Primary Care Sports Medicine Fellowship

Fellowship Conferences

Weekly:

• Attend weekly academic (grand rounds) lectures and present 6-8 topics at lectures each year
• Primary Care Sports Medicine Ultrasound Conference/Board Review

Monthly:

• Attend Orthopaedic and Sports Medicine Visiting Lecturer Series - 2nd Wednesday of the month 
• Attend Sports Medicine Journal Club – 1st Wednesday of the month

Annual:

• Attend American Medical Society for Sports Medicine (AMSSM) Annual Meeting (March)
• Attend American Medical Society for Sports Medicine (AMSSM) Fellows Research & Leadership Conference (July)
• Attend & participate in the DMC Graduate Medical Education and Department of Quality and Safety; GME QuESST Research Day Poster Competition 

Regional and National Conferences

Sports Medicine Fellows will have the opportunity to attend the American Medical Society for Sports Medicine (AMSSM) Annual Meeting and Fellows Research & Leadership Conference. Fellows also receive an educational stipend that can be used towards attending a Team Physician Course or Musculoskeletal Ultrasound Course selected with program director approval.

Our program is divided into 12 one month rotations including: Primary Care Sports Medicine (2 Months), Orthopaedic Surgery (2 Months), Musculoskeletal Ultrasound/Radiology, Physical Therapy & Sports Performance, Pediatric Sports Medicine, Foot and Ankle, Hand and Wrist, Spine and Exercise Performance and elective options.

Primary Care Sports Medicine

Two one-month rotations expose the fellow to a high volume of patients in primary care sports medicine. These rotations are based out of the DMC Sports Medicine clinics. Fellow will be exposed to patients of all ages and backgrounds across the Metro Detroit area.  The faculty will provide the fellows the opportunity to perform physical exams, special tests, diagnostic and therapeutic injections, and other non-operative modalities.

Orthopaedic Surgery Sports Medicine

Two one-month rotations with our sports medicine trained orthopaedic surgeons. These rotations will provide the fellow with exposure to operative sports medicine, including the decision making process of when surgical intervention is necessary.  Proper history and physical exam techniques specific to sports medicine are taught and evaluated.  Team coverage mechanics and issues are also discussed.

MSK Ultrasound/Radiology

A one-month rotation with the musculoskeletal ultrasound and radiology staff at DMC Orthopedics and Sports Medicine clinics. This rotation will provide the fellow with exposure to diagnostic and therapeutic ultrasound of the musculoskeletal system, including exam techniques and a high volume of musculoskeletal radiology, including MRIs, xrays, and CT scans.

Physical Therapy, Sports Performance Academy

This one-month rotation will expose the fellow to a high volume of patients in physical therapy clinics, the DMC Sports Performance Academy, and an orthotics clinic. The faculty will provide the fellows the opportunity to see how physical therapy is utilized and its role in sports medicine injuries.  The Sports Performance Academy will give fellows a chance to see advanced training methods and how trainers can develop specific programs with athletes.  The orthotics clinic will show fellows the role of orthotics and bracing in sports medicine, including returning athletes to play.

Pediatric Orthopaedic Surgery

A one-month rotation with the pediatric orthopaedic surgeons at DMC Childrens Hospital and DMC Orthopaedics & Sports Medicine clinics. This rotation provides the fellows with exposure to operative pediatric orthopaedics, including the decision making process when surgical intervention is necessary.  Proper history and physical exam techniques specific to pediatric patients are taught and evaluated. 

Foot & Ankle

A one-month rotation with our foot and ankle physicians at the DMC Orthopedics and Sports Medicine clinics. This rotation will provide the fellow with exposure to operative foot and ankle surgery, care of non operative foot and ankle injuries, fracture management and diagnosis, including the decision making process when surgical intervention is necessary.  Proper history and physical exam techniques are taught and evaluated. 

Hand & Wrist

A one-month rotation with our hand and wrist physicians at the DMC Orthopedics and Sports Medicine clinics. This rotation will provide the fellow with exposure to operative hand and wrist surgery, fracture management and diagnosis, including the decision making process when surgical intervention is necessary.  Proper history and physical exam techniques are taught and evaluated. 

Spine

A one-month rotation with orthopaedic spine surgeons and non operative spine physicians to observe and participate in the diagnosis and management of spine injuries and disorders. This rotation provides the fellows with exposure to treating complex trauma and spine injuries. Proper history and physical exam techniques are taught and evaluated.

Brandon Kakos, M.D.

Program Director
Residency: Internal Medicine/Pediatrics, Ohio State University Medical Center
Fellowship: Sports Medicine, TriHealth Primary Care Sports Medicine, Ohio
Specialty: Internal & Pediatric Medicine

Britta Anderson, D.O.

Residency: Family Medicine, St. John Macomb Oakland
Fellowship: Sports Medicine, Providence Hospital
Specialty: Family Medicine

Sadiq Haque, D.O., FAOASM

Residency: Family Medicine, Henry Ford Hospital
Fellowship: Sports Medicine, Genesys Regional Medical Center
Specialty: Family Medicine

Ali Makki, M.D.

Residency: Family Medicine, St. Mary Mercy Hospital
Fellowship: Sports Medicine, State University of New York at Buffalo
Specialty: Family Medicine 

John Morasso, D.O.

Residency: Family Medicine/OMT, Beaumont Farmington Hills/Michigan State University College Osteopathic Medicine
Fellowship: Sports Medicine, DMC Primary Care Sports Medicine
Specialty: Family Medicine

Kristy Smith, M.D.
Residency: Emergency Medicine, Michigan State University/Synergy Medical Education Alliance
Fellowship: Sports Medicine, Henry Ford Hospital
Specialty: Emergency Medicine

The fellow is required to complete at least one clinical or basic science research study during their one-year tenure.  The goal is to complete a quality publishable project, written and submitted to peer-reviewed journal and presented at a meeting appropriate to the content of the study.  The fellowship director holds the belief that science and scientific inquiry is about answering questions.  We develop questions and go about finding ways to answer them.  Research is often collaborative as we seek out labs that have the facilities to assist us in answering our questions.

Fellows are asked to begin the planning process for the next year’s fellows to ensure each fellowship class is involved in two research projects.

The research aspect of the fellowship program will provide the fellows with the structure and techniques to design a plan, implement a study, write a manuscript, and present at regional and national meetings.

If you would like any additional information regarding research or our alumni fellow projects, please contact our research team.

Chaoyang Chen, MD, PhD
e-mail: cchen4@dmc.org

Andreea Geamanu, MS, PhD         
email: ageamanu@dmc.org

Hannah Joines, BS                   
email: hjoines@dmc.org

Albert Arslan, M.D.

Medical School – Jacobs School of Medicine and Biomedical Sciences, University at Buffalo 
Residency – Lincoln Medical and Mental Health Center Program, NY
Specialty – Emergency Medicine

Ryan Stefanczyk, M.D.

Medical School – Medical College of Wisconsin Affiliated Hospitals Program
Residency – Medical College of Wisconsin, WI
Specialty – Physical Medicine & Rehabilitation 

Professional Team Coverage 

Sports Medicine Fellows work with faculty physicians covering games for both the

• Detroit Tigers (MLB) &
• Detroit Red Wings (NHL)

In addition to game coverage, Sports Medicine Fellows also have the opportunity to travel to, and partake in, Spring Training, training camps, and pre-season physicals.

Amateur Team Coverage

All Sports Medicine Fellows will cover their “own” high school team during their year of tenure. Coverage includes pre-participation physicals, game coverage, and other event coverage throughout the year. High school coverage is focused primarily on football games but other sports may be covered for the school as well.

In addition to opportunities working with school, club and semi-professional teams, another integral component of DMC Sports Medicine outreach is participation in key athletic events in the city.  Some of the key events include:

• Detroit City Football Club (DCFC) – Men’s & Women’s Team
• Detroit Grand Prix on Belle Isle
• Xenith Prep Kickoff Classic
• Detroit Women’s Half Marathon on Belle Isle and other community races and events
• Detroit Police 5k 
• Heels & Wheels Handcycle and 5k event

Community Education Programs

In addition to providing immediate access to physicians and health care services to the schools and clubs, the DMC Sports Medicine team provides schools and clubs with educational programs.  Some of these programs, which involve the fellows, include:

• Boot Camps - Three-hour sessions in which physicians, therapists and trainers give lectures, exercises, and assessments related to a specific sport.
• Pre-participation sports physicals - Our team of physicians and trainers go to schools and provide the required physicals and paperwork necessary for the athlete to participate in their sport.
• Pre-season screenings - We screen teams of athletes to assess each athlete’s flexibility, strength, and right to left asymmetries.

Clinical Experience & Cases/Procedures

Our fellows will be exposed to a variety of treatment modalities and various techniques in which they are applied. All of our fellowship core faculty is fellowship trained and hold certificates of added qualification (CAQ) in sports medicine. Our faculty’s extensive knowledge in sports medicine from different training backgrounds gives our fellows a unique opportunity to see several different approaches/methods when applying our available treatment modalities. 

• Platelet-rich plasma (PRP) injections
• Intra articular injections; steroid & viscosupplementation/li>
• Prolotherapy
• Trigger point injections (TPI)
• enex procedure
• Fluoroscopy guided injections
• Osteopathic manipulation techniques (OMT)
• Musculoskeletal acupuncture
• Concussion management & ImPACT baseline concussion screening
• Compartment pressure testing

CAQ

Our fellowship is a ACGME accredited program allowing graduates to sit for the CAQ sports medicine examination. 

Moonlighting

DMC Sports Medicine Fellowship does not require moonlighting. However if a Fellow would like to moonlight he/she must meet the below requirements:

Fellow education is a full-time endeavor; the Program Director must ensure that moonlighting does not interfere with the ability of the Fellow to achieve the goals and objectives of the educational program.

During the time moonlighting has been approved. The Fellow will not be permitted to exceed moonlighting 3-4 times per month and/or only 1 weekend per month.

The following requirements must be meet before a Fellow may schedule moonlighting; 

• Fellows must hold a permanent Michigan medical license (not an educational limited license), a Michigan CS‐3 (Controlled Substance) pharmacy license and an independent federal DEA number in order to moonlight
• Liability coverage for moonlighting activities is NOT provided through DMC-GME.  It is the responsibility of the Fellow to ensure that appropriate liability coverage is in place for his/her moonlighting activities
• Internal and external moonlighting must be counted toward the 80‐hour weekly limit on duty hours

Additional information for requirements per the GME will be available for any Fellow applying to ensure GME compliance

Fellow On-Call

• Clinic Call – home based call covering all DMC Sports Medicine Clinics. Fellows cover call for all attending’s working in the clinics. Fellows are scheduled approximately 4 days of call per month.  

Duty Hours

All fellows will abide by the resident/fellow work hours regulations set forth by the ACGME.  Work hours will be recorded by the fellows and monitored by the program staff.  Any fellow who appears to be tracking towards a higher than 80-hour average will be sent home.

The DMC Primary Care Sports Medicine Fellowship Program is an Emergency Medicine sponsored program. Not only does our fellowship work closely with both of our Emergency Medicine residency programs, it also works along side with our Orthopaedic Surgery residency program as well as both our Orthopaedic Surgery Sports Medicine Fellowship programs.

Our program participates in the annual NRMP Match with applications submitted through ERAS. If you are interested in applying to the program please register through NRMP and submit your application in the ERAS system. You will be able to search our fellowship on ERAS by going through our sponsoring Emergency Medicine program.

 We accept applicants from all 5 specialties eligible to participate in a Sports Medicine Fellowship

• Emergency Medicine
• Family Medicine
• Physical Medicine and Rehabilitation
• Pediatrics
• Internal Medicine

Admission Requirements

The DMC only accepts J1 visas
Prior to entering our fellowship program, candidates are required to:

• successfully complete an approved emergency medicine, family medicine, internal medicine, pediatrics, or PM&R residency at an ACGME or AOA accredited residency
• successfully pass USMLE Steps 1, 2 (CK and CS) and 3
• -or COMLEX level 1, 2, 3
• Current ACLS & BLS

Interviews

Interviews are held in October or November each year