priority topics for the assessment of competence in Sport and Exercise Medicine was developed by the College of Family Physicians of Canada Working Group.  This will be used as the essential core knowledge and skills to be taught in this program.

  • Acquire the knowledge and develop the skills to consistently, proficiently and confidently diagnose, prevent and treat musculoskeletal and other medical conditions encountered by athletes and non-athletes of all ages.
  • Learn the management of acute and chronic musculoskeletal injuries/illnesses and to identify prevention issues.
  • Learn the required injection and procedural skills in musculoskeletal medicine (exposure to ultrasound guided injections/procedures, but no formal training provided).
  • Learn the fundamentals regarding conditioning, physical and mental rehabilitation, splinting, casting and bracing.
  • Learn the management of common sport emergencies.
  • Learn the skills and knowledge necessary to perform as a team physician or lead event physician, and to develop relationships with other allied health professionals and multi/interdisciplinary teams.
  • Opportunity to work with elite athletes and non-elite athletes, including pre-participation evaluations.
  • Exposure to other musculoskeletal related fields such as Rheumatology, Physical and Rehabilitation Medicine, Orthopaedic and Spine surgery, Workers Compensation Board etc.
  • Gather the knowledge and skills to successfully challenge the Canadian Academy of Sport and Exercise Medicine diploma examination, if so desired.

Curriculum - Week at a Glance:

  • 2 - 2.5 days per week in a Primary Care Sport Medicine clinic setting at Pan Am Clinic for continuity of care
  • 0.5 - 1 day per week in acute care musculoskeletal care management at the Pan Am Minor Injury Clinic
  • Academic ½ days
  • 2 days per week in core rotations

Academic days will consist of any of the following:

  • Working on a research project.
  • Preparation and study of a topic to be discussed at weekly academic sessions.
  • Preparation of presentation to be presented at rounds.

Year at a Glance – Core Rotations: (1 Block = 4 Weeks, Total of 13 Blocks = 52 Weeks)

  • Primary Care Sports Medicine (ongoing through the year)
  • Athletic Therapy/ Physiotherapy/ Sport Bracing and Casting (1 block)
  • Orthopaedics (2 blocks)
  • Paediatric Orthopaedics (1 block)
  • Concussion Clinic (1 block)
  • Pain Clinic (1 block)
  • Physical and Rehabilitation Medicine (1 block)
  • Imaging (1 block)
  • Sport Nutrition, Sport Psychology, Exercise Physiology (0.5 block)
  • Rheumatology (1 block)
  • Spinal Surgery/ Spine Service Clinics (1 block with call)
  • Worker’s Compensation Board (1 block)
  • Research (ongoing)
  • Vacation block (1 block total; taken 0.5 blocks concomitantly)

Scholarly Requirements:

Residents are expected to:

  • Prepare, present and discuss a Sport and Exercise related topic at a weekly academic session with a preceptor.
  • Attend Sport and Exercise Medicine Journal Club.
  • Attend weekly Orthopaedic Sport Medicine Rounds.
  • Attend monthly Physiotherapy Sport Medicine Rounds.
  • Present at rounds at least twice in the academic year.
  • Participate in a research project at the Pan Am Clinic (own project or involvement in current projects)

How To Apply:

Certification:

Upon successful completion of the Sport & Exercise Medicine Enhanced Skills Program, you will receive a diploma from the University of Manitoba's College of Medicine, and you will be eligible to apply for a Certificate of Added Competency (SEM) from the College of Family Physicians of Canada.

Administrative Structure:

Associate Program Director, Enhanced Skills Program: Dr Edward Tan
Enhanced Skills Sport & Exercise Medicine Program Director: Dr Hein Peters