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J Knee Surg 2016; 29(05): 356-363
DOI: 10.1055/s-0036-1584533
Special Focus Section
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Roles of the Team Physician

James Kinderknecht
1   Hospital for Special Surgery, New York, New York
› Author Affiliations
Further Information

Publication History

24 April 2016

06 May 2016

Publication Date:
20 June 2016 (online)

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Abstract

The roles of the team physician are much more than providing medical coverage at a sport's event. The team physician has numerous administrative and medical responsibilities. The development of an emergency action plan is an essential administrative task as an example. The implementation of the components of this plan requires the team physician to have the necessary medical knowledge and skill. An expertise in returning an athlete to play after an injury or other medical condition is a unique attribute of the trained team physician. The athlete's return to participation needs to start with the athlete's safety and best medical interests but not inappropriately restrict the individual from play. The ability to communicate on numerous levels needs to be a characteristic of the team physician. There are several potential ethical conflicts the team physician needs to control. These conflicts can create unique medicolegal issues. The true emphasis of the team physician is to focus on what is best for the athlete.

Keywords

team physician - sports medicine - roles
 

  • References

  • 1 Herring SA, Kibler WB, Putukian M. Team Physician Consensus Statement: 2013 update. Med Sci Sports Exerc 2013; 45 (8) 1618-1622
    CrossrefPubMedGoogle Scholar
  • 2 Scillia AJ, Aune KT, Andrachuk JS , et al. Return to play after chondroplasty of the knee in National Football League athletes. Am J Sports Med 2015; 43 (3) 663-668
    CrossrefPubMedGoogle Scholar
  • 3 Calandrillo S. Sport Medicine Conflicts: Team Physicians vs. Athlete-Patients. SLU Law J 2005; 50 (1) 185-210
    PubMedGoogle Scholar
  • 4 Ramsey PG, Wenrich MD, Carline JD, Inui TS, Larson EB, LoGerfo JP. Use of peer ratings to evaluate physician performance. JAMA 1993; 269 (13) 1655-1660
    CrossrefPubMedGoogle Scholar
  • 5 American Academy of Family Physicians, American Academy of Pediatrics, American College of Sports Medicine, American Medical Society for Sports Medicine, American Orthopedic Society for Sports Medicine, American Osteopathic Academy of Sports Medicine. Preparticipation Physical Evaluation. 4th ed. Elk Grove Village, IL: American Academy of Pediatrics; 2010
    Google Scholar
  • 6 Maron BJ, Thompson PD, Ackerman MJ , et al; American Heart Association Council on Nutrition, Physical Activity, and Metabolism. Recommendations and considerations related to preparticipation screening for cardiovascular abnormalities in competitive athletes: 2007 update: a scientific statement from the American Heart Association Council on Nutrition, Physical Activity, and Metabolism: endorsed by the American College of Cardiology Foundation. Circulation 2007; 115 (12) 1643-455
    CrossrefPubMedGoogle Scholar
  • 7 Lemak L, Courson R. Sports medicine team should call “Time-out” before start of events. Available at: www.nfhs.org/articles/sports-medicine-team-should-call-time-out-before-start-of-events . Accessed June 15, 2016
    PubMedGoogle Scholar
  • 8 Drezner JA, Toresdahl BG, Rao AL, Huszti E, Harmon KG. Outcomes from sudden cardiac arrest in US high schools: a 2-year prospective study from the National Registry for AED Use in Sports. Br J Sports Med 2013; 47 (18) 1179-1183
    CrossrefPubMedGoogle Scholar
  • 9 Lotfi K, White L, Rea T , et al. Cardiac arrest in schools. Circulation 2007; 116 (12) 1374-1379
    CrossrefPubMedGoogle Scholar
  • 10 78 minutes in the life (and near death) of Fabrice Muamba. The Guardian. Available at: www.theguardian.com/football/2012/mar/25/muamba-collapse-minute-by-minute . Accessed: June 15, 2016
    PubMedGoogle Scholar
  • 11 Herring SA, Kibler W, Putukian M. Sideline preparedness for the team physician: a consensus statement-2012 update. Med Sci Sports Exerc 2012; 44 (12) 2442-2445
    CrossrefPubMedGoogle Scholar
  • 12 Barengo NC, Meneses-Echávez JF, Ramírez-Vélez R, Cohen DD, Tovar G, Bautista JE. The impact of the FIFA 11+ training program on injury prevention in football players: a systematic review. Int J Environ Res Public Health 2014; 11 (11) 11986-12000
    CrossrefPubMedGoogle Scholar
  • 13 Herring SA, Kibler WB, Putukian M. Selected issues in injury and illness prevention and the team physician: a consensus statement. Med Sci Sports Exerc 2016; 48 (1) 159-171
    CrossrefPubMedGoogle Scholar
  • 14 Skelley NW, McCormick JJ, Smith MV. In-game management of common joint dislocations. Sports Health 2014; 6 (3) 246-255
    CrossrefPubMedGoogle Scholar
  • 15 Dowling S, Spooner CH, Liang Y , et al. Accuracy of Ottawa Ankle Rules to exclude fractures of the ankle and midfoot in children: a meta-analysis. Acad Emerg Med 2009; 16 (4) 277-287
    CrossrefPubMedGoogle Scholar
  • 16 Gammons M, Russell J. Application of the Ottawa Knee Rules in an on mountain clinic. Clin J Sport Med 2006; 16: 438-439
    PubMedGoogle Scholar
  • 17 Stiell IG, Greenberg GH, Wells GA , et al. Prospective validation of a decision rule for the use of radiography in acute knee injuries. JAMA 1996; 275 (8) 611-615
    CrossrefPubMedGoogle Scholar
  • 18 Seaberg DC, Yealy DM, Lukens T, Auble T, Mathias S. Multicenter comparison of two clinical decision rules for the use of radiography in acute, high-risk knee injuries. Ann Emerg Med 1998; 32 (1) 8-13
    CrossrefPubMedGoogle Scholar
  • 19 Gould SJ, Cardone DA, Munyak J, Underwood PJ, Gould SA. Sideline coverage: when to get radiographs? A review of clinical decision tools. Sports Health 2014; 6 (3) 274-278
    CrossrefPubMedGoogle Scholar
  • 20 Collins MW, Grindel SH, Lovell MR , et al. Relationship between concussion and neuropsychological performance in college football players. JAMA 1999; 282 (10) 964-970
    CrossrefPubMedGoogle Scholar
  • 21 McCrory P, Meeuwisse WH, Aubry M , et al. Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012. Br J Sports Med 2013; 47 (5) 250-258
    CrossrefPubMedGoogle Scholar
  • 22 Delaney JS, Lamfookon C, Bloom GA, Al-Kashmiri A, Correa JA. Why university athletes choose not to reveal their concussion symptoms during a practice or game. Clin J Sport Med 2015; 25 (2) 113-125
    CrossrefPubMedGoogle Scholar
  • 23 Guskiewicz KM, Register-Mihalik J, McCrory P , et al. Evidence-based approach to revising the SCAT2: introducing the SCAT3. Br J Sports Med 2013; 47 (5) 289-293
    CrossrefPubMedGoogle Scholar
  • 24 Anderson LC, Gerrard DF. Ethical issues concerning New Zealand sports doctors. J Med Ethics 2005; 31 (2) 88-92
    CrossrefPubMedGoogle Scholar
  • 25 Osbahr DC, Drakos MC, O'Loughlin PF , et al. Syndesmosis and lateral ankle sprains in the National Football League. Orthopedics 2013; 36 (11) e1378-e1384
    CrossrefPubMedGoogle Scholar
  • 26 Osbahr DC, O'Loughlin PF, Drakos MC, Barnes RP, Kennedy JG, Warren RF. Midfoot sprains in the National Football League. Am J Orthop 2014; 43 (12) 557-561
    PubMedGoogle Scholar
  • 27 Lareau CR, Hsu AR, Anderson RB. Return to Play in National Football League Players After Operative Jones Fracture Treatment. Foot Ankle Int 2016; 37 (1) 8-16
    CrossrefPubMedGoogle Scholar
  • 28 O'Malley M, DeSandis B, Allen A, Levitsky M, O'Malley Q, Williams R. Operative treatment of fifth metatarsal Jones fractures (Zones II and III) in the NBA. Foot Ankle Int 2016; 37 (5) 488-500
    CrossrefPubMedGoogle Scholar
  • 29 Ekstrand J, Healy JC, Waldén M, Lee JC, English B, Hägglund M. Hamstring muscle injuries in professional football: the correlation of MRI findings with return to play. Br J Sports Med 2012; 46 (2) 112-117
    CrossrefPubMedGoogle Scholar
  • 30 Reurink G, Brilman EG, de Vos RJ , et al. Magnetic resonance imaging in acute hamstring injury: can we provide a return to play prognosis?. Sports Med 2015; 45 (1) 133-146
    CrossrefPubMedGoogle Scholar
  • 31 Moen MH, Reurink G, Weir A, Tol JL, Maas M, Goudswaard GJ. Predicting return to play after hamstring injuries. Br J Sports Med 2014; 48 (18) 1358-1363
    CrossrefPubMedGoogle Scholar
  • 32 Asplund CA, O'Connor FG. Challenging return to play decisions: heat stroke, exertional rhabdomyolysis, and exertional collapse associated with sickle cell trait. Sports Health 2016; 8 (2) 117-125
    CrossrefPubMedGoogle Scholar
  • 33 Echemendia RJ, Giza CC, Kutcher JS. Developing guidelines for return to play: consensus and evidence-based approaches. Brain Inj 2015; 29 (2) 185-194
    CrossrefPubMedGoogle Scholar
  • 34 Herring SA, Kibler WB, Putukian M. The team physician and the return-to-play decision: a consensus statement-2012 update. Med Sci Sports Exerc 2012; 44 (12) 2446-2448
    CrossrefPubMedGoogle Scholar
  • 35 Testoni D, Hornik CP, Smith PB, Benjamin Jr DK, McKinney Jr RE. Sports medicine and ethics. Am J Bioeth 2013; 13 (10) 4-12
    CrossrefPubMedGoogle Scholar
  • 36 Magee JT, Almekinders LC, Taft TN. HIPAA and the team physician. Sports Med Update 2003 (March–April): 4-8
    PubMedGoogle Scholar
  • 37 Tarini BA, Brooks MA, Bundy DG. A policy impact analysis of the mandatory NCAA sickle cell trait screening program. Health Serv Res 2012; 47 (1 Pt 2): 446-461
    CrossrefPubMedGoogle Scholar
  • 38 Barnes KP, Rainbow CR. Update on banned substances 2013. Sports Health 2013; 5 (5) 442-447
    CrossrefPubMedGoogle Scholar
  • 39 Viola T, Carlson C, Trojian TH, Anderson J. A survey of state medical licensing boards: can the travelling team physician practice in your state?. Br J Sports Med 2013; 47 (1) 60-62
    CrossrefPubMedGoogle Scholar