1. Teaching the Hands-On Skills for the Team Physician
Mike Petrizzi, MD
Ed Shahady, MD

2. Game Plan Review the need for Team Physicians
Discuss who is meeting the need
Family Physicians
Examine current approaches
Friday Night
Consider new options

3. Game Plan Train residents as part of the Sports Medicine Rotation
Practice teaching the hands-on workshop
Evaluate opportunities for the future

4. Needs Assessment NCHSAA
<20% of high schools had a working relationship with a team physician
VHSL
15%
UNC Fellowship Study

5. Needs Assessment
Statewide survey with visits to schools from all 4 divisions , 1A (smallest) to 4A (largest)
Chicago Study
1995 <20% of schools intervention via monographs, etc.
2005 still <20% (Published in Physicians and Sports Medicine)

6. Current Status What is happening where you are
Ask audience to describe involvement
Answers ranged from thinking about doing it to responsibility for night coverage at more than one high school

7. Current Status
< 20% of schools have a working relationship with a team physician
Taking summative data average way below 20% often is only an “arrangement”
Doctor may only be there Friday night and in the stands

8. Teaching Techniques How do you prepare your residents and students?
New sports medicine requirements – very few residences have curriculum in place regarding sideline coverage
Held discussion of lecture vs. rotation, also discussed AAMC reprint RE: poor preparation of our students in the musculoskeletal medicine

9. Teaching Techniques Case based learning used during lecture format
Practicums - hands on workshop
Preseason PPE (Preparticipation Physical Exam) donate time from residency
To perform these required exams
Discussed AARP monograph
Event coverage - used to be without supervision, do faculty feel proficient to cover events?

10. Other Options to Meet the Need
CME Meetings, AAFP Annual Assembly
Sports Medicine Students
Regional/Local Meeting
Eg. PPE, AAFP, AOSSM, AMSSM
Monographs
Materials for the Schools
Sports Medicine for Coaches and Trainers Rationale – Every school may not have a doc but every team has a coach

11. Hands-on Skills for the Team Physician Workshop
Initially 30 minute lecture - reviewed the need and at Williamsburg
1 hour workshop - expanded on pearls
3 hour workshop - AAFP initially 60% hands on now 90%
All day workshop - includes CPR use of AED etc.

12. Hands-on Skills for the Team Physician Workshop
What does course look like? – will give some additional detail of the course itself
Needs to train in trainers – want to train faculty so that they can go back and train their residents as well as local academy chapter members.

13. Outline 2:00 – 2:15 Introduction and Approach to Downed Athlete
2:20 – 4:20 Breakout Session
Break
4:30 – 5:30 Breakout Session
5:30 – 6:00 Medical Issues Presentation
6:00 – 6:15 Conclusion

14. Introduction Reviewed the need Discuss preseason planning
Identifies critical components of an emergency response plan
Demonstrate approach to the downed athlete

15. Breakout Session I C-spine immobility
Log roll (face down unconscious, not breathing, spine board)

16. Breakout Session I Helmet stays on Facemask practice removal
Focus on critical need for rapid assessment and rehearse response

17. Breakout Session I
Upper Extremity Exam in uniform Shoulder, Elbow, Hand, Wrist, Finger

18. Breakout Session I
Lower Extremity Exam in uniform Hip, Knee, Leg, Foot, Ankle

19. Breakout Session II Fracture Dislocation workshop Recognize injuries
Practice Splint/Immobilization
Practice Relocation – Shoulder Elbow, Finger, Hip, Knee, Patella, Foot, Ankle

20. Evaluation Reviewed what was good about workshop
Asked for suggestions for improvement

21. Summary Opportunity to serve the local community
Prepare your residents and provide them
with both
CONFIDENCE AND COMPETENCE