1. Primary Care Sports Medicine UI Sports Medicine Rounds August 23, 2007 Paul W. Baumert, Jr. M.D., FAAFP

2. Primary Care Sports Medicine Sports medicine recognized as a subspecialty of primary care medicine by American Board of Medical Specialists since 1989 Sports medicine recognized as a subspecialty of primary care medicine by American Board of Medical Specialists since 1989 Over 70 primary care sports medicine fellowships in US Over 70 primary care sports medicine fellowships in US Over 1000 board-certified primary care sports medicine physicians in US Over 1000 board-certified primary care sports medicine physicians in US

3. AMSSM Founded in 1991 by a group of primary care physicians who recognized: Founded in 1991 by a group of primary care physicians who recognized: Need for an organization within field of sports medicine that approached athletes, exercising individuals, and teams comprehensively Need for an organization within field of sports medicine that approached athletes, exercising individuals, and teams comprehensively Orthopedic Orthopedic Medical Medical Nutritional Nutritional Psychosocial Psychosocial Brother/sister organization to AOSSM Brother/sister organization to AOSSM

4. Primary Care Sports Medicine Physician Experienced sports medicine physicians with primary specialty in: Experienced sports medicine physicians with primary specialty in: Family practice, internal medicine, emergency medicine, pediatrics, physical medicine and rehabilitation Family practice, internal medicine, emergency medicine, pediatrics, physical medicine and rehabilitation Are board certified in primary specialty Are board certified in primary specialty Additional subspecialty qualification for family practice, internal medicine, emergency medicine, and pediatrics available after passing a qualification examination (first available in 1993) Additional subspecialty qualification for family practice, internal medicine, emergency medicine, and pediatrics available after passing a qualification examination (first available in 1993)

5. Primary Care Sports Medicine Physician Since 1998, board certification requires an additional 1-2 years of sports medicine training through accredited primary care sports medicine fellowship Since 1998, board certification requires an additional 1-2 years of sports medicine training through accredited primary care sports medicine fellowship Many PCSM physicians work in academic settings and continue to actively participate in sports medicine societies and continuing education programs Many PCSM physicians work in academic settings and continue to actively participate in sports medicine societies and continuing education programs

6. Primary Care Sports Medicine Physician PCSM physicians have received extensive training in the musculoskeletal aspects of sports medicine PCSM physicians have received extensive training in the musculoskeletal aspects of sports medicine Frequently works together with orthopedic surgeon to care for athletes and teams Frequently works together with orthopedic surgeon to care for athletes and teams PCSM physicians: PCSM physicians: Expedite referrals to orthopedic/sports surgeon appropriately when indicated Expedite referrals to orthopedic/sports surgeon appropriately when indicated Guide referrals to appropriate rehabilitative care and ancillary services Guide referrals to appropriate rehabilitative care and ancillary services Better equipped than primary care counterparts to take care of a musculoskeletal problem Better equipped than primary care counterparts to take care of a musculoskeletal problem

7. Primary Care Sports Medicine Physician PCSM physicians have received additional training in non-musculoskeletal aspects of sports medicine: PCSM physicians have received additional training in non-musculoskeletal aspects of sports medicine: Mild traumatic brain injury (concussion) and other head injuries Mild traumatic brain injury (concussion) and other head injuries Athletes with acute and chronic illnesses (such as infections, diabetes, etc.) Athletes with acute and chronic illnesses (such as infections, diabetes, etc.) Nutrition, supplements, ergogenic aids and performance issues Nutrition, supplements, ergogenic aids and performance issues

8. Primary Care Sports Medicine Physician Additional training: Additional training: “Return to play” decisions in sick or injured athlete “Return to play” decisions in sick or injured athlete Exercise prescription Exercise prescription Strength training and other conditioning Strength training and other conditioning Healthy lifestyle promotion Healthy lifestyle promotion Injury prevention Injury prevention

9. Other PCSM Physician Responsibilities Pre-participation physical examinations Pre-participation physical examinations Communication with: Communication with: Athletic trainers, coaches, school administrators, athletes and families Athletic trainers, coaches, school administrators, athletes and families Sports psychology Sports psychology Substance use Substance use

10. Other PCSM Physician Responsibilities Team physicians for local and national teams and clubs Team physicians for local and national teams and clubs Event physicians Event physicians Coordinators of global medical and rehabilitative care of athletes within the “sports medicine team” Coordinators of global medical and rehabilitative care of athletes within the “sports medicine team”

11. Primary Care Sports Medicine Physician Many PCSM physicians become leaders of the “sports medicine team” involving: Many PCSM physicians become leaders of the “sports medicine team” involving: Specialty physicians and surgeons Specialty physicians and surgeons Athletic trainers Athletic trainers Physical therapists Physical therapists Coaches Coaches Athletes Athletes Other sports personnel Other sports personnel

12. Primary Care Sports Medicine Physician Applies sports medicine concepts to athletes of all levels Applies sports medicine concepts to athletes of all levels Grade school Grade school High school High school College College Professional Professional Recreational (“weekend warrior”) Recreational (“weekend warrior”) Ideally, able to use sports medicine concepts in their care of nonathletic patients Ideally, able to use sports medicine concepts in their care of nonathletic patients

13. Online Resources www.amssm.org www.amssm.org www.amssm.org Find a sports medicine doc Find a sports medicine doc Membership Membership Sports medicine positions Sports medicine positions Forums and listserv Forums and listserv

14. Online Resources Fellowships Fellowships Conferences Conferences Publications & position statements Publications & position statements Press releases Press releases Case of the month Case of the month

15. UISMC Primary Care Sports Medicine Physicians Paul Baumert, M.D. (Family Medicine) Paul Baumert, M.D. (Family Medicine) George Phillips, M.D. (Pediatrics) George Phillips, M.D. (Pediatrics) Jason Blackham, M.D. (Internal Medicine) Jason Blackham, M.D. (Internal Medicine)

16. Questions?