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DECEMBER 2013 THE SIDELINE REPORT | 1
The Sideline ReportTHE OFFICIAL NEWSLETTER OF THE AMERICAN MEDICAL SOCIETY FOR SPORTS MEDICINE
News in the World of Sports Medicine
DECEMBER 2013
AMSSM member Army Major Andrew “Drew” Morgan, MD, has been selected by NASA as a 2013 astronaut candidate. Dr. Morgan is a graduate of the United States Military Academy at West Point and the Uniformed Services University of the Health Sciences. He completed an emergency medicine residency at Madigan Army Medical Center in Tacoma, Washington and his sports medicine fellowship at the Virginia Commonwealth University – Fairfax
AMSSM Member Selected as Astronaut Candidate By Lauren M Simon, MD, MPH and Sandeep Johar, DO, MS
What is the major difference between one- and two-year primary care sports medicine fellowships? Time.
A two-year fellowship offers a longer period of time for a trainee to increase knowledge and critical thinking under direct mentorship. The trainee has more time to practice
There is no question that sports medicine fellowship training is challenging. The academic year begins and a relative fire hose of information is aimed at the trainee’s head. Programs must teach a multitude of musculoskeletal injuries in the primary care and orthopedic setting through patient care experiences and
and perform procedures under direct supervision and develop and execute a well-designed research protocol that can contribute to the field. In addition, a two-year fellowship provides more time to reflect on the learning process and determine a desired career path to follow for years
didactics. Topics can be diverse from exercise-specific medical issues to medical issues affected by exercise through patient exposure and didactics. Additionally, most programs require some participation in research as well. Couple these challenges with the advent of musculoskeletal
By Christopher Meyering, DO
AMSSM NEWSAMSSM Member Selected as Astronaut Candidate .................................... 1
PRO: Two-Year Fellowship Training ................ 1
CON: Two-Year Fellowship Training ............... 1
Dr. Connie Lebrun, Chief Doctor for Canadian Olympic Team ............................. 2
Note from the Editor ..................................... 6
Editorial Board .............................................. 6
The World of Sports MedicineFIFA to Establish Sideline Medical Support Protocol.......................................... 7
Aussies Debunk 8 Glasses a Day—Again ....... 7
Young Athletes at Risk for Lower Back Injuries ......................................................... 7
AAP Statement on Academic Time Off After Concussion .......................................... 7
News From the BoardPresidential Corner ........................................ 8
IIOR Committee Short ................................. 10
Practice & Policy Committee Short .............. 11
2013 Foundation Supporters ....................... 12
2014 Awards: Call for Nominations/
Submissions ............................................... 12
2014 Foundation Auction ............................ 13
AMSSM Foundation Leadership .................. 13
2014 Service Project in New Orleans .......... 14
Member in the SpotlightKevin Gebke, MD ......................................... 15
Odds and EndsCareer Center .............................................. 16
AMSSM Store .............................................. 16
2014 In-Training Exam (ITE) For Fellows Registration Available ............. 17
Upcoming Conferences .............................. 17
IN THIS ISSUE: Click on the link below to view article:
AMSSM NEWS
continued on page 4
CON: Two-Year Fellowship Training
PRO: Two-Year Fellowship Training By George G.A. Pujalte, MD and Nailah Coleman, MD
continued on page 5
continued on page 2
program under the guidance of Tom Howard, MD. Drew was practicing at Fort Belvoir, Virginia when he was notified that he would
be the first Army physician to be selected as an astronaut candidate. He has been described by his military
Issues in Sports Medicine: PRO & CON
AMSSM International Traveling Fellowship Program to Launch in 2014! Click Here to read more.
2 | THE SIDELINE REPORT DECEMBER 2013
AMSSM NEWS
AMSSM MEMBER SELECTED AS ASTRONAUT CANDIDATEContinued from page 1
colleagues as a “stellar emergency physician, caring soldier and family man.”
He has served as an emergency medicine physician and flight surgeon for the elite Army Special Operations community and has served in Afghanistan, Iraq and Africa. In addition to being a graduate of the Army’s very challenging Ranger school, he is also airborne qualified and has completed hundreds of parachute jumps with the Army’s parachute team, the Golden Knights. In his spare time, he participates in ultramarathons.
Drew was selected from an initial pool of more than 6,000 military and civilian astronaut applicants. The initial group was narrowed down to 120 initial interviewees who were brought to Johnson Space Center in Houston, Texas for medical testing, language aptitude testing (since the astronaut candidates will learn Russian) and interviews. Fewer than 50 of the applicants were selected to undergo additional medical and aptitude testing including the extensive “long-duration spaceflight” physical testing, plus ultrasound and MRI imaging of most organs in the body. The group was then narrowed down to the targeted eight astronaut candidates consisting of four men and four women. The 2013 astronaut candidate class will train for possible long-duration missions of at least five to six months on the International Space Station and other space exploration. They will undergo two years of candidate training before becoming full-fledged astronauts.
We could not talk to Drew personally due to media silence during his training, but we wish him the best of luck in his training and beyond. He is an excellent representative of both the military and sports medicine communities. n
continued on page 3
Dr. Connie Lebrun Serves as Chief Doctor for the Canadian Olympic Team at the Sochi 2014 Winter Games
One might say that the Olympics are a passion for Dr. Connie Lebrun, currently from Edmonton, Alberta, Canada. She will be heading off
in February for a month in Sochi, Russia, as the Chief Doctor for the Canadian Olympic Team, which will comprise approximately 600 people, including 217 athletes, and roughly 150 each Support Staff and Mission Team members. The Health and Science Team (HST) will be comprised of about 10 Core Team members, complemented by more than 50 other health care practitioners, including nutritionists, exercise physiologists and mental performance consultants. The Canadian Olympic Team will be looking to repeat or better its performance in Vancouver 2010, where athletes won a total of 26 medals, (including 14 gold), and came in third overall, behind USA (37) and Germany (30).
Dr. Lebrun is a Professor in the Department of Family Medicine, Faculty of Medicine and Dentistry, at the University of Alberta, and a consultant sport medicine physician at the Glen Sather Sports Medicine Clinic there. In addition to her involvement in the Canadian Academy of Sports and Exercise Medicine, she is a charter member of AMSSM and has attended a majority of the Annual Meetings, including the inaugural one. In 2008, she received the AMSSM Founders’ Award, which recognizes excellence in sports medicine – in both professional achievement and community service. She is also a long-time member of the American College of Sports Medicine, and is active
on several committees, including the Olympic and Paralympic sports medicine issues committee. She was a Vice-President (Medicine) from 2001-2003, and in 2010, received an ACSM Citation Award.
Her Olympic experiences date well back to the time that she was competing on the Canadian National Volleyball team – from 1973-1977, including participation in the 1975 Pan American Games, and the 1976 Montreal Olympics. Her first Olympics as a team physician was in Atlanta in 1996. Over the past 25 years, she has been part of the Canadian Medical Team for numerous international Games. These include three other Summer Olympics – Sydney 2000, Athens 2004 and Beijing 2008, where she was Assistant Chief Medical Officer (CMO). For Torino in 2006, she was assigned to cover snowboarding. Subsequently, she became part of their integrated support team (IST), as Medical Director, and went to the 2010 Vancouver Olympics as a designated National Sport Federation (NSF) practitioner with Snowboarding.
“Our model for medical care at the Olympics has changed substantially over this time,” she said. “Previously, most of the medical team was selected about a year and a half out, and then each of us was assigned to cover a number of different sports. We then made great efforts to attend training camps and/or competitions for these sports, to get to know the athletes and coaches before the actual Games. Now, however, the sports work with their same IST over the entire quadrennial, to ensure maximal sports medicine and sports science support, with “no new faces” at the Olympics.”
Dr. Lebrun adds, “We have also
DECEMBER 2013 THE SIDELINE REPORT | 3
AMSSM NEWS
continued on page 3
changed our organizational structure somewhat. The Canadian Olympic Committee (COC) has a Medical Director (Dr. Bob McCormack – an orthopedic surgeon from Vancouver, who was also CMO for 2006, 2008 and 2010). He now provides continuity between Games, and is the official spokesperson for the COC with the International Olympic Committee (IOC) and the World Anti-Doping Association (WADA). For each individual Games, a Chief Doctor and Chief Therapist are selected – to oversee all of the logistics pertaining to that specific Games.”
As do most countries, the Canadian Team will set up Medical Clinics in their own quarters in both the Coastal and Mountain Villages. “Even though naturally the Olympics is all about competition, there is usually a nice camaraderie amongst the medical teams from the different countries,” Dr. Lebrun said. “In fact, it is Canadian tradition to host a “medical mixer” at some point during the Games.” The Core Medical Team and Mission Staff have already made several trips to Sochi to see the layout of the competition sites (which are all
finished) and the Villages (which were still under construction at the time of the last visit). However, she was still able to don a hard-hat to visit the buildings that she will be housed in, including the spaces where the Medical Clinics and Administration will be located.
Although the host country always provides services through a polyclinic in each location, the aim is usually to be as self-sufficient as possible. Supplies and equipment have already been ordered, and are currently en route to Sochi by sea, while the medication order is being finalized for
shipment by air in early December. Because of uncertainty about exactly what might be available locally, especially for any unforeseen emergencies, it is necessary to think about all possibilities. “For example, we are encouraging everybody to be sure that their vaccinations (including measles) are up to date and to consider taking Dukoral – an oral vaccination to help prevent traveler’s diarrhea, as Eastern Europe is in a moderate risk zone,” Dr. Lebrun said.
For Sochi 2014, most of the Canadian practitioners will come with their NSF, and their priority will obviously be attending training and competition for their own sport. This presents a bit of a challenge for scheduling and coverage of the Canadian Medical Clinic, as it is traditionally open from 7 a.m. to 11 p.m., however, they have had several gatherings of the entire group, where it has already been discussed.
Dr. Lebrun will be primarily stationed in the Mountain Cluster, with many of her favorite snow sports, and she is eagerly looking forward to it. “It is always a tremendous learning experience – to be working together in a multi-disciplinary team, to provide optimal care to our athletes. I never get tired of it!” n
DR. CONNIE LEBRUN SERVES AS CHIEF DOCTORContinued from page 1
Dr. Lebrun stands in the ‘Mountain Cluster,’ which will be her designated station during the Games.
Dr. Lebrun stands by the Sochi count-down clock with Steve Podborski, Chef de Mission.
4 | THE SIDELINE REPORT DECEMBER 2013
AMSSM NEWS
to come. How does a sports medicine trainee make the most of these benefits?
First, sports medicine specialists are ideal care providers for athletes and other active individuals. They serve as excellent resources for individuals who simply wish to become more active or begin exercise programs. Sports medicine specialists can apply the same expertise they use with competitive athletes to injured weekend warriors or industrial athletes to return them to full function as quickly as possible. A two-year training fellowship in sports medicine provides increased exposure to these benefits compared to only one year of training.
Does it truly take only one year to gain the expertise and experience a sports medicine specialist needs? Are fellowship graduates prepared for the expectations that patients and colleagues have for them as sports medicine physicians? Primary care training prior to sports medicine training can be coordinated to accommodate residents who are interested in this specialty. However, this combined training simply cannot address the wide range of topics that specialized residents need to learn. The basic content may be covered, but advanced knowledge comes from a fellowship in sports medicine. As the
popularity of professional and leisure sports continues to increase, the demand for sports medicine expertise grows, as well. Two-year fellowships are more likely to provide adequate preparation for young professionals in the changing field of sports and exercise medicine in the future.
Hands-on exposure and repetition are critical for sports medicine specialists trained to maximize function and minimize disability and absenteeism for their patients. As such, a one-year fellowship may not allow for sufficient exposure to the wide array of diagnoses, treatments and procedures a physician may encounter in a sports medicine practice. In addition, a two-year fellowship allows trainees to attempt a greater number of procedures and receive close supervision and feedback on their performance. This advantage can help trainees improve their technical skills with old and new modalities before venturing into sports medicine practice.
Sports medicine specialists must also complete training in many procedures for which repetition is key. Repetition leads to better skill development, which is why students learn many procedural methods with checklists that ensure they have performed the required procedures a certain number of times. A two-year fellowship allows for completion of a greater number of procedures in a learning setting, which presumably
raises the trainee’s expertise.Increasing expectations in the
field also require sports medicine specialists to understand newer modalities of treatment that are often not addressed in the non-teaching settings in which they will actually work. In many sports medicine training centers, for example, trainees learn PRP injections and musculoskeletal ultrasound-guided procedures and are better prepared to find jobs in centers that use these procedures. A second year allows trainees to learn in settings where they can repeatedly perform the procedures with guidance, without having to pay the large fees that conferences and workshops often require.
Finally, research is usually a part of sports medicine training programs. A two-year program allows trainees to engage in meaningful research beyond simple questionnaire studies, case studies or addenda to their preceptors’ prior research. As an evolving field, sports medicine relies on long-term, well-run studies. Two-year fellowships, with their additional time, have the potential to generate consistent data that could provide a valuable contribution to sports medicine and advance patient care. In this way, sports medicine specialists can achieve their mission to maximize function and minimize disability in patients. n
PRO: TWO-YEAR FELLOWSHIP TRAININGContinued from page 1
DECEMBER 2013 THE SIDELINE REPORT | 5
AMSSM NEWS
CON: TWO-YEAR FELLOWSHIP TRAININGContinued from page 1
ultrasound training and fellows can be close to duty hours violations. Spreading the didactics and patient care over a second year appears to be an easy solution, but is it really necessary or simple? I feel adding another year of training results in an increased cost to the program and an increased cost to the fellow without providing benefits of an increased pass rate for the Certificate of Added Qualification (CAQ) Exam or providing experience needed to be a good sports medicine physician.
To begin, most facilities have set budgets for their education programs and adding another fellow means adding another salary. Fellowship salaries range from $40,000 to $95,000 although they are typically $50,000 to $60,0001. This means each program would need to produce an additional $60,000 each year. For programs with multiple fellows, the cost is even greater. Budgets are already tight for most facilities, and an increased cost for one area could potentially result in cuts in other aspects of training in the program.
There is also a cost to the fellow in lost revenue. An average starting salary for a sports medicine physician is $159,000, and the median salary in the United States is $200,4272. Again, when using the typical fellow salary of $60,000, a fellow will experience a $100,000 loss in pay in order to train for a second year. While some may be very altruistic in their view on improving the educational experience, most people must face realistic financial issues. To offset this cost, there must be a comesurate benefit gained in the additional year, either through increased scores on the CAQ or creation of a “better” sports medicine physician.
Regarding financial issues, while most sports medicine physicians chose their field based on passion and not upon financial reasons, there
is also consideration to the loss that a resident must face coming out of residency and choosing to be a fellow. Average family medicine physician salary is $189,0003 or approximately $10,000 less than a sports medicine physician. If the resident chooses to become a fellow, then he or she also takes a $100,000 loss in pay for that year. Essentially, it will take 10 years for the sports medicine physician to make up for that year of specialization training. If there is a second year of education added to a fellowship program, that would mean a resident must consider losing $200,000 over those two years, which would not be recouped for another 20 years if earning potential remained the same.
Occasionally, a cost to the program or to the fellow may be balanced with an overall profit. It is difficult to determine exactly what one additional year of training will do for a fellow in regards to the CAQ because that has not specifically been evaluated. One way we might extrapolate the benefits of additional experience is to look at the pass rates for intial test takers and those looking to recertify. When looking at the results of the last three years available from the American Board of Family Medicine, pass rates for initial test takers in 2009, 2010 and 2011 were 73.4%, 71.7% and 66.5%, respectively. Compare those looking to recertify, which are 79.5%, 70.8% and 90.6%. Only in 2011 is there a noticable difference between the two categories. Experience does not seem to make that much of a difference when taking the CAQ.
Although this is not the only way to measure benefits of additional
experience as one might expect from another year of fellowship training, this information regarding CAQ testing is quite informative in assessing how much additional experience will change overall knowledge. Nevertheless, there are two issues that undermine that argument. Firstly, if there are two fellows where one used to be (or four instead of two), there will be dilution of available patient encounters, less direct time with preceptors and dilution of event coverage. Didactics may be the same, however, the hands-on experience may suffer as a result of more trainees. Secondly, there is a tremendous amount of learning that occurs the first year out of a training environment. Any physician just needs to recall the jump in knowledge that happened when moving from 4th year medical student to intern, from resident to staff physician, or from fellows to attending. There is more learning gained when practicing sports medicine in an unsupervised setting compared to remaining in a training environment.
Overall I agree that sports medicine fellowship training is a difficult year and places many demands on the fellows and fellowship directors. Although there is a great deal of learning during that year, increasing the amount of training does not necessarily correlate with a great increase in knowledge and it will only exacerbate costs without providing any equal or greater benefit. Adding another year of training, in my opinion, is an inadequate solution. n
References:(1) Dorward, L. (2012). The Average Starting Salary
for a Sports Physician. Retrieved 11 03, 2013, from Chron: http://work.chron.com/average-starting-salary-sports-physician-5680.html
(2) Salary.com. (2013). Physician- Sports Medicine. Retrieved 11 03, 2013, from Salary.com: www1.salary.com/sports-medicine-physician-salary.html
(3) Smith, J. (2012, July 20). Forbes.com. Retrieved 11 03, 2013, from http://www.forbes.com/sites/jacquelynsmith/2012/07/20/the-best-and-worst-paying-jobs-for-doctors-2/
6 | THE SIDELINE REPORT DECEMBER 2013
AMSSM NEWS
For many of us (Southern California and Florida not withstanding), winter is approaching, which means that football is ending and it is time for basketball and other winter sports. We are blessed as an organization to have truly remarkable members – in this issue we will highlight some of our very talented members. Connie Lebrun, MD, will be highlighted in her role as chief doctor for the Canadian Olympic Team. It is one of the highest honors to be recognized in your nation as a provider worthy of taking care of their Olympians – and AMSSM members answered the call. We are also honored to have an astronaut among our membership – Drew Morgan, MD, an Army sports medicine physician recently selected by NASA for the most recent astronaut training class. AMSSM is truly reaching new heights!
The Sideline Report is our way of communicating with our membership about topics that are important to our members. This is YOUR newsletter – written and edited by members for members. Feel free to email [email protected] if you have ideas for topics that you think are important to AMSSM or that you would like to see in the newsletter. We take great pride in The Sideline Report and hope it meets your needs and represents AMSSM well. Thank you for reading and for all that you do.
Chad Asplund, MDEditor-in-Chief
Note from the Editor
EDITORIAL BOARDThe Sideline Report
Editor-in-ChiefChad Asplund, [email protected]
Section Editors
AMSSM NEWSKelsey Logan, MD [email protected]
Christopher Meyering, DO [email protected]
THE WORLD OF SPORTS MEDICINEThad Barkdull, [email protected]
Chris Gee, [email protected]
NEWS FROM THE BOARDChad Asplund, [email protected]
MEMBER IN THE SPOTLIGHTLauren M. Simon, MD, MPH [email protected]
ODDS AND ENDSChad Asplund, [email protected]
Production EditorJessica [email protected]
A quarterly publication published by AMSSM
Submission Dates:January 1April 1July 1October 1
Jonathan Drezner, MD, and John DiFiori, MD, present the 2013 Founders’ Award to Warren Howe, MD (center).
AMSSM/South Bend MSK Ultrasound;
Including Injections Beginning Level
Course
January 17-19, 2014Indiana University School of Medicine
South Bend, IN
Course Description:This course, jointly sponsored by the American Medical Society for Sports Medicine, Indiana University Schoolof Medicine and St. Joseph’s Regional Medical Center Sports Medicine Program, is designed for physicians who wish to acquire and/or enhance their skills in diagnostic ultrasound and ultrasound-guided injections of com-mon musculoskeletal (MSK) problems. There will be significant hands-on experience in both diagnostic scanning and injections in the (fresh) cadaver lab as well as ample opportunity for participants to ask questions and inter-act with faculty.
COURSE INFORMATIONAND ONLINE REGISTRATION
DECEMBER 2013 THE SIDELINE REPORT | 7
The World of Sports MedicineYoung Athletes at Risk for Lower Back Injuries
Lower back injuries are the third most common injuries suf-fered in athletes under age 18, according to a study presented by Loyola University Medical Center sports medicine physician and AMSSM member Neeru Jayanthi, MD.
Many injuries are severe enough to sideline young athletes for one to six months, and put them at future risk for long-term back problems. Jayanthi presented findings at the American Academy of Pediatrics National Conference and Exhibition in Orlando. The study included more than 1,200 young athletes who suffered 843 injuries. Lower back injuries accounted for 127 injuries (15.1 percent of the total). The only injuries more common were knee (31.1 percent) and ankle (16 percent). Other common injuries included head injuries and concussions (13.4 percent), shoulder (10.7 percent) and hip (6.4 percent).
Sixty-one percent of back injuries were less serious, such as injuries in the lumbar facet and sacroiliac joints; 39 percent were serious, including stress fractures and complications of stress fractures such as spondyloysis and spondylolisthesis.
The study found that young athletes with lower back injuries tended to spend more time playing sports than other kids who were injured. Those with back injuries spent an average of 12.7 hours per week playing sports, while the average for all kids who were injured was 11.3 hours per week, said study co-au-thor Lara Dugas, PhD.
More information can be found at: http://www.medicalnews-today.com/releases/268073.php
Aussies Debunk 8 Glasses a Day—AgainIn an interestingly conceived study, researchers in Western
Australia set out to find whether fluid intake, or a lack thereof, impaired athletic performance. Bradley Wall, a master’s candidate at Edith Cowan University in Western Australia, and his team of researchers took 10 volunteer cyclists and ran them through a pre-test ride and treadmill walk to induce an equivalent amount of dehydration. The athletes were then blinded to three groups: one group fully rehydrated by a hidden IV, one group hydrated to 2% hypohydration and one group to 3% hypohydration. Each participant participated in three trials, once in each category, but was blinded to which they were participating in each time. Interestingly, only 3 of the 10 correctly “guessed” which group they were in each time.
The athletes then participated in a 25 km time trial in the heat (conditions maintained at 33°C, 40% relative humidity; wind speed 32 km/hr) and were rehydrated to maintain their respec-tive hypohydrated status throughout the time trial.
Contrary to prevailing opinion and research regarding degrada-tion of athletic performance in the face of depleted hydration status, the researchers concluded that:
• When hydration status was manipulated using blinded intra-venous saline reinfusion methods, there was no difference in 25 km time-trial performance in the heat with hypohydration to −3% of body mass with ecologically valid convective cooling conditions (wind speed at 32 km/hr).
• Rectal temperature was modestly but significantly higher (0.3°C) beyond 17 km of the time trial in the −3% vs. 0% hydration conditions, but no other physiological differences between the trials were shown.
• While not a new finding, one seemingly forgotten in recent times was the body’s rapid defense of its plasma and blood vol-ume following dehydration, even when only a negligible volume of fluid was reinfused.
Their results were reported in the September issue of the British Journal of Sports Medicine.
AAP Releases Statement Regarding Academic Time Off After Concussion
A concussion should not only take a student athlete off the playing field – it may also require a break from the classroom, according to a new clinical report from the American Academy of Pediatrics (AAP).
In the clinical report, “Returning to Learning Following a Concussion,” released Sunday, October 27 at the AAP National Conference and Exhibition in Orlando, the AAP offers guidance to pediatricians caring for children and adolescents after suffering a concussion.
“Students appear physically normal after a concussion, so it may be difficult for teachers and administrators to understand the extent of the child’s injuries and recognize the potential need for academic adjustments,” said AMSSM member Mark Halstead, MD, a lead author of the clinical report. “But we know that children who’ve had a concussion may have trouble learn-ing new material and remembering what they’ve learned, and returning to academics may worsen concussion symptoms.” Click Here to read more.
By Thad Barkdull, MD, and Chris Gee, MD
FIFA Working to Establish Standardized Protocol for Sideline Medical Support
Researchers and experts from FIFAs Medical Assessment and Research Center (F-MARC) exhort that “every football pitch around the globe should adopt a universal standard of emergency medical care,” and in a recent consensus statement published in the British Journal of Sports Medicine, they outline their recommended FIFA Medical Emergency Bag (FMEB) and the justification for its implementation. Along with the bag is an educational manual, as well as an instructional video, which provide guidance regarding their “FIFA 11 Steps to Prevent SCD,” intended to focus on increasing attention to the proper prepara-tion and treatment of sudden cardiac death on the field. Medical providers will be equipped with standard gear and training to provide A-B-C care to athletes, including a portable AED.
The bag, along with the training program, is meant to endorse a “broader preventive philosophy promoting player safety and football as a health enhancing leisure activity,” stated the expert panel members. The FMEB was distributed to medical teams of all 209 member associations of FIFA in June of this year.
For more information, go to F-MARC’s web page. The article was published in BJSM’s online section in August.
8 | THE SIDELINE REPORT DECEMBER 2013
OFFICERS
John P. DiFiori, [email protected]
Christopher Madden, MDFirst [email protected]
Jon Divine, MD Second [email protected]
Jonathan A. Drezner, MDImmediate Past [email protected]
Katherine L. Dec, MDSecretary/[email protected]
BOARD OF DIRECTORS
Chad Asplund, [email protected]
David Berkoff, [email protected]
Anthony Beutler, [email protected]
Jonathan Finnoff, DO [email protected]
Matthew Gammons, [email protected]
Eugene Hong, [email protected]
Neeru Jayanthi, [email protected]
Amy P. Powell, [email protected]
Mark Stovak, [email protected]
Thomas Trojian, [email protected]
Verle Valentine, [email protected]
L. Tyler Wadsworth, [email protected]
News from the Board
continued on page 9
We are at the height of the fall season, when we sports medicine physicians are perhaps the busiest. And amidst all of the usual excitement and long hours this time of the year brings, there are many issues in our communi-ties and across the country which emphasize the role sports medicine has in the health and safety of athletes
and active individuals of all ages. From the ongoing concerns regarding sports-related concussion, to the national epidemic of childhood obesity, and the paradoxical contrast with the overcommitted competitive young athlete and their frequently overwhelmed parents, sports medicine faces great challenges and even greater opportunities.
With this in mind, our organization has been extremely active since our Annual Meeting in San Diego. I would like to share with you some high-lights from these last six months.
Practice and Policy• The Executive leadership and the Practice and Policy Committee
worked with AMSSM members in Ohio to successfully defend the state’s existing concussion legislation, which specifies that the care of the concussed athlete should be provided by those with specific training and experience in the assessment and management of concussion. This was being challenged by chiropractors in Ohio.
• Together with colleagues in the AAFP, AIUM and AAPM&R, AMSSM has been active in staying at the forefront of reimbursement issues that pertain to MSK US.
2013-14 Initiatives• Branding and Marketing Task Force: Co-Chairs are Chad Asplund, MD
and Amy Powell, MD. The overarching goal is to better define AMSSM and the role of sports medicine physicians to the public, the media and other organizations. A patient-focused website where parents, athletes and coaches would be able to find quality information about common sports medicine issues is already in the works. In addition, a patient/pub-lic survey, and a public newsletter are being developed. More to come.
• MSK US Task Force: This task force is chaired by Kim Harmon, MD. The overall goal is to develop MSK US as a core component of fellow-ship curricula, and to provide fellowship program tools for achieving this (web-based tools, didactic learning, hands-on workshops and faculty development) so that ultimately every fellow who graduates from an ACGME accredited sports medicine fellowship and passes the CAQ will be deemed competent in the use of diagnostic and interventional MSK US.
AMSSM Position Paper on Overuse Injuries and Burnout in Youth Sports• Look for this to be published in CJSM and BJSM in early 2014.
PRESIDENTIAL CORNERBy John P. DiFiori, MD
DECEMBER 2013 THE SIDELINE REPORT | 9
By John P. DiFiori, MD
PRESIDENTIAL CORNERContinued from page 9
News from the Board
• An AMSSM podcast is also being created.
AMSSM Position Paper on MSK US• Chaired by Jon Finnoff, DO, this
paper will provide a synthesis of the existing data on the accuracy and efficacy of MSK US, particularly as it pertains to procedural guidance.
BJSM Theme Issue• Co-Editors Liz Joy, MD and Kelsey
Logan, MD, are leading the develop-ment of this theme issue focusing on the female athlete. This is slated for publication in February 2014.
AMSSM Traveling Fellowship• AMSSM is pleased to announce
the establishment of a Traveling Fellowship program. In this program, AMSSM will host renowned leaders in sports medicine, and will also have distinguished AMSSM members and promising young clinicians and re-searchers travel abroad to learn from international colleagues and share their knowledge.
• Peter Brukner, OAM, MBBS, sports medicine physician and the founding partner at the Olympic Park Sports Medicine Centre in Melbourne has agreed to be the first AMSSM Traveling Fellow. Dr. Brukner is an internationally recognized sports medicine clinician and researcher. Among his many achievements, he was the Australian Team Physician for the 1996 Olympics in Atlanta and served two terms as President of the Australian College of Sports Physicians during which time he was instrumental in the establishment of a specialist-level training program in Australia for sports medicine physicians.
AAFP Liaison• AMSSM has now established a
formal relationship with the AAFP.• This recent development has al-
ready proven to be mutually beneficial, as we are working together on some of the MSK US reimbursement issues discussed above.
AAP Liaison• AMSSM has been asked by AAP to
have a representative from our Board of Directors work with the Committee on Sports Medicine and Fitness. Board member Neeru Jayanthi, MD, will serve in this role.
RRC Milestones• AMSSM has remained in contact
with the ACGME to stay abreast of the development of the forthcoming milestones in sports medicine. Mark Stovak, MD, of the Fellowship Committee, has been AMSSM’s lead as we await the establishment of the ACGME Sub-Committee that will create the milestones.
AMSSM 2014 Annual Meeting• Program Chair Steven Paul, MD
and First Vice President Chris Madden, MD, have been developing a superb program for AMSSM’s Annual Meeting in New Orleans. Among the many highlights, sessions on the performing arts, injuries in young athletes, head and spine injuries, the female athlete and quick hitters on hot topics in sports medicine will be featured. Mark your calendars for April 5th-9th in the Big Easy!
Past Presidents’ Committee• AMSSM is a relatively young orga-
nization. Many of our past presidents remain leaders in our field, and have ascended to a number of influential positions across the country. In order to maintain an ongoing relationship with our former leaders and tap into their extensive knowledge and experi-ence, the Past Presidents’ Committee has now been established.
Safety in College Football Summit• AMSSM has been invited to par-
ticipate in this important meeting scheduled for January 22, 2014, in Atlanta. Targeted topics for discussion and action are:
• Mitigating concussive and sub-concussive impacts in competition and practice.
• Independent autonomy and objective decision-making by sport medical providers.
• Template for management and return-to-play following concussion.
NATA/AMSSM Task Force on High School Athletics Health and Safety Policies
• AMSSM has been asked to join with NATA leaders in a collaborative effort to promote sound practices for this population.
This is a snapshot of part of what has taken place since April. As you can see, our organization has been busy addressing many issues, and moving forward with several initiatives and collaborative efforts.
There is much to be excited about as AMSSM continues to grow. We have a great deal to offer the sports medicine community and our pa-tients. Along with our Board of Directors, I encourage you to consider becoming involved with AMSSM. It has never been more apparent to me that the success of AMSSM depends upon the contributions of our mem-bership. Please consider offering your time to participate in one of the AMSSM committees or sub-commit-tees. It is a rewarding way to share your expertise, work with colleagues and gain leadership experience.
I look forward to continuing to serve our membership the next six months and for our Annual Meeting in New Orleans. n
10 | THE SIDELINE REPORT DECEMBER 2013
News from the Board
COMMITTEE SHORTSINTERNATIONAL/INTER- ORGANIZATIONAL RELATIONS COMMITTEE
The International/Inter-Organizational Relations (IIOR)Committee is pleased to announce the introduction of the International Traveling Fellowship Program. Sponsored by DonJoy International, this program will have Peter Brukner OAM, MBBS, FACSP (Sports Physician and Australian Cricket Team Doctor) visiting two to three locations prior to speaking at the AMSSM 23rd Annual Meeting in New Orleans, LA, scheduled April 5-9, 2014. We hope to expand this program to include future travel to Australia, Europe, the Middle East and South America by AMSSM members to teach and learn sports medicine. More details to come on how to apply for the first exchange opportunities.
Working with the Wilderness Medical Society, we are pleased to announce the development of a joint thematic issue. We have a proposed theme of Pre-Participation Evaluation & Considerations for the Wilderness Athlete and Adventurer. This new inter-organizational collaboration will provide important information to those who care for wilderness athletes and adventurers.
After the success of the humani-tarian educational trip to Haiti, the AMSSM is exploring the develop-ment of the Humanitarian Outreach Fund. This fund will help defer the cost for AMSSM members to teach and assist developing nations in sports medicine. Final funding for this program is pending the AMSSM
Foundation’s approval.A proposal by a sports medicine
fellow (members at all levels can make a difference), and meetings with AAFP has led to an invitation for AMSSM to send a liaison to the AAFP Commission on Education (COE). Some of the scope of work by the COE includes workforce, graduate education curriculum, work hours and educational awards. We will be providing guidance on musculoskeletal education in the family medicine graduate education curriculum. This helps to cement AMSSM as the leading resource in musculoskeletal education for graduate medical education. n
TAHOE CENTER FOR ORTHOPEDICS, IN PARTNERSHIP
WITH AMSSM AND AAPM&R, IS PROUD TO BRING YOU
THE THIRD ANNUAL COMPREHENSIVE SPORTS MEDICINE UPDATE
AND BOARD REVIEW
June 11-14, 2014South Lake Tahoe, California
For information, please contact Nanc Ressler at (530) 543-5767.http://sportsmed.bartonhealth.org
AMSSM International Traveling Fellowship Program to Launch in 2014!
DECEMBER 2013 THE SIDELINE REPORT | 11
PRACTICE & POLICY COMMITTEE
Make a Difference: Get Involved in the Political Process
New to the Member Area on the website is an interactive monitoring tool used to track sports medicine legislation across the U.S. To learn about sports medicine legislative bills that are ongoing in your state by using this new map tool, first login to the Members Area, then click on “Sports Medicine Legislation Monitored by AMSSM” under “Advocacy.” The map is linked to a service called LegiScan, which is a real-time legislative tracking service that monitors every bill in the 50 states and Congress. Through AMSSM’s subscription to LegiScan and the ability to filter those bills that may have some applicability to our specialty, AMSSM is able to track applicable bills by state. We urge you to forward any thoughts or concerns about specific bills and how they may affect AMSSM by emailing the Practice and Policy Committee at [email protected]. For specific legislative concerns, we may
News from the Board
be able to assist by informing other AMSSM members from your state or possibly by sending a “letter of support/opinion” from the AMSSM national office. We hope that this service will be a valuable tool to assist you with sports medicine-related advocacy issues within your area. It is our goal to inform AMSSM members so that they can be engaged in the legislative process by providing testimony or contacting their local legislators. Also, to learn more about how to get involved in the legislative process, we have a link in the Members Area of the website to a “Legislative Handbook” that was prepared by the NATA.
Members Encouraged to Submit Quality Measures Data by March 2014
AMSSM is pleased to announce that our relationship with CECity and MedConcert™ has continued. As you may remember, this program gives you an opportunity to submit PQRS measures for quality reporting. AMSSM members are encouraged to submit their 2013 PQRS measures
for quality reporting via CECity and MedConcert™ by March 2014 to avoid a 1.5% penalty for all claims submitted in 2015. The price to report is again $199, which is a $100 discount for members. As a member, you automatically receive this discount when you first log in to the Members Area of the AMSSM website and then click on this link.
PQRS measures can be reported in several ways - Individual measures via registry, Group measures via claims or registry, directly through your EHR (GE/Centricity only), or the Group Practice Reporting Option. The PQRIwizard app can be used for any of these methods and is considered a registry method for submitting your data.
To learn more about AMSSM’s efforts to improve quality measures reporting, login to the Members Area of the AMSSM website then Click Here. For questions, contact Jennifer Scott Koontz, MD, MPH, AMSSM Quality Measures Subcommittee Chair at [email protected].
National Conference of State Legislators
In August, AMSSM was represented at the National Conference of State Legislators Annual Meeting in Atlanta, advocating to state legislators on issues of importance to sports medicine physicians and patients. Drs. Chad Asplund, Chad Carlson, Ken Mautner and Brandon Mines, as well as Executive Director Jim Griffith attended on behalf of AMSSM. This three-day event was a valuable chance to develop contacts with state representatives across the U.S. The 2014 NCSL meeting will be in Minneapolis, Minnesota. n
12 | THE SIDELINE REPORT DECEMBER 2013
AMSSM FOUNDATIONThe AMSSM Foundation is dedicated to the support and recognition of excellence in sports medicine education,
research and scientific activities, while promoting opportunities for humanitarian outreach.
GOLD LEVEL $50,000 - $99,999
2013 FOUNDATION SUPPORTERS
SILVER LEVEL $25,000 - $49,999
BRONZE LEVEL$10,000 – $24,999
Member Donation Increases Resident Scholarship Awards from 4 to 6Deadline: January 6, 2014 Two additional residents will have the opportunity to attend AMSSM’s 2014 Annual Meeting, thanks to a donation from AMSSM member Jessica Ellis, MD. Due to her generosity, the AMSSM Foundation approved an increase in funding from four to six Resident Scholarship Awards for 2014.
Dr. Ellis, a primary care sports medicine physician, said she will be forever grateful for the experience she gained during residency as a recipient of a Resident Scholarship Award. “I know my donation will help talented residents interested in our field get involved in AMSSM early in their careers.”
These awards are given annually to residents who best demonstrate a commitment to a career in sports medicine. Scholarship recipients selected by the Membership Committee receive complimentary registration for the 2014 AMSSM Annual Meeting, a plaque and a $500 cash award that can be used for travel.
To apply, log in through the Members Area and select Resident Scholarship
Award Application in the calendar section of the AMSSM website.
$20,000 AMSSM-ACSM Clinical Research Grant Available Deadline: February 14, 2014
The purpose of the AMSSM-ACSM Clinical Research Grant Award is to foster original scientific investigations with a strong clinical focus among physician members of AMSSM and the ACSM. The primary investigator must be a physician and a member of AMSSM and ACSM. The maximum grant is $20,000 ($10,000 from AMSSM, $10,000 from ACSM), which will be awarded to a single research proposal for the initial maximum time period of a two-year grant cycle. Completed grant applications must be submitted by the second Friday of February (Feb. 14, 2014). More information to follow.
Call for Nominations: AMSSM Founders’ AwardDeadline: January 6, 2014
Do you know an individual, group or organization that exemplifies the best we can be or do in sports medicine? Nominate them for the 2014 Founders’ Award here. If chosen, they will receive a $500 cash award and plaque during the State of the Union for AMSSM session at the 2014 Annual Meeting in New Orleans.
Past Founders’ Award Recipients:
2013 Warren Howe, MD2012 Craig Young, MD2011 Chris Madden, MD2010 Stephen Paul, MD2008 Connie Lebrun, MD2007 Jim Moriarity, MD2006 Randall Dick; Vito Periello Jr., MD
2005 Elizabeth Arendt, MD2004 John A. Bergfeld, MD2003 Cindy Chang, MD2002 James Whiteside, MD2001 Karl B. Fields, MD2000 David Hough, MD
AMSSM Founders Award Nomination Submission Form
DECEMBER 2013 THE SIDELINE REPORT | 13
AMSSM FOUNDATION
Make Your 2013-14 Gift Today!Thanks to the generosity of AMSSM members and supporters, in 2012-13, the Foundation was able to provide:
• $95,000 in AMSSM education initiatives; • $75,000 in AMSSM research initiatives, including the first AMSSM-ACSM $20,000 Clinical Research Grant; and• A teach-the-teacher sports medicine course in Haiti for more than 300 clinicians, coaches and medical students.
For more about the Foundation’s impact, read the 2012-2013 Annual Report.
Consider making your 2013-14 tax-deductible gift today! Your gift—regardless of size —allows the Foundation to continue advancing the field of sports medicine through education, research and humanitarian efforts.
Donors who make gifts of $25 or more since the 2013 Annual Meeting, will be invited to attend a Foundation dinner/watch party at the #1 sports bar in the country (according to ESPN) during the 2014 Annual Meeting in New Orleans, LA.
Click Here to give securely online.
Collectively raising more than $90,000 in three years ($30,000 in 2013 alone), the AMSSM Foundation Auction continues to provide a substantial source of funding for AMSSM’s sports medicine education, research and humanitarian efforts. There were more than 130 items in last year’s auction, including sports memorabilia and tickets, vacation stays and course registrations. Other popular items included wine, art and gift certificates.
It’s that time of year again when we ask members to consider what item or package you, your team, university and/or company might donate for the 2014 Auction in New Orleans. See the 2014 Annual Meeting web page for a copy of the Prospective Donor letter that you can pass on to your employer, team, league, etc., and an Auction Donation Form. You can also submit your form online.
Donors will receive letters acknowledging the gift for tax purposes. Winning bidders may claim a tax deduction for anything paid above fair market value.
OFFICERSMargot Putukian, MDPresident
Jeffrey Tanji, MDVice President
Rob Johnson, MDSecretary/Treasurer
BOARD OF DIRECTORSBob Dimeff, MD Kim Fagan, MDKarl Fields, MDKim Harmon, MDDavid Webner, MDCraig Young, MDMarje Albohm, MS, ATC (Corporate)Mike McHugh (Corporate)
AMSSM Foundation Leadership
2014 Foundation Auction: Call for Items
Attendees at the 2013 AMSSM Foundation Auction bid on more than 130 items to raise $30,000+ for AMSSM sports medicine education, research and humanitarian efforts.
14 | THE SIDELINE REPORT DECEMBER 2013
AMSSM FOUNDATION
The AMSSM Foundation invites all AMSSM members to arrive in New Orleans a day earlier (Friday, April 4, 2014) than the 2014 AMSSM Annual Meeting to participate in the first AMSSM An-nual Meeting Humanitarian Service Project. This project is part of the Foundation’s Impacting Lives: Why We Give Back initiative.
Playground/Park Beautification at ARISE Academy & Kenilworth Park
New Orleans, LA10 a.m. - 6 p.m. on Friday, April 4, 2014
AMSSM has chosen the site of Kenilworth Park, a high-need play space adjacent to ARISE Academy charter school located in the New Orleans East neighborhood. The school educates underserved children of New Orleans with 100% of the students receiving free lunch. Possible scope of work for the project includes:• Basketball court repair• Installation of basketball backboards / hoops / nets • Repainting / repair of playgrounds • Indoor painting of school building • Repair / Removal of overgrowth in batting cages• Repair of chain link fences• Trimming trees / removal of limbs and litter• Landscaping / mulch placement• Possible beautification of baseball diamonds• Building picnic tables Two Ways to Participate:1. Volunteer: Click here to volunteer. While the service project runs all day Friday, volunteers have four shift options to choose from. You will designate this on your volunteer registration form.2. Make a gift to support the project: (This project will cost $10-12,000.) - Indicate Humanitarian for gift designation option. Click here to donate
If interested in volunteering, AMSSM requests your commit-ment by January 31, 2014.
Family and friends of AMSSM members are also welcome to volunteer; they will just need to register separately.
Transportation, lunch and a commemorative t-shirt will be pro-vided.
Hotel: Since the hotel block at the Hyatt Regency New Orleans is not available until Friday night, AMSSM has negotiated a special rate of $159.00 for April 3, 2014 - THURSDAY NIGHT ONLY at the Holiday Inn Downtown-Superdome for those who are participat-ing in the 2014 AMSSM Service Project (2 blocks from the Hyatt). This does not include applicable state and local taxes. (Currently 13% + $1 occupancy tax per room and are subject to change.) Reservations must be guaranteed by a credit card. Reservations will automatically be billed for one night room and tax unless can-celled 3 days prior to arrival. Reservations can be made by calling 1-800-Holiday. Please refer to the group code AMS. Room/rate availability can only be guaranteed until February 2, 2014. Holiday Inn Downtown Superdome does not guarantee specific room type availability. Requests will be accommodated to the best of the hotel’s ability. Hotel check-in time is after 4:00 p.m. on the day of arrival. Check-out time is 12:00 p.m. on the day of departure. Holiday Inn Downtown-Superdome 330 Loyola Avenue New Orleans, LA 70112 504-581-1600
Impact Lives by Giving Back: Volunteer for AMSSM’s 2014 Service Project
What is the Impacting Lives initiative? It is an AMSSM Foundation initiative designed to share the many ways AMSSM has enhanced members’ lives, both professionally and personally. Through that impact, we hope to inspire you to con-sider giving back to the organization that strives to be your go-to resource for up-and-coming sports medicine research, education and programming. How has AMSSM impacted your life? Share your story! Email your story (quote) and a corresponding photo to Jessica Torres-Sosa, Communications Manager.
DECEMBER 2013 THE SIDELINE REPORT | 15
icine career has been the relationships he has established in the community through his sports medicine activities, particularly at Speedway High School.
In addition to his multiple contributions in sports medi-cine, Kevin was named interim chair of the department of family medicine at Indiana University in 2009. As chair, he reorganized the family medicine department and helped prepare it for the changing healthcare landscape. After a nationwide search, it was Dr. Gebke who was chosen as the permanent endowed chair of the department as well as service line leader for primary care for IU Health. Kevin strongly believes that family practitioners are the best-positioned specialty to lead the nation’s transition to the patient-centered medical home model. IU Health’s sports medicine structure, where primary care sports medicine is imbedded within the patient-centered medical home, has been visited by other institutions across the country as a model practice.
In his free time, Kevin enjoys being active outdoors with yard work, running and rehabilitating old homes in the Fall Creek neighborhood in Indianapolis. He also enjoys spending time with his wife and four children, with whom he recently traveled to Washington, D.C., where they were able to spend a few minutes with President Obama in the Oval Office. n
Dr. Kevin Gebke is currently the OneAmerica Professor of Preventive Health Medicine and chair of the Indiana University Department of Family Medicine. In addition, he has been the director for the Indiana University Primary Care Sports Medicine Fellowship since 2001.
Kevin was born in rural Southern Illinois with a love for the St. Louis Cardinals that he states began at conception. He has always enjoyed sports and played football through-out high school. He attended Southern Illinois University where he majored in biology and chemistry and then at-tended medical school at the University of Illinois. He met his wife, Amy LaHood, at MacNeal Hospital’s family medi-cine residency in the Chicago suburb of Berwyn. Together, they moved to Indianapolis where Kevin completed his sports medicine fellowship at Indiana University. Soon after, Kevin was asked to stay on as director for the fellow-ship program he had just completed.
Kevin has since trained a number of successful primary care sports medicine fellows and established a primary care sports medicine clinic at Wishard Hospital, providing sports medicine services for the uninsured in the greater Indianapolis area. Kevin has served as head team physi-cian for IUPUI and Speedway High School since 2006 and has also been ringside physician for numerous boxing and MMA events. As an avid runner and marathoner, Kevin has been able to connect with his patients who do the same and built a busy sports medicine practice in downtown Indianapolis. He states that the highlight of his sports med-
Member in the SpotlightKevin Gebke, MDBy Vijay Jotwani, MD
Member in the Spotlight FavoritesFavorite color Cardinal Red
Favorite number 11
Food Crab
Drink Thai Iced Tea
Vacation spot Any Mountain I Can Ski On
Sports team St. Louis Cardinals
Sport to watch Football
Sport to play Running
Car Maserati
Music Alternative Rock
TV show Big Bang Theory
Movie Tombstone
Book Where the Red Fern Grows
Magazine AAFP Journal
Gebke and his son enjoying a Cardinals Game.
Gebke recently traveled to Washington, D.C with his wife and four children, where they were able to spend a few minutes with President Obama in the Oval Office.
16 | THE SIDELINE REPORT DECEMBER 2013
ODDS AND ENDS
Browse jobs according to your search criteria.
Apply to available jobs.
Employers can post jobs online, search for qualified candidates based on specific job criteria and create an online resume agent to email qualified
candidates daily. Online reporting is also available.
AMSSM members receive a 50% discount for job postings.
DECEMBER 2013 THE SIDELINE REPORT | 17
ODDS AND ENDS
Meet Kathi MichaelsAMSSM is pleased to introduce Kathi Michaels, Staff Assistant. In this newly cre-ated role, Kathi will handle bookkeeping and provide general office support for staff projects.PRIOR JOB: Executive assistant with a medical education com-pany in Colorado, the San Francisco Symphony, the California Credit Union League and as an activities director with an as-sisted living facility.HOMETOWN: Oklahoma City, OKINTERESTING FACT: I love to travel and have been to Mexico, France, Italy, Israel, Turkey, Egypt and Greece.FAVORITE SPORTS TEAM: OU! Boomer Sooner!PASSIONS: Singing, dancing, theater, organizing, my kids (twins)WHY AMSSM: It was the right fit from the beginning. My inter-view was so warm and inviting that I just knew I wanted to be a part of this wonderful team.
DECEMBER 5-8, 20132013 ADVANCED TEAM PHYSICIAN COURSEThe Cosmopolitan of Las VegasLas Vegas, NevadaConference Details
JANUARY 17-19, 20142014 AMSSM/SOUTH BEND MSK US; INCLUDING INJECTIONS BEGINNING LEVEL COURSESouth Bend, IndianaConference Details
APRIL 5-9, 2014AMSSM 23RD ANNUAL MEETINGHyatt Regency New OrleansNew Orleans, LouisianaConference Details
Volunteer for the 2014 Service Project in New Orleans! Service Project Details
JUNE 11-14, 2014TAHOE CENTER FOR ORTHOPEDICS/AMSSM/AAPM&R 2014 COMPREHENSIVE SPORTS MEDICINE UPDATE AND BOARD REVIEW COURSESouth Lake Tahoe, CaliforniaConference Details
APRIL 15-19, 2015AMSSM 24TH ANNUAL MEETINGWestin Diplomat Resort and SpaHollywood, Florida
APRIL 16-20, 2016AMSSM 25TH ANNUAL MEETINGSheraton DallasDallas, Texas
MAY 9-13, 2017AMSSM 26th ANNUAL MEETINGManchester Grand Hyatt San Diego, California
APRIL 25-29, 2018AMSSM 27TH ANNUAL MEETINGWalt Disney World Swan and Dolphin ResortOrlando, Florida
Upcoming Conferences
Online registration is now available for the ITE for Fellows. This test, created by the AMSSM Fellowship Committee, is based on the test outline as published by the American Board of Family Medicine. The test contains 200 multiple choice questions with one best answer. The test will open at 10:00 a.m. CST on February 3, 2014. Once you begin this test, you must complete the test. You will be allowed up to four hours to complete the exam. You will not be able to stop and start the test. If you are taking the test on the final day (February 17, 2014) you must begin no later than 6:00 a.m. CST in order to have the full four hours to complete.
ITE REGISTRATION INSTRUCTIONS:• Registration for the In-Training Exam (ITE) is only available online. No faxed or emailed registrations will be accepted.• When registering online, you can pay by credit card or check.• Check payments will be accepted until January 21, 2014.• Registrations submitted after January 21, 2014, must be paid by credit card.• Registration by credit card is available through February 15, 2014.
TO REGISTER: If you are a member, log in through the Member Area first. Under the blue tab “Education”, click on “Fellowships” then scroll down to “In-Service Training Exam for Fellows” to “register’.
Registration Available for 2014 In-Training Exam (ITE) for Fellows
