Career in SEM

Question 1

Sport Medicine Definition

Answer 1

A branch of medicine concerned with the science of athletic nutrition and conditioning, preventing and diagnosing athletic injuries and increasing performance

Question 2

Pathways

Answer 2

1. Elite SM
2. Exercise medicine
3. MSK medicine

Question 3

Disciplines of management

Answer 3

disease and injury prevention
management of medical problems of exercising individuals
management of soft tissue injuries due to exercise
prescription of exercise

Question 4

Specialty

Answer 4

Created in 2006 connected to the bid for 2012 Olympics
need to complte CMT or GP training
4yrs of ST

Question 5

Jobs

Answer 5

very few consultant posts in NHS
sometimes treated as minor specialty
MSK medicine controlled by orthopaedics

Question 6

Management sequence

Answer 6

assess DDx
imaging
diagnosis
pain relief
functional improvement e.g. PT
surgery

Question 7

Imaging for knee and back pain

Answer 7

MRI

back pain - 56% false positive

Question 8

Alternatives to surgery

Answer 8

PT, accurate diagnosis, planned treatment, pain relief, full functional rehabilitation, steroids

Knee pain - 55% surgery after ortho consultation, 15% after MSK specialist physician

Question 9

Barrier to divert from surgery

Answer 9

GP Referral ; allow for telephone triage

Question 10

Extended Scope Physiotherapist

Answer 10

Used widely in NHS
Triage service
some use USS and some inject
efficiency lacking 
support patient's choice

Question 11

Prolotherapy

Answer 11

Hypertonic dextrose

3-5 injections for improvement

Question 12

MSK physician

Answer 12

offers patient’s choice
reduces surgery
reduces cost
increases satisfaction
early indications suggest PROMs at leas as good
doubles as triage measure
enables surgeons to do what they are good at

Question 13

Skills required in SEM

Answer 13

MSK diagnostic skills - OA Knee and LBP
Interventional skills - epidural injection for PID, facet joint injections, steroid and hyaluronans for OA
MDT Approach