ECOSEP in Dubai

The Burj Khalifa, the tallest structure in the world — among the dazzling sights in Dubai

Our intrepid Junior Associate Editor, Dawn Thompson, has been busy not only with her training but also her travels:  she recently attended the ECOSEP Congress in Dubai, where she was Tweeting her thoughts in real time.  At last having the chance to catch her breath in between the demands of the registrar’s life, she shares with us a post on the congress’ proceedings.

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If you are a follower of CJSM on twitter you may recall that back in December I attended the 5th Congress of the European College of Sports and Exercise Physicians (ECOSEP) in Association with FIFA in Dubai. Somehow it’s now a new year and January is already behind us – if only there were a magic button to stop time and give me a few extra hours in each day! Now, with a few quiet moments to myself’ I wanted to reflect on what was a great conference with plenty on offer for anyone involved in Sports and Exercise Medicine.

This was the first International Sports Medicine Conference held in Dubai, with experts from around the world meeting at this central hub.  During the congress one speaker described it as a huge step forward for the future of Sports Medicine in Dubai: a country in which sports physicians normally have to travel to other continents to get the opportunity to learn from leaders in the field. The event was held at Mohammed Bin Rashid University of Medicine and Health Sciences, and there was a real sense of pride from all the staff who had worked tirelessly to make it a success. With the FIFA Medical Centre of Excellence already based in Dubai, I really hope the success of this event will prompt more organisations to consider Dubai when looking for a central location for a worldwide conference.

Dr. Thompson at the podium, ECOSEP Dubai

It was also the first ECOSEP Congress to hold a careers talk and discussion of trainee opportunities as well as a junior doctors workshop – run by myself as part of the ECOSEP Junior Doctors Committee. This was a chance for trainees to ask questions on SEM in a low-key environment and learn more about this important specialty. Juniors are the future of the specialty, and ECOSEP prides itself on helping to nurture and develop young doctors who will carry forth the work of SEM. Read more of this post

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“…like the Oscars, but with concussions.”

Oscars….or Super Bowl? Justin Timberlake — photo Mark Briello, Wikimedia

It would be hard to have spent any time this past month in the United States, my home country, and not be aware that today is “Super Sunday,” when the Philadelphia Eagles and the perennial champion New England Patriots will be playing the final game of the NFL Season.  For all the marbles. For the big kahuna. For (insert your favorite, overused metaphor here).

I woke up this Sunday in my customary manner:  with some coffee and the New York Times. The newspaper had several articles about the upcoming Main Event, including profiles of the halftime highlight, Justin Timberlake.  The story that most resonated with me was a piece by Bruce Weber, whom I find to be an uncommonly funny writer.  He wrote of the Super Bowl’s grandiosity, with its “…pregame blah, blah, blah….the rollout of new advertisements at a cost that might otherwise stabilize Social Security, and the betting line in Vegas, where gamblers risk enough to underwrite a single-payer health care system.”

He summarized:  the Super Bowl is “not so much a ballgame as a happening, like the Oscars but with concussions.”

Spot on.

Eagles or Patriots?  It’s hard to say, though the line favors the Patriots slightly (and most neutral observers with whom I’ve spoken say it’s an, er, no-brainer, the Patriots will be winning) — but one bet that is a sure thing: there will be injuries. And very likely, a high profile concussion, which may or may not be mishandled.

Who can forget the game three years ago (which the Patriots won): Julian Edelman sustained a hit which appeared certain to require medical evaluation, but remained in the game.  And then caught the go-ahead touchdown.

Concussions and gridiron football– the pairing appears in the pages of CJSM nearly every issue, so common is the injury and so prominent the issue.  Our first issue of the year contained cutting-edge, original research on the frequency with which professional football players hide their potential concussions. The article is free, but if you don’t have time to read it, you can even ‘listen in’ on what the author has to say about the study in our most recent podcast.

Super Sunday is upon us. There’s a game, yes, and a whole lot more. Will we see a hologram of Prince? Will Janet Jackson make a reprise showing and sing a duet/have a wardrobe ‘malfunction’ with Timberlake?  What will be the most memorable commercial?

And, oh yes, who will win:  Eagles or Patriots?

Enjoy the game and/or its attendant bells and whistles, if you’ll be watching.  And share your reactions with us on Twitter [@cjsmonline ] if you have thoughts about one of the injuries you’re bound to see.

“Primary Care for Sweaty People”

Dr. Carl Stanitski with wife & equestrian athlete, Debbie

I am fortunate to be spending my weekend in Ft. Lauderdale, Florida, where I am attending the 5th Annual Meeting of the Pediatric Research in Sports Medicine (PRiSM) Society Meeting.  This meeting is becoming a major fixture on the pediatric sports medicine calendar, and I have gained so much by joining this organization and attending the proceedings over the last few years.  If you specialize in pediatric sports medicine, the dates January 24 – 26 2019 (next PRISM meeting in Atlanta, Georgia) should be circled on your calendar.

Among the highlights of the meeting was a keynote talk by Dr. Carl Stanitski, Emeritus Professor of Orthopaedic Surgery and Pediatrics at the Medical University of South Carolina.  He, along with other legends like Dr. Lyle Micheli and Dr. Jim Andrews, was a pioneer in pediatric sports medicine in the 1970’s when, as he described it, the initial work being done in this field was derided as ‘primary care for sweaty people.’

My, how this field has grown.  In the USA, the advanced, fellowship training in this discipline has exploded in both the primary care and orthopaedic surgery worlds.In the primary care world alone, there are > 200 programs in operation

Twenty-five years ago, when the field was a lot smaller, Dr. Stanitski and others were already sending up the alarms over increasing sports injury rates seen in young athletes — check out this vintage New York Times article from 1992. The article notes:  “They attribute the rise in such so-called overuse injuries to intensive sports training programs for young children, longer playing seasons and specialty sports camps in which children may spend hours lobbing balls on a tennis court or throwing hundreds of pitches each day.”

Plus ça change….the more things change, they more they stay the same.  These are precisely the issues we still face, 25+ years down the road.  That same sentence in the NY Times could be written today.

CJSM and other journals (JATA, BJSM, AJSM, Sports Health) play major roles in publishing and disseminating the research on the diagnosis, management, treatment and prevention of pediatric sports injuries.  A cursory review of the pages of CJSM over the last few years reveals publications related to pediatric concussions , overuse injuries, and training.

What I walk away from this meeting with, more than ever, is the awareness of how much more we need to go in terms of knowledge translation.  If 25 years ago the leaders in this field were already noting a skyrocketing injury rate, and if there has been a wealth of increasing research in this area, why has the problem only seemed to worsen?

The issue of knowledge translation — of taking the information we researchers produce and we journals publish — is near and dear to the collective hearts of the CJSM editorial board.  As professionals we have to start getting the rubber to meet the road.  One of the reasons why we are so passionate at CJSM about using social media is our goal to spread knowledge widely, to get it in front of the people who can put this into practice.

Join us in this quest by following us on Twitter and Facebook and subscribing to our iTunes podcast feed.

Concussions in Professional Football

It’s a new year and we have a new podcast to add to the growing collection of CJSM podcasts which can be found on our main website [or, better yet, by subscribing to our podcast feed on iTunes].

Our guest this month, J. Scott Delaney M.D., is an Associate Professor and the Research Director, Department of Emergency Medicine, McGill University Health Centre (MUHC) and McGill Sport Medicine Clinic in Montreal, Canada.

Scott Delaney, M.D.

He is also the physician for several university and professional teams, including the Montreal Alouettes of the Canadian Football League (CFL).  In that role, he headed research on concussion awareness among professional football players, work that has just been published in the January 2018 issue of CJSM.

The study has already received considerable media exposure as it sheds light, at the highest level of play, on the behavior and motivation of athletes to report possible concussions.

Listen to the podcast conversation we just had with Dr. Delaney.  Find out why, when it comes to concussions, “It takes a village to make the diagnosis.”  And, as ever, join in the emerging conversation about this work by making comments on this blog or going to our Twitter feed and chatting up @CJSMOnLine

 

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