Core of the Fellowship Experience (Goals and characteristics)
This Fellowship is designed to offer an extensive clinical and research experience in sports medicine and ligament reconstruction of the knee, shoulder, and elbow. It focuses on operative and non operative care of the athlete. Exposure to arthroscopic and open procedures; with a shoulder/elbow rotation, knee rotation, adolescent sports rotation, hip rotation in Vail, Colorado and research time. Each fellow spends between 1 1/2 – 2 days per week in clinic. Care of sport teams is a part of the fellowship. The clinic participates in care of the athletes, and Professional Major League Lacrosse with on field and independent training room evaluations. Applicants are required to have completed an approved residency in orthopaedic surgery in the US, and be board eligible in the USA, and be able to acquire a NY/CT medical license. The Fellow also has all year access to a six station wet/dry lab.
The design of our program is to benefit Fellows whose career goals include being part of or creating a private practice focused on sports medicine. Our program transforms the medical student to the independent practitioner along the continuum of medical education. Our Fellows will ultimately assume personal responsibility for the care of individual patients. Progressive responsibility is one of the core tenants of our program. The Fellowship was accredited by the Arthroscopy Association of North America (AANA) in 2007, and received ACGME accreditation for two fellowship positions in July 2008. As with university based programs, within our Fellowship program we offer strong and thorough instruction on medical topics in a structured academic setting and research opportunities with breadth and depth enough to allow for the creation of published results. However, in association with a successful private practice focused on sports medicine, we pride ourselves in including the following as elements of our Fellows’ experience:
Pre-to-post op interactions with an identifiable pool of patients allowing our Fellows the opportunity to know their patients from the initial first clinic visit through post op management and rehabilitative care. A fellow learns how to perform Quality Improvement on their own patients, and follows their patients’ progress through post operative appointments.
Interactions with a wide array of non-physician professionals who can offer training on successful billing, coding, staff management, hiring and firing, business planning and IT practices that will assist Fellows in making a successful transition to private practice. The proof of the value of this experience is the number of our Fellows who have successfully joined orthopaedic and sports medicine groups around the country, but more importantly, the number of our Fellows who have established their own successful private practices.
Weekly OR experiences in an exceptionally wide array of medical facilities, including university based teaching hospitals, non-profit community hospitals, for profit and physician owned hospitals, and ambulatory surgery centers. We believe that our association with this wide range of surgical experiences offers an exceptionally broad and quite unique learning experience for our Fellows.
Weekly clinical experiences in varied settings and locations and with practices whose focus varies within sports medicine, including urban orthopaedic and sports medicine clinics, suburban family sports medicine settings and suburban / rural pediatric sports medicine practices. Again, we believe this wide array of clinical experiences provides a strong foundation for the many elements of patients seen in a sports medicine practice.
Team coverage. While the practice supports both national and international / Olympic sports teams as well as professional teams, our private practice locations make us part of the local community. We thus have access to local and regional sports teams and can serve them with a shared sense of community well-being. Our commitment to supporting our “neighborhood” again reflects what we consider to be “best practice” and good “corporate citizenship” for our Fellows as they begin their professional careers.
All year access to a six station wet/dry BioSkills laboratory is available for hands on research and teaching in our partner lab in NYC. The Fellows are trained by Mr. Christopher Rish, Lab Manager on how to use the Lab. It is expected that the Fellow will complete one clinical or basic science research project that can be presented at a national meeting and/or published. Many research opportunities are available and participation is ongoing.
Commitment to Excellence
Plancher Orthopaedics and Sports Medicine and the Orthopaedic Foundation are committed to making the Fellowship experience engaging, relevant, professional and complete. The program is designed to maximize a Fellow’s time and experience, exposing the Fellow to clinical, didactic and educational opportunities that will enhance the Fellow’s professionalism and growth. Policies and procedures are in place to structure the Fellowship experience and to both guide and support the Fellowship participants.
The academic, clinical and research experiences of the Fellowship are designed as steps of ever increasing responsibility. As the Fellow’s experience increases, responsibilities may increase or become more complex. Throughout our program and curriculum, the Fellow will gain gradual independence and increased abilities in the following areas:
Patient care: The Fellow must demonstrate care that is compassionate, safe, appropriate and effective for the treatment of health problems for patients. The Fellow must also demonstrate care that fosters a wider understanding of good health habits for the patients. Whenever possible, complaints should be resolved at the point of service. When this is not possible, or when the complaint is complex and involves multiple disciplines, the HR Representative should be contacted.
Medical Knowledge: The Fellow must demonstrate interpersonal and communication skills that result in the effective exchange of information and collaboration with patients, their families, and health professionals.
Practice Based Learning and Improvement: Fellows are expected to develop skills and habits to be able to meet the following goals: 1) to systematically analyze practice using quality improvement methods and to implement changes with the goal of practice improvement and 2) to locate, appraise, and assimilate evidence from scientific studies related to their patients’ health problems.
Interpersonal and Communication Skills: The Fellow must demonstrate appropriate and effective methods of communication with a full range of professional contacts that include peers, faculty, support personnel, patients and their families.
Professionalism: The Fellow is expected to demonstrate every increased professional behavior that reflects a strong sense of ethics, a broad sense of ethical principles, focused patient care, scientific knowledge and sensitivity to a diverse population.
Systems-based Practice: The Fellow is expected to demonstrate a growing understanding of complex systems of health care and health support and to apply that knowledge to ever more responsible patient care by utilizing the elements of the system to further aid the patients to provide optimal healthcare
Evaluation of Fellows: The Fellow will be evaluated quarterly in writing by the Program Director, Kevin Plancher, MD. The Fellow will also be evaluated by each faculty member after the completion of a rotation. The faculty members are Kevin Plancher, MD, Michael Kaplan, MD, Marc Philippon, MD, William Sterrett, MD, and Eric Fornari, MD. In addition, the Fellow will be evaluated by the Foundation Director/Fellowship Coordinator, Janine Bahar, and the Research Director, Stephanie Petterson, PhD, and staff members of Plancher Orthopaedics and Sports Medicine. These evaluations will be turned in to the Foundation Director. The Fellows will then have the opportunity to meet with the Foundation’s Director to discuss the evaluations, and any concerns he/she might have. The Fellow will also be evaluated by each faculty member after each rotation.
This evaluation becomes part of the fellow’s permanent record. It documents the fellow’s performance during their education and verifies that the fellow has demonstrated sufficient competency to enter practice without direct supervision.