Sports Medicine Rotation / internship

Sites: William Osler Health System (Etobicoke General Hospital / Peel Memorial Hospital)

Nguyen Sports Medicine Clinic

 2489 Bloor Street West Suite 102, Toronto, Ontario M6S 1R6, Canada 

Student’s schedule: 

Monday AM: Surgery / Sports clinic PM: Surgery / Sports clinic / Research 

Tuesday AM: Trauma Fracture Clinic

PM: Sports clinic

Wednesday all day:  Surgery (Sports Medicine) 

Thursday Multidisciplinary sports medicine rounds every Thursday at 7:30 AM 

Surgery / Sports Medicine Clinic 

Friday: Surgery / Sports Clinic / Research 

Student objectives: 

1. Develop surgical expertise in complex arthroscopic & reconstructive surgeries of the shoulder, elbow & knee. 

2. Achieve clinical competency in the diagnosis, physical examination, imaging, surgical and non-surgical management, and rehabilitation of sports medicine disorders. 

3. Acquire interpersonal and communication skills that result in effective information exchange and teaming with patients, their families, and allied health professionals. 

4. Develop and refine critical and scholarly skills in the methodological aspects of applied clinical and health systems research. The specific skill domains include: research synthesis, research design, data gathering, knowledge translation, data-analysis and interpretation, communication of research results (oral & written), selection and development of measurement tools, and grant application. 

Student responsibilities: 

• Surgical assisting in the operating room. The student will have increasing autonomy in the operating room as the year progresses but will never be unsupervised 
• Participate in the fracture clinic and sports medicine clinic activities 
• On-call trauma coverage 1:5 
• Responsible for the care and management of patients on the service 
• Participate in ongoing research endeavours and clinical trials. Present & publish research papers
• Participate in the education of orthopaedic residents, medical students, family medicine residents, therapists, and students rotating through the service. 
• Interact professionally with all members of the service (nurses, osteopaths, therapists, kinesiologists, clinical/research assistants) 
• Pass the end of end of rotation examination 
• The student mid and end of rotation  evaluation 
  • Review the operative experience 
  • Review the overall impressions of the internship
  • Review the interactions with the multidisciplinary team members 
  • Review research progress 
  • 
    

Clinical competency exposure: 

1. SHOULDER (minimally invasive all arthroscopic rotator cuff surgery [PASTA, double row, suprascapular nerve decompression], instability [SLAP, HAGL, interval closure, biceps tenodesis, Latarjet, 360 deg labral repair], anatomic CC ligament reconstruction,  complex trauma (4 part fracture dislocations and complete spectrum of fracture care – scapula, IM nailing, locking plates, fracture hemiarthroplasty/reverse TSA) and reconstruction (hemiarthroplasty, meniscal allograft,total shoulder/reverse arthroplasty) 

2. ELBOW (arthroscopy [OCD, OATS, capsular release, ulnohumeral arthroplasty], instability (Tommy John, PLRI, multiligament/hinge elbow), complex trauma (terrible triad, Monteggia, and full spectrum of fracture care) and reconstruction (osteotomy, hemiarthroplasty and total elbow arthroplasty, radial head arthroplasty) 

3. KNEE (ACL reconstructions [primary & revisions, anteromedial, hamstring, BTB, all inside, double bundle], meniscal repair [all inside, outside in, meniscal transplant], PCL/MCL/PLC/Multiligament reconstruction, patella instability [arthroscopic repair/MPFL recon/ tibial tuberosity transfer], cartilage restoration [microfracture, OATS procedure, allograft], realignment procedures [HTO, distal femoral osteotomy]. 

Research: 

Research focuses on clinical outcome studies and clinical trials of surgical procedures. The fellow will work closely with a research coordinator, a clinical epidemiologist, biostatistician, orthopaedic and sports medicine residents, sports medicine physicians, undergraduate students, kinesiologists, chiropractors and physiotherapists. 

The student will be involved in the research process including literature review, data collection, analysis, manuscript preparation and presentation at national and international meetings. Resources including protected research time, financing, research assistants, biostatistician, a 3Dmotion analysis lab, and administrative support are available. 

There are manystudents rotating through the service providing an opportunity to observe and participate in teaching. Multidisciplinary Sports Medicine rounds consisting of other surgeons, radiologists, family medicine residents, nurses, and therapists run every Thursday with case presentations in a Royal College exam format with review of the latest articles on the topic. 

1. Jeremie Larouche 

University of Toronto 

Orthopaedic Surgery - Sports Medicine  

August 2010  

2. Sebastian Tomescu University of Toronto

Orthopaedic Surgery - Shoulder & Elbow  / Research  April/May 2011 / current

3. Laura Kember 

University of Toronto  Orthopaedic Surgery - Sports Medicine  / Research February / March 2011 / current 

4. Elaine Mau 

University of Toronto  Orthopaedic Surgery - Shoulder & Elbow / Research 

April - June 2011 / current 

5. Peter Orth 

University of Toronto 

Family Medicine / Musculoskeletal & Sports Medicine  July 2011

6. Silas Lamb  

McMaster University  Medical student Elective / Orthopaedic Surgery & Sports Medicine  June-July 2011  

7. Jeremie Larouche  University of Toronto Orthopaedic Surgery - Shoulder & Elbow 

July-Sep 2011 

8. Matthew Tsugi  University of Toronto  Orthopaedic Surgery - Shoulder & Elbow 

Sep-October 2011 

9. Brendan McLaughlin College of Chiropractic Sports Sciences (Canada)  Sports Medicine  October 2011 - June 2012  

10. Lisa Marie Babiak.  University of Toronto. May 2012- current

11. Catherine Nowierski. Medical Student July 2012 - August 2012

12. Ranjit Ratnam. McMaster University Family Medicine Resident Sep 2012

13. Lissa Sutherland. University of Toronto. Sep 2012- current

14. Ivan Dzaja. Orthopaedic Resident. University of Western Ontario Division of Orthopaedic Surgery. Sep. 25th, 2012-Oct. 23rd, 2012. 

15. Samantha Justine Trojan. Family Medicine Resident. McMaster University. Oct 2012. 

16. Han Sol Kang. Family Medicine Resident. McMaster University. Nov 2012. 

17. Sarah Fernandez. Family Medicine Resident. McMaster University. Dec 2012 - current. 

18 . Stephanie Correa. Kinesiology Student. Guelph University. Jan-April 2013

19. Jessica. Kinesiologist. University of Western Ontario. Feb-Mar 2013. 

20. Aliya Hirani. Family Medicine Resident. McMaster University. Feb-Mar 2013. 

21. Ashley Guttman. Family Medicine Resident. McMaster University. Aug 2013. 

22. Juan Navarro. Kinesiology Student. University of Guelph / Humber. Sep-Dec 2013. 

23. Max Solow. Bachelor of Science / Honours. McMaster University. Oct- March 2014

24. Andrew Skipper. Kinesiology Student. University of Guelph / Humber. Jan-April 2014. 

25. Ryan Wolek. Orthopedic Resident. University of Toronto. Trauma Rotation. Jan-Feb 2014. 

26. Nathan Edwards. Medical Student. Sports Medicine Rotation. April 2014 

27. Ashley Guttman. Family Medicine Resident. McMaster University. April 2014 - present. 

28. Emilie Meyers. Medical Student. University of Ottawa. June 2014. 

29. Jahmal Brooks. University Student. University of Alabama. June-July 2014.

30. Justin Chang. Orthopedic Resident. University of Toronto. Trauma Rotation. Aug-Sep2014

31. Daniel Pincus. Orthopedic Resident. University of Toronto. Upper Extremity Rotation. Sep-Oct 2014. 

32.. Avni Mehta.Family Medicine Resident. McMaster University. November 2014. 

33.  Harshi Thavarajah. Medical Student. University of Queenland. December 2014. 

34. Sarah Floyd. Kinesiology Student. University of Guelph/Humber. January 2015. 

35. Stephani Oolup. Physiotherapy Student. University of Queensland, Australia. February 2015. 

36. Jaime Vieira. Kinesiology Student. University of Guelph/Humber. Sep-Dec 2015

37. Allison Baker. Kinesiology Student. University of Guelph/Humber. Sep-Dec 2015

 38. Madeline Kirton. Kinesiology Student. University of Guelph/Humber. Sep-Dec 2015

39. Danny Slack. Physiotherapy Student. University of Toronto. Oct-Nov 2015

40. Missy Ing. Kinesiology Student. University of Guelph/Humber. Jan-Mar 2015

41. Ethan Galloway. Kinesiology Student. University of Guelph/Humber. Jan-Mar 2015

 41. Avanti Patel. Kinesiology Student. University of Guelph/Humber. Jan-Mar 2015

42. June Dong. Graduate Student. University of Toronto. Oct 2015-present. 

43. Laura Godkin. Kinesiology Student. Laurentian University. May 2016-September 2016. 

44. Melissa King. Kinesiology Student. McMaster University. April 2016 - September 2016. 

45. Corey Fletcher. Undergraduate Student (pre-medical studies). University of Western Ontario. June 2016 - Sep 2016.

46. Melissa Tchitembo. Medical Student. Faculty of Medicine. Lyon. France. July-September 2016. 

47. Tanzila Basrin. 4th year medical student. University of Ottawa Faculty of Medicine. September 2016. 

48. Jacob Ceccanese. Kinesiology student. University of Guelph / Humber. Sep-Dec 2016

49. Alexandru Luca. Kinesiology student. University of Guelph / Humber. Sep-Dec 2016

50. Kristin Mayrand. Medical Student. University of Western Ontario. October 2016. 

51. Kelly Lau. Medical Student. McGill University. November 2016. 

52. Caitlyn Hodgkinson. Kinesiology student. University of Guelph / Humber College. Jan-April 2017. 

53. Nora Stewart. Kinesiology student. University of Guelph / Humber College. Jan-April 2017. 

54. Vanessa Costa. Kinesiology student. University of Guelph / Humber College. Jan-April 2017. 

55. Jatinderpreet Singh. Medical Student. Queen's University. February 2017. 

56. Bowen Yang. Pre-medical student. Queen's University. March 2017. 

57. Gordon Clark. Medical Student. William Beaumont Medical School (Michigan) / McMaster University. April 2017

58. Youseff Hegazy. Undergraduate Student. University of Toronto. May-Aug 2017. 

59. Melissa King. Kinesiology Student. McMaster University. May-June 2017. 

60. Jaspreet Ubhi. Medical Student. University of Limerick Medical School. June 2017. 

61. Sivanuja Siva. Undergraduate Student. University of Guelph / Humber. June-August 2017

62. Suhail Aggarwal. Medical Student. McMaster University. July 2017. 

63. Camilla Wegrzynowska. Undergraduate Student. McMaster University. July 2017. 

64. Hassan Abdel Malik. Medical Student. McMaster University. July 2019

65. Jessica Gormley. Medical Student. McMaster University. August 2019

65. Cassandra Riggin. Undergraduate Student. Western University. June-Aug 2019

66. Kyle Goldstein. Medical Student. McMaster University. Oct 2020

67. Michelle Biehl. Medical Student. McMaster University. Nov 2020

68. Alyssa Lee. Medical Student. McMaster University. Nov 2020

69. Larissa Maini. Medical Student. McMaster University. Nov 2020

70. Prince Asare-Agbo. Medical Student. McMaster University. Nov 2020

71. Mobeen Mubasher. Medical Student. McMaster University. Dec 2020

72.  Alec Popa. McMaster University  Jan  2020

73. Ajay Shah. McMaster University Jan 2020

· Master’s Degree Thesis - Clinical Epidemiology / Health Research Methodology – June 2011-Aug 2017

McMaster’s University – Hamilton, ON. 

· Journal Reviewer for ‘Journal of Shoulder & Elbow Surgery’. Official international journal of the American Shoulder & Elbow Society (ASES). Nov. 2007-present

· Journal Reviewer for ‘Journal of the American Association of Orthopaedic Surgeons’ (JAAOS). Official journal of the American Association of Orthopaedic Surgeons. Sep. 2008 – present

· Journal Reviewer for ‘Arthroscopy: The Journal of Arthroscopic & Related Surgery’. Aug.2009- present

· Journal Reviewer for ‘Orthopedics’. Oct.2007-present

· Primary Journal Reviewer for the ‘American Journal of Sports Medicine’. Nov. 2016 - present

· J.C. Kennedy Award of Excellence in Sport Medicine Research. Ontario Medical Association (OMA) SportMed 2016. Feb.5th, 2016. This award is given by the Sport Medicine Section of the Ontario Medical Association for the best paper given at the annual Sports Medicine meeting, combining originality with basic science or clinical work in sports medicine. 

ABOS (American Board of Orthopedic Surgery) Sports Medicine Subspecialty Exam Standard Setting Committee Member. Nov 16th, 2015 – present.

Osler Institute American Board of Orthopedic Surgery Faculty Member / Instructor. 2013 – present.  

 CASEM Annual Meeting Sports Medicine Radiology Quiz 2015 Prize. Feb 13th, 2015. Ottawa, ON.

· American Shoulder & Elbow Surgeons (ASES) Society Charles S. Neer Award for Excellence in Research Nomination. Improved Accuracy and Reliability with Computer Assisted Glenoid Implantation: A Randomized Controlled Trial. San   Francisco, CA. Mar. 08.

· American Shoulder & Elbow Surgeons Society (ASES) Melvin Post Award for Excellence in Clinical Research Nomination. Management of Posterior Wear with a Dual Radius Component: Functional & Radiographic outcomes. Orlando, FL. Apr.08

· American Orthopaedic Association (AOA) Emerging Leader. Sponsor: Dr. Louis U. Bigliani. Oct. 07-present

· American Orthopaedic Association (AOA) Member of the Abstract Review Task Force.  June 1, 2014 - June 30, 2016

· Journal Reviewer for ‘Journal of Shoulder & Elbow Surgery’. Official international journal of the American Shoulder & Elbow Society (ASES). Nov. 2007-present

· Journal Reviewer for ‘Journal of the American Association of Orthopaedic Surgeons’ (JAAOS). Official journal of the American Association of Orthopaedic Surgeons. Sep. 2008 – present

· Journal Reviewer for ‘Arthroscopy: The Journal of Arthroscopic & Related Surgery’. Aug.2009- present

· Journal Reviewer for ‘Orthopedics’. Oct.2007-present

· Primary Journal Reviewer for the ‘American Journal of Sports Medicine’. Nov. 2016 - present

· Orthopaedic Research & Education Foundation (OREF) First Place / Best Poster Award. Keller J, Nguyen, D, Kippe M, Ahmad C, Levine W, Bigliani L. Research Grant Prize.

Total Shoulder Arthroplasty in Patients Fifty years & Younger for Arthritis. New York, NY. May. 07

· Columbia University Orthopaedic Scientific Research Foundation Robert E. Carroll Research Fund Grant Award. Gardner T, Nguyen D, Bigliani L, Ahmad C. 

Research Grant. Three Dimensional Analysis of the Shoulder using Image Modeling Softwares.

 · Physicians’ Services Incorporated (PSI) Foundation Award For Excellence in Research 2006. Computer Assisted Shoulder Surgery. 

Medical Societies of the Province of Ontario. Research Grant Prize + Plaque. 

· Professional Association of Interns & Residents of the Province of Ontario (PAIRO) Best Resident Teaching Award 2006 for Outstanding Leadership & Dedication to Medical Education. 

Education Grant Prize + Plaque. Award presented at the PAIRO Annual Banquet. Toronto, ON. May. 06

o Award is to honour a resident who has provided outstanding clinical experiences to junior housestaff and medical students. 

· University of Western Ontario Department of Surgery Annual Research Symposium Best Paper Award. 

Research Grant Prize + Plaque. Feb. 06

o Selected as Best Paper out of all the papers presented by each respective divisions of the Department of Surgery (General Surgery, Orthopaedics, Urology, Plastic Surgery, Vascular Surgery, Cardiothoracic Surgery)

· University of Western Ontario Most Outstanding Resident Teacher Award - Division of Orthopaedic Surgery 2004. Education Grant Prize + Plaque. 

· University of Western Ontario Division of Orthopaedic Surgery Harvey Bailey Research Award for Best Paper. 33rdAnnual Research Symposium. Research Grant Prize + plaque. London, ON. Sep. 05

· Arthroscopy Association North America 2004 Resident/Fellow Best Clinical Paper Research Award. 

Research Grant Prize + plaque. Paper presented at 23rdAnnual Meeting in Orlando, FL. Apr. 04 

o Selected as Best Clinical Research Paper (out of 103 papers presented at the Annual Meeting)

· University of Western Ontario Department of Surgery Award For Outstanding Resident Clinical Teaching. 2001, 05

· University of Western Ontario Class of Meds’49 Award for Excellence in Teaching by Residents Nomination. 

· American College of Surgeons Advanced Trauma Life Support Instructor – University of Toronto Sunnybrook Health Sciences Centre / St-Michael's Hospital / London Health Sciences Centre Trauma Program. Toronto, ON. 2002- present.

· Children’s Hospital of Eastern Ontario 24th Clinical Review Day Research Award. Ottawa, ON. Jun. 00

· Medical Research Council of Canada Research Summer Studentship 1996-1999