Primary Care Sports Medicine (PCSM) Fellows are assigned to one orthopedic surgeon during a three-month orthopedic rotation. This enables them to follow and gain exposure to musculoskeletal injuries from initial presentation through operative or non-operative treatment, rehabilitation and return to sport.

Elective rotations in hand surgery, foot and ankle surgery, orthopedic spine surgery, emergency medicine, cardiology, electrophysiology, and neuropsychology are designed to expand knowledge base and allow fellows to explore the tools and techniques used by sub specialists in treating an athletic population.

Under the supervision of faculty, fellows participate in:
  • Surgical procedures - traditional open and arthroscopic (Logging into New Innovations and performing a certain number of procedures fellows may request to be “credentialed” for a specific procedure.)
  • Mass participation events including pre participation physicals for area high schools
  • Onsite care of collegiate athletes (through the affiliation with Rice University) in multiple sports - including football, men’s and women’s basketball, swimming, soccer and track and field
Fellows interact with orthopedic surgery residents during Sports Medicine Grand Rounds talks and training room activities at Rice University. Fellows also interact with other residents at the Family Medicine Residency during their continuity clinic experience at the Family Medicine Center.

Didactic Teaching

There are five major components to the didactic teaching for the PCSM fellow:

1. Patient Centered
Patient exposure serves as an opportunity to discuss pathophysiology of the disease process or injury - risk factors, aspects of recovery, ethics of return to sport decisions.

2. Monthly PCSM Lecture Series
In this hour-long didactic session, Faculty or guest lecturers present topics of interest to sports medicine physicians on a wide variety of topics including the pathology of illness and injury, pharmacology, ergogenic aids and supplements, sports psychology and medical illnesses related to sport participation. Lecture topics include, but are not limited to:
  • Supplements and ergogenic aids
  • Knee Injury evaluation and management
  • Concussion evaluation and management
  • Sports nutrition
  • Upper extremity injuries in adolescent throwing athletes 
  • Cardiovascular pathology
  • EKG abnormalities in athletes
  • Common injuries in gymnastics, cheer and dance
  • Evaluation and management of common foot and ankle injuries
  • Medical concerns in endurance sports
  • Basics of musculoskeletal imaging
  • Osteopathic manipulation in sports
  • Evaluation and management of common hand/wrist injuries in sports

3. Monthly Journal Club
This is an hour long discussion of recent sports medicine articles and reviews and an opportunity to discuss subjects not commonly seen in clinic, to foster a deeper understanding of medical issues, biomechanics and injury treatment in sports medicine.

4. The Daily Question
For the first 10 months of the fellowship year, fellows are sent a daily question covering the entirety of sports medicine - anatomy, musculoskeletal injury, non-musculoskeletal injury, medical illnesses in sports and sport-specific questions. Allowed to use a variety of sources to answer the question, fellows must respond by 8 a.m. the next morning.

5. Orthopedic Sports Medicine Grand Rounds
Via videoconference this weekly presentation is attended by all sports medicine fellows and residents rotating on Sports Medicine. Lectures are given primarily by the faculty and residents of the orthopedic surgery sports medicine fellowship at Houston Methodist Hospital in Houston.

Continuity of Primary Responsibility
The continuity of primary responsibility is maintained in the ambulatory setting through a system requiring longitudinal fellow follow up, employing evidenced based principles derived from the medical knowledge and practice based patient care skills acquired during the fellowship year.

Other areas of focus include:
  • Inpatient services
  • Home visitations
  • Other facilities, rehabilitation
  • Referrals and consultations

Fellow Requirement
All fellows must be board-eligible in family medicine. There are no provisions for primary specialty experiences for other specialists.