The little differences — sports medicine training in the UK

Dawn Thompson, our Junior Assoc Editor from BASEM, on a UK NICU floor!!!

Our Junior Associate editor from the British Association for Sport and Exercise Medicine (BASEM)— Dawn Thompson–joins us today with her newest contribution to the CJSM blog. As many of our regular readers know, Dr. Thompson is a sport and exercise medicine (SEM) trainee in the UK and has contributed frequently to these blog pages.

Her blog post today takes up the subject of how different SEM training can be in different sites around the world.  In the USA, where I practice, one gets their primary training in a specialty such as family medicine, emergency medicine, internal medicine, pediatrics, or physical medicine & rehabilitation; only then does one pursue one to two years of further specialty training in sports medicine.  New Zealand and Australia follow a very different path, as explained by the Australasian College of Sport and Exercise Physicians (ACSEP) in their website.

The UK does it their own way, and Dr. Thompson (DT) is here to tell us what that is like as she spends time on the ‘sidelines’ of the…..neonatal intensive care unit!???

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DT: It’s been a busy year and a while since my last post. Once again it’s a crazy time of the morning (4am) and I’m in the midst of an unusually quiet 12.5 hour shift on the neonatal intensive care unit wondering how exactly this is going to make me a better sports physician! I’m not sure I have found the answer to that one yet but it has inspired me to think about the current state of SEM training.

Over the last 10-20 years sports and exercise medicine as its own specialty around the world has come on leaps and bounds. The UK Faculty for Sports and Exercise Medicine (FSEM) was set up in 2005 and is the governing body for SEM overseeing the training curriculum in the UK. The system in the UK is quite different to many other parts of Europe and the pathway seems to vary greatly between country and even between different states. Read more of this post

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Ice Hockey & Head Injury — can we have one without the other? The podcast

I am pleased to introduce our most recent guest to the CJSM podcast: Aynsley Smith, RN, PhD of the Mayo Clinic.  She is the lead author of a new General Review in our September 2017 issue: Concussion In Ice Hockey: Current Gaps and Future Directions in an Objective Diagnosis.

Dr. Smith and the Mayo Clinic have been at the forefront of research into the prevention, diagnosis and management of concussion in ice hockey.  The Mayo Clinic has hosted three semi-annual ‘ice hockey concussion summits,’ the most recent having just taken place at the end of September

It’s probably always a good time to talk about concussions in ice hockey, but perhaps never better than the start of the NHL season  [my hometown Columbus Blue Jackets open their season tonight!]

In our conversation, Dr. Smith and I cover a lot of ground:  old time Stanley Cup drama, fighting, promising new developments in objective diagnoses, and the potential for rules changes and more to minimize the risk in this exciting, fast-moving contact sport.

The review is open access — which means it’s freely available.  So….subscribe to the CJSM podcast on iTunes, or go directly to our website for a listen to the conversation I had with Aynsley.  And then get the article itself for your weekend reading.

5 Questions with Phatho Zondi, SASMA President

Dr. Phathokuhle Zondi, outgoing President of the South African Sports Medicine Association

For one of this blog’s recurring ‘columns,’ I’m pleased to have as our guest today Phathokuhle Zondi, a sports medicine physician, the CEO of the Sports Science Institute of South Africa, and the current president of the South African Sports Medicine Association (SASMA).

I have known Phatho for two years now, and consider her a close friend as well as an esteemed colleague in the world of sports medicine.  I met her when, two years ago, I was able to attend the biennial convocation of SASMA, held in Johannesburg in 2015. She was at the time the president-elect of SASMA.  Fast forward two years, and she is completing her term, with a body of work that is culminating with the 2017 convocation.

I wanted to catch up with her on the eve of this conference to get ‘up to speed’ on the sports medicine (and sports) scene in South Africa.  In the midst of her busy life, Phatho graciously obliged.

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1. CJSM: The South African Sports Medicine Association (SASMA) is having its biennial convocation this October in Cape Town. I was privileged to attend the 2015 meeting in Johannesburg.  What are some of the highlights of the upcoming 2017 meeting?

PZ: We’re thrilled about the Congress this year and are confident that we will continue to raise the bar as we do every year. Some highlights include:

  • Pre- Congress Workshops – physiotherapy, Exercise is Medicine and Fieldside Emergency Care.
  • More than 15 confirmed International speakers
  • Clinical themes including
    • Paediatric Sports Medicine
    • Paralympic Medicine
    • The Female Athlete
    • Sports Specific Sessions
    • Load & Injury Management
  • Hands on Muskuloskeletal sonar course

2. CJSM: You have been the President of SASMA for the past two years, and your term is coming to an end in October. What have been some of the more memorable experiences you’ve enjoyed during your service?  What do you see as some of the challenges SASMA faces in the next two+ years?

Some major players on the S African sports medicine scene (L to R), Jon Patricios, Ross Tucker, Wayne Viljoen, Phatho Zondi

PZ: Getting to know and better understand the wider SEM community in South Africa has been particularly valuable in my journey – having deeper interactions at a Governance level with allied health professionals has improved my appreciation of the multidisciplinary team. A definite highlight has also been the various engagements I have had with students and rising stars in our field.   In the next few years, SASMA will need to formalize some of the structures within the organization in order to ensue that we continue support and meaningfully serve a growing membership.

3. CJSM: Recently you moved from Pretoria to Cape Town to become the CEO of the Sports Science Institute of South Africa (SSISA). This was quite a career change for you.  What’s a typical day in the life of a CEO? Read more of this post

September — the New Issue

Has summer already gone?

The colors that are starting to highlight the leaves. and the football seasons (both soccer and gridiron) that are at full throttle, are two signals that, indeed, fall is nearly here.

And while the actual equinox does not occur for another week, we have the September CJSM — just published — to help you ease your way through this seasonal transition.

We publish six times a year, and these bimonthly events are always exciting.  A publication represents months, even years, of planning. For authors who are at last seeing their studies in print, it is especially gratifying.  The studies have been published ‘on-line first’ and listed on PubMed for months; but it’s still a wonderful thing to find your work within the glossy covers of the journal.

I’m one of those authors this month — I authored a Case Report on the most benign of clinical issues (bilateral knee pain in a runner), that took unexpected twists and turns, leading me to work up a young woman for a rare neuromuscular disorder.   As always, we have several interesting Case Reports, including one on premature physeal closure in the foot in a ballet dancer en pointe (that’s ‘not supposed to happen’!)

Dr. Gian Corrado, lead author of a study looking at screening echocardiography

The Original Research studies that are leading the charge this month are both potentially ‘game changers’ in important and controversial areas of sports medicine. They both are also currently free.The first looks at the role that point-of-care echocardiography may play in the screening of young athletes for hypertrophic cardiomyopathy.  This work comes from Boston Children’s Hospital and Northeastern University, and is headed by a colleague who is someone I hold in great esteem:  Gianmichel Corrado.

The second study looks at the efficacy of radial extracorporeal shock wave therapy (rESWT) in the treatment of chronic distal biceps tendinopathy, a condition which, like many tendinous injuries, can be frustratingly difficult to treat, most especially in middle-aged weekend warriors (like me).  The investigator group was comprised of people from Europe and the U.S. They used a case-control study design with 12 month followup to demonstrate that this modality can be both safe and effective in middle-aged subjects (ages 30 – 64).

There is much, much more to be found within the covers of this new issue. Take a moment right now to click on the link and see what’s in store.

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