Career in SEM Flashcards

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1
Q

Sport Medicine Definition

A

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

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2
Q

Pathways

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

Disciplines of management

A

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

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4
Q

Specialty

A

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

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5
Q

Jobs

A

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

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6
Q

Management sequence

A
assess DDx
imaging
diagnosis
pain relief
functional improvement e.g. PT
surgery
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7
Q

Imaging for knee and back pain

A

MRI

back pain - 56% false positive

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8
Q

Alternatives to surgery

A

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

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

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9
Q

Barrier to divert from surgery

A

GP Referral ; allow for telephone triage

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10
Q

Extended Scope Physiotherapist

A
Used widely in NHS
Triage service
some use USS and some inject
efficiency lacking 
support patient's choice
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11
Q

Prolotherapy

A

Hypertonic dextrose

3-5 injections for improvement

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12
Q

MSK physician

A

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

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13
Q

Skills required in SEM

A

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

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