How important is sport and exercise medicine to the accident and emergency specialist? A study in the UK and Ireland

Abernethy, L; MacAuley, Domhnall; McNally, Oonagh; McCann, Siobhan

doi:10.1136/emj.20.6.540

Cited by 4 publications

(5 citation statements)

References 5 publications

(5 reference statements)

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“…Open access be incorporated into the National Health Service (NHS) or other public healthcare systems. 17 Thompson et al sought to define unique qualities and roles of SEM physicians in the UK, but was met with criticism for imprecision and further confusion. 18 19 The Australasian College of Sport and Exercise Physicians (ACSEP) is the pre-eminent professional body in its region.…”

Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

“…Uncertainty has been expressed regarding training pathways, scope of practice and intended patient population 14. Further, there is no consensus on the most appropriate setting for SEM services, let alone whether they ought to be incorporated into the National Health Service (NHS) or other public healthcare systems 17. Thompson et al sought to define unique qualities and roles of SEM physicians in the UK, but was met with criticism for imprecision and further confusion 18 19…”

Section: Introductionmentioning

confidence: 99%

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Confusion among doctors regarding sports and exercise medicine as a specialty: an Australian multidisciplinary, cross-sectional survey

Ooi,

Hutchinson,

Harris

2023

BMJ Open

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ObjectivesThis cross-sectional study aims to characterise the understanding and attitudes medical practitioners have towards sports and exercise medicine (SEM). By identifying knowledge gaps, misunderstandings and barriers to SEM referral, interventions may be suggested to improve the integration of SEM within a multidisciplinary approach to healthcare.DesignA survey was constructed with a multidisciplinary expert panel. Refinement and consensus were achieved through a modified Delphi method. Both quantitative and qualitative data were analysed and intergroup comparisons made using χ2test of independence and post-hoc paired comparisons.SettingThe questionnaire was distributed across Australian public and private health sectors, in community and hospital-based settings.ParticipantsAustralian medical doctors practising in specialties likely to intersect with SEM were invited; including general practice, orthopaedics, emergency, rheumatology and anaesthetics/pain. Invitation was uncapped with no reportable response rate. A total of 120 complete responses were collectedResultsThe minority (42.5%) of respondents understood the role and scope of sports and exercise physicians. SEM was poorly recognised and comprehended, with the most common misconception being that SEM is solely for elite athletes and performance. Few (20%) doctors were familiar with referral pathways to SEM services. Lack of awareness, clear scope and public presence were seen as major barriers. There was near unanimous (92.5%) agreement that ‘exercise is medicine’. A strong majority felt SEM would be valuable to collaborate with more in their current practice (63.3%) and as a part of the Australian public health system (82.5%). There were some significant differences among subgroups, including that junior doctors were more likely to express confusion about SEM.ConclusionsAmong non-SEM doctors, there is significant lack of clarity regarding the role of SEM and its optimal integration. Interdisciplinary education and addressing misconceptions may improve the contribution of SEM to community healthcare.

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Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Confusion among doctors regarding sports and exercise medicine as a specialty: an Australian multidisciplinary, cross-sectional survey

Ooi,

Hutchinson,

Harris

2023

BMJ Open

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“…A study regarding the United Kingdom and Ireland reveals that 94% of physicians who took part in the study think that A&E (accident & emergency) specialists are trained and appropriate to treat sport injuries. [22] As a result of the increasing attention to sports from the general population, family physicians will obviously have increasing incidents of sports injuries. In terms of identifying the magnitude of the injury and being able to proceed accordingly (referring the patients to an orthopedic surgeon if necessary), physicians need education in sports medicine.…”

Section: Sports Medicinementioning

confidence: 99%

What is the economic burden of sports injuries?

Öztürk¹

2013

Eklem Hastalik Cerrahisi

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“…The calculations assumed a 55% response rate, in accordance with the response rates found in previous studies 11 22. Thus, the total sample for the study included 330 GPs, 108 consultants and 15 registrars.…”

Section: Methodsmentioning

confidence: 88%

“…Abernathy et al 22 investigated the views of A&E specialists regarding SEM. Knowledge of common sports injuries and the value of exercise for health were considered integral to their practice.…”

mentioning

confidence: 99%

The role of the sports and exercise medicine physician in the National Health Service: a questionnaire-based survey

et al. 2009

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Objectives: To investigate the opinions of general practitioners, orthopaedic surgeons, rheumatologists, sport and exercise medicine (SEM) registrars and public health consultants on training, caseload, the most appropriate setting and the position of SEM within the National Health Service (NHS) in the UK. Method: A cross-sectional questionnaire-based survey investigated the opinions of the above professionals from three primary care trusts and associated hospitals in London and Birmingham. Results: With a 50% response rate (n = 226), 93% (208/ 224) of participants felt that there was a role for SEM in the NHS. 56% (124/223) agreed that this role should be in both primary and secondary care. 64% (136/212) of participants felt that their practice would benefit from the input of a SEM physician and 95% (191/202) would consider referring patients to SEM services. 74% (165/ 222) agreed that SEM should have a public health role, and 63% (140/222) believed that these responsibilities should be evenly balanced with the treatment of sports injuries. Despite the emphasis on public health work from SEM policy makers, none of the SEM registrars selected public health as an important training area. 31% (44/140) of participants felt that a lack of education in the medical profession regarding SEM represented the greatest hindrance to its development in the NHS. Conclusion: Several areas of agreement were demonstrated across the specialties, many of which matched the views of policy makers. This study involved participants from a range of cognate disciplines and was the first to investigate this issue since SEM was recognised as a specialty in 2005.Sport and Exercise Medicine (SEM) was granted specialty status in the UK in 2005.

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How important is sport and exercise medicine to the accident and emergency specialist? A study in the UK and Ireland

Cited by 4 publications

References 5 publications

Confusion among doctors regarding sports and exercise medicine as a specialty: an Australian multidisciplinary, cross-sectional survey

Confusion among doctors regarding sports and exercise medicine as a specialty: an Australian multidisciplinary, cross-sectional survey

What is the economic burden of sports injuries?

The role of the sports and exercise medicine physician in the National Health Service: a questionnaire-based survey

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