Sports Medicine: Where are we Today?? (original) (raw)
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Journal of Postgraduate Medicine, Education and Research
Milkha Singh is perhaps the most iconic track athlete from India, and his son Jeev Milkha Singh has been Asia's top Golfer for over 20 years. In conversation with the Editor MS Dhillon, the elite duo describe the level of medical support and the evolution of sports sciences relevant to elite athletes in the 1960s and compare it with the medical facilities and support that is available for athletes in India in the 21st century. Both discuss the issues that they feel are pertinent to develop sports sciences in India to a level equivalent to that in the world.
Sports Medicine in the New Millennium A Vision for 2020
Globalisation, empowerment and technological change will determine the emerging directions in sports medicine in the new millennium. Networks and alliances of scientist and clinician services, as well as electronic profiling of athletes' learning styles, genetic predisposition and other variables, will enhance the spectrum of sports medicine services. Visionary direction will require changes in the organisational paradigms employed, the communication of information to athletes and coaches and the methodologies of assessment. An emphasis on prevention science and clinical and educational interventions will require a clearer focus. The sports medicine scientist and clinician of today must utilise the endowments suggested by Covey and the multiple intelligence models advanced by Gardner in capturing the clarity of focus for sports medicine in the new millennium.
On the Horizon: Defining the Future of Sports Medicine and the Role of the Physiatrist
PM&R, 2012
This is an incredibly exciting time for physiatrists who are interested in sports medicine. The science of exercise and sports medicine is novel when compared with that of other medical disciplines. Sports medicine specialists are at the forefront of an exciting wave of new research that will provide a better understanding of the mechanisms and prevention of injury, improve cutting-edge diagnostic and treatment protocols, and aid in the prevention and treatment of chronic disabilities by ensuring wider dissemination of the principles of sports and exercise medicine to the general population. Although many of us have been practicing sports medicine for the past several decades, the advent of physical medicine and rehabilitation (PM&R) subspecialty certification in sports medicine has created opportunities that were never before possible. As the science of sports medicine advances and its scope of practice expands, physiatrists must even more thoroughly understand the origins, evolution, and future of sports medicine specialization. THE STATUS OF ACCREDITED PM&R SPORTS MEDICINE FELLOWSHIPS When I decided to pursue sports medicine fellowship training 20 years ago, the options were limited. There were very few Accreditation Council for Graduate Medical Education (ACGME) sports medicine fellowships that would consider accepting PM&R candidates, and all of the fellowships within PM&R were nonaccredited and biased toward spine medicine, with a sprinkling of sports medicine exposure. In 2007, the American Board of PM&R granted a subspecialty in sports medicine that allowed PM&R physicians the opportunity to sit for subspecialty board certification in sports medicine. By 2008, the first PM&R directed sports medicine program had received accreditation, and, by spring 2012, there were 15 such accredited programs with 16 available positions. The National Resident Matching Program (NRMP) results for 2011 showed that 53 PM&R physicians had registered, 45 had entered certified rank lists, and 24 were matched; thus 47% of the candidates were unmatched. Although those numbers are discouraging, I know that a number of the applicants eventually found a position outside the match. In addition, 2 PM&R programs were accredited in 2012 and did not participate in the 2011 NRMP. In 2011, 194 accredited positions were available in primary care sports fellowships (internal medicine, family practice, emergency medicine, pediatrics, and PM&R) in the NRMP, the majority of which were through family practice. If we define strength by numbers, then clearly in PM&R we shall have more power as sports medicine professionals if more ACGME fellowships are available. This will be particularly important in 2013, when an increase in the number of PM&R applicants who apply for sports fellowships is anticipated because after 2013 only those who graduate from an accredited fellowship will be allowed to sit for the subspecialty board examination. However, it is encouraging that some of the other primary care fellowships are now accepting PM&R candidates and are thus increasing the potential number of fellowship positions. WHY PURSUE SPORTS MEDICINE FELLOWSHIP TRAINING? Sports medicine is a logical stepping-stone for PM&R physicians whose goal is to synthesize expertise in exercise medicine, rehabilitation, and human performance. Sports medicine, like PM&R, forces the physician to go beyond diagnosis, focus on functional assessment,
Towards a Discernable History of Sports Medicine
Canadian Bulletin of Medical History/Bulletin …, 2011
Abstract. Elite sport and the structures that support it such as sports medicine are increasingly at the forefront of public consciousness, especially when the Olympic Games come to town, or soccer players, their bodies fine-tuned by an ever growing array of ...
At the 1960 Rome Olympics Britain's Don Thompson won gold in the 50 kilometres walk. Nicknamed Il Topolino (The Little Mouse) by the Italian press, Thompson's victory was proclaimed heroic and 'plucky' in a quintessentially British way. His preparation had been unconventional to say the least. Thompson, who was an insurance clerk, had collapsed in the heat at the Melbourne Games in 1956 and in order to prepare himself for the humidity of Rome he created a steam-room effect in his bathroom using kettles and heaters, and walking up and down continuously on the bathmat.
Sport mattered to doctors more than just in a medical sense. When he was Dean of St. Mary's medical school, Lord Moran (Charles Wilson) was well known for recruiting sportsmen. It was claimed that in the middle of interviews with prospective medical students Moran would bend down below his desk and retrieve a rugby ball, which he then threw at the interviewee. If the interviewee caught the ball he was admitted; if he threw it back he earned a scholarship. For Moran, who had been decorated as a medical officer in World War One and served as Churchill's doctor, sport taught character and made for good doctors.