Sports medicine: a career for all genders?

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Dawn Thompson, covering Brighton Marathon

I am pleased to step aside from writing for the blog today and turn over the stage to Dawn Thompson, CJSM Junior Associate Editor and a member of the ECOSEP Junior Doctors Committee.

Dawn and I have a shared background in sports medicine, but she brings a unique perspective to today’s post:  she is a woman, she is young, and she is still in training.  I am none of these things!

If sports is a mirror of society, then it should come as no surprise that in our own professional world we may see phenomena such as gender bias.   And for those of us who benefit from male privilege (me), Dawn’s post is a great reminder of the differential burden our female colleagues may face when trying to perform the same job duties as a man.

Here in the USA, 2016 is a particularly poignant moment in time: the Democratic party’s presumptive candidate for president is Hillary Clinton.  Will that political ‘glass ceiling’ be shattered?  What of our sports medicine colleagues who are women?  Do they face their own glass ceilings?

I cede the dais to Dawn:

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DT: It’s 1.30am on a Tuesday morning and I am wide awake. Ideas, thoughts, concepts are racing through my mind at a rate I could only dream of during normal hours. I don’t normally suffer with insomnia but I have just completed a particularly gruelling acute medical block whereby in 4 months I have worked 8 full weekends and a total of 32 nights. So as you can see my body clock is totally up the spout. There have been times when I have wondered why I chose this profession and how compatible it is with any sort of family or social life and times when I have marveled at what I feel can be the best ‘job’ in the world.

During these 4 months, Junior Doctors like myself across Britain have taken part in 6 days of industrial action in response to the proposed imposition of a contract they felt to be unsafe and unfair to patients, themselves and the NHS. One of the many complaints with regards to the new contract was the impact it could potentially have on women taking time out for maternity or to work less than full-time to raise a family. Indeed the governments own equality analysis summarised –

“While there are features of the new contract that impact disproportionately on women, of which some we expect to be advantageous and others disadvantageous, we do not consider that this would amount to indirect discrimination as the impacts can be comfortably justified” 

I have never particularly considered myself a feminist but I do expect a fair contract and I don’t expect to be treated any differently to my male counterparts based on gender rather than clinical acumen.

Data derived from the Health and Social Care Annual Workforce Publication 2014 showed that 57% of all doctors in training are female.  However things have not always been this way, in 1985 the year I was born, women made up only 16% of practicing doctors in the US. Some junior doctors are concerned that an unfair contract would send us backwards in terms of women in Medicine.  Already prior to this new proposed contract, pay inequalities exist in medicine.  A study published this week in the BMJ concluded that women doctors in the US earn less than their male counterparts even after adjusting for hours of work and specialty.

So what about the role of women in Sports Medicine? Read more of this post

CJSM Podcast 14 — Turf vs. Grass & Girls Soccer

jsm-podcast-bg-1Our newest podcast release profiles a study published in our May 2016 CJSM: Shoe and Field Surface Risk Factors for Acute Lower Extremity Injuries Among Female Youth Soccer Players. Our guest on the podcast is the lead author of the study, John O’Kane M.D., the Head Team Physician for the University of Washington and the Bob and Sally Behnke Endowed Professor for the Health of the Student Athlete.

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Dr. John O’Kane (L), soccer-playing daughter Katie (C), and wife Betsy (R), on grass….in Phoenix AZ

We hope you enjoy the conversation with Dr. O’Kane as much as we did.  We gained insight into the findings presented in the paper and had a fruitful discussion on some of the nuances of the endless debate:  turf vs. grass, which is the preferred surface on which to play soccer? Along the way we chatted about the recent controversies in the 2016 Women’s Soccer World Cup, as well as the impact on pubertal development as an intrinsic risk factor for injury in sport….and more!

Listen in — you can find the podcast on iTunes or on our home page.  As ever, let us know what you think — in the comment section below, or on Twitter @cjsmonline

 

 

 

The power of exercise + the power of the internet = #PEPA16

1- Ann Gates Gym Ball (3)

Ann Gates a.k.a. @exerciseworks

I have a lot to share this morning, but I am writing an intro to a guest blog post…and so I shall be brief.

I’ve got ‘exercise on the brain’ of late.  We’re only three weeks away from the beginning of the American College of Sports Medicine (ACSM) Annual Meeting and the coincident 7th World Congress on Exercise is Medicine taking place in Boston, which I’ll be attending.  Here at CJSM, we just released our May issue which features a couple of highly discussed research studies:  a meta-analysis on physical activity and the risk of lung cancer and an RCT on the effect of rock climbing on low back pain.

And to top it off, I’ve ‘met’ Ann Gates, founder and CEO of Exercise Works, aka @exerciseworks for those of you, like me, who have followed that Twitter handle for years. Last week I noticed on that feed an announcement that Exercise Works would hold a MOOC this summer — ‘Physiotherapy, Exercise and Physical Activity’ #PEPA16. And it starts July 4 2016.

What is a MOOC you say? What exactly will go on in #PEPA16?

Let’s hear from Ann.

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#PEPA16? It sounds like a rock group… but it’s a mission.

It’s a passion. It’s an opportunity to support health care professionals interested in exercise medicine and disease: from Africa to Afghanistan, doctors to community outreach workers, and to embed physical activity into making every contact count, every consult.

So what’s a MOOC, and what’s happening this summer? A MOOC is a massive, open online, course run by expert educational organizations (in this case Physiopedia). It’s also a unique opportunity to learn, participate, contribute, engage, and share on a global scale! The excitement of it all is that the course has been designed and evaluated to deliver high quality learning outcomes on the role of physical activity in health. It provides a global, level playing field, to gain knowledge on the health benefits of exercise and chronic disease prevention and treatment. It’s also the final part (phew!) of my three year project to change the way we educate health care professionals in prevention medicine (in this case using exercise as a medicine).

I set out in 2014, to disrupt the way in which physical activity medical education is delivered. I wanted most of all to open up the opportunities to all, and to deliver learning and implementation science of physical activity opportunities, into everyday patient care. We’ve achieved this for doctors and health care professionals in the UK- but I wanted to take this global, and provide educational support for all, in any country, for any health care professional interested in learning more about the benefits of physical activity in health.

So, #PEPA16 is the result. A global, online, “rocking”, opportunity to care and share the knowledge, that indeed, exercise is best medicine! Join us, this summer, and please register here.

What’s in the #PEPA16 MOOC Resources? Read more of this post

Getting Published & Peer Review

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Journal editors (L to R): Chris Hughes (CJSM), Eugene Hong (BJSM), Irfan Asif (Sports Health)

This weekend I’ve been catching up after the week I spent catching up after the recent American Medical Society for Sports Medicine (AMSSM) conference in Dallas saw me catching up with colleagues from around the globe.

‘Catching up’ after ‘catching up’ after ‘catching up’–does that sound like your life too?

Well, at last I have the time to compose some thoughts I have been meaning to share since I returned from Dallas, and they are focused on the session at AMSSM our journal held conjointly with BJSM and Sports Health: “Faculty Development: Getting Published in Sports Medicine Journals.”

For the attendees of the live event, I think it was a very useful panel discussion among the editors from three of the premiere journals in our profession.  Our instructions for authors are available on-line, but it was a rare opportunity for anyone contemplating sending us a manuscript to hear our Editor in Chief Chris Hughes talk about the submission process.  He and his colleagues on the panel, Drs. Asif and Hong,  gave insightful advice on how to choose which journals one might want to approach with a completed manuscript. The nuances of uploading a work and associated content to editorial manager were also discussed; and there were several questions and answers about the transit of a work through the peer review phase of things.  All in all, from the comments I heard during and after the event, the session was well received.

For many of you who couldn’t be there live, I’m happy to say that CJSM’s parent company, Wolters-Kluwer, is offering a couple of resources Read more of this post