Medicine Through Movement — The CJSM Podcast with Dr. Jane Thornton

Jane Thornton, MD, PhD, of CASEM and the University of Western Ontario, Fowler Kennedy Sports Clinic. Twitter: @JaneSThornton

One of CJSM’s closest relationships is with our partner society the Canadian Academy of Sport and Exercise Medicine (CASEM).  After all, CASEM was the founding society for the ‘Canadian Journal of Sport Medicine’ (now the Clinical Journal of Sport Medicine).  We keep close tabs on what CASEM is doing because it’s sure to be of importance to both us and the world of SEM.

And so we’re excited to announce that just a few days from now — April 6 — CASEM will be hosting in Ottawa a special conference.  “Medicine Through Movement:  How Physical Activity is Changing Health Care.”

April 6 is, not coincidentally, World Physical Activity Day. The World Health Organization (WHO) named April 6 World Physical Activity Day in 2002 as part of in initiative to address the world-wide pandemic of physical activity.  We in primary care SEM are the troops on the ‘front lines’ waging battle against this pandemic.  We are always looking for effective tools to stem the tide.

One of the organizers of the Ottawa conference, and an expert in the field of ‘medicine through movement,’ is Dr. Jane Thornton, a clinician and researcher who most recently published in the pages of CJSM as the lead author of the CASEM position statement on the ‘physical activity prescription.‘  Always game to see research translated into practical action in the clinic and community, Dr. Thornton was a gracious guest on these blog pages three years ago.

We’re delighted to have her as CJSM’s guest again, and on this occasion she was able to sit down with us for a podcast conversation.  No small feat in her very busy life, I can assure you!

In preparation for the conference, or in its aftermath, take a listen to our conversation. Dr. Thornton weighs in on the highlights of the event, her research into the area of physical activity interventions, and tells us all about one of her heroesShe also shares her thoughts on ‘movement hacks’ — interventions that work for patients, and can be integrated into the busy, time-challenged clinics in which, I am sure, we all work.

If you’re not able to get to Ottawa, have a listen and by all means follow Dr. Thornton and the hashtag #MTM2019 on Twitter for the breaking information from that conference.

And before we forget, make sure to highlight May 16 – 18 2019 and April 29 – May 2 2020 on your calendars; these are the dates of the 2019 CASEM (Vancouver) and 2020 CASEM (Banff, Alberta) annual symposia. You won’t want to miss these, perhaps especially the 2020 event, when CASEM celebrates its 50th anniversary!

In the meantime, what are you waiting for?  Take a listen on iTunes or on our journal webpage to Dr. Jane Thornton on the newest CJSM podcast!

Musings Post Sports Medicine New Zealand 2018 Conference

Dr. Hamish Osborne (standing, far left) at Pan Pacific Masters Games

Our Associate Editor Hamish Osborne MB ChB FACSP is a member of the Australasian College of Sport and Exercise Physicians (ACSEP).  CJSM relies on Dr. Osborne for a lot!  He has been a lead author on important studies CJSM has published, been a guest on our podcast series, and plays an invaluable role keeping the journal and its readers abreast of sport medicine developments in New Zealand and Australia.

We asked him to share his thoughts about the recent Sports Medicine New Zealand Conference that took place at the end of October.  He would have filed this report sooner, we’re sure, except for the fact he had to jet off right after the conference to participate in the Pan Pacific Masters Games which just wrapped.

So, we share with you our ever-intrepid editor, physician, athlete and Tweeter, Dr. Hamish Osborne:

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So I’m sitting @DunedinAirport in the @FlyAirNZ lounge on my way to the Gold Coast for the @PanPacMasters Games to put into action some of the swim skills @Karlynswim Pipes taught me in Kona a few weeks ago at the @IRONMANtri Sports Medicine Conference. My wife Jules Osborne, who coaches @HPSportNZ Allied health medical staff in motivational interviewing, is already there playing basketball with @ACSEP_ CEO Kate SImkovic (@hoover22). Hoove is great on the rebounds hence the handle. They are 2/2 so far so keep going team.

This morning I got to use what we learned at last week’s @Sportsmednz Conference. It has been a challenge for several years counselling young athletes with fresh ACL tears – you know the stuff – only 60% actually return to pivoting sport and the operation is no better than no operation just we don’t know how to decide whether you should have an operation – the consultation all goes well and they come back next time saying their coach/friend/sister/dog walker had an ACL recon and so they want one. Well – I had never heard of Prof Lynn Snyder-Mackler @doclsmack or her work. A decade of worldwide literature shows the return to sport rates after ACLR are not much better than the chance of predicting a US election* really no matter what sport, what level or country it’s from. Lynn’s research is more than 10% better than that AND she has published it. Not only does she have a pre op pathway that improves outcomes, she has a post op pathway that smashes everyone else’s results and makes us look like amateurs. I got to use it this morning and I must say it made for a much better consultation than what I used pre conference. #Loveaconferencethatchangesmypractice!!

It was also great to see my Canadian friend Dr Alan Vernec again.  I met him for the first time (but felt like I knew him from Prof David Gerrard talking about him) at Mt Tremblant @CASEMACMSE Conference in 2017. What a debate we had with him, David ( who is chair @wada_ama TUE Committee), A/Prof @LynleyAnderson  (author @ACSEP_ code of conduct) and Dr Peter Burt who is doing his PhD on the ethically challenging situations sports docs end up in @Otago University.

So back to my preparations; I stopped cramming my fitness Monday and tapered this morning. I’m rehydrating on a small glass of world famous New Zealand Sauvignon Blanc and they just called my flight.

Hope to see you all #DownUnder in New Zealand next year. You have a great choice – the ACSEP_ conference is in Queenstown in February 2019 and the next Sports Medicine New Zealand Conference is in Dunedin 1-2 November 2019 to coincide with the 150th Anniversary Celebrations  of Otago University

Swim fast, advise well, don’t dope and vote!

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Thank you Dr. Osborne.  Regarding several of the important points you brought up:

  1. Definitely circle the ACSEP conference on your calendars for 8 -10 February 2019 in Queenstown!
  2. Dr. Lynne-Sackler’s work on post-ACL injury rehab (for conservative or surgical treatment) is among the programs evaluated in this review of ACL Rehab Programs.
  3. * And regarding this point:  the quoted ‘odds’ of the Democrats’ winning the 2016 USA election were 85%, those facing an NFL goal-kicker kicking from the 37-yard line. Did anyone else watch Mason Crosby’s cringe-worthy kicking performance a few weeks ago?  As a Packers’ fan, I, for one, will never again take a 37 yard field goal for granted (or, for that matter, put much stock in election predictions!).

Five Questions with CASEM President Tatiana Jevremovic, M.D.

Tatiana Jevremovic, M.D. — current president of the Canadian Academy of Sport and Exercise Medicine (CASEM)

The Canadian Academey of Sport and Exercise Medicine (CASEM) hosts its annual symposium in Halifax, Nova Scotia, in just a couple of days:  from June 6 to 9 sports medicine clinicians from around Canada and the globe will be attending what looks to be another excellent conference which CASEM is hosting.

This past year Tatiana Jevremovic, M.D. has been serving as the CASEM president.  We thought it would be a good time to catch up with her before the clock runs out on her presidency at the end of this month.

In the midst of all her many, many commitments, she graciously found the time to do this interview.  We were delighted with the results, and we know you will be as well.

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1. CJSM: Where else to begin but by asking you about your year as President of the CASEM. You complete your term at the end of June, after the annual meeting which takes place in Halifax this year. What were your major challenges as president this year?  What were your high points?

TJ: There have been a few high points during my presidency year. We hired a communication advisor that has started elevating CASEM’s profile on social media through infographics and soon-to-be-completed new podcasts. We have met and introduced CASEM to the Public Health Agency of Canada as well as other organizations such as ParticipACTION, and are exploring future collaborations on projects of mutual interest such as concussion and health enhancing physical activity.. We continue to strengthen our professional relationships with friends and stakeholders such at Sport Information Resource Centre (SIRC), Canadian Medical Association (CMA), Royal College of Physicians and Surgeons of Canada (RCPSC), College of Family Physicians of Canada (CFPC), Canadian Concussion Collaborative affiliated organizations (CCC), and others.

It has been an extremely exciting year, and my biggest challenge has been accepting that this role is only for 1 year. I will miss it terribly, but am comforted in knowing that my successor, Dr. Paul Watson, will do a great job. I will also continue to promote the Academy and all of its success in my new role as past president.

2. CJSM: You currently work as an Associate Professor in the Dept. of Family Medicine at Western Ontario and at the Fowler Kennedy Sport Medicine Clinic in London, ON. Can you tell us a little about your background in sports medicine and what you do with your professional time when you are not attending to CASEM Presidential duties? Read more of this post

Five Questions with Dr. Hamish Osborne — the Surfer’s Paradise Edition

Familiar faces to CJSM readers! (L to R): Bob Sallis, Peter Brukner, Hamish Osborne, Connie Lebrun

We have on deck today our intrepid Associate Editor Hamish Osborne.  Dr. Osborne, of the University of Otago, Dunedin, NZ, is a member of the Australasian College of Sport and Exercise Physicians (ACSEP), one of our affiliate societies.

Over the last few years, he has pulled the “hard” duty of reporting from the beaches of Queensland, Australia on the proceedings of the annual ACSEP meeting. He’s here to tell us what we missed at Surfer’s Paradise and, just as importantly, what we can anticipate in Queenstown, NZ, site of the 2019 ACSEP meeting 6 – 10 February 2019.

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1) CJSM: The 2018 ACSEP has just wrapped. Let’s start things off the way we might with a patient in an exam room – with a big, broad open question. And so: what were some of the more memorable presentations from the proceedings?

Dr. Osborne: I really enjoyed hearing from Prof Lorimer Mosely. The study of pain translated so that mere mortals like me can make sense/use of it. I’ve recently extended my first consultation with patients mostly so that I can spend 15 minutes with them undoing bad images/poor language they use/ have in their heads,  much of it having been learned from us, the professionals treating them.

They come in with a “stuffed back” and leaving knowing they are not injured, just sore and that that soreness is a danger sign of trouble coping with load rather than damage happening. If only we could get “Lorimer” into our undergraduate courses and teach the new generations about this. We don’t have the problem of pain being a vital sign in Australasia but we still have some work to do.

“Ah, but I was so much older then. I’m younger than that now.” At Lake Tekapo, NZ

And then there is your old mate, Dr. Kathryn Ackerman from Boston Children’s Hospital, Sports Medicine – what doesn’t she know about RED-S?  Awesome keynote talks from her, and funny.

By the way Jim her photo from 8 years hasn’t changed as much as your recently tweeted photo (see right) from 8 years ago in New Zealand – perhaps you can come to our 2019 ACSEP conference in Queenstown and update that one with another great set of mountains in the background.

2) CJSM: I followed the meeting via Twitter and the #ACSEP18 hashtag, and was heavily reliant on your prolific tweeting.  The ACSEP does fantastic work all around; one of the more interesting programs it has pioneered is the Reconciliation Action Plan (RAP).  What is the RAP

Dr. Osborne: The ACSEP is very proud of its reconciliation action plan. It is a written practical action plan outlining how ACSEP will build relationships with, and respect and opportunities for, the indigenous peoples of Australia.

There is unfortunately a gap between traditional custodians of the land – Australian Aboriginal and Torres Strait Islander peoples – and non-Indigneous Australians, particularly in health standards. Read more of this post

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