2. UEMS Multi Joint Committee on Sports Medicine
(MJC SM)

3. UEMS Multi Joint Committee on Sports Medicine
(MJC SM)

4. MJC SM works on:
The recognition of SM by EU
The recognition of SM by UEMS as a medical speciality
The TRAINING REQUIREMENTS FOR SPORTS MEDICINE: UEMS 2007/21 (Adopted by UEMS Council in October 2007 in Bratislava)
The certification of Trainers

5. MJC SM works on:
The recognition of SM by EU

6. Sports Medicine within the structures of EU
Directive 2005/36/CE does not identify Sports Medicine as a primary medical speciality.
It is not included in the Annex V of the European Directive, because Member States have not included Sports Medicine as an independent medical specialty
The European Union requires that, for a speciality to be included in the annex V of the Directive, it must be recognized in at least 2/5th of the Member States (article 25 and article 22 of the new directive) and at the same time, by a particular majority in a committee on qualification of the European Commission.
These requirements for a primary specialty have already been fulfilled for Sports Medicine and therefore the aim should be to follow all the required steps of the new Directive 2013/55/EU in order Sports Medicine to be eventually recognized as a primary specialty in EU.

7. The European Commission Unit E5 for Professional Qualifications and Skills has received letters from more than 12 coordinators, stating that Sports Medicine is recognized in their country as a full speciality. This is why the EU has opened the official IMI (= Internal Market Information) notification module, especially for Sports Medicine.
EC Unit 5 expects from these countries to send their national programs for Sports Medicine, which have to fulfill the minimum requirements and comply with the requirements of the Directive 2013/55/EU.
EC Unit 5 will wait till they receive in the IMI notification module the official documents from at least 12 countries.
Soon after that, they will be able to start actively planning the legislative work, necessary for including Sports Medicine in the Annex V of the Directive .

8. MJC SM works on:
The recognition of SM by EU
The recognition of SM by UEMS as a medical speciality

9. Sports Medicine within the structures of UEMS (Specialist Section or/and Multidisciplinary Joint Committee)
To create a Specialist Section for SM within the UEMS, Sports Medicine has to be recognized as an independent speciality by more than one third of the E.U. Member States and must also be registered in the Official Journal of the European Commission (Directive 2005/36/EC).
The first criterion has already been met for Sports Medicine but the second has to be approved by the E4 Unit of European Commission. Therefore the affairs for Sports Medicine on EU and UEMS level, for the time being will continue through the relevant Multidisciplinary Joint Committee on Sports Medicine.
The Multidisciplinary Joint Committee on Sports Medicine has the task, among others, to develop the “Training Requirements” for a Common Training Framework in Sports Medicine.

10. MJC SM works on:
The recognition of SM by EU
The recognition of SM by UEMS as a medical speciality
The TRAINING REQUIREMENTS FOR SPORTS MEDICINE: UEMS 2007/21 (Adopted by UEMS Council on October 2007 in Bratislava)

11. TRAINING REQUIREMENTS FOR SPORTS MEDICINE: UEMS 2007/21
(Adopted by UEMS Council on October 2007 in Bratislava)
Article 1
GENERAL RULES ON MONITORING, ACCREDITATION AND QUALITY MANAGEMENT OF POSTGRADUATE TRAINING:
1.1 The central monitoring authority for the application of the specialty of Sports Medicine will be the MJC of Sports Medicine, which has been constituted from the members of the UEMS specialist Sections and representatives of the European Federation of Sports Medicine Associations (EFSMA).
Article 2
GENERAL ASPECTS OF TRAINING IN THE SPECIALTY
2.1 Candidates for training in the specialty should have completed the study in medicine and should have been recognized as MD in one of the European Union Countries.
2.2 The minimum duration of training in Sports Medicine will be 4 years.

12. MINIMUM CURRICULUM FOR SPORTS MEDICINE SPECIALIST TRAINING
1. Introduction
Below is described the curriculum for Clinical Specialist Training (ST) in Sport Medicine (SM) for medical doctors, adopted and accepted by all EU countries having Sports Medicine as primary speciality, to harmonize national requirements within all countries of the European Union. .
7.4. Training program
Minimum curriculum of supervised specialist training should correspond to at least 4 years (or equivalent of in total contact-course and practical training hours).

13. As a basic recommendation it is proposed to include :
1 year Internal Medicine with special emphasis to cardiological problems, emergency medicine and clinical nutrition (or metabolic and endocrinological diseases or other relevant areas)
6 or 12 months Orthopaedics and Traumatology
6 or 12 months Physical and Rehabilitation Medicine
12 or 24 months at - recognized Sports Medicine Centres, including theoretical and clinical practice and experience as a team physician.

14. Sports Medicine Specialty Training Programme
ACADEMIC AND CLINICAL KNOWLEDGE / SKILLS AND EXPERIENCE
ExercIse PhysIology
ClInIcal Anatomy
NutrItIon and ExercIse
PUBLIC HEALTH
Effect of Illness on ExercIse CapacIty
MUSCULOSKELETAL MEDICINE
WORKING WITHIN THE TEAM ENVIRONMENT
MEDICAL EMERGENCIES
DRUGS IN SPORTS
PSYCHOSOCIAL ASPECTS OF SPORTS MEDICINE
INVESTIGATIONS AND PROCEDURES
SPINAL INJURIES, AMPUTEE REHABILITATION AND SPORTS FOR THE DISABLED
PHYSICAL ACTIVITY IN SPECIAL GROUPS
RESEARCH and STATISTICS
TEACHING AND PRESENTATION SKILLS
SPORTS MEDICINE MANAGEMENT
ETHICAL AND MEDICO-LEGAL ASPECTS

15. Sports Medicine Specialty Training Programme
ACADEMIC AND CLINICAL KNOWLEDGE / SKILLS AND EXPERIENCE
ExercIse PhysIology
ClInIcal Anatomy
NutrItIon and ExercIse
PUBLIC HEALTH
Effect of Illness on ExercIse CapacIty
MUSCULOSKELETAL MEDICINE
WORKING WITHIN THE TEAM ENVIRONMENT
MEDICAL EMERGENCIES
DRUGS IN SPORTS
PSYCHOSOCIAL ASPECTS OF SPORTS MEDICINE
INVESTIGATIONS AND PROCEDURES
SPINAL INJURIES, AMPUTEE REHABILITATION AND SPORTS FOR THE DISABLED
PHYSICAL ACTIVITY IN SPECIAL GROUPS
RESEARCH and STATISTICS
TEACHING AND PRESENTATION SKILLS
SPORTS MEDICINE MANAGEMENT
ETHICAL AND MEDICO-LEGAL ASPECTS
MUSCULOSKELETAL MEDICINE

16. MUSCULOSKELETAL MEDICINE
General Pathology of the Musculoskeletal System
Musculoskeletal Radiology
Gait and Biomechanical Assessment
Management of Soft Tissue and Sports Injuries :
A. Injury Prevention
B. Acute Injury Management
C. Chronic/Overuse Injury management
D. Principles of the conservative management of injury
E. Principles of the surgical management of musculoskeletal injury
F. Thorough understanding of the principles of tissue injury and repair
G. Joint and soft tissue injection techniques.

17. MJC SM works on:
The recognition of SM by EU
The recognition of SM by UEMS as a medical speciality
The TRAINING REQUIREMENTS FOR SPORTS MEDICINE: UEMS 2007/21 (Adopted by UEMS Council on October 2007 in Bratislava)
The certification of Trainers

18. Board Certification of Trainers
First Board Certification of Trainers
A - Conditions of appliance :
The conditions to be a Board Certified Trainer are as follows:
To be recognized as a Trainer in Sports Medicine by the responsible national authority in their own country.
To be a Sports Medicine Board certified physician.
To have practiced Sports Medicine for five years within a multidisciplinary rehabilitation team, in a
recognized Training Centre by the national responsible authority, for at least 80 % of his or her time.
To be actively involved in training and research in Sports Medicine.
To have published at least one paper in journals indexed in Medline or Current Contents within the last five years.

19. What work needs to be done in near future by MJC SM :
As you Remember : The minimum Curriculum includes :
1 year Internal Medicine with special emphasis to cardiological problems, emergency medicine and clinical nutrition (or metabolic and endocrinological diseases or other relevant areas)
6 or 12 months Orthopaedics and Traumatology
6 or 12 months Physical and Rehabilitation Medicine
12 or 24 months at recognized Sports Medicine Centres, including theoretical and clinical practice and experience as a team physician.

20. For the Subjects of :
- Orthopaedics and Traumatology
- Physical and Rehabilitation Medicine
It is needed to assemble the Puzzle of a detailed training programme for the alternatives
of a 6-months duration of the modules and
of a 12-months duration of the modules

21. IT IS WIDELY ACCEPTED AND CLEARLY UNDERSTOOD THAT
Sports Medicine specialists are not to become
neither Orthopaedic Surgeons,
nor physical rehabilitation experts.

22. They need to be trained adequately so as to be familiar with these subjects and correctly recognize / diagnose the problems and refer the patients to the proper speciality.
=> To actually act as the G.Ps of the athletes.

23. Thank You