Dates: August 1 through July 31
Program training director: Tracy R. Ray, MD
Number of fellows: Three (ACGME)
The Duke Primary Care Sports Medicine Fellowship is a one-year ACGME-accredited program open to physicians who have completed residency training in the fields of family medicine, pediatrics, internal medicine and emergency medicine.
The purpose of the program is to enable primary care physicians to develop expertise in the area of sports medicine. Essential teaching and administrative skills are emphasized and are developed through the cooperation of a number of outstanding departments at Duke University Medical Center, including community and family medicine, orthopaedic surgery, and emergency medicine, as well as the Duke University athletic department.
A variety of exceptional educational experiences is offered and completion of the fellowship offers the privilege of sitting for the Certificate of Added Qualification in Sports Medicine.
We have three fellow positions per year:
- One primary care fellow from either FP, IM, or Peds
- One dedicated ED position
- The third fellow each year will take from either of the above categories based on the strength of the applicant pool
Training room and game coverage
Fellows care for athletes of all levels, high school through professional teams, in various training rooms throughout the year. A team approach to athletic care is emphasized, highlighting the essential aspects of clear communication between physicians, trainers, parents and family, and coaches.
Training room and game coverages will be supervised throughout the year at the high school, collegiate and professional levels by primary care and orthopaedic attendings. Sports usually include football, soccer, basketball, and lacrosse during the year. Arrangements may be made for the coverage of sports of particular interest to the fellow as well. Home and away game coverage will vary, depending on the school and the sport. Fellows will work closely with the athletic training staff to triage orthopaedic injuries and provide medical coverage for the athletes at the various levels of competition.
Friday Night Football Injury Clinic
During the Fall High School football season, the Duke Sports Sciences Institute opens its doors to athletes with injuries to be seen after football games. Fellows report to the clinic after the completion of their respective games to gain experience with acute injuries. The clinic runs for about 13 weeks.
Sports Medicine Conference is held each Friday morning at 7:00AM. In this conference, attended by Orthopaedic faculty, Orthopaedic Surgery Residents, Orthopaedic Sports Medicine Fellows and Primary Care Sports Medicine Fellows, the breadth of Sports Medicine is covered in a “Grand Rounds” type model. Primary Care Sports Medicine Fellows and Attendings also attend a Round Table discussion type conference on Tuesdays before clinic begins. The emphasis in this conference is to cover all the major areas that will be covered in the CAQ exam. Supplemental conferences on one Friday afternoon per month will cover in more detail the areas of Physical Therapy, Sports Psychology, Exercise Physiology and Sports Nutrition. Finally, one Monday morning per month, we conduct Radiology Rounds with Dr Tom Hash with the Department of Radiology.
Historically, the PCSM fellows have been involved in the planning and medical coverage of two local endurance events- the Rock ‘n Roll Marathon and Raleigh Ironman 70.3 in the Spring. The North Carolina HS wrestling tournament is another mass event covered by fellows each year. Fellows will also participate in the coverage of various NCAA and ACC tournaments and events throughout the year as they might occur.
Fellows are expected to present lectures throughout the year to various audiences, including primary care physicians and staff, sports medicine attendings, and the community. Fellows will be encouraged to present at the national level, including the annual AMSSM and Southeastern ACSM meetings.
Research and publications
Fellows are required to finish one research project. Typically, opportunities to write and publish are available during the fellowship year.
There is no formal call for fellows, however fellows should be available to attendings and athletic trainers, particularly for direct patient care. The 80-hour work week and mandatory 24 hour "off-call" periods will be strictly enforced by the program director.
There are currently no inpatient requirements during the fellowship.
Fellows are required to have current ACLS/BCLS certification before rotations begin.
Fellows in good standing may sit for the CAQ examination at the conclusion of the fellowship year.
Fellows assist in patient care in the clinics during monthly and longitudinal rotations throughout the year. Instruction for basic procedures will occur during clinical rotations, including cast and splint application, common injection and aspiration techniques, suturing, and wound care. Radiograph interpretation is a key component of patient evaluation during the various rotations
Primary care sports medicine
The primary care sports medicine experience is a longitudinal experience. Two half-days of clinic per week are spent with Dr. Ray each week.. Clinics are held at the Duke Sports Sciences Institute and involve both acute and chronic care of musculoskeletal injuries as well as medical issues in athletes.
Monthly rotations in PCSM also occur 2-3 times during the year. Opportunities to rotate in a clinical setting with Drs. Bytomski and Squire, as well as additional time with Drs. Ray or Boggess are afforded during these rotations.
Dr Blake Boggess anchors the ultrasound curriculum at Duke SM. Each fellow averages 3-4 half-day sessions with Dr Boggess each month learning diagnostic and injection skills using MSK ultrasound. Ultrasound is also often used in Drs. Ray and Bytomski’s clinics for additional opportunities for fellows to learn these skills. Fellows assist Dr Boggess in two Ultrasound courses to the public each year, as well.
Fellows rotate monthly through the various specialties of orthopaedics. Rotations available include:
- Sports medicine
- Hand and Upper Extremity
- Foot and ankle
- Non-operative Spine
Fellows spend at least one half-day in their primary care specialty per week. The FM fellow(s) see a panel of FM patients at the family medicine center one, half day session per week and the EM fellow(s) attend in the Duke ER for one 8-hour shift per week.
Fellows are paid at the PGY4 level. See current stipend amounts.
The current paid time off allowed per year is:
- Three weeks vacation per year
- Six personal/sick days per year
- Five days for job hunting/interviews
- Time off and paid expenses for Southeast ACMS, AMSSM Fellows Conference, AMSSM National Meeting
Various health and dental plans are available through the Duke University Health System. Health benefits are paid for the trainee, but spouses and dependents are an extra premium.
Lab coats, prescription pads, parking
Lab coats, prescription pads, and parking permits are provided through the housestaff office at no charge.
How to apply
Accepting applications: 2019-2020 (Fall 2017)
Match participation: NRMP
ACGME program number: 1273613065
Application deadline: October 1
We accept the Electronic Residency Application Service (ERAS) application only. Documents that can’t be submitted through ERAS should be emailed directly to Jody Crabtree at firstname.lastname@example.org.
Interviews are held in October and November each year.
What you’ll need
- ERAS application (includes photograph and three letter of recommendation)
- Letter from program director regarding graduation status or diploma for completion of residency
- Documentation of presentations and publications
- Verification of USMLE/COMPLEX scores
As with everything in medicine, things are always evolving. We make every attempt to keep this page as up to date as possible, but it serves only as a guide to the Duke Primary Care Sports Medicine Fellowship. Actual requirements may change.
If you have any questions about the application process, please contact Jody Crabtree at email@example.com or 919-681-3068 or contact: