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Role of the Team Physician

Role of the Team Physician. Kevin deWeber, MD, FAAFP Director Primary Care Sports Medicine Fellowship USUHS. References. ACSM Team Physician Consensus Statement AAFP, AAOS, ACSM, AMSSM, AOSSM, AOASM. Team Physician Qualificaitons. MD or DO with unrestricted license

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Role of the Team Physician

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  1. Role of theTeam Physician Kevin deWeber, MD, FAAFP Director Primary Care Sports Medicine Fellowship USUHS

  2. References • ACSM Team Physician Consensus Statement • AAFP, AAOS, ACSM, AMSSM, AOSSM, AOASM

  3. Team Physician Qualificaitons • MD or DO with unrestricted license • Proficiency in Msk injuries and medical conditions in sports • Knowledge of emergency care at sporting events • Trained in CPR

  4. Desirable training and skills • Specialty Board certification • Training in sports medicine • >=50% of practice in sports medicine • Membership and participation in sports medicine society • Training at ACLS • Knowledge of medical/legal, disability, and workers’ comp issues • Media skills training

  5. Team Physician Responsibilities • Treat and coordinate medical care of athletes • Enable athletes to reach full potential • Actively integrate medical expertise with other HCP • Specialists • Athletic trainers • Allied health professionals • Make decision that affect athletes’ safe participation

  6. “The team physician must be willing to commit the necessary time and effort to provide care to the athlete and team. In addition, the team physician must develop and maintain a current, appropriate knowledge base of the sport(s) for which he/she is accepting responsibility.”

  7. Medical Management of Athletes • Coordinate PPEs • Manage injuries on the field • Provide for medical management of injury and illness • Coordinate rehab and return to play (RTP) • Provide for proper prep for safe RTP after illness • Integrate medical expertise with other HCPs • Provide for appropriate education and counseling regarding nutrition, strength and conditioning, ergogenic aids, substance abuse, and other medical problems that could affect athletes • Provide for proper documentation and medical record keeping

  8. Administrative and Logistical Duties • Establish and define relationships of all involved parties • Educate athletes, parents, admin, coaches et al regarding the athletes • Develop a chain of command • Plan and train for emergencies during competition and practice • Address equipment and supply issues • Provide for proper event coverage • Assess environmental concerns and playing conditions

  9. Sideline Preparedness • Preseason • In-season • Post-season

  10. Preseason Planning • Develop medical a policy to address preseason planning • Develop admin protocol • Established roles of key personnel • Implement strategies

  11. Medical Policy Development • Athletes must complete PPEs • By DO, MD preferably • Optimally by Team Physician, not required • Timely completion • 6 weeks prior • Use comprehensive form • Review all PPEs and have access to them • Determine eligibility to participate

  12. Administrative PolicyESSENTIALS • Develop chain of command and define responsibilities of personnel • Establish emergency response plan for practice and competition • Comply with OSHA standards • Establish environmental condition policy for modification/suspension of play • Establish medical record keeping plan

  13. Administrative PolicyNice-to-Haves • Rehearse emergency response plan • Establish network of other HCPs • Specialists, ATCs, AHPs • Establish pol0icy for dissemination of info regarding athletes’ health • Prepare letter of understanding between team physician and admin, defining obligations, responsibilities

  14. Game Day Planning • Medical protocols • Admin protocols • Sideline medical supplies

  15. Medical Game-day planESSENTIALS • Determine final athlete clearance for RTP • Assess and manage game-day injuries and illness • Determine athletes’ same-game RTP • Closely observe game from appropriate location • Notify appropriate parties about athletes’ injury or illness • F/U care and instructions for athletes who require tx during or after play • Properly document all care/decisions

  16. Medical Game-day planNice-to-Haves • Monitor equipment safety and fit • Monitor post-game referral care of injured or ill athletes

  17. Game-day Admin planningESSENTIALS • Determine which medical personnel attend • Assess environmental concerns and playing conditions • Plan for opposing team care • Introduce medical team to officials • Review emergency medical response plan • Check communication equipment function • Find exam and tx sites

  18. Game-day Admin planningNice-to-Haves • Do post-game review • Make necessary modifications to medical and admin plans

  19. Medical Supplies

  20. Post-season Evaluation • Summarize injuries and illness • Improved medical/admin protocols • Implement strategies to improved sideline prep

  21. Medical Plan • ESSENTIAL: • Meet with appropriate team personnel and admin to review season • ID athletes who require post-season care • DESIRABLE • Monitor health status of injured/ill • Do post-season physicals, if needed • Supervise off-season conditioning

  22. Admin Protocol • ESSENTIAL: Review and modify medical and admin protocols • DESIRABLE: Compile injury and illness data

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