primary care sports medicine fellowship

Program Director: Dr. Josh Hackel, MD

The Primary Care Sports Medicine Fellowship focuses on providing top-level education and training in the field of Sports Medicine while providing the highest quality and safest patient care available. The program prides itself on providing a unique focus on surgical experiences and procedures. Graduates of the program will develop expertise in the care of a wide range of medical and musculoskeletal problems, possessing the clinical competence required to diagnose medical illnesses and injuries related to sports and exercise in a variety of athletes. The graduated fellows will also be proficient in all six ACGME core competencies, research, presentation and training of future sports medicine professionals.

Our Mission

To educate primary care physicians in the wide range of medical and musculoskeletal problems unique to athletes at all levels of participation and to graduate physicians who will become advancers in the specialty of sports medicine while providing the highest quality and safest patient care possible.

Duration: 12 months

Positions: 1

  • Provide opportunities in comprehensive sports coverage with opportunities to care for elite athletes.
  • Fellows are proficient in all six ACGME core competencies.
  • Fellows are confident in appropriate surgical and procedural experiences.
  • Fellows are comfortable and effective functioning as team physicians, with varied levels of participation, various sports, and hold respect for athletic trainers, coaches, and other physicians on the team.
  • Fellows become life-long learners and continue to advance medicine through research, publications, and teaching.
  • MSK Ultrasound course
  • Weekly ultrasound training sessions
  • Weekly didactic conferences
  • Monthly Journal Club
  • Quarterly Grand Rounds
  • Professional Development lectures
  • Primary and Secondary research project assignments, including manuscript submission of at least one
  • High school team physician responsibilities
  • Collegiate team physician responsibilities
  • Saturday morning injury clinics
  • Andrews Institute annual pre-participation physical
  • Physicals for college and high school teams
  • Salary: $50,000 annually
  • Benefits include medical, dental, and health insurance options. Options for additional coverages (disability, hospitalization, life) and/or dependent coverage is available. Benefits available can be found here.  *Health, Dental and Vision benefits effective first day of employment.
  • Professional liability insurance is provided at no cost to the fellow.
  • Parental time, sick time, and leaves of absences are permitted as required by ACGME and Federal Law.
  • No set amount of paid time off – the program allows for doctor’s appointments, bereavement, Jury Duty, mental health appointments.
  • Due to the short duration of the fellowship program, there is not a set amount of vacation time allowed.
  • Graduate Medical Education Policies
  • Sample contracts can be found here.

Applications and required documents are submitted through the ERAS system (ACGME #1271131137). If you have never registered for ERAS, you will need to visit the ERAS Fellowship Documents Office (EFDO).

The following documents are required:

  • Completed application, including most recent residency and medical school
  • At least three letters of reference
  • USMLE and/or COMLEX Step 1,2,3 scores

Additional Requirements

  • Must be authorized to work in the U.S. without sponsorship

Please direct inquiries to: Ashley Mixson, GME Director at

“While looking into fellowship programs, I wanted elite level training in diagnostic MSK ultrasound, exposure to all types of regenerative medicine techniques and experience caring for athletes from adolescents to high-profile professionals. AREF has provided me everything I wanted in a fellowship and more!  There were endless opportunities to work and learn from the best minds in sports preparing me to be a confident and experienced physician for my future career.”

Todd Hayano, DO
2019-2020 Primary Care Sports Fellow


Dr. Josh Hackel

Program Director Josh Hackel, M.D. is a board-certified and fellowship-trained non-surgical sports medicine physician who specializes in treating musculoskeletal and non-surgical injuries. Dr. Hackel trained under world-renowned orthopaedic surgeon Dr. James Andrews during his Primary Care Sports Medicine fellowship at the American Sports Medicine Institute (ASMI) in Birmingham, Alabama. Following his fellowship, Dr. Hackel was one of two physicians selected by Dr. Andrews to move to Gulf Breeze, Florida and launch the Andrews Institute for Orthopaedics and Sports Medicine. Dr. Hackel is a pioneer in the diagnostic and therapeutic uses of musculoskeletal ultrasound in an orthopaedic practice and developed one of the first musculoskeletal ultrasound continuing education courses in the country.

Dr. Brett Kindle

Dr. Brett Kindle, M.D. is a board-certified non-surgical sports medicine physician and an alum of Andrew’s Primary Care Sports Medicine Fellowship. Dr. Kindle obtained his medical degree and completed his internship in Internal Medicine at Quillen College of Medicine in Johnson City, TN.  His training continued with a Physical Medicine and Rehabilitation residency at Mayo Clinic in Rochester, MN. Dr. Kindle’s specializations in non-surgical treatment options for musculoskeletal injuries and conditions, and his expertise in musculoskeletal ultrasound and regenerative medicine, enhance the fellow experience.

Dr. James Presley

Dr. James Presley, M.D. is a board-certified non-surgical sports medicine physician, specializing in musculoskeletal ultrasound and regenerative medicine. He graduated with honors with his medical degree from Louisiana State University School of Medicine in Shreveport, LA in 2012. He completed his residency at the Mayo School of Graduate Medical Education and went on to complete his fellowship in the Department of Sports Medicine at the Mayo Clinic.

Adjunct Faculty

Dr. James Hlavacek

Dr. James Hlavacek, M.D. is a board-certified orthopaedic surgeon, specializing in orthopaedic trauma and fracture care. He obtained his medical degree at the Chapel Hill School of Medicine in Chapel Hill, NC. He completed his residency in orthopaedic surgery at the University of Alabama, Birmingham, followed by a fellowship in orthopaedic trauma at Allegheny General Hospital in Pittsburgh, PA. Primary care fellows rotate with Dr. Hlavacek to gain invaluable experience in traumatic fracture care.

Dr. Sonya Ahmed

Dr. Sonya Ahmed is a fellowship-trained Foot & Ankle Orthopaedic Surgeon who completed medical school at the University of Missouri Kansas City, residency at the University of Texas in Galveston, and fellowship at Andrews Sports Medicine Institute in Birmingham, AL. She currently is a Co-Director of Nilssen Orthopedics at Andrews Institute and an integral part of the Foot & Ankle fellowship program. Dr. Ahmed also serves as a Regional Medical provider for the U.S. Olympics Committee, continues to publish, and serves as the Principal Investigator for several research studies.

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