SPORTS MEDICINE LETTER Published by the American Medical Society for Sports Medicine March 2001 AMSSM 2001 ANNUAL MEETING The annual meeting of the AMSSM is only weeks away! This years meeting is packed with exciting topics and speakers and will take place April 7 - 11 at the Hyatt San Antonio in San Antonio, Texas. The AMSSM is happy to be joining the AOASM (American Osteopathic Academy of Sports Medicine) in hosting a joint meeting. What an opportunity for sharing of valuable information. If registration is not done prior to the deadline of March 24, 2001, please call the AMSSM headquarters to ensure space availability at 913-327-1415. A sampling of the topics includes sessions on neuropsych testing, cervical spine injuries, aspects of cycling, role of radiography, and osteopathic workshops. Of course, the AMSSM Olympics will again be a highlight event. ID NUMBERS FOR MEMBERS ARE HERE As of this calendar year, AMSSM will be issuing ID numbers for all of its members. These will be used to update information on the website and other future uses. Please look at the four digit mailing number at the upper left corner of the mailing label for your ID number. ELECTED 2001/2002 OFFICERS AND BOARD OF DIRECTORS (TERMS OF OFFICE WILL BEGIN APRIL 2001) OFFICERS President: Jeffrey L. Tanji, M.D. First Vice President: Robert Johnson, M.D. Second Vice President: Karl B. Fields, M.D. Secretary/Treasurer: Margot Putukian, M.D. Immediate Past President: Brian Halpern, M.D. BOARD OF DIRECTORS Mark Batt, MB.B Chir Nottingham, UK Cindy Chang, M.D. Berkeley, CA Donald Christie Jr., M.D. Lewiston, ME Patrice Eiff, M.D Portland, OR Mike Henehan, D.O. San Jose, CA Dave Jenkinson, D.O. Pittsburgh, PA Elizabeth Joy, M.D. Salt Lake City, UT Wade Lillegard, M.D. Duluth, MN John McShane, M.D. Philadelphia, PA Joseph L. Moore, M.D. Quantico, VA Paul Stricker, M.D. La Jolla, CA E. James Swenson, Jr., M.D. Rochester, NY AMSSM COMMITTEE REPORTS Updates from AMSSM committees occurs on a regular basis. Here are some of the latest information. The Board of Directors will be meeting prior to the annual meeting on Friday, April 6, and new action plans for the committees will be discussed. Fellowship Committee Co-Chairs: M. Henehan, D.O. and R. Dimeff, M.D. Members have been tallying the data from the fellowship training surveys and will present the results at the annual meeting. Committee members are working on a fellowship assistance program. This will help answer some of the most frequently asked questions as well as allow individuals or programs to receive assistance and more detailed information. This group is also working on having a complete listing of fellowship programs on the AMSSM website and eventual links to these programs. In addition, there are plans for a "case of the month" series for the website. Many fellowship program directors have expressed frustration with the Program Information Form (PIF) used for the accreditation process. A task force has been formed to review the form and make suggestions for improvement. International Relations Committee Includes update from AMSSM Board Meeting Dec 2, 2000 : Orlando International Committee Board Members:   Term Expires Mark Batt (Chair) Bert Fields Kim Fagan Connie Lebrun Jim Nevins 4/02 4/02 4/02 4/02 4/01 Current International Committee Projects: AMSSM Annual Conference International Speaker: Prof Peter Fricker (Australian Institute of Sport, Canberra) has accepted our invitation to speak at San Antonio 2001. He will be present for the meeting and will make two presentations. At the Board meeting the pros and cons of a formal Ôexchange international lectureshipÕ was discussed: Pros: Formalized International Sports Medicine Society linkage, globalization of Sports medicine. Cons: Congestion/reduced flexibility of AMSSM annual meeting program (makes program chairÕs job even more difficult), potential financial liability, ? How much added value for AMSSM members, planning difficulties. Recommendation: Up until 2003 continue to invite an international speaker to AMSSM Annual conference without committing to formal ÔexchangeÕ. At Board meeting April 6, 2001 San Antonio, discuss arrangements for 2002. Review prior to 2003 at ÔCombined meetingÕ. International AMSSM membership: Liaise with Mem- bership Committee (Bert Fields) re. International membership category development. International visibility/accessibility of AMSSM: Liaise with Internet Committee - International Committee posting on web-pages. Combined International Meeting 2003: Possible com- bined meeting March 2003 (Hawaii) with CASM, ACSP and Dutch Sports Medicine Association. Should this replace our annual meeting? International database: Considerable data exists from previous meetings of the International Relations Committee. This comprises lists of contacts abroad which may be of use for those planning medical coverage in countries outside of the USA and may provide a secondary source of information for lecturers and visiting physicians. Possible future projects for consideration/discussion: AMSSM Travelling Fellowship: Develop 2-3 travelling fellows with mentor exchange - ? CASM, ACSP, BASEM etc.: Pros: Collaboration, network and research potential. Cons: Cost liability (need to identify significant sponsorship), organization issues, potential ÔconflictÕ re. selection. Internet Committee Co-Chairs: C. Chang, M.D. and D. Jenkinson, D.O. This committee continues to be extremely busy and hard at work providing a website that can function within the confines of our manpower and finances of our relatively small organization. It functions to provide information such as position statements, downloads, publications, and a "Find a Sports Med Doc" section. It is in the process of assigning email addresses to all of the committee chairs so members of the organization can submit and request information. Soon there will be an "AMSSM Membership Update Form" on the website under "Memberships". This will help keep information up to date regarding practice locations, email addresses, etc. There will be a form at the annual meeting in order to begin the process, and forms will be mailed to those who are unable to attend. Developments include the fact that next year, abstract submissions will occur on-line. Also, there is hope that a section of the website will be devoted to posting of job opportunities and of individuals searching for jobs. Publications Committee Co-Chairs: P. Stricker, M.D. and J. Henderson, M.D. This committee has recently increased its responsibilities to include writing of this quarterly newsletter. Any information is welcome! Please send worthy info to the national office or directly to Dr. Stricker at multilink@home.com. Besides the newsletter, the committee has been involved in the review of a manuscript from the AOSSM (American Orthopaedic Society for Sports Medicine) regarding exercise and nutritional information for individuals with disabilities. The document is currently in the review and revision stages. Public Relations Committee Co-Chairs: M. Putukian, M.D. and W. Lillegard, M.D. After much deliberation and fine-tuning, this committee has completed the new brochure entitled, "What is a Sports Medicine Physician?" It is currently available on the AMSSM website. Sideline Preparedness for the Team Physician: A Consensus Statement Summary The objective of the Sideline Preparedness Statement is to provide physicians who are responsible for making decisions regarding the medical care of athletes with guidelines for identifying and planning for medical care and services at the site of practice or competition. It is not intended as a standard of care, and should not be interpreted as such. The Sideline Preparedness Statement is only a guide, and as such, is of a general nature, consistent with the reasonable, objective practice of the healthcare professional. Individual treatment will turn on the specific facts and circumstances presented to the physician at the event. adequate insurance should be in place to help protect the physician, the athlete, and the sponsoring organization. The Sideline Preparedness Statement was developed by a collaboration of six major professional associations concerned about clinical sports medicine issues; they have committed to forming an ongoing project-based alliance to "bring together sports medicine organizations to best serve active people and athletes". The organizations are: American Academy of Family Physicians, American Academy of Orthopaedic Surgeons, American College of Sports Medicine, American Medical Society for Sports Medicine, American Orthopaedic Society for Sports Medicine, and the American Osteopathic Academy of Sports Medicine. Expert Panel Stanley A. Herring, M.D., Chair, Seattle, Washington John Bergfeld, M.D., Cleveland, Ohio Joel Boyd, M.D., Edina, Minnesota Per Gunnar Brolinson, D.O., Toledo, Ohio Timothy Duffey, D.O., Columbus, Ohio David Glover, M.D., Warrensburg, Missouri William A. Grana, M.D., Oklahoma City, Oklahoma Brian C. Halpern, M.D., Marlboro, New Jersey Peter Indelicato, M.D., Gainesville, Florida W. Ben Kibler, M.D., Lexington, Kentucky E. Lee Rice, D.O., San Diego, California William O. Roberts, M.D., White Bear Lake, Minnesota Sideline Preparedness Statement Definition Sideline preparedness is the identification of and planning for medical services to promote the safety of the athlete, to limit injury, and to provide medical care at the site of practice or competition. Goal The safety and on-site medical care of the athlete is the goal of sideline preparedness. To accomplish this goal, the team physician should be actively involved in developing an integrated medical system that includes: Pre-season planning Game-day planning Post-season evaluation Pre-Season Planning Pre-season planning promotes safety and minimizes problems associated with athletic participation at the site of practice or competition. The team physician should coordinate: Development of policy to address pre-season planning and the pre-participation evaluation of athletes Participation of the administration and other key personnel in medical issues Implementation strategies Medical Protocol Development It is essential that: Prospective athletes complete a pre-participation evaluation In addition, it is desirable that: The pre-participation evaluation be preformed by an M.D. or D.O. in good standing with an unrestricted license to practice medicine A comprehensive pre-participation evaluation form be used (e.g., the form found in the current edition of Pre-participation Physical Evaluation) The team physician has access to all pre-participa- tion evaluation forms The team physician review all pre-participation evaluation forms and determine eligibility of the athlete to participate Timely pre-participation evaluations be preformed to permit the identification and treatment of injuries and medical conditions Administrative Protocol Development It is essential for the team physician to coordinate: Development of a chain of command that establishes and defines the responsibilities of all parties involved Establishment of an emergency response plan for practice and competition Compliance with Occupational Safety and Health Administration (OSHA) standards relevant to the medical care of the athlete Establishment of a policy to assess environmental concerns and playing conditions for modification or suspension of practice or competition Compliance with all local, state and Federal regulations regarding storing and dispensing pharmaceuticals Establishment of a plan to provide for proper documentation and medical record keeping In addition, it is desirable for the team physician to coordinate: Regular rehearsal of the emergency response plan Establishment of a network with other health care providers, including medical specialists, athletic trainers and allied health professionals Establishment of a policy that includes the team physician in the dissemination of any information regarding the athletes health Preparation of a letter of understanding between the team physician and the administration that defines the obligations and responsibilities of the team physician Game-day Planning Game-day planning optimizes medical care for injured or ill athletes. The team physician should coordinate: Game-day medical operations Game-day administrative medical policies Preparation of the sideline "medical bag" and sideline medical supplies Medical Protocol It is essential for the team physician to coordinate: Determination of final clearance status of injured or ill athletes on game-day prior to competition Assessment and management of game-day injuries and medical problems Determination of athletes same-game return to participation after injury or illness Follow-up care and instructions for athletes who require treatment during or after competition Notifying the appropriate parties about an athletes injury or illness Close observation of the game by the medical team from an appropriate location Provision for proper documentation and medical record keeping In addition, it is desirable for the team physician to coordinate: Monitoring of equipment safety and fit Monitoring of post-game referral care of injured or ill athletes Administrative Protocol It is essential for the team physician to coordinate: Assessment of environmental concerns and playing conditions Presence of medical personnel at the competition site with sufficient time for all pre-game preparations And plan with the medical staff of the opposing team for medical care of the athletes Introductions of the medical team to game officials Review of the emergency medical response plan Checking and confirmation of communication equipment Identification of examination and treatment sites In addition, it is desirable for the team physician to coordinate: Arrangements for the medical staff to have convenient access to the competition site A post-game review and make necessary modifica- tions of medical and administrative protocols On-Site Medical Supplies The team physician should have a game-day sideline "medical bag" and sideline medical supplies. The following is a list of "medical Bag" items and medical supplies for contact/collision and high-risk sports: It is highly desirable for the "medical bag" to include: General Alcohol swabs and povidone iodine swabs Bandage scissors Bandages, sterile/non-sterile, band-aids D-50%-W Disinfectant Gloves, sterile/non-sterile Large bore angiocath for tension pneumothorax (14-16 gauge) Local anesthetic/syringes/needles Paper Pen Sharps box and red bag Suture set/steri-strips Wound irrigation materials (e.g., sterile normal saline, 10-50 cc syringe) Cardiopulmonary Airway Blood Pressure cuff Cricothyrotomy kit Epinephrine 1:1000 in a prepackaged unit Mouth-to-mouth mask Short-acting beta agonist inhaler Stethoscope Head and Neck/Neurologic Dental kit (e.g., cyanoacrylate, HankÕs solution) Eye kit (e.g., blue light, fluorescein stain strips, eye patch pads, cotton tip applicators, ocular anesthetic and antibiotics, contact remover, mirror) Flashlight Pin or other sharp object for sensory testing Reflex hammer It is highly desirable for sideline medical supplies to include: General Access to a telephone Extremity splints Ice Oral fluid replacement Plastic bags Sling Head and Neck/Neurologic Face mask removal tool (for sports with helmets) Semi-rigid cervical collar Spine board and attachments In addition, it is desirable for the "medical bag" to include: General Benzoin Blister care materials Contact lens case and solution 30% Ferric subsulfate solution (e.g., MonselÕs for cauterizing abrasions and cuts) Injury and illness care instruction sheets for the patient List of emergency phone numbers Nail clippers Nasal packing material Oto-ophthalmoscope Paper bags for treatment of hyperventilation Prescription pad Razor and shaving cream Rectal thermometer Scalpel Skin lubricant Skin staple applicator Small mirror Supplemental oral and parenteral Tongue depressors Topical antibiotics Cardiopulmonary Advanced Cardiac Life Support (ACLS) drugs and equipment I.V. fluids and administration set Tourniquet In addition, it is desirable for sideline medical supplies to include: General Blanket Crutches Mouth Guards Sling psychrometer and temperature/humidity activity risk chart Tape cutter Cardiopulmonary Automated external defibrillator Head and Neck/Neurologic A sideline concussion assessment protocol There are many different sports, levels of competition, and available medical resources that must all be considered when determining the on-site medical bag and sideline medical supplies. Post-season Evaluation Post-season evaluation of sideline coverage optimizes the medical care of injured or ill athletes and promotes continued improvement of medical services for future seasons. The team physician should coordinate: Summarization of injuries and illnesses that occurred during the season The improvement of the medical and administrative protocols Implementation strategies to improve sideline preparedness Medical Protocol It is essential for the team physician to coordinate: A post-season meeting with appropriate team personnel and administration to review the previous season Identification of athletes who require post-season care of injury or illness and encourage follow-up In addition, it is desirable for the team physician to coordinate: Monitoring of the health status of the injured or ill athlete Post-season physicals An off-season conditioning program Administrative Protocol It is essential for the team physician to coordinate: Review and modification of current medical and administra- tive protocols In addition, it is desirable for the team physician to coordinate: Compilation of injury and illness data Ongoing education pertinent to the team physician is essential. Information regarding team physician specific educational opportunities can be obtained from the six participating organizations: American Academy of Family Physicians (AAFP) 11400 Tomahawk Creek Pkwy. Leawood, KS 66211-2672 1-800-274-2237 Web Site: www.aafp.org American Academy of Orthopaedic Surgeons (AAOS) 6300 N. River Rd. Rosemont, IL 60018 1-800-346-AAOS Web Site: www.aaos.org American College of Sports Medicine (ACSM) 401 W. Michigan St. Indianapolis, IN 46202-3233 (317) 637-9200 Web Site: www.acsm.org American Medical Society for Sports Medicine (AMSSM) 11639 Earnshaw Overland Park, KS 66210 (913) 327-1415 Web Site: www.amssm.org American Orthopaedic Society for Sports Medicine (AOSSM) 6300 N. River Rd., Suite 200 Rosemont, IL 60018 (847) 292-4900 Web Site: www.sportsmed.org American Osteopathic Academy of Sports Medicine (AOASM) 7611 Elmwood Ave., Suite 201 Middleton, WI 53562 (608) 831-4400 Web Site: www.aoasm.org Conclusion This Consensus Statement outlines the essential and desirable components of sideline preparedness for the team physician to promote the safety of the athlete, to limit injury, and to provide medical care at the site of practice or competition. This statement was developed by the collaboration of six major professional associations concerned about clinical sports medicine issues: American Academy of Family Physicians, American Academy of Orthopaedic Surgeons, American College of Sports Medicine, American Medical Society for Sports Medicine, American Orthopaedic Society for Sports Medicine, and the American Osteopathic Academy of Sports Medicine. Permission to reprint this statement is granted by the project-based alliance for the advancement of clinical sports medicine contingent upon the statement being reprinted in full, without alteration and on proper credit given to the alliance as shown, "Reprinted with permission of the project-based alliance for the advancement of clinical sports medicine, comprised of the American Academy of Family Physicians, the American Academy of Orthopaedic Surgeons, the American College of Sports Medicine, the American Medical Society for Sports Medicine, the American Orthopaedic Society for Sports Medicine, and the American Osteopathic Academy of Sports Medicine©2000". JOB OPENINGS Purdue Sports Medicine Physician Purdue University Athletics and the Purdue University Student Health Center are seeking a full-time physician to serve as team physician for all varsity teams in the athletic department and as attending physician in the sports medicine clinic at the health center. The Team Physician provides primary medical care to athletes, covers varsity practices and competitions, travels with varsity teams and supervises athletic training staff. Responsibilities in the health center include providing primary care sports medicine and general medicine to the student population of 37,000. The Purdue Student Health Center is an ambulatory care clinic with x-ray, laboratory, physical therapy, womenÕs clinic, allergy and immunology clinic and an urgent care facility. Board eligibility or certification in a primary care specialty, primary care sports medicine fellowship or equivalent training and Indiana medical license required. A competitive salary, excellent benefits, paid vacation, malpractice insurance coverage, and a continuing education allowance provided. Forward three letters of reference and curriculum vitae to: Michael D. Krauss, M.D. Senior Team Physician Mackey Arena B-16 Purdue University West Lafayette, IN 47907 EO/AAE Family Practice/Primary Care/Sportsmedicine Fellow Unique opportunity to practice Sportsmedicine in the Last Frontier. Established, highly successful, 15 year old Orthopaedic/Sportsmedicine practice seeking energetic BE/BC Family Practitioner/Primary Care Physician with Sportsmedicine Fellowship to join group. Clinic based Sportsmedicine, Surgical and General Orthopaedic practice in Fairbanks, Alaska. Work directly with Sportsmedicine Fellow Surgeon. Broad range of clinical cases in active athletic Alaskan environment. Family oriented community, excellent schools, modern hospital and support facilities. Full range of outdoor and recreational activities for entire family. Seeking physician with primary care clinical experience and high quality Sportsmedicine clinical skills and focus. Practice provides team physician and medical outreach program to local high schools, sports leagues, and Team Physician for the University of Alaska Fairbanks. Exceptional financial opportunity (minimal managed care). Highly Competitive Salary and Benefits/Comp Package. Partnership opportunity. Please send curriculum vitae along with a personal statement regarding career goals, references, family and other outside interests to: Rebecca S. Dean, MA, FACMPE Physician Search, Sportsmedicine Fairbanks 751 Old Richardson Hwy, Suite 200 Fairbanks, AK 99701 Phone (907) 451-6561 Fax (907) 451-6564 Email: rsdean@mosquitonet.com American Medical Society for Sports Medicine 11639 Earnshaw Overland Park, KS 66210 Tel: 913-327-1415 Fax: 913-327-1491 office@amssm.org | About AMSSM | What is a Sports Medicine Physician? | Find a Sports Medicine Doc | Memberships | | Sports Medicine Positions | Forums & Listserv | Fellowships in Sports Medicine | Case of the Month | | Submit Abstract | Conferences | Board of Directors & Committees | AMSSM Publications & Position Statements | | Resident Scholarship Award | Links | Search | Home |