CJSM Podcast: Screening for cardiovascular disease in athletes — the Australian Way.

September 28, 2021 by

Our podcast series this year has been tremendous.  If you haven’t yet subscribed to the podcast, go to the CJSM iTunes website to check out all our episodes.  You’ll see this year we’ve interviewed Dr. Neeraj Patel about pediatric ACL injuries and the effect race and insurance status have on outcomes; and Dr. Stephanie Kliethermes about youth sport specialization in the United States, to name just two of the special guests and topics we’ve had this year.

We have another special podcast to bring to your attention today.

Dr. Jessica Orchard

Dr. Jessica Orchard of the University of Sydney, Australia, joins us for a deep dive into the hows and whys of cardiovascular screening as practiced by elite sporting organizations in her home country. Dr. Orchard is the lead author of a newly published CJSM manuscript and headed up a ‘dream team’ of experts.

In the podcast Dr. Orchard gives a thoughtful and concise analysis of the challenges posed by such screening, and how different Australian sporting organizations have managed the issues.

Of special note, Dr. Orchard brings to the attention of the listeners a series of educational modules created by the Australasian College of Sport and Exercise Physicians (ACSEP) — one of our affiliated societies.  The ECG modules are free and guide the learner in the ‘International criteria’ and the latest consensus standards for the interpretation of an athlete’s ECG, the core of what the Australian sports organizations use in their screening.

So — head to iTunes, head to the CJSM manuscript, and head to the ACSEP modules to become expert in screening elite athletes for cardiovascular disease.

Thank you so much Dr. Orchard for your time and effort in this area.

Filed under CJSM Podcasts, Elite sport, General Interest Tagged with , , ,

A Conversation with Dr. Louise Tulloh, ACSEP President

May 8, 2020 by

Dr. Louise Tulloh, current president of the Australasian College of Sport and Exercise Physicians (ACSEP)

Today’s podcast guest is a physician I have been ‘after’ for a few months, and I am delighted I finally caught up with her to have a chat.

Dr. Louise Tulloh is a sports physician in Sydney Australia and she is in the midst of serving her two-year term as President of the Australasian College of Sport and Exercise Physicians (ACSEP).  We were planning to talk shortly after IOC Injury Prevention Monaco when COVID took over the world, and we have both just managed to get our heads above water to arrange a conversation.

And so one recent morning my time (evening hers) we had our chat, and I want to share it with you in this podcast.

We covered the intense trajectory Australian sport has taken over the last six months, from the bush fires to COVID. We got to review the ACSEP conference that took place in Canberra, at the end of February, one of the last sports medicine conferences to take place in 2020 before COVID upended the calendar.

The ACSEP is an international leader in sports medicine, and Dr. Tulloh was also able to share some of the extraordinary work the college is continuing in this new COVID era:

  • The on-line ACSEP Sport and Exercise Medicine Academy, a new and comprehensive curriculum that covers the gamut in our field.  It includes both free content (ECG modules, concussion) and for-fee content that can be accessed by anyone worldwide.
  • The ACSEP social media feeds, which include @ACSEP_ and @ACSEPpresident where the college is leading the charge in addressing current issues such as the maintenance of physical activity during a time of social distancing and home lockdowns. If you don’t follow those feeds, you simply must.  The ACSEP puts the ‘exercise’ into ‘sport and exercise’ medicine, for sure.

Take the time now to check out this newest podcast in our lineup of 40 (and growing) podcasts to be found on our journal website and on iTunes.

Thank you Dr. Tulloh for your time and leadership, and thank you ACSEP for the model you set for SEM colleges and societies around the world.

Filed under CJSM Podcasts, General Interest Tagged with , ,

Musings Post Sports Medicine New Zealand 2018 Conference

November 15, 2018 by

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!).

Filed under Medical Conferences Tagged with

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

February 22, 2018 by

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

Filed under Medical Conferences Tagged with , , , ,

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