Primary Care Sports Medicine Fellowship Program


 

Welcome to the UCSF Primary Care Sports Medicine Fellowship Program

We encourage all interested applicants to watch this short video that describes the Primary Care Sports Medicine Fellowship Program

Due to continued precautions regarding Covid, UCSF will not be offering any outside resident rotations for this Fall 2020.  
However, based on the success of our Virtual Fellowship Fair held as part of this year's AMSSM Annual Meeting, we will be offering several "Virtual Open Houses" this fall so that you can meet our faculty members (including our 2020-2021 fellow, Dr. Ginger Cupit).  You will be able to ask more detailed questions about our fellowship, including our creative and nimble response to the Covid challenge to organized sporting events, and optimizing sports medicine education despite this. 
We will be posting these dates and times, as well as which faculty will be present, here and on the AMSSM Collaborate website (https://collaborate.amssm.org) under Communities/Fellowships:West Coast/University of California-San Francisco (UCSF) Primary Care Sports Medicine Fellowship. 
We look forward to meeting you virtually this fall!

Due to continued precautions regarding COVID-19, UCSF will not be offering any outside resident rotations for this Fall 2020.

However, based on the success of our Virtual Fellowship Fair held as part of this year's AMSSM Annual Meeting, we will be offering several "Virtual Open Houses" this fall so that you can meet our faculty members (including our 2020-2021 fellow, Dr. Ginger Cupit).  You will be able to ask more detailed questions about our fellowship, including our creative and nimble response to the COVID-19 challenge to organized sporting events, and optimizing sports medicine education despite this. 

We will be posting these dates and times, as well as which faculty will be present, here and on the AMSSM Collaborate website (https://collaborate.amssm.org) under Communities/Fellowships:West Coast/University of California-San Francisco (UCSF) Primary Care Sports Medicine Fellowship. 

We look forward to meeting you virtually this fall! 

Warm regards,

Cindy J. Chang, M.D., FACSM, FAMSSM

Fellowship Program Director, UCSF Primary Care Sports Medicine

Application Process

Fellowship Positions: 1  (Family Medicine residency trained)

Current Salary (PGY-4): $67,712 (current, 2021-2022 pending)

Housing Allowance: $12,825.96  (current, 2021-2022 pending)

Duration: 1 year

Dates: July 1, 2021-June 30, 2022

Deadline for Applications: TBD

Apply through: ERAS/AAMC: https://students-residents.aamc.org/training-residency-fellowship/applying-fellowships-eras

Interview Date: November 9, 2020 (this date is subject to change; interviews most likely will also be held virtually)

**We do not accept foreign applicants**

Minimum Letters of Recommendation: 3

Fellowship Goals

The Primary Care Sports Medicine Fellowship program endeavors to train a physician competence to practice high quality primary care sports medicine. This will include an understanding of the basic principles of anatomy, physiology, and biomechanics of exercise and sport, as well as the pathology and pathophysiology of illness and injury related to exercise and sports. The physician will be able to integrate this knowledge into a practice based on the principles of family medicine.

The clinical responsibilities of the fellow will be based on patient safety, fellow ability, severity and complexity of patient illness/condition, and available support services. The fellow will care for patients in an environment that maximizes communication. This will include the opportunity to work as a member of effective interprofessional teams that are appropriate to the delivery of care in the specialty and larger health system.

Interprofessional teams include consulting physicians, athletic trainers, physical therapists, strength and conditioning specialists, orthotists/prosthetists, psychologists, nutritionists, nurses, social workers,case managers, and other professional/paraprofessional staff members involved in evaluating and treating patients.

The clinical rotations will provide a broad spectrum of knowledge for diagnosis and treatment of exercise and sports related injuries and illnesses in patients of all ages and abilities. This knowledge will include prevention, evaluation, management and rehabilitation of injuries, as well as the effects of disease on exercise and the use of exercise in the treatment and prevention of medical problems. The fellow will become skilled in the uses and limitations of imaging and other procedures in diagnosing and treating these problems and will become competent in properly using and/or prescribing physical therapy, massage, manipulations, therapeutic injections, imaging, musculoskeletal ultrasound, and sub-specialty consultation in the management of these problems. In a group practice with family physician and other primary care doctors, the fellow will also serve as a consultant for a wide range of musculoskeletal and exercise-related problems.

The sports medicine fellow will also learn the skills needed to serve as a team physician for a wide variety of sporting disciplines, and organize and provide mass event coverage such as marathons.  The fellow will have an assigned high school, as well as have a continuity intercollegiate athlete clinic and provide event coverage at a Division 1 athletic program. They will work closely with orthopedic surgeon specialists, athletic trainers, physical therapists, coaches, nutritionists,psychologists, podiatrists, chiropractors, and other health care professionals in providing comprehensive care for athletes. Through additional rotations the fellow will gain knowledge of environmental effects on exercise, an understanding of therapeutic, performance enhancing and recreational drugs, and an understanding of ethical and medical-legal aspects of sports and exercise. The fellow will learn guidelines for evaluation and clearance prior to participation in exercise and sports, as well as guidelines for return to participation after injury and illness. The fellow will have the opportunity to conduct advanced pre-participation examinations for athletes at the NCAA level and an annual mass PPE with cardiac screening provided free to local high school students.

Program Structure

Download Schedule (PDF)

Longitudinal Didactics

  • PCSM Conf (q wk), Ortho Sports Medicine Conf (q wk), PCSM Journal Club (4x/yr), Pediatric Neurotrauma Mtg (q mo), Dept. of Ortho Grand Rounds (q wk), Research Mtg (q mo), US Curriculum (cadaver course q 3-4 mo/didactic hands-on half-day q mo).

Longitudinal/Continuity Clinics

  • 4 half-days per week devoted to providing PCSM
  • 2 half-days per week devoted to providing Family Medicine
  • 1 half-day per week devoted to providing Division I intercollegiate athlete care for both medical and MSK issues

Elective Rotations/Clinics/Didactics (2 half-days 2 per week devoted to elective rotations)

  • Orthopedics Sports Medicine including surgical observation and assisting.
  • Orthopedics subspecialties: Hand/Upper Extremity, Foot and Ankle
  • Pediatric Orthopedics Sports Medicine: fracture care, cast and splint application, pediatric/adolescent surgical cases and post-op care.
  • Physiatry, Rheumatology, Neurology for chronic pain, spine injuries, and other MSK/neurological conditions
  • Concussion multidisciplinary management with Neuropsychology, Optometry, Physiatry and Neurology
  • Sports Psychology/Psychiatry, Sports Nutrition, Sports Cardiology, Skeletal Bone Health
  • Orthotics and Prosthetics, Exercise Physiology, Strength and Conditioning, Physical Therapy, Podiatry

Sports Medicine Event Coverage Experience

  • Intercollegiate and High School Training room and Event Coverage including American football, Race Coverage (marathons, triathlons, cycling), Adaptive sports event coverage, Professional Ballet coverage, Community Theatre/Dance
  • Our UCSF PCSM Fellow will gain valuable learning opportunities at UC Berkeley (aka Cal), a NCAA Division 1 school in the PAC-12, and assist in providing care to elite collegiate athletes in 27 varsity sports.

Scholarly activity

One half-day per week devoted to scholarly inquiry, including a research project and case report/book chapter/review intended for publication, and MSKUS education.  

PCSM Fellow Didactic Lecture + Workshop Topics

(ultrasound curriculum separate):

Injuries + problems of the

  • Hand and Wrist
  • Elbow
  • Shoulder
  • Foot and Ankle
  • Leg
  • Knee
  • Hip
  • Low Back
    Cervical Spine

Physical exam of the

  • Knee
  • Shoulder
  • Hip
  • Hand and Wrist
  • Foot and Ankle

Fracture care

  • Casting, Bracing & Splinting Workshop
  • Fracture Management in Kids and Adults
  • Stress Fractures

Additional musculoskeletal topics

  • Brachial Plexopathies and Spinal Stenosis
  • Nerve Entrapment Syndromes of the Upper and Lower Extremity
  • Osteochondroses
  • Apophysitis
  • Pediatric Congenital Musculoskeletal Conditions
  • Tendinopathy
  • Running Biomechanics and Barefoot Running
  • Physical Therapy Modalities

Medicine topics

  • Exercise Prescription
  • Sports Concussion
  • Mental Health
  • Sports Dermatology
  • Exercise Induced Bronchospasm and Vocal Cord Dysfunction
  • Exercise Physiology
  • Environment: Heat, cold, altitude, lightening, dive medicine
  • Female Athlete Triad / REDS
  • Sports Infectious Disease and Hematology
  • Marathon Medicine
  • Sports Cardiology and ECG Interpretation

Team doctor topics

  • The Pre-Participation Exam
  • Use of Performance Enhancing Agents in Athletes and Drug Testing
  • How to be a Race Medical Director

Our UCSF MSK US curriculum will follow the AMSSM guidelines for sports medicine fellowships. Fellows will become proficient at diagnostic ultrasound of the 6 major body regions (shoulder, elbow, hand/wrist, hip, knee, ankle/foot) as well as common ultrasound-guided injections and procedures. Advanced topics (brachial plexus, abdominal wall, peripheral nerves) will also be available if the fellow is interested. The curriculum will include monthly hands-on didactics (more is available if the fellow is interested) and cadaver labs, in addition to written and video resources. The goal is that by the end of fellowship, the fellow will have the knowledge to be able to teach at a national conference if the opportunity arises.

Conferences

Weekly PCSM conferences will be held throughout the fellowship year. Fellow attendance at these conferences is mandatory, and the fellow will be asked to choose 4-6 topics to present as well. The fellow will also present a didactic lecture at the Ortho Sports Core conferences and may assist the ortho sports fellows in presenting and collating cases at the Ortho Sports Indications conference, coordinated with imaging educational information (this aspect coordinated with MSK Radiology fellows).

PCSM conferences will be held weekly with video conferencing available, and presenters include UCSF faculty as well as invited Bay Area PCSM physicians and other colleagues in the sports medicine field. Ortho Sports conferences will be held on Monday afternoons from 5:30 – 6:30 pm at the UCSF Orthopaedic Institute (video conferencing available).

Weekly Department of Orthopaedics Grand Rounds will be held on Wednesday mornings throughout the fellowship year from 7:30 – 8:30 am at the UCSF Parnassus campus and fellow attendance will be expected at topics relevant to sports medicine.

Weekly Department of Orthopaedics Grand Rounds will also be held on Wednesday mornings throughout the fellowship year from 7:30 – 8:30 am at the UCSF Parnassus campus and fellow attendance will be expected at topics relevant to sports medicine.


UCSF Primary Care Sports Medicine (PCSM) Faculty


UCSF Primary Care Sports Medicine Fellowship Faculty:  from left, Dr. Cindy Chang, Dr. Anthony Luke, Dr. Carlin Senter, Dr. Kristin Wingfield, Dr. Robert Kennedy, Dr. Lindsay Huston, Dr. Kent Scheff, Dr. Amy White Hockenbrock, Dr. Celina de Borja, and Dr. Zachary Bailowitz.

Core PCSM Faculty at UCSF

Cindy J. Chang, M.D.(Family Medicine/Sports Medicine)

Cindy.Chang@ucsf.edu

We encourage you to watch a didactic lecture by Dr.Cindy Chang on: Competitive vs. Recreational Athlete: Compare and Contrast

Dr. Chang is the fellowship director for the UCSF Primary Care Sports Medicine Fellowship program. She trained in family medicine at UCLA under Dr. Jim Puffer, followed by a fellowship in sports medicine at The Ohio State University (OSU) with Dr. John Lombardo. Dr. Chang remained on OSU faculty as assistant residency director and assistant team physician before becoming head team physician at the University of California, Berkeley for all 27 sports, including football, in 1995. At Cal, she was the site director for the UC-­‐Davis/UC-­‐ Berkeley Primary Care Sports Medicine fellowship for 13 years. She has served as Team USA’s chief medical officer at the 2008 Beijing Paralympics and 2012 London Olympics. She is Past President of the American Medical Society for Sports Medicine (AMSSM) and is on the Board of Trustees for the American College of Sports Medicine (ACSM), and is a Fellow of both AMSSM and ACSM. Dr. Chang has served on the Sports Medicine Advisory Committee (SMAC) for the National Federation of State High School Associations (NFHS), and continues to lead the SMAC for the California Interscholastic Federation (CIF). She is also co-­‐director of the Sports Concussion Program at UCSF Benioff Children's Hospital Oakland, and chairs the Sports Medicine Center for Young Athletes annual pediatrics sports medicine CME conference. Dr. Chang serves on the editorial boards of the British Journal of Sports Medicine and Sports Health, and frequently presents at national and international medical conferences. She volunteers as a team physician at UC-­‐Berkeley and Berkeley High School, continues to work with USA national team members, and is a medical consultant for the Berkeley Repertory Theatre.

Anthony Luke, M.D., MPH (Family Medicine/Sports Medicine

Anthony.Luke@ucsf.edu

We encourage you to watch The 5 Minute Elbow Exam at UCSF Primary Care Sports Medicine Conference by Dr. Anthony Luke.

Dr. Luke trained in family medicine at the University of Toronto followed by a fellowship in sports medicine at the Children’s Hospital of Boston and Master’s of Public Health at Harvard. His research interests include injury prevention in youth sports, running medicine and digital health. Dr. Luke is medical director of several large Bay Area sports events, such as San Francisco Marathon and Escape from Alcatraz, and works with runners including an injury prevention program he created called RunSafe™. He is also director of the Human Performance Center and Primary Care Sports Medicine program, and holds the position of Benioff Distinguished Professor in Sports Medicine. He helps direct UCSF’s Sports Medicine Center for Young Athletes program, which provides sports medicine services to more than 30 public and private high schools in the Bay Area.

Carlin Senter, M.D.(Internal Medicine/Sports Medicine)

Carlin.Senter@ucsf.edu

We encourage you to watch a didactic lecture by Dr. Carlin Senter Sports Concussion: Key Updates for the Primary Care Physician

Dr. Senter earned her medical degree at UCLA, completed residency in internal medicine at the University of Washington and a fellowship in primary care sports medicine at UCLA. Dr. Senter belongs to the American College of Physicians, American Medical Society for Sports Medicine, American College of Sports Medicine and Society of General Internal Medicine. She has received numerous awards for teaching and community service. Dr. Senter’s goal is to help every patient be an athlete. She has particular interests in exercise counseling, exercise prescription and sports concussion, for which she co-­‐directs the UCSF Sports Concussion Program. Dr. Senter's research focuses on enhancing musculoskeletal education for primary care clinicians. She designs programs to increase knowledge of the musculoskeletal system and improve diagnostic skills among medical students, residents and practicing clinicians. She co-­‐chairs two annual UCSF Continuing Medical Education sports medicine courses, chairs the Clinical Skills Committee for the American College of Physicians and is the program planning chair for the American Medical Society for Sports Medicine 2021 Annual Meeting. An avid athlete, Dr. Senter rowed for Radcliffe crew throughout college. She has served as team physician for several high school teams throughout the Bay Area and is currently team physician for the University of San Francisco.

Kristin Wingfield, M.D. (Family Medicine/Sports Medicine)

Kristin.Wingfield@ucsf.edu

Dr. Wingfield is board certified through the Canadian Academy of Sport and Exercise Medicine and fellowship trained at Stanford University under Dr. Gordon Matheson. She has extensive experience treating elite and professional athletes and performing artists. Dr. Wingfield grew up as a gymnast on the Canadian team, became an elite springboard diver, and then on to a career performing with Cirque du Soleil. She has traveled as national team doctor for the Canadian World Cup ski team and Canadian women's basketball team, and was a member of the Canadian medical staff in the Summer (2000) and Winter (2010) Olympics. She is currently a team physician to the San Francisco Ballet, the women's pro cycling team (TWENTY20), and Marin Academy HS.

 

Core Family and Community Medicine (FCM) Faculty at UCSF

Robert Kennedy, M.D.(Family Medicine/Sports Medicine)

Robert.Kennedy@ucsf.edu

Dr. Kennedy joined the UCSF Department of Family and Community Medicine in 2019 after 14 years in Virginia. He completed his residency in family medicine in South Bend, Indiana followed by his primary care sports medicine training at the South Bend/Notre Dame Sports Medicine Fellowship in 2004. After an additional year in South Bend working with the fellowship and St. Mary’s College, Dr. Kennedy and his family returned to Virginia where he was in a private family practice and also was team physician for area high schools and Mary Baldwin College. During that time, he served on the Augusta County Sports Concussion Advisory Committee and as medical director of a hospital fitness and wellness center. Prior to coming to UCSF, he was the team physician for James Madison University, caring for 17 Division I varsity sports and also cheerleading. He is currently a team physician for the Academy of Art University and the University of California Santa Cruz.

PCSM Faculty at UC Berkeley

Lindsay Huston, M.D. (Family Medicine/Sports Medicine)

lhuston@berkeley.edu

Dr. Huston received her medical degree from the University of California, Davis, and completed her family medicine residency through Kaiser Permanente Los Angeles. She finished her training at the San Jose-­‐O'Connor sports medicine fellowship under Dr. Michael Henehan. Following her fellowship, she became head team physician at Yale University. After four years there, she returned to her native Bay Area to join the sports medicine staff at UC Berkeley, and was named Cal head team physician in 2016. Dr. Huston has served as head team physician for both Yale University and the University of California, Berkeley, two of the largest NCAA Division I athletic programs in the country. Her interest in collegiate sports medicine began when she was a varsity softball player as an undergraduate at Stanford University. In addition to caring for all of Cal’s 850 athletes, Dr. Huston sits on the board of the Pac-­‐12 Student-­‐Athlete Health and Well Being Initiative.

Kent Scheff, M.D.(Family Medicine/Sports Medicine)

kscheff@berkeley.edu

Dr. Scheff attended medical school and trained at the family medicine residency at University of Minnesota, then completed his primary care sports medicine fellowship at University of Michigan. Dr. Scheff’s primary goal is wellness of the intercollegiate athlete and recreational athlete including general medical care and the treatment and prevention of injuries. He was a 4-­‐sport high school athlete and competed in both wrestling and football at the college level. He is now the associate team physician at UC-­‐Berkeley where he assists with coverage for football, rugby, women's basketball, men's and women's gymnastics, and track and field. He has special interests in mental health, eating disorders, MSK ultrasound, and concussion care. He also runs a concussion clinic for the general students at UC Berkeley.

Amy White Hockenbrock, M.D.(Family Medicine/Sports Medicine)

amywhite@berkeley.edu

Dr. White Hockenbrock was an undergraduate at U.C. Berkeley where she studied Molecular and Cell Biology and led Cal’s women’s soccer team to multiple playoff berths from 1996 through 2000. She received her M.D. from Chicago Medical School and then returned to San Jose for residency and primary care sports medicine fellowship at O’Connor Hospital. Following fellowship, Dr. White Hockenbrock was an attending physician at Family Medicine Associates of San Jose before joining West Coast Sports Institute. From 2018-­‐2019 she worked for Planned Parenthood as Interim Transgender Program Director for the Mar Monte region. In January of 2020. standiDr. White Hockenbrock recently rejoined the Cal community as an Associate Team Physician, bringing her experience and skills in sports medicine, LGBTQ care and women's care to U.C. Berkeley.

Additional PCSM Faculty

Celina de Borja, M.D.(Pediatrics/Sports Medicine)

Celina.deBorja@ucsf.edu

Dr. de Borja’s areas of interest include sports and dance medicine, injury prevention, bone health, fractures and general pediatric orthopedics. She completed her pediatric residency training through Hackensack Meridian Health at Jersey Shore University Medical Center. She then pursued fellowship training in sports medicine through Harvard Medical School at Boston Children’s Hospital. During her fellowship in Boston, Dr. de Borja served as team physician for Northeastern University’s women’s field hockey and basketball teams; team physician for Newton South High School’s football team; and consulting physician for Boston Ballet School, Boston Conservatory and Berklee School of Music. Dr. de Borja has also actively served as a medical volunteer at various sports and mass participation events, including the Boston Marathon. She currently volunteers her time as a volunteer at the ODC Healthy Dancers' Clinic, which aims to improve the well-­‐being and healthcare of the dance community through education, musculoskeletal screening and integration of health services.

 

Zachary Bailowitz M.D. (Physical Medicine & Rehabilitation/Sports Medicine)

Zachary.Bailowitz@kp.org

Dr. Bailowitz attended medical school at the University of Arizona, then trained in Physical Medicine and Rehabilitation at the Carolinas Medical Center, followed by a fellowship in sports medicine at the New York Presbyterian/Columbia University. Dr. Bailowitz works in the department of orthopedics at Kaiser Oakland, where he sees a variety of patients for sports medicine and musculoskeletal conditions. Within the department, he specializes in diagnostic ultrasound, and performs advanced musculoskeletal ultrasound procedures including nerve hydrodissections, needle tenotomy, barbotage, and prolotherapy. His research interests include musculoskeletal ultrasound and regenerative medicine.


 

We encourage you to learn about UCSF's PlaySafe Cardiac Physicals, an annual community program that benefits more than 700 Bay Area high school student-athletes.

Thank you for your interest in our UCSF Primary Care Sports Medicine Fellowship Program. Please contact any of us or program coordinator Brad Stark Brad.Stark@ucsf.edu for more information about our program.