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Internships & Fellowships

Dayton Sports Medicine


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Wright State University Primary Care Sports Medicine Fellowship

The Wright State University Primary Care Sports Medicine Fellowship is a one-year American College of Graduate Medical Examination (ACGME) accredited fellowship which currently accepts two fellows per year. It is sponsored by the Wright State University Emergency Medicine Residency Program and is designed for graduates of Emergency Medicine, Family Practice, Internal Medicine, Pediatrics, or Physical Medicine and Rehabilitation residencies. After successful completion of the fellowship, the graduate will be able to sit for the Certificate of Added Qualification exam in Primary Care Sports Medicine.

The fellowship was established in 1991 and was based at St. Elizabeth's Medical Center. It became fully accredited in 1995. Due to the closure of the hospital the sports medicine staff and faculty relocated to a newer and larger facility, the Kettering Sports Medicine Center. The primary site of clinical duties for the fellows is the Kettering Sports Medicine Center, a state of the art facility which houses a rehabilitation center, physician offices, and serves as a base of operation for our event staff of physicians, athletic trainers, and physical therapists. The sports medicine team provides care for patients of all ages from early childhood to the elderly. The fellowship provides an opportunity to care for middle school, high school, undergraduate, and professional athletes. Event coverage includes football, soccer, track, baseball, basketball, and wrestling.

Our fellowship prides itself on allowing the fellow to pursue personal interests. While preparing for the Primary Care Sports Medicine Certificate of Added Qualification Exam and meeting the basic requirements of Primary Care Sports Medicine practice, we encourage and assist our fellows to take advantage of many of the optional educational opportunities that the fellowship offers. Previous fellows have used elective time and additional rotations to improve on skills they feel are important for their personal interests and practice. There are electives to become more proficient in diagnostic ultrasound and ultrasound guided injection techniques including platelet rich plasma injections. Some fellows have used elective time to improve their skills in osteopathic manipulative medicine, musculoskeletal imaging reading techniques, gait analysis, and splinting and casting. Others have opted to do additional sideline, mass participation, and training room coverage in addition to the core fellowship requirements. Our facility uniquely houses physical therapy, an exercise physiology lab, and a sports performance enhancement program which many fellows use to expand on their knowledge of rehabilitation protocols and implementation of exercise stress testing. Fellows are encouraged to observe the physical therapy protocols as they are implemented in order to be well acquainted with the home exercise and physical therapy modalities they will be prescribing in their own practices.

If you are interested in finding out more about the fellowship, please contact james.tytko@ketteringhealth.org.

The sports medicine center team began working together in Dayton in 1982. In 1998, the Kettering Sports Medicine Center opened as a physical therapy facility. In the summer of 2000, the center was expanded to a facility in Kettering, Ohio, a southern suburb of Dayton. Due to an increased volume of patients the group moved to a new 30,000 square foot facility in 2013. This new complex houses a full complement of medical professionals which include physicians, physical therapists, athletic trainers, nutritionists, occupational therapy, and medical imaging technicians. The medical facility houses a large physical therapy and rehabilitation gymnasium, an exercise physiology lab, a bracing lab, a dance medicine center, conference rooms, physician exam rooms, and a radiology suite. Additional services provided at the center include a Sports Acceleration program which is a performance enhancement program for athletes of all ages, numerous educational conferences for healthcare professionals and the lay public, and video assisted gait and body mechanics analysis for optimizing sport performance. The Sports Medicine Center also has a specially equipped 30-foot van which is used to provide off-site medical support by athletic trainers and physicians during mass participation events. The center is located two miles away from the sponsoring institution, Kettering Medical Center, which is a 450 bed acute care hospital.

We help our fellows meet the ACGME stated Primary Care Sports Medicine Fellowship requirements as well as give them ample opportunity to pursue any personal interests. The fellow will:

  • Become proficient in the evaluation and treatment of medical, overuse, and traumatic complaints as related to sports and musculoskeletal injuries in a clinical and sporting event setting.
  • Learn how to perform an appropriate pre-participation physical exam.
  • Be able to function independently as a team physician.
  • Perform sideline evaluation and management of sports injuries (including reduction of fractures and dislocations)
  • Become a proponent of health and wellness in the community and be able to educate athletes and exercise enthusiasts about injury prevention and safe exercise and athletic participation.
  • Learn the appropriate and timely use of imaging modalities including x-ray, ultrasound, bone scan, CT scan, MRI, etc.
  • Will become proficient in the interpretation of x-rays and bone scans while becoming comfortable with reading CT scans and MRIs.
  • Become proficient in diagnostic musculoskeletal ultrasound and become familiar with the use of ultrasound guided injection techniques.
  • Have an understanding of the appropriate non-surgical (home exercise program, physical therapy, bracing/splinting/casting, therapeutic injection techniques) and surgical management of musculoskeletal complaints.
  • Be familiar with compartment pressure measurement testing.
  • Be familiar with the recommendations and interpretation of exercise stress testing and VO2 max testing.
  • Provide clinical management of athletes of all ages in the office setting, training room, and sports sidelines including mass participation events.
  • Provide multidisciplinary care of athletes in conjunction with athletic trainers, physical therapists, occupational therapists, nutritionists, neurologists, neuropsychologists, radiologists, and primary care and orthopedic physicians.
  • Become comfortable with the critical appraisal of sports medicine literature and have the opportunity to perform and publish their research.
Clinic Time: For a majority of the year, the fellow will be present at the Sports Medicine outpatient clinic. The typical day consist of one morning and one afternoon clinic which run between two to five hours. The fellows individually see patients and coordinate care with a Primary Care Sports Medicine Physician a majority of the time. Two half days per week are spent seeing non-surgical and surgical patients with Orthopedic Surgeons. During high school football season, there is a three hour clinic on Saturday mornings. Throughout the year fellows spend various time periods doing sideline coverage, training room coverage, electives, and attending conferences. Required event coverage is within a thirty minute driving distance. Travel to away games is optional. Most event coverage is in the evenings and weekends. The fellow will also spend an average of one half day per week performing duties related to their primary specialty. There are no inpatient or on-call responsibilities. Moonlighting is permitted within the confines of ACGME duty hour regulations and upon the Program Director's approval.

Didactics: Every week there is a thirty to sixty minute time period dedicated to either lecture, ultrasound, x-ray reading, or journal club. Lectures on topics related to Sports Medicine are given by the faculty and rotating residents. In addition to the regular use of ultrasound during patient management, formal hands on ultrasound education is provided by core faculty for one hour every one to two weeks per month. Fellows give four lectures per year to coaches, high school students, and medical staff. There are many other optional opportunities to lecture and teach as the Sports Medicine staff is involved in the education of physical therapy and athletic training students, residents, team coaches, and medical professionals. The fellow is required to attend one national Sports Medicine Conference and is highly encouraged to attend other Sports Medicine related conferences.

Core Electives: Two to four weeks are spent rotating through core orthopedic surgery electives which include knee, shoulder, spine, hand and wrist, and foot and ankle. The fellow may use additional time with the orthopedists if interested.

Optional Electives: Additional time is allotted for fellows who would like to pursue other interests or spend more time in a specific area of Sports Medicine. Previous fellows have done the rotations listed below:

  • Beacon Orthopedics, Timothy Kremchek M.D. and Angel Velazquez M.D. are the team physicians for the Cincinnati Reds. This rotation provides supplemental diagnostic ultrasound and musculoskeletal injection procedures.
  • Osteopathic Manipulative Medicine with experienced physicians who use manipulation, acupuncture, and cold laser as a treatment modalities.
  • Radiology rotation to improve skills in reading musculoskeletal imaging studies.
  • Sports nutrition
  • Sports psychology
  • Physical therapy modalities and rehabilitation exercises

Research: The fellow must complete a scholarly / research project. There are several opportunities to fulfill this requirement. The fellow may author a Sports Medicine related review article or case study which is submitted for publication or presented at a conference. He/she may also conduct original research or participate in an ongoing study.

Clinical Care: The Kettering Sports Medicine Center outpatient clinic sees approximately 9000 patients per year. In addition to providing patient care in the clinic setting, fellows have numerous other patient contacts during core and optional mass participation events, training room coverage, sideline coverage, and during orthopedic and elective rotations. The patient population consists of athletes of all ages in the City of Dayton and surrounding areas. As they progress through their training fellows are given graded responsibility in the management of patients which includes the use of ultrasound and musculoskeletal injection.

Team and Sports Coverage: Fellows are assigned to be the primary team physician for two to three high schools. They are assistant team physicians for the teams listed below. The fellow's primary responsibility is sideline coverage at high school football games and other mass participation events. They will also assist in coverage of other events as dictated per the needs of the fellowship. If interested, there are also many options to cover teams and events at other sites throughout the year including:

  • Dayton Dragons (Professional baseball, Cincinnati Reds minor league team)
  • Central State University (NCAA Division II)
  • Sinclair Community College (NJCAA Division II)
  • Dayton Public High Schools
  • Dayton Ballet Company

  • Salary and benefits are commensurate to post-graduate year (PGY) of training for the Wright State Emergency Medicine Residency Program.
  • Benefits include personal and family health and dental insurance, meals while on duty, coats, parking, and other discounted rates for Kettering Health Network and Wright State University employees.
  • Books and conference stipends.
  • Free access to Kettering Health Network and Wright State University library resources.
  • Three weeks of vacation and an additional five days of education leave per year. Additional requested time off for educational endeavors including conferences and event coverage is subject to approval by the Program Director.
All core faculty are board certified in their primary specialty with additional training and credentialing in Sports Medicine.

Family Practice Physicians
Orthopedic Surgeons
Coordinator of Athletic Training Services
  • Jerry Whetstone, AT

1999: Stephen Peterson, M.D.
2000: Sherri Baum, M.D.
2001: Brian Springer, M.D.
2002: Wesley Dykes, D.O.
2003: Eric Salib, D.O.
2004: Tom Lardner, M.D.
2005: Ben Moorehead, M.D.
2007: Scott Ahrenholtz, D.O.
2008: Charles Flores, M.D.
2009: Debra Edwards, M.D. & Ava Hudson, M.D.
2010: Roy LeMaster, M.D. & Adam Kinninger, D.O.
2011: Mannish Mannan, M.D. & Todd Bialowas, M.D.
2012: David Buck, M.D. & Kali Hollingsworth, D.O.
2013: Vipul Patel, D.O. & Elliott Aguayo, M.D.
2014: Ben Burkham, M.D & Brian Purchase, D.O.

Overview: The Wright State University Sports Medicine elective rotation is a two week rotation which is designed for current second or third year residents or previous residents from an accredited US residency program in Emergency Medicine, Family Practice, Internal Medicine, Pediatrics, or Pain Management and Rehabilitation. The rotation will provide exposure to and more in depth knowledge of medical, overuse, and traumatic complaints as related to sports and musculoskeletal injuries in a clinical and sporting event setting. The candidate will work alongside fellows and core faculty in the clinic setting and will have the option to cover events as available during their rotation. Rotations are offered throughout the year.

Goals and Objectives: Residents will assist in the evaluation and management of patients in the clinic setting and on the sidelines during event coverage when available. Variation in timing of the rotation does limit the resident's exposure to certain aspects of Sports Medicine, but we hope that upon completion of the rotation he/she will have familiarity with all or most of the items listed below.
  • History taking and physical exam techniques including special tests as it relates to musculoskeletal complaints.
  • Evaluation and treatment of some of the medical, overuse, and traumatic complaints as related to sports and musculoskeletal injuries in a clinical and sporting event setting.
  • Performing a pre-participation physical exam.
  • Team physician responsibilities.
  • Sideline evaluation and management of sports injuries (including reduction of fractures and dislocations).
  • Able to educate athletes and exercise enthusiasts about injury prevention and safe exercise and athletic participation.
  • Appropriate and timely use of imaging modalities including x-ray, ultrasound, bone scan, CT scan, MRI, etc.
  • Musculoskeletal radiology including ultrasound interpretation.
  • Musculoskeletal ultrasound as it relates to diagnosis and musculoskeletal injection techniques.
  • Appropriate non-surgical (home exercise program, physical therapy, bracing/splinting/casting, therapeutic injection techniques) and surgical management of musculoskeletal complaints.

During the rotation, the resident will be required to give a brief lecture on a Sports Medicine related topic. If interested, the resident may also complete a scholarly project which can include original research or publication of a case report or review article. Residents are encouraged to join the Sports Medicine fellows during journal club, musculoskeletal ultrasound didactics/hands on training, conferences, and training room and event coverage. There are numerous opportunities to cover sporting events including football, basketball, track and field events, marathons, triathlons, The Arnold Classic, wrestling tournaments, and soccer tournaments.

Evaluation: The preferred method of evaluation is on a standardized evaluation form provided by the resident's home institution. If an evaluation form is not available, the resident will be evaluated on the recommended ACGME and AOA core competencies which include medical knowledge, patient care, interpersonal and communication skills, practice based learning and improvement, systems based practice, professionalism, and if applicable osteopathic philosophy and osteopathic manipulative medicine.

Eligibility Requirements for the Elective Rotation
  • Approval from the resident's program director or a letter of good standing from the program director.
  • Specification of medical liability coverage during the rotation.
  • Records indicating up to date status of immunizations.
  • Enthusiastic interest in sports and Sports Medicine.

Resident Elective Application: For any questions regarding the application process or additional information regarding the elective, please contact James.tytko@ketteringhealth.org. Please include the preferred dates you would like to rotate in your correspondence.

Kettering Sports Medicine
4403 Far Hills Avenue
Kettering, OH 45429
Phone: 937-395-3920
Fax: 937-395-3940

General Information Regarding the Rotation
  • Housing and transportation is the responsibility of the rotating resident.
  • Reading materials and access to Kettering electronic medical resources will be provided at the start of the rotation.
  • The resident lecture can be on any sports related topic. See the fellowship academic curriculum objectives for a specific list of topics.

Eligibility: US citizens who have successfully completed an accredited residency in Emergency Medicine, Family Practice, Internal Medicine, Pediatrics, or Physical Medicine and Rehabilitation.

Deadline: Apply between June 1 and September 30 through Electronic Residency Application Service (ERAS)

Process: After receipt and review of your application, we will contact you to schedule an interview date. Interviews are held September to December for the following academic year. The fellowship program participates in the National Resident Matching Program (NRMP).

Contact: For any questions regarding the application process or additional information regarding the fellowship, please contact James.tytko@ketteringhealth.org

Kettering Sports Medicine
4403 Far Hills Avenue
Kettering, OH 45429
Phone: 937-395-3920
Fax: 937-395-3940