Sports Physician
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There are two types of sports medicine practitioners
in Australia; sports physicians and sports doctors. They both require
different qualifications to practice.
The term ‘sports medicine
practitioner‘ (or ‘sports doctor’) is used for all doctors with a
qualification in sports, such as Master of Sports Medicine, Diploma of
Sports Medicine, and/or interest in sports medicine.
They are not Fellows of the Australasian College of
Sports Physicians.
A ‘sports doctor’ is a medical
practitioner with recognised medical qualification and a commitment to
sports medicine. Sports doctors are usually a
member of Sports Medicine Australia and a member of the Sports Doctors
Association.
Specialisations:
Raceday Doctor/ Racecourse Medical Officer
Knowledge, skills and attributes
-
an interest in the well-being of others
-
good communication and people skills
-
compassionate towards others
-
self-confidence
-
to work well under pressure, and in emergency
situations
-
to be reliable and responsible
-
stamina to work long hours
-
a high degree of motivation
and self-discipline
(Source:
Sports Medicine Brisbane)
Duties and Tasks
- Diagnose or treat disorders
of the musculoskeletal system
- Diagnose medical conditions.
- Treat chronic diseases or disorders
- evaluate and manage chronic
pain conditions.
- Order and interpret the
results of laboratory tests and diagnostic imaging procedures.
- Analyze
test data or images to inform diagnosis or treatment.
- Order medical
diagnostic or clinical tests.
- Advise against injured
athletes returning to games or competition if resuming activity could
lead to further injury.
- Record athletes' medical
care information and maintain medical records.
- Record patient medical
histories.
- Record athletes' medical
histories and perform physical examinations.
- Examine patients to assess
general physical condition.
- Examine and evaluate
athletes prior to participation in sports activities to determine level
of physical fitness or predisposition to injuries.
- Examine patients to
assess general physical condition.
- Evaluate patient functioning,
capabilities, or health.
- Coordinate sports care
activities with other experts including specialty physicians and
surgeons, athletic trainers, physical therapists, or coaches.
- Collaborate with healthcare professionals to plan or provide treatment.
- Provide education and
counseling on illness and injury prevention.
- Provide health and wellness
advice to patients, program participants, or caregivers.
- Participate in continuing
education activities to improve and maintain knowledge and skills.
- Maintain medical or professional knowledge.
- Advise athletes, trainers,
or coaches to alter or cease sports practices that are potentially
harmful.
- Advise athletes, coaches, or trainers on exercise regimens,
nutrition, or equipment use.
- Inform coaches, trainers, or
other interested parties regarding the medical conditions of athletes.
Explain medical procedures or test results to patients or family
members.
- Examine, evaluate and treat
athletes who have been injured or who have medical problems such as
exercise-induced asthma.
- Examine patients to assess general physical
condition.
- Treat acute illnesses, infections, or injuries.
- Treat chronic
diseases or disorders.
- Supervise the rehabilitation
of injured athletes.
- Refer athletes for
specialized consultation, physical therapy, or diagnostic testing.
- Refer
patients to other healthcare practitioners or health resources.
- Prescribe medications for
the treatment of athletic-related injuries.
- Inform athletes about
nutrition, hydration, dietary supplements, or uses and possible
consequences of medication.
- Attend games and
competitions to provide evaluation and treatment of activity-related
injuries or medical conditions.
- Develop and test procedures
for dealing with emergencies during practices or competitions.
- Develop emergency procedures.
- Advise coaches, trainers, or
physical therapists on the proper use of exercises and other therapeutic
techniques and alert them to potentially dangerous practices.
- Advise
athletes, coaches, or trainers on exercise regimens, nutrition, or
equipment use.
- Observe and evaluate
athletes' mental well-being.
- Evaluate patient functioning, capabilities,
or health.
- Select and prepare medical
equipment or medications to be taken to athletic competition sites.
- Select medical equipment for addressing patient needs.
- Prepare
medications or medical solutions.
- Prepare medical supplies or equipment
for use.
- Conduct research in the
prevention or treatment of injuries or medical conditions related to
sports and exercise.
- Conduct research to increase knowledge about
medical issues.
- Prescribe orthotics,
prosthetics, and adaptive equipment.
- Prescribe assistive medical devices
or related treatments.
- Analyze patient data to determine patient needs or
treatment goals.
- Develop and prescribe
exercise programs such as off-season conditioning regimens. Develop
exercise or conditioning programs. Prescribe treatments or therapies.
- Provide coaches and
therapists with assistance in selecting and fitting protective
equipment.
- Advise athletes on how
substances, such as herbal remedies, could affect drug testing results.
- Advise patients on effects of health conditions or treatments.
- Advising whether injured
athletes should return to games or competitions if returning could lead
to greater injury.
- Consulting with athletes,
trainers, or coaches regarding changing or ceasing practices that are
potentially harmful
Working conditions
Sports Doctors are expected to be at training
sessions and at the game.
Although some sports doctors work in private practice, most work as
employees. This means that they typically report to a department head,
service chief, or similar mid-level administrator. Those employed by school
or professional sports teams may report to an assistant coach or head coach.
Tools and technologies
Sports
Doctors use instruments such as stethoscopes, thermometers,
sphygmomanometers (blood pressure monitors) and reflex hammer. They also
administer medicines, such as vaccinations. They regularly use computers to
maintain client records and consult pharmaceutical manuals.
Education and training/entrance requirements
You must earn an undergraduate degree and complete medical school to become
a doctor.
Did You Know?
Dr Lisa Elkington - Rowing Australia
CAMEO
Dr Lisa Elkington graduated from the University of Newcastle Medical
School and spent 6 years working mainly in general medicine and
emergency medicine before moving into full time sports medicine.
Lisa worked with a variety of sports in the Department of Sports
Medicine at the Australian Institute of Sport [AIS] for four years
and began working with the Australian Rowing Team during this time.
In 2017 Lisa was the medical service provider at the Hancock
Prospecting Women’s National Training Centre in Penrith and started
as Rowing Australia’s PMO in January 2018.
Prior to taking on this role, Lisa has been working for Athletics
Australia and was the Medical Lead for the Australian Athletics Team
for the Rio Paralympics.
Lisa is dedicated to provision of best practice medicine in high
performance sport, including injury rehabilitation and management,
and illness prevention.
Dr Elkington’s role sees her develop and revise protocols for the
best practice management of common rowing related injuries and
illnesses, provide ongoing rowing specific ‘world’s best’ education
to the RA preferred provider network and act as an advisor to the
Board of Rowing Australia on all medical and anti-doping matters.
She is also responsible for the oversight of the medical services to
the two National Training Centres, and as the Team Doctor for major
tours and competitions.
Dr Elkington ensures the compliance of RA with the AIS Sports
Medicine Best Practice Principles and advises the RA High
Performance Unit on the selection and appointment of appropriate
clinicians for all Australian Rowing Teams (U19, U21, U23 and Senior
A).
The primary roles of the RA Principal Medical Officer are to:
1. Coordinate the medical care of priority Australian Rowing Team
(ARTeam) athletes through the daily training and team environments
2. Monitor the progress of any injury or illness in a priority
ARTeam athlete and provide expert advice to athlete, coach and
managing medical practitioner as required
3. Provide ongoing rowing specific “world’s best” education to the
RA preferred provider network
4. Develop and revise protocols for the best practice management of
common rowing related injuries and illnesses
5. Act as an advisor to the Board of Rowing Australia on all medical
and anti-doping matters
6. Advise the RA High Performance Team on the selection and
appointment of appropriate clinicians for all ARTeams
7. Ensure compliance of RA with the AIS Sports Medicine Best
Practice Principles
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The title ‘sports physician’ is
reserved for Fellows of the Australasian College of Sports Physicians
(ACSEP). A sports physician is a medical
practitioner who has gained specialist standard qualifications in sport and
exercise medicine (SEM). They hold the
qualification of ACSEP - the post-nominal that
identifies this qualification is FACSP.
Sports physicians provide medical
attention to athletes, either offering medical treatment or counseling. They
need a Doctor of Medicine degree and must pass all licensing and
certification requirements for the area in which they want to work.
Sports physicians can be either primary care doctors or orthopedic surgeons.
Their patients are predominantly professional and amateur
athletes, and their focus is on promoting
fitness and wellness. Completion of a medical degree and residency program
are required to work in the field.
Sports physicians treat
musculoskeletal injuries that occur as a result of participation in sports,
such as knee and shoulder injuries, ankle sprains, head injuries, tendonitis
and fractures. Additionally, primary care sports physicians may treat
chronic health conditions that can affect athletic performance, such as
asthma and diabetes.
These specialists are trained in
nutrition, sports psychology and substance abuse, and providing advice to
athletes on injury prevention is a big part of their job.
Sports physicians counsel athletes, helping them maximize performance,
prevent injuries and lead a healthy lifestyle. They may suggest supplements,
diet plans or exercise regimens to address performance issues. They may also
help athletes with psychological or substance abuse issues related to
sports. Sports physicians collaborate with physical therapists, athletic
trainers and other healthcare professionals to plan courses of treatment and
rehabilitation plans for their patients.
They also work with athletic trainers to develop exercise regimens and
training plans.
Sports medicine orthopedic
surgeons perform specialized surgeries, while primary care sports medicine
specialists consult, advise and refer to a surgeon as necessary.
(Source:
CASEM)
Alternative names: Sports Medicine Physician,
Sport and Exercise Medicine Physician,
Knowledge, skills and attributes
- Degree in Medicine
- 3 years of residency in sports medicine. (essential)
- 2 years of specialty training in an accredited sports medicine
fellowship program (essential).
- Two years of experience as a Sports Medicine Physician.
- Thorough understanding of sports culture and the ability to display
sound judgment.
- Ability to communicate and interact closely with all patients.
- Tailor strategies that assist athletes in overcoming difficulties,
improving performance and preparing for competition.
- Work with a multidisciplinary team including other psychologists,
nutritionists, GPs, coaches and physiologists.
- Deliver counseling that focus on goal setting, visualization and
relaxation.
- Equip athletes with mental strategies to cope with and overcome
setbacks or injuries.
- Innovative thinker with strong conceptual and problem-solving
skills.
- Superb research and counseling skills.
- Profound listening and planning skills.
- Passionate about enhancing the self-efficacy of athletes.
(Source:
Better Team)
Duties and Tasks
Sports
Medicine Physicians diagnose, treat, and help prevent injuries that
occur during sporting events, athletic training, and physical
activities. They also diagnose or treat disorders of the
musculoskeletal system. ACSEP fellows specialize in the non-operative
treatment of musculoskeletal conditions. Approximately 90% of
musculoskeletal injuries are non-surgical, and the ACSEP fellow can
help maximize and tailor non-operative treatment, guide appropriate
rehab programs and therapies, and when necessary expedite referral
to our surgical colleagues. In addition, extensive training is also
undertaken in broader disciplines such as:
- Concussion and other head injuries
- Diagnostic and interventional use of ultrasound to guide treatment
- Athletes with acute or chronic illness (including diabetes, asthma)
- Nutrition, supplements, and performance optimization
- Exercise prescription for those wanting to increase their fitness
and focus on preventative health
- Injury prevention
- “Return to play” decisions
- Healthy lifestyle promotion
- Record athletes’ medical care information and maintain medical
records.
- Prescribe medications for the treatment of athletic-related
injuries.
- Refer athletes for specialized consultation, physical therapy, or
diagnostic testing.
- Inform coaches, trainers, or other interested parties regarding the
medical conditions of athletes.
- Provide education and counseling on illness and injury prevention.
ACSEP fellows often act as the primary contact for elite sports teams and
athletes
-
Assessing and diagnosing injuries or illness
-
Close integration with the team and
understanding demands of training and the game
-
Devising and coordinating a comprehensive
management program
-
Understanding the intricacies of drug testing in
elite settings, and the unique physiological demands on high demand
athletes
-
Ensuring the injury is corrected, but also to
help ensure once the athlete returns to their sport they stay playing
their sport – prevention programs are integral
ACSEP fellows also have extensive competency in "exercise is medicine"
-
Management of the ‘lifestyle’ diseases in the
community, such as diabetes, osteoarthritis, and heart disease and
integration of “exercise is medicine” approach
-
Non-surgical management of musculoskeletal
injuries such as Achilles tendonopathy, plantar fasciitis, tennis elbow,
and osteoarthritis
-
Dive and altitude medicine
-
Medical screenings and health assessments,
including on-site ECG’s and spirometry
-
Travel medicine and vaccinations
Besides their typical day, Sports Medicine Physicians also develop and
prescribe exercise programs such as off-season conditioning regimens. They
may also attend games and competitions to provide evaluation and treatment
of activity-related injuries or medical conditions.
On a weekly to monthly basis, Sports Medicine Physicians advise coaches,
trainers, or physical therapists on the proper use of exercises and other
therapeutic techniques and alert them to potentially dangerous practices.
They might also participate in continuing education activities to improve
and maintain knowledge and skills.
In addition, they prescribe orthotics, prosthetics, and adaptive equipment.
Although specific duties may vary, many of them provide coaches and
therapists with assistance in selecting and fitting protective equipment.
Working conditions
Sports Medicine Physicians are expected to be at training
sessions and at the game.
Although some sports medicine doctors work in private practice, most work as
employees. This means that they typically report to a department head,
service chief, or similar mid-level administrator. Those employed by school
or professional sports teams may report to an assistant coach or head coach.
Sports medicine physicians may have significant
supervisory responsibilities. They may be expected to oversee and/or
evaluate trainers and other sports medicine staff, and are typically
responsible for supervising residents or less-experienced colleagues.
Tools and technologies
Sports Medicine Physicians use instruments such as stethoscopes, thermometers,
sphygmomanometers (blood pressure monitors) and reflex hammer. They also
administer medicines, such as vaccinations. They regularly use computers to
maintain client records and consult pharmaceutical manuals.
Education and training/entrance requirements
You must earn an undergraduate degree and complete medical school to become
a doctor. After medical school, new physicians have to undertake a three to
five year clinical residency program working closely with experienced
colleagues in their specialty area.
You must apply to the Royal Australasian College of Physicians if you want
to earn a fellowship in sports medicine. An RACP fellowship in sports
medicine requires completing a typically four-year general practice or
orthopaedics residency, followed by at least two years of additional
training in sports medicine.
Did You Know?
Sports medicine qualifications in Australia
ACSEP
Fellow of the Australasian College of Sports Physicians
ASMF
Fellow of the Australian Sports Medicine Federation
Health Professionals with a minimum of 7 years full membership of
the Sports Medicine Association (SMA) with higher tertiary
qualifications, attended Australian and international conferences
and with research published in national or international journals.
SDrA
Fellow of Sports Doctors Australia
Medical Practitioners who hold a postgraduate qualification in
Sports Medicine and are members of Sports Doctors Australia
Sports medicine post-graduate qualifications in Australia
M Sp Med – Masters in Sports Medicine
Dip SEM – Diploma in Sports and Exercise Medicine
GradDip SEM -Postgraduate Diploma in Sports and Exercise Medicine
GradCert SEM -Graduate Certificate in Sports and Exercise Medicine
(Source:
Health Engine)
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