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

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

“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.

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