No longer from Atlanta, it’s global: AMSSM 2020

In periods of crisis such as this unprecedented time we are all experiencing, there are opportunities for innovation, experimentation…..even revolution.

As was true for so many of our readers, CJSM was looking forward to the annual meeting of the American Medical Society for Sports Medicine (AMSSM) to be held in Atlanta April 25th – 29th.  In what should be filed under the “Not Breaking News” category, a novel virus called COVID-19 has spread globally, and in the wake of this pandemic sports and sports medicine has gone dark in a way none of us has ever experienced.  The IOC World Conference on Prevention of Injury & Illness in Sport  re-scheduled to 2021, the AMSSM and after it the Canadian Academy of Sport and Exercise Medicine (CASEM) canceled their 2020 annual conferences, and these represent just a few of the shifts in our world that have occurred since February.

The good news in all of this is that the AMSSM is moving forward with a virtual conference April 25-29th  — just like many of us are working through the kinks of telemedicine as we try to serve our patients in the era of COVID, the AMSSM is putting on the first virtual conference in its history, the details of which can be found here. CJSM has always published the abstracts for the AMSSM proceedings, and we will be making them freely available to all during the period of April 25th – 29th.

Leading this revolution is our Jr. Associate Editor Jason Zaremski, MD, who just so happens to have been THE organizer for the content of AMSSM 2020.  I can tell you he had a simply fantastic program set up for Atlanta, and among the events I am personally grieving this spring I include this:  Dr. Zaremski put an untold amount of time and energy into bringing together what would have been a memorable physical conference.  And he has carried on and is determined to make this virtual experience one we will never forget.

We all should have been giving him a rousing standing ovation in Atlanta as we enjoyed the fruits of this labor.  Members of the sports medicine community in general, and AMSSM specifically (myself included) owe him a huge debt of gratitude, and we should all remember to give him, and the entire programming committee, a shout out when we next meet, face-to-face, at some conference in a post-COVID future.

And now, Dr. Zaremski will share his thoughts about AMSSM 2020, the virtual experience.

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As no doubt nearly all of our readers of the Clinical Journal of Sports Medicine, COVID-19 has impacted our personal and professional lives, as well as the lives of everyone around us. Our daily routines have changed, our job descriptions might have changed, and we are in a new normal at this time. However, it has been humbling to see so many individuals pull together for the greater good in our communities locally, as well as in our regions and countries from around the world. From the perspective of sports medicine clinicians, we are trying to find the right approach of how to best serve our patients, communities, and teams. Furthermore, our responsibilities to continue to teach our next generation of sports medicine providers must continue. With that in mind, the AMSSM Annual Meeting was converted to a free virtual non-CME version of the 2020 AMSSM Annual Meeting over the original dates of the Annual Meeting from April 25-29. Read more of this post

The Mental Health Podcast and CASEMCON2019

I hope readers of this blog, and listeners of the podcast, have been following #CASEMCON2019 on their social media feeds this week. The Canadian Academy of Sport and Exercise Medicine (CASEM) has been conducting its annual meeting in Vancouver these past several days, and is scheduled to wrap up today, May 18.  I have learned so much from following this #, as well as following the feeds of CJSM Twitter friends including Drs. Jane Thornton  Margo Mountjoy and Laura Cruz.

The topic of mental health in sport has figured prominently in the CASEM proceedings:  for instance, Clint Malarchuk, a retired NHL player, is scheduled to talk today about the stigma of mental health in sport.

And so one of our more recent publications and our most recent podcast could not be timelier (published in our May 2019 journal): The Canadian Centre for Mental Health and Sport (CCMHS) Position Statement: Principles of Mental Health in Competitive and High-Performance Sport

Krista Van Slingerland, of CCMHS and the University of Ottawa

The CCMHS is a relatively new organization and, along with a similar group in Sweden, represents one of the first such initiatives on the planet.  The co-founder of CCMHS, Ms. Krista Van Slingerland of the University of Ottawa, is the lead author of the position statement. She graciously met me on Skype (she, in Ottawa, and I in Columbus) to conduct a podcast exploring the issue of mental health in sport and the work CCMHS is doing to bring further attention to this issue and begin treating individual athletes for the problems they are facing.

CJSM is committed to providing a platform for this important issue, one which has been relatively neglected for too long in our world of sport and exercise medicine.  In my training — and I would suspect in yours, too — the focus was primarily on musculoskeletal medicine,  Medical issues such as managing diabetes or exercise-induced asthma, screening for cardiac disease, etc. would demand our attention at times.  The issue of concussion and its sequelae have of course become central to our athletes’ lives and our practice.  But identifying and helping our athletes cope with anxiety, depression, suicidality — I received little to no training in sports medicine about this, and have heretofore relied on my training in family medicine to help.

The new position statement as well as the CJSM CME Module we have created will help clinicians, including myself, learn more about the importance of mental health in the athletes we serve, and will help us be better able to identify and address the issues uncovered.  High profile and tragic stories like that of the life and death by suicide of Olympic cyclist Kelly Catlin underscore the vital importance of improving our care.

Besides the timeliness of #CASEMCON2019 wrapping up today in Vancouver with Clint Malarchuk’s talk, there is a bit of additional serendipity to the publication date for the CCMHS statement and this podcast, as well, for May is #MentalHealthAwarenessMonth!

And so…..your action items for this weekend

  1. Follow #CASEMCON2019 on your social media feeds
  2. Listen to the podcast, which can be found on our journal web page and on our iTunes feed
  3. Read the position statement — one of the Editor’s picks for this month
  4. Check out the CME module CJSM has produced on the topic of mental health in sport

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!).
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