Family Physicians with Sports Medicine Certification — the CJSM Podcast

SARS-CoV-2 continues to impact personal and professional lives across the planet and will do so for the foreseeable future.  Among all the uncertainty, this much we know.

As I have talked to colleagues around the globe, many share with me that with sports shuttered, practice volumes are down and for some that means a bit more time in their schedules to do ‘other’ things. This may include working on neglected manuscripts or grant applications, tidying up their medical practice website, or for many:  juggling working from home with care for children who now have had their schools shuttered and are on-line learning from home.

If you have a bit more free time, then now is the perfect time to become acquainted with CJSM’s library of podcasts, which can be found on the journal website and on iTunes.

A scene familiar to us all in this COVID era — group video conference call with (R to L) Lars Peterson, Rachel Cox, yours truly

Our newest podcast concerns a study published in the May 2020 edition of CJSM:  Practice Patterns of Family Physicians with and without Sports Medicine Certification.

In the podcast, we talk with Dr. Lars Peterson and Ms. Rachel Cox. Lars Peterson MD, PhD is Vice-President of Research for the American Board of Family Medicine, and Rachel Cox is a second year medical student at the University of Kentucky.  They are, respectively, the senior and first author of the study.

Across the world, different countries and jurisdictions approach sports medicine subspecialty training in different ways. Read more of this post

Brave New World

Sports Medicine Clinic — the Contemporary Look (2020)

As many of you know, the word ‘blog’ is a modern portmanteau, a combination of the words ‘web’ and ‘log’ (a “web log” or “blog”).  It is a word with a provenance similar to ‘motel’ (“motor” and “hotel”) or ‘brunch’ (“breakfast” and “lunch”).

Long before I joined the Editorial Board of the Clinical Journal of Sport Medicine (CJSM) in 2013, I produced a personal blog, begun when my children were born sixteen years ago.  It was a journal I could share on line with interested parties (i.e. family) to allow others access to photos and personal musings they might enjoy. It truly was a “log” of my experiences I shared on the “web.” A diary.

Today’s post feels to me like those earlier, rough, immediate attempts to write as a new parent.  Today’s post is a first draft really of thoughts, and emotions, new to me.  In many ways, I don’t know what I am doing: a similar state of affairs to being a new parent. And I am sharing inchoate thoughts and reactions to this new world I occupy (as do we all): the COVID-19 world. A world which, in the USA, is more or less about one month old.

In fact, that’s it! I am writing as if I were a new father to a one month old…..but, no, that analogy is not quite right…..I am writing as if I were the child himself, just born into a world whose dimensions I am trying to fathom.

Wait.  A father? A child?  Which is it?

What?!……..

I am mostly writing with the intent to ask how others may be handling this. Read more of this post

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

Concussions take time — CJSM Blog Post Journal Club

Our Jr. Assoc. Editor Jason Zaremski MD looking for some help from a friend with the newest CJSM Blog Post Journal Club

Our March 2020 issue has just published, and right out of the gate one of the studies that has received the most buzz is one from a team of researchers in New Zealand demonstrating that less than 50% of concussed individuals recover within two weeks of a sports-related concussion.

Jason Zaremski, MD, CJSM’s Jr. Assoc. Editor, explores this new study today in our most recent CJSM Blog post Journal Club.  It is a two year prospective study with some revealing findings. We’re sure you will enjoy the blog post and the study itself!

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Jason Zaremski MD

Kara S, et al. Less Than Half of Patients Recover Within 2 Weeks of Injury After a Sports-Related Mild Traumatic Brain Injury: A 2-Year Prospective Study. Clin J Sport Med 2020;30:96–101. doi.org/10.1097/JSM.0000000000000811.

Introduction:  Sports related concussion (SRC) is a common and significant concern, challenging not only sports medicine practitioners, but also athletes, coaches, family members, and all sports performance team members. While diagnostic skills and research in this area have dramatically improved in the past 10 years, our patients still have several questions, including: How long until I can go back and play? Some data has suggested the majority of SRC patients recover in approximately a 2-4 week recovery time frame. According to the consensus statement in concussion in sport (5th iteration) held in Berlin, Germany, in October 2016—“the expected duration of symptoms in children with SRC is up to 4 weeks.” (McCrory, et al. BJSM 2017).  Kara and colleagues  have looked into the validity of this stated time frame.

Purpose: To describe clinical recovery time and factors that could impact recovery after a sports-related mild traumatic brain injury (SR-mTBI, aka “concussion”).

Methods/Design:  This is a prospective cohort study with level IV evidence. Read more of this post

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