Musculoskeletal complaints are the most common reason for patients to visit a physician, yet competency in musculoskeletal medicine is invariably reported as a deficiency in medical education in the USA. Sports medicine clinical rotations improve both medical students' and residents' musculoskeletal knowledge. Despite the importance of this knowledge, a standardized sports medicine curriculum in emergency medicine (EM) does not exist. Hence, we developed a novel sports medicine rotation for EM residents to improve their musculoskeletal educational experience and to improve their knowledge in musculoskeletal medicine by teaching the evaluation and management of many common musculoskeletal disorders and injuries that are encountered in the emergency department. The University of Arizona has two distinct EM residency programs, South Campus (SC) and University Campus (UC). The UC curriculum includes a traditional 4-week orthopedic rotation, which consistently rated poorly on evaluations by residents. Therefore, with the initiation of a new EM residency at SC, we replaced the standard orthopedic rotation with a novel sports medicine rotation for EM interns. This rotation includes attendance at sports medicine clinics with primary care and orthopedic sports medicine physicians, involvement in sport event coverage, assigned reading materials, didactic experiences, and an on-call schedule to assist with reductions in the emergency department. We analyzed postrotation surveys completed by residents, postrotation evaluations of the residents completed by primary care sports medicine faculty and orthopedic chief residents, as well as the total number of dislocation reductions performed by each graduating resident at both programs over the last 5 years. While all residents in both programs exceeded the ten dislocation reductions required for graduation, residents on the sports medicine rotation had a statistically significant higher rate of satisfaction of their educational experience when compared to the traditional orthopedics rotation. All SC residents successfully completed their sports medicine rotation, had completed postrotation evaluations by attending physicians, and had no duty hour violations while on sports medicine. In our experience, a sports medicine rotation is an effective alternative to the traditional orthopedics rotation for EM residents.

In this workshop, the STFM Group on Musculoskeletal Education will facilitate participants incorporating the ACGME milestones into a musculoskeletal curriculum. Participants will submit prior to the workshop perceived barriers in implementing the milestones. During the workshop, participants will engage in a hands-on curriculum that promotes milestone progression in residents, including concepts such as self-learning and leadership while learning core musculoskeletal medicine concepts, such as shoulder/knee exams and concussion management. Participants will apply these skills while training to administer a SMART (Sideline Management Assessment Response Techniques) course and thus learn how to assess resident competence in providing medical coverage at sporting events where these key concepts and skills such as spinal immobilization are necessary. The workshop will conclude with a discussion on collaboration and methods that promote interdisciplinary education in musculoskeletal medicine. Objectives: After attending this workshop, participants will be able to: 1. Apply the ACGME milestones to key portions of a musculoskeletal curriculum, including joint exams, joint injections, casting/splinting, and sideline management 2. Reproduce hands-on skill stations in a residency setting, form the foundation for residency competence, and promote muscle memory in key musculoskeletal procedures. 3. Lead a SMART (Sideline Management Assessment Response Techniques) course in their residency setting.