Sports Medicine, Shoulder Reconstruction & Upper Extremity Surgery - Cleveland Clinic - Florida

Sports Medicine, Shoulder Reconstruction & Upper Extremity Surgery - Cleveland Clinic - Florida

Vanessa Santos  
 
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Contact Information

Contact name
Vani Sabesan, M.D.
Address
2950 Cleveland Clinic Blvd
City
Weston
State/Province
FL
Zip/Postal code
33331
Email
This email address is being protected from spambots. You need JavaScript enabled to view it.
Phone
954-659-5889

Program Information

Fellows per year
1
Accredited
No
Specialty
Sports Medicine

The Sports Medicine/Upper extremity and Adult Reconstruction fellowship is an educational program designed to expose the postgraduate orthopedic fellow to the study of and prevention of sports injuries and reconstructive treatment of musculoskeletal diseases, disorders, and sequelae of injuries and their treatment by medical, surgical, and physical methods. During the 12-month course, the fellow will be involved in didactic lectures and clinical experiences relevant to managing patients with these and related conditions. 

Coordinator Note:

We are still looking to fill our Sports Medicine/Upper Extremity fellowship position for 2019-2020. This is a 1 year fellowship with a potential 2nd year for research. We are actively seeking 1 candidate to fulfill this position. Any interested candiates should email the fellowship coordinator, Vanessa Santos at This email address is being protected from spambots. You need JavaScript enabled to view it. or call 954-659-5889.

SPORTS MEDICINE/UPPER EXTREMITY AND ADULT RECONSTRUCTION FELLOWSHIP

GOALS AND OBJECTIVES

The Sports Medicine/Upper extremity and Adult Reconstruction fellowship is an educational program designed to expose the postgraduate orthopedic fellow to the study of and prevention of sports injuries and reconstructive treatment of musculoskeletal diseases, disorders, and sequelae of injuries and their treatment by medical, surgical, and physical methods. During the 12-month course, the fellow will be involved in didactic lectures and clinical experiences relevant to managing patients with these and related conditions. This rotation will provide the fellow with the educational environment needed to demonstrate the core competencies endorsed by the ACGME:

PATIENT CARE:

While on the orthopedic service, the fellow is expected to directly be involved in the workup of patients on the service. This includes the preoperative, perioperative, and postoperative management of operative candidates, and the clinical and rehabilitative management of non-operative candidates.  The fellow, under direct faculty supervision, will learn to evaluate all Sports Medicine/Upper Extremity and Adult Reconstruction patients.  The fellow will gather essential and accurate information from all patients by obtaining a thorough history and physical examination.  The fellow will be directly involved in making informed decisions about diagnostic and therapeutic interventions including but not limited to obtaining appropriate radiographic studies, laboratory test, and performing minor clinic procedures.  The fellow will be directly involved with the faculty in all operative procedures ranging in complexity, including but not limited to diagnostic and operative arthroscopy, reconstructive procedures, and joint replacement.  The fellow will be involved in the inpatient and outpatient postoperative management of patients and will counsel and educate patients and their families on routine postoperative rehabilitation.  The fellow will be involved in the recognition and management of acute orthopedic and sports medicine injuries that my occur during athletic competition and how to deal with the injuries on the athletic field, in addition to the management of nonorthopedic problems that occur in sports medicine. Patient education will focus on preventing health problems and maintaining health under the direct supervision of faculty involving the occupational, physical therapy and athletic training services. 

MEDICAL KNOWLEDGE:

A Sports Medicine/Upper Extremity and Adult Reconstruction syllabus will be provided for each fellow and will include recommended reading materials. The fellow will have library and on line access to journals, textbooks and technical guides. This reading material will cover a broad range of diagnoses and topics that should be used as a reference throughout the year.  The didactic and clinical components of the year fellowship are as follows:

  1. Daily clinical discussions and rounds with respective faculty during one of three 16-week rotations.
  2. Sports coverage (esp mid-September to May) and routine clinical discussions with respective staff for coverage and sports education. (Westerdahl, Tejpar)
  3. Monthly research conferences. (Sabesan)
  4. Monthly journal clubs. (All faculty)
  5. Quarterly grand rounds. (All faculty)

PRACTICE BASED LEARNING AND IMPROVEMENT:

During the year the fellow will be exposed to patients in clinic upon referral and consultation, as well as be involved in the management of in-patient and surgical patients. During this time the fellow is expected to locate, appraise, and assimilate evidence from scientific studies related to the patients’ health problems.  The fellow is expected to fully utilize the provided resources, i.e., course syllabus, hospital library, the Department of Orthopaedics library collection, as well as the vast resources available at main campus. 

INTERPERSONAL AND COMMUNICATION SKILLS:

As a member of orthopedic/sports medicine team, the fellow will play a focal role in the care of patients presenting to the service. Such care requires a multi-disciplinary team approach.  In order to provide optimal patient care, the fellow will create and sustain a therapeutic and ethically sound relationship with the patient, the fellow and faculty physicians of services such as radiology, anesthesia, internal medicine, as well as physical and occupational therapy and ancillary staff.

PROFESSIONALISM:

In accordance with the commitment of carrying out professional responsibilities, adherence to ethical principles, and sensitivity to a diverse patient population, the fellow will be expected to behave in a professional manner befitting an orthopaedic surgeon. The fellow will be expected to conduct himself/herself in a respectful and compassionate manner to patients and other health care professionals.  A professional dress code will be enforced while on the orthopedic service. 

SYSTEMS-BASED PRACTICE:

While on the orthopedic service, the fellow will be expected to demonstrate an awareness of the health care system and must be able to effectively utilize system resources to provide optimal patient care, i.e. retrieval of laboratory and radiological results; examination of digitized radiographic images using the PACS system; retrieval of electronic medical records from Epicare and documentation from other sources. The fellow’s practice of acquisition and dissemination of patient information will be closely monitored for strict adherence to current HIPPA guidelines.

ROTATIONS:

Research Rotation

  1. Goals and objectives:
    1. Investigate basic and clinical aspects of the disease processes affecting the musculoskeletal system
    2. Learn and develop expertise in IRB and protocol development
    3. Perform and assist in clinical trials on shoulder/elbow and sports medicine outcomes
    4. Develop skills and expertise in large clinical outcome databases (OME and Redcap)
    5. Understand and perform statistical analyses using standard and advance statistical software
    6. Teach and assist research fellows and medical students in orthopaedic surgery research projects
    7. Perform and present research at local and regional meeting
    8. Acquire and attain manuscript develop and research writing skills
    9. Assist the members of the department with ongoing research projects, studies, manuscripts and chapter/textbook writing.
    10. Participate in research meetings, seminars, journal clubs, symposiums and professional society meetings.
  2. Research Experience:
    1. The research fellow will demonstrate proficiency in the varied aspects of basic and clinical research including but not limited to, study design, IRB compliance, informed consent, data collection, data analysis, statistics, oral presentation, and manuscript preparation.
    2. The research fellow will be responsible for a minimum of three studies to be completed for presentation at a local, regional, national or international research or professional society meeting and/or submission for publication in a peer-reviewed journal.
    3. The research fellow will work with research team, including research fellows, research coordinators and medical students to develop research tools and expertise and assist in all aspect of research team projects related to sports medicine and upper extremity surgery
    4. The research fellow will be working primarily on research interest on a self-directed basis with an emphasis on operative care (operative suite) and non-operative care (outpatient clinic office, inpatient and hospital care) assistance.

Research conference topics

  1. Research design
  2. Research development
  3. Practical approaches to doing clinical studies
  4. Patient consent and compliance
  5. Special considerations in research
  6. New modalities – What is the standard of care
  7. Requirements of a clinical research platform
  8. Phase I studies
  9. Phase II studies
  10. Phase III studies
  11. Research publication
  12. Statistics

Rotation Schedule: The research fellow will work under the direction of Vani J. Sabesan, MD, Gregory Gilot, MD, Brian Leo, MD, David Westerdahl, MD, Farah Tejpar, MD for a one-year duration

Dr. Gregory Gilot

           

 

Monday

Tuesday

Wednesday

Thursday

Friday

AM

Clinic

OR

Clinic

OR 3rd

Academic

PM

Clinic

OR

Clinic

OR 3rd

Academic

 

Dr. Vani J. Sabesan

 

Monday

Tuesday

Wednesday

Thursday

Friday

AM

OR

Clinic

Research

Clinic

OR1st/Clinic

PM

OR

Clinic

Research/Surgery

Clinic

Clinic

 

Dr. Brian M. Leo

 

Monday

Tuesday

Wednesday

Thursday

Friday

AM

Clinic

Clinic

OR

OR

OR 1st,4th

PM

Clinic

OR 3rd

OR

OR

Clinic

Sports Medicine/Upper Extremity

  1. Goals and objectives:
    1. Expose the fellow to the multidisciplinary aspect of caring for the athlete and patients with degenerative conditions of the shoulder and upper extremity as well as traumatic injuries of the upper extremity
    2. Enhance the fellow’s surgical skills and interoperative decision-making via supervised hands-on surgical experience
    3. Refine the fellow’s ability to critically evaluate an athletic injury and degenerative shoulder condition through history, physical examination, differential diagnosis, the ordering and interpretation of appropriate   diagnostic imaging and test
    4. Refine the fellow’s ability to develop treatment options with understanding of surgical risks and benefits, physical therapy modalities and exercises

Clinical experience: The fellow will rotate with each assigned attending 16 weeks at a time, 2-3 times weekly in surgical cases and 2-3 times weekly in ambulatory clinic. The fellow will receive increasing responsibility under direct supervision in the operating room with fellowship faculty.       The fellow will be responsible for evaluating both new and return patients, performing a comprehensive physical examination, ordering and interpreting appropriate radiographic tests, and providing a well organized and thorough patient assessment and plan. The assessment and plan, in addition to the history and physical examination gathered by the fellow, will be discussed with the attending contemporaneously with patients visit. The examination with the fellow, by the attending, will further facilitate fellow education.

Rotations will be based on assigned attending schedule: a combination of OR and ambulatory clinic for optimal educational experience and following mentorship model with subspecialty surgeon.

Weekly schedule for designated attending, at a one-year duration.

Educational experience: The fellow will participate in daily clinical discussions and rounds to include surgical indications, preoperative planning and postoperative management. The fellow will present assigned topics during the quarterly grand rounds.                                                                                                                                                                            

  1. Principles of open and arthroscopic stabilization for shoulder instability
  2. Advances in the arthroscopic treatment of rotator cuff injuries
  3. Advances in the arthroscopic treatment of acromioclavicular joint injuries
  4. Slap lesion and Adhesive capsulitis
  5. Elbow arthroscopy
  6. Muscle rupture and repair

Adult Reconstruction

  1. Goals and objectives:
    1. Expose the fellow to the multidisciplinary aspect of caring for the athlete and patients with degenerative conditions of the shoulder and upper extremity
    2. Refine the fellow’s ability to critically evaluate an athletic injury and degenerative shoulder condition through history, physical examination, differential diagnosis, the ordering and interpretation of appropriate diagnostic imaging and test
    3. Refine the fellow’s ability to develop treatment options with understanding of surgical risks and benefits, physical therapy modalities and exercises
    4. Enhance the fellow’s surgical skills and intraoperative decision-making via supervised hands-on surgical experience

Clinical experience: The fellow will rotate with each assigned attending 16 weeks at a time, 2-3 times weekly in surgical cases and 2-3 times weekly in ambulatory clinic. The fellow will receive increasing responsibility under direct supervision in the operating room with fellowship faculty. The fellow will be responsible for evaluating both new and return patients, performing a comprehensive physical examination, ordering and interpreting appropriate radiographic tests, and providing a well-organized and thorough patient assessment and plan. The assessment and plan, in addition to the history and physical examination gathered by the fellow, will be discussed with the attending contemporaneously with patients visit. The examination with the fellow, by the attending, will further facilitate fellow education.

Rotations will be based on assigned attending schedule: a combination of OR and ambulatory clinic for optimal educational experience and following mentorship model with subspecialty surgeon.

  1. Avoiding complications in conventional shoulder arthroplasty
  2. Surgical indications and rational for total, reverse shoulder arthroplasty
  3. Surgical indications and rational for total elbow arthroplasty
  4. Diagnosis and Treatment of Infected Total Joints
  5. Surgical Approaches in TSA and Avoiding Dislocation
  6. Periprosthetic Fractures in Total Joint Surgery 

 

Sports Medicine Field Experience

  1. Goals and objectives:
    1. Expose the fellow to the multidisciplinary aspect of caring for athletes with interaction and exposure to athletic trainers, physical therapists, and primary care sports medicine specialists
    2. Obtain a broad knowledge base of medical issues surrounding exercise and athletic competition
    3. Experience team physician duties at many levels
    4. Refine the fellow’s ability to develop treatment options with understanding of physical therapy modalities and exercises

Clinical experience: The fellow is required to attend training room approximately 2-3 times weekly. The training rooms are held at Florida Atlantic University. The evaluation of injured athletes will occur under direct supervision and independently over the course of the fellowship year. Essential skills will be emphasized, including the team approach to athletic care, which involves good communication between physicians, trainers, parents and family, and coaches. Coverage sports mainly include football, soccer, and basketball during the year. Arrangements may be made for coverage of sports of particular interest to the fellow as well. Home and away game coverage will vary depending on the sport. Fellows will work closely with the athletic training staff to triage orthopaedic injuries and provide medical coverage for the athletes at the various levels of competition. Injury clinics will be held on Sundays following football season in the fall.

Educational experience: The fellow will participate in routine clinical discussions with respective staff during sports clinic and sporting event coverage. The fellow will present assigned topics during the quarterly grand rounds with coaching and athletic training staff.                 

  1. On-field management of head and spinal injuries
  2. Physical examination of the upper extremity
  3. Physical examination of the lower extremity        
  4. Physical examination of the spine

 

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The Sports Medicine/Upper extremity and Adult Reconstruction fellowship is an educational program designed to expose the postgraduate orthopedic fellow to the study of and prevention of sports injuries and reconstructive treatment of musculoskeletal diseases, disorders, and sequelae of injuries and their treatment by medical, surgical, and physical methods. During the 12-month course, the fellow will be involved in didactic lectures and clinical experiences relevant to managing patients with these and related conditions. Coordinator Note: We are still looking to fill our Sports Medicine/Upper Extremity fellowship position for 2019-2020. This is a 1...

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