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AN INTRODUCTION TO SPORT AND EXERCISE MEDICINE Dr Patrick Milroy

AN INTRODUCTION TO SPORT AND EXERCISE MEDICINE Dr Patrick Milroy. Research on Exercise. More people die of lack of exercise than of smoking, obesity and diabetes combined. Karim Khan Vancouver 2010 Failure to exercise should be considered as an example of self neglect.

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AN INTRODUCTION TO SPORT AND EXERCISE MEDICINE Dr Patrick Milroy

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  1. AN INTRODUCTION TO SPORT AND EXERCISE MEDICINE Dr Patrick Milroy

  2. Research on Exercise • More people die of lack of exercise than of smoking, obesity and diabetes combined. Karim Khan Vancouver 2010 • Failure to exercise should be considered as an example of self neglect. • 'Physical Inactivity: the biggest public health problem of the 21st Century' Steven Blair 2009

  3. History • British Association of Sport & Medicine (BASM) was founded in 1953 by 12 doctors & scientists. • Sports Scientists formed their own group (BASS) in the 1980s. • Team medical cover was very random until 1970/80s • BASM introduced courses in 1970s to train doctors and physiotherapists

  4. History • The Institute of Sports Medicine (ISM) gave lectures in London from the 1970s • BASM started advanced courses in 1990s • The Society of Apothecaries introduced a Sports Medicine Diploma in 1988 • Universities (London, Cardiff, Glasgow, Bath) developed courses and diplomas independently through the 1980s and 90s.

  5. History • BASM has held an Annual Congress since the 1960s • The London Sports Medicine Institute (LSMI) was formed at St Bartholomew's in 1986 • It became the National Sports Medicine Institute (NSMI) in 1992 but was dissolved in 2003. • After the 1986 Commonwealth Games, the Scottish Medical Colleges established a Board of Sports Medicine and Diploma

  6. History • The Duke of Edinburgh urged the ISM to establish a working party whose recommendations led to the Intercollegiate Board for Sport & Exercise Medicine (IABSEM) in 1998 • In February 2005 the DoH recognised the speciality of Sport & Exercise Medicine • The Faculty of Sport & Exercise Medicine (RCP London & RCS Edinburgh) accepted first Diplomates in September 2007.

  7. The Award of the Olympic Games to London in 2005 was helped by an announcement that SEM Training would be introduced & registrars were appointed. Some of those registrars have completed their training and found consultant posts though very few exist within the NHS Most job opportunities lie in the private sector (professional sport). Some Governing Bodies have their own SEM Doctors/Medical Advisors

  8. BASM became BASEM in 1999 It is not a Trade Union, so cannot fight for professional fees for its members. In medicine, only the BMA is legally able to negotiate. It has approximately 1,000 members, of whom the majority have a General Practice background The United Kingdom Association of Doctors in Sport (UKADIS) broke away from 1997-2005. With sports players now becoming so valuable, there have been considerable difficulties for doctors to obtain insurance.

  9. Where do I start in Sports Medicine? 1) General Medical Training – very few specialities are not somehow involved in SEM 2) Watch doctors & physiotherapists at work. 3) Volunteer and get your self involved with a team 4) Join BASEM www.basem.co.uk 5) Read the British Journal of Sports Medicine 6) Know your sport – the rules vary

  10. History – general & specific 1) The actual injury 2) Previous injuries Importance of knowing anatomy Examination – particularly comparisons to appreciate dominant side. Check joints through their FULL range of movements Watch sporting techniques as well as the action. Understand the mechanics of movement

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