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Athletic Training Residency Program Curriculum

Curriculum Components

Clinical/Educational

  • Competency-Based Goals and Objectives:  The resident will become proficient in taking a thorough patient history, conducting a thorough initial exam, preparing studies for physician review, presenting the case to the physician, and collaborating on a plan of care.
  • Patient Care:  The resident will provide first-class care as the liaison between the patient and physician.  The resident will become proficient in patient education of both surgical and non-surgical athletic injuries and pre- and post-operative instructions and care.
  • Evidence-Based Learning:  The resident will be able to locate and assimilate evidence from scientific studies related to the patient’s health problems.
  • Communication Skills:  The resident will be able to communicate effectively with patients, families, physicians, staff and other health care professionals.
  • Didactic Sessions: The resident will participate in weekly journal clubs, have access to the Center for Motion Analysis, diagnostic studies interpretation sessions (X-ray, MRI, CT),  and access to cadaveric and suture labs.
  • Bracing & Casting:  The resident will be instructed in proper brace fitting techniques as well as proper casting techniques for a variety of sports injuries. The resident will have the opportunity to study for and obtain his or her Orthopedic Technician Certification (OTC) to become certified in this realm.

Research

  • The resident will choose from a variety of current projects/research and will be an integral participant in the entire process of the study through to publication.
  • The resident will have the ability to assist and be mentored at the Center for Motion Analysis for a multitude of biomechanical research topics.
  • The resident will have access to current literature and will have the ability and be required to write an original research study.
  • The resident will be encouraged and supported in his or her efforts to present a poster or give a presentation at local/state/national athletic training conventions.

Surgical

  • The resident will have the opportunity to observe, study, and potentially participate in surgical procedures with the goal of understanding how and why each intervention affects the rehabilitation process.
  • The resident will be given the opportunity to obtain an Orthopedic Technician Certification (OTC), allowing the ATC to expand his or her knowledge base on assessment, casting/splinting, traction and surgery.

Concussions

  • The resident will know and understand the biomechanics and pathophysiology of athletic concussions.
  • The resident will be able to properly educate patients and parents on athletic concussions.
  • The resident will understand the role of neuropsychological testing in the management of athletic concussions.
  • The resident will be able to administer and fully interpret neurocognitive (ImPACT) testing.
  • The resident will be able to perform a complete and detailed clinical exam for athletic concussions.
  • The resident will work with our physical therapists who are experienced in the care and rehabilitation of concomitant symptoms related to athletic concussions (i.e. vestibular dysfunction).

Physical Therapy

  • The resident will work alongside our experienced staff of physical therapists.
  • The resident will be mentored on rehab techniques, post-operative care, development of home exercise programs, and functional testing.

Outreach

  • The resident may participate in rotational coverage of affiliated Division I and Division III colleges and local high schools as needed, and have the opportunity to cover a variety of community events.

Imaging

  • The resident will attend imaging educational sessions with Jefferson Radiology for education on how to read and interpret X-ray’s, MRI’s, CT’s, bone scans and other studies.

Resident Responsibilities

Daily Responsibilities

  • The resident will be responsible for taking a complete history, performing a thorough physical exam, presenting the case and evaluation imaging, and collaborating on a treatment plan with the attending physician.
  • The resident will manage and maintain clinic flow, uphold the highest standard of patient education, order additional studies with medical assistant, cast & brace, and have a full understanding of pre- and post-operative care.

Additional Didactic Opportunities

  • Attending weekly Journal Club sessions
  • Managing weekly post-op clinics (patient education, removing and applying dressings, suture removal, etc.)
  • Transitional Therapy – taking patients that have “graduated” from PT and working with them in a sports-specific manner to aid in a successful return to sport and sports injury prevention.
  • Additional Outreach – having the ability to help cover multiple events and/or schools (high school and college) for additional pay.

This one-year position consists of a stipend, medical and dental benefits, and professional dues and fees.  Upon completion of the residency, the Athletic Training Resident will be proficient in patient evaluation, education, non-operative and surgical care of sports-related and orthopedic injuries from adolescents to collegiate athletes.  With this information, the resident will be a well-rounded athletic trainer and an asset to any orthopedic clinic or athletic training room.

Residency Clinical Rotations

Orientation

  • Connecticut Children’s Orientation
  • Meet and Greet
  • Learning the process via ATC shadow
  • Shadow ATCs through every practice, PT, and CMA
  • Learn day-to-day operations
  • Obtain needed licensures, certifications, building access

Dr. Carl Nissen & Dr. Matthew Milewski – Surgical Rotation

  • During this rotation, the resident is expected to provide first-class care as the liaison between the patient and physician. The resident is expected to take a thorough patient history, conduct a thorough initial exam, prepare studies for physician review, present the case to the physician, and collaborate on the patient’s plan of care.
  • The resident will be expected to accompany the surgeon in the operating room to view the surgical list below with the goal of understanding how and why each intervention affects the rehabilitation process.
  • The resident will be expected to work Monday and Thursday morning post-op clinics and assist with patient education, answering patient or family questions, and assisting in dressing changes and suture removal.

Dr. David Wang & Dr. Imran Hafeez – Non-Surgical Rotation

  • During this rotation, the resident is expected to provide first-class care as the liaison between the patient and physician. The resident is expected to take a thorough patient history, conduct a thorough initial exam, prepare studies for physician review, present the case to the physician, and collaborate on the patient’s plan of care.
  • The non-surgical clinic has a unique demographic of youth athletic concussions. The resident will work in close conjunction with our Concussion Program Coordinator, Regina Kostyun, to gain the knowledge base and skills to properly aid in the treatment of athletic concussions in the youth population. The resident is then expected to know and understand the biomechanics and pathophysiology of athletic concussions. Based on this information, the resident will be able to conduct a complete and detailed clinical exam for athletic concussions, be able to properly educate the patient and families on athletic concussions, be able to administer and interpret neurocognitive (ImPACT) testing, and understand the role of neuropsychological testing in the management of athletic concussions.

Surgeries to be observed

  • ACL reconstruction with hamstring autograft
  • Meniscus repair
  • Anteromedialization (AMZ)
  • Osteochondritis Dissecans (OCD) of the knee and elbow
  • Medial patellofemoral ligament (MPFL) reconstruction
  • Elbow ulnar collateral ligament (UCL) reconstruction
  • Shoulder labrum repair
  • Lower leg compartment release
  • Wrist arthroscopy
  • Ankle arthroscopy
  • Hip arthroscopy

Physical Therapy / Center for Motion Analysis (CMA)

The physical therapy rotation consists of rotations with one of our seven excellent therapists.  The resident will gain experience working with predominantly youth athletes on all of the techniques required when working with skeletally immature athletes.  During this rotation, the resident will be exposed but not limited to:

  • Proper patient and family education both post-operative as well as non-operative
  • Development of detailed home exercise programs
  • Functional exercises to increase or facilitate strength (power and endurance), flexibility, balance/coordination/proprioception, neuromuscular re-education, proper biomechanics and alignment
  • Manual Therapy
  • Age- and location-appropriate modalities, sport-specific exercises/drills
  • Functional testing for return to sport (knee, hip, shoulder, elbow)
  • Proper brace fitting and crutch training

The Center for Motion Analysis rotation will consist of assisting all of the exceptional Kinesiologists and Biomechanical Engineers with many facets of their daily responsibilities.

The resident will gain a wealth of knowledge and experience in the field of adolescent gait analysis, patterns, and abnormalities. The resident will be able to help with the CMA’s mission of producing thoughtful clinical research that provides objective evaluations of different orthopedic treatment approaches, as well as a better understanding of the biomechanics of both normal and pathological gait, as well as the effects of other neuromuscular diseases.  Additionally, during the resident’s time with the CMA laboratory staff, the resident will have the opportunity to assist in many other studies from brace and functional testing efficacy to a biomechanical breakdown of pitching mechanics.

Ancillary Educational Sessions

  • X-ray, MRI, CT, bone scan interpretations
  • Cadaveric labs and suture labs
  • Transitional therapy
  • Weekly Journal Clubs
  • Case studies and research

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