Sport and exercise medicine around the world: global challenges for a unique healthcare discipline
[...]in a number of countries, a key factor influencing the recognition of SEM as a stand-alone medical specialty was the impact of SEM on disease management, quality of life and healthcare costs.3 SEM education: heterogeneous journeys to the grail Following the pioneer countries of Australia, New Z...
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| Published in: | BMJ Open Sport & Exercise Medicine Vol. 9; no. 1; p. e001603 |
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| Main Authors: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
| Format: | Journal Article |
| Language: | English |
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01-03-2023
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| Abstract | [...]in a number of countries, a key factor influencing the recognition of SEM as a stand-alone medical specialty was the impact of SEM on disease management, quality of life and healthcare costs.3 SEM education: heterogeneous journeys to the grail Following the pioneer countries of Australia, New Zealand and the UK, several countries introduced a stand-alone SEM specialty for physicians (Argentina, Brazil, Latvia, Portugal, the Netherlands, Turkey, South Africa, Sri Lanka and Singapore). [...]young physicians desiring to pursue a career in SEM must combine full clinical training in another specialty before additional training in SEM. Unfortunately, sport physiotherapy is not a protected title in every country, often due to a lack of recognition by local health or sport authorities. [...]a sport physiotherapy title may not increase professional responsibility or earnings. [...]SEM should be more visible in the health-based undergraduate curricula.8 9 This exposure would contribute to raising awareness and unveiling vocation among students. |
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| AbstractList | [...]in a number of countries, a key factor influencing the recognition of SEM as a stand-alone medical specialty was the impact of SEM on disease management, quality of life and healthcare costs.3 SEM education: heterogeneous journeys to the grail Following the pioneer countries of Australia, New Zealand and the UK, several countries introduced a stand-alone SEM specialty for physicians (Argentina, Brazil, Latvia, Portugal, the Netherlands, Turkey, South Africa, Sri Lanka and Singapore). [...]young physicians desiring to pursue a career in SEM must combine full clinical training in another specialty before additional training in SEM. Unfortunately, sport physiotherapy is not a protected title in every country, often due to a lack of recognition by local health or sport authorities. [...]a sport physiotherapy title may not increase professional responsibility or earnings. [...]SEM should be more visible in the health-based undergraduate curricula.8 9 This exposure would contribute to raising awareness and unveiling vocation among students. |
| Author | Van Oostveldt, Katja AlSeyrafi, Omar Zhang, Mandy Dönmez, Gürhan Morais Azevedo, Ana Bel, Loïc Verhagen, Evert Carrard, Justin Zwerver, Johannes Jederström, Moa Nelson, Luke Kotila, Karen Gojanovic, Boris Owen, Patrick J Hollander, Karsten Thornton, Jane Reis e Silva, Miguel Ahamed, Fariz Zondi, Phathokuhle Edouard, Pascal Martínez Stenger, Rodrigo A Pandya, Tej Ušacka, Laila Schneider, Isabel Matthews, Eloise Fagher, Kristina Robinson, Diana Gai Akinyi Okoth, Carole Mendonça, Luciana De Michelis Suvachittanont, Norasak |
| AuthorAffiliation | 34 Health & High Performance , Melbourne , Victoria , Australia 11 Gençlerbirliği Sports Club , Ankara , Turkey 9 Sydney Sportsmed Specialists , Sydney , New South Wales , Australia 12 Faculty of Medicine , University of Latvia , Riga , Latvia 36 Boarding School of Nyborg , Nyborg , Denmark 10 Department of Sports Medicine , Hacettepe University Faculty of Medicine , Ankara , Turkey 28 Antwerp University Hospital , Antwerp , Belgium 3 The Australian Ballet , Melbourne , Victoria , Australia 33 Pinnacle Sports Physicians , Christchurch , New Zealand 20 Center for Human Movement Sciences , University of Groningen, University Medical Center Groningen , Groningen , Netherlands 13 Dr A. Zubizarreta Hospital , Buenos Aires , Argentina 4 Swiss Olympic Medical Center , Hôpital de La Tour , Meyrin , Geneva , Switzerland 18 Physio-Motion - Sport treiben gesund bleiben. Sports, Exercise, and Health Advisor and Service Provider , Groebenzell , Germany 27 Singapore Sport and Exercise Medicine Centre , Changi Ge |
| AuthorAffiliation_xml | – name: 2 La Trobe Sport and Exercise Medicine Research Centre , La Trobe University , Melbourne , Victoria , Australia – name: 17 Health and Performance Department , Sport Lisboa e Benfica , Lisboa , Portugal – name: 36 Boarding School of Nyborg , Nyborg , Denmark – name: 28 Antwerp University Hospital , Antwerp , Belgium – name: 29 Heart Institute , Samitivej Sukhumvit Hospital , Bangkok , Thailand – name: 1 Division of Sport and Exercise Medicine, Department of Sport, Exercise and Health , University of Basel , Basel , Switzerland – name: 3 The Australian Ballet , Melbourne , Victoria , Australia – name: 21 Athletics Research Center, Department of Health, Medicine and Caring Sciences , Linköping University , Linkoping , Sweden – name: 39 Amsterdam Collaboration on Health & Safety in Sports, Department of Public and Occupational Health , Amsterdam Movement Sciences, Amsterdam University Medical Centres, Vrije Universiteit Amsterdam , Amsterdam , Netherlands – name: 15 Physical Therapy Department, School of Physical Education, Physical Therapy and Occupational Therapy , Universidade Federal de Minas Gerais , Belo Horizonte , Brazil – name: 30 National Spinal Injury Referral Hospital, Ministry of Health , Nairobi , Kenya – name: 19 Sports & Exercise Medicine , SportsValley, Gelderse Vallei Hospital , Ede , Netherlands – name: 6 Department of Clinical and Exercise Physiology, Sports Medicine Unit , University Hospital of Saint-Etienne, Faculty of Medicine , Saint-Etienne , France – name: 20 Center for Human Movement Sciences , University of Groningen, University Medical Center Groningen , Groningen , Netherlands – name: 4 Swiss Olympic Medical Center , Hôpital de La Tour , Meyrin , Geneva , Switzerland – name: 27 Singapore Sport and Exercise Medicine Centre , Changi General Hospital, SingHealth , Singapore – name: 5 Université Jean Monnet Saint-Etienne, Lyon 1, Université Savoie Mont-Blanc, Inter-university Laboratory of Human Movement Biology (EA 7424) , Saint-Etienne , France – name: 24 High-Performance Commission, Medical Advisory Committee , South African Sports Confederation and Olympic Committee , Houghton, Johannesburg , South Africa – name: 26 Sports and Exercise Medicine Unit , Colombo South Teaching Hospital , Kalubowila , Sri Lanka – name: 34 Health & High Performance , Melbourne , Victoria , Australia – name: 32 School of Health Professions , Bern University of Applied Sciences , Bern , Switzerland – name: 33 Pinnacle Sports Physicians , Christchurch , New Zealand – name: 38 Deakin University, Institute for Physical Activity and Nutrition (IPAN) , School of Exercise and Nutrition Sciences , Geelong , Victoria , Australia – name: 31 Medical Commission National Olympic Committee , Nairobi , Kenya – name: 11 Gençlerbirliği Sports Club , Ankara , Turkey – name: 9 Sydney Sportsmed Specialists , Sydney , New South Wales , Australia – name: 18 Physio-Motion - Sport treiben gesund bleiben. Sports, Exercise, and Health Advisor and Service Provider , Groebenzell , Germany – name: 25 Sri Lanka Sports Medicine Association, National Hospital of Sri Lanka , Colombo , Sri Lanka – name: 16 Western Centre for Public Health & Family Medicine , Schulich School of Medicine & Dentistry, Western University , London , Ontario , Canada – name: 22 Rehabilitation Medicine Research Group, Department of Health Sciences , Lund University , Lund , Sweden – name: 7 Adult Critical Care Unit , The Royal London Hospital, Barts Health NHS Trust , London , UK – name: 35 Danish Society of Sports Physical Therapy , Odense , Denmark – name: 13 Dr A. Zubizarreta Hospital , Buenos Aires , Argentina – name: 8 Medical School , Notre Dame University , Sydney , New South Wales , Australia – name: 12 Faculty of Medicine , University of Latvia , Riga , Latvia – name: 14 Argentinian Sports Physicians Association , Buenos Aires , Argentina – name: 10 Department of Sports Medicine , Hacettepe University Faculty of Medicine , Ankara , Turkey – name: 37 Institute of Interdisciplinary Exercise Science and Sports Medicine, MSH Medical School Hamburg , Hamburg , Germany – name: 23 Aspetar Orthopaedic and Sports Medicine Hospital , Doha , Qatar |
| Author_xml | – sequence: 1 givenname: Justin orcidid: 0000-0002-2380-105X surname: Carrard fullname: Carrard, Justin email: justin.carrard@unibas.ch organization: Division of Sport and Exercise Medicine, Department of Sport, Exercise and Health, University of Basel, Basel, Switzerland – sequence: 2 givenname: Ana surname: Morais Azevedo fullname: Morais Azevedo, Ana organization: The Australian Ballet, Melbourne, Victoria, Australia – sequence: 3 givenname: Boris orcidid: 0000-0001-5075-9371 surname: Gojanovic fullname: Gojanovic, Boris organization: Swiss Olympic Medical Center, Hôpital de La Tour, Meyrin, Geneva, Switzerland – sequence: 4 givenname: Pascal orcidid: 0000-0003-1969-3612 surname: Edouard fullname: Edouard, Pascal organization: Department of Clinical and Exercise Physiology, Sports Medicine Unit, University Hospital of Saint-Etienne, Faculty of Medicine, Saint-Etienne, France – sequence: 5 givenname: Tej orcidid: 0000-0002-1816-1211 surname: Pandya fullname: Pandya, Tej organization: Adult Critical Care Unit, The Royal London Hospital, Barts Health NHS Trust, London, UK – sequence: 6 givenname: Diana Gai orcidid: 0000-0002-2627-2309 surname: Robinson fullname: Robinson, Diana Gai organization: Sydney Sportsmed Specialists, Sydney, New South Wales, Australia – sequence: 7 givenname: Gürhan orcidid: 0000-0001-6379-669X surname: Dönmez fullname: Dönmez, Gürhan organization: Gençlerbirliği Sports Club, Ankara, Turkey – sequence: 8 givenname: Laila orcidid: 0000-0003-1688-5926 surname: Ušacka fullname: Ušacka, Laila organization: Faculty of Medicine, University of Latvia, Riga, Latvia – sequence: 9 givenname: Rodrigo A orcidid: 0000-0002-6382-5427 surname: Martínez Stenger fullname: Martínez Stenger, Rodrigo A organization: Argentinian Sports Physicians Association, Buenos Aires, Argentina – sequence: 10 givenname: Luciana De Michelis orcidid: 0000-0002-4495-1807 surname: Mendonça fullname: Mendonça, Luciana De Michelis organization: Physical Therapy Department, School of Physical Education, Physical Therapy and Occupational Therapy, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil – sequence: 11 givenname: Jane orcidid: 0000-0002-3519-7101 surname: Thornton fullname: Thornton, Jane organization: Western Centre for Public Health & Family Medicine, Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada – sequence: 12 givenname: Miguel orcidid: 0000-0003-3814-5064 surname: Reis e Silva fullname: Reis e Silva, Miguel organization: Health and Performance Department, Sport Lisboa e Benfica, Lisboa, Portugal – sequence: 13 givenname: Isabel orcidid: 0009-0000-8683-1283 surname: Schneider fullname: Schneider, Isabel organization: Physio-Motion - Sport treiben gesund bleiben. Sports, Exercise, and Health Advisor and Service Provider, Groebenzell, Germany – sequence: 14 givenname: Johannes orcidid: 0000-0002-8499-2806 surname: Zwerver fullname: Zwerver, Johannes organization: Center for Human Movement Sciences, University of Groningen, University Medical Center Groningen, Groningen, Netherlands – sequence: 15 givenname: Moa orcidid: 0000-0003-0938-084X surname: Jederström fullname: Jederström, Moa organization: Athletics Research Center, Department of Health, Medicine and Caring Sciences, Linköping University, Linkoping, Sweden – sequence: 16 givenname: Kristina orcidid: 0000-0002-9524-7553 surname: Fagher fullname: Fagher, Kristina organization: Rehabilitation Medicine Research Group, Department of Health Sciences, Lund University, Lund, Sweden – sequence: 17 givenname: Omar surname: AlSeyrafi fullname: AlSeyrafi, Omar organization: Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar – sequence: 18 givenname: Phathokuhle orcidid: 0000-0001-6001-5966 surname: Zondi fullname: Zondi, Phathokuhle organization: High-Performance Commission, Medical Advisory Committee, South African Sports Confederation and Olympic Committee, Houghton, Johannesburg, South Africa – sequence: 19 givenname: Fariz orcidid: 0009-0004-3869-1326 surname: Ahamed fullname: Ahamed, Fariz organization: Sports and Exercise Medicine Unit, Colombo South Teaching Hospital, Kalubowila, Sri Lanka – sequence: 20 givenname: Mandy orcidid: 0000-0001-5867-4241 surname: Zhang fullname: Zhang, Mandy organization: Singapore Sport and Exercise Medicine Centre, Changi General Hospital, SingHealth, Singapore – sequence: 21 givenname: Katja orcidid: 0009-0009-7428-5612 surname: Van Oostveldt fullname: Van Oostveldt, Katja organization: Antwerp University Hospital, Antwerp, Belgium – sequence: 22 givenname: Norasak orcidid: 0000-0002-0022-8369 surname: Suvachittanont fullname: Suvachittanont, Norasak organization: Heart Institute, Samitivej Sukhumvit Hospital, Bangkok, Thailand – sequence: 23 givenname: Carole orcidid: 0009-0005-1187-4250 surname: Akinyi Okoth fullname: Akinyi Okoth, Carole organization: Medical Commission National Olympic Committee, Nairobi, Kenya – sequence: 24 givenname: Loïc orcidid: 0000-0002-6195-6933 surname: Bel fullname: Bel, Loïc organization: School of Health Professions, Bern University of Applied Sciences, Bern, Switzerland – sequence: 25 givenname: Eloise surname: Matthews fullname: Matthews, Eloise organization: Pinnacle Sports Physicians, Christchurch, New Zealand – sequence: 26 givenname: Luke orcidid: 0000-0001-6470-7353 surname: Nelson fullname: Nelson, Luke organization: Health & High Performance, Melbourne, Victoria, Australia – sequence: 27 givenname: Karen orcidid: 0000-0001-7624-6638 surname: Kotila fullname: Kotila, Karen organization: Boarding School of Nyborg, Nyborg, Denmark – sequence: 28 givenname: Karsten orcidid: 0000-0002-5682-9665 surname: Hollander fullname: Hollander, Karsten organization: Institute of Interdisciplinary Exercise Science and Sports Medicine, MSH Medical School Hamburg, Hamburg, Germany – sequence: 29 givenname: Patrick J orcidid: 0000-0003-3924-9375 surname: Owen fullname: Owen, Patrick J organization: Deakin University, Institute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences, Geelong, Victoria, Australia – sequence: 30 givenname: Evert orcidid: 0000-0001-9227-8234 surname: Verhagen fullname: Verhagen, Evert organization: Amsterdam Collaboration on Health & Safety in Sports, Department of Public and Occupational Health, Amsterdam Movement Sciences, Amsterdam University Medical Centres, Vrije Universiteit Amsterdam, Amsterdam, Netherlands |
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| CitedBy_id | crossref_primary_10_1136_bmjsem_2024_001968 crossref_primary_10_1136_bmjsem_2023_001703 |
| Cites_doi | 10.1136/bjsm.2008.055350 10.1186/s40798-022-00539-3 10.1016/S0140-6736(12)60992-1 10.1136/bjsm.2005.019307 10.5152/tjsm.2018.109 10.1136/bmjsem-2022-001377 10.1136/bjsports-2022-106359 10.1007/978-3-030-10433-7_1 |
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| Copyright | Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. 2023 Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/ This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ . Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. 2023 |
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| DOI | 10.1136/bmjsem-2023-001603 |
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| References | Cullen, Batt (R3) 2005; 39 Greenslade, Nelson, Murray (R8) 2023 Donmez, Torgutalp (R9) 2018; 53 Pigozzi (R4) 2009; 43 Ulrich, Carrard, Nigg (R10) 2022; 8 Jaques, Loosemore (R2) 2012; 380 Owen, Keating, Askew (R7) 2023; 9 2024051512264789000_9.1.e001603.1 Ulrich (2024051512264789000_9.1.e001603.10) 2022; 8 2024051512264789000_9.1.e001603.2 2024051512264789000_9.1.e001603.3 Owen (2024051512264789000_9.1.e001603.7) 2023; 9 2024051512264789000_9.1.e001603.8 2024051512264789000_9.1.e001603.9 2024051512264789000_9.1.e001603.4 2024051512264789000_9.1.e001603.5 2024051512264789000_9.1.e001603.6 |
| References_xml | – volume: 43 start-page: 1085 year: 2009 ident: R4 article-title: Specialisation in sports medicine: the state of the sport medicine specialty training core curriculum in the european union publication-title: Br J Sports Med doi: 10.1136/bjsm.2008.055350 contributor: fullname: Pigozzi – volume: 9 year: 2023 ident: R7 article-title: The effectiveness of exercise physiology services during the COVID-19 pandemic: a pragmatic cohort study publication-title: Sports Med Open doi: 10.1186/s40798-022-00539-3 contributor: fullname: Askew – volume: 380 start-page: 4 year: 2012 ident: R2 article-title: Sports and exercise medicine in undergraduate training publication-title: Lancet doi: 10.1016/S0140-6736(12)60992-1 contributor: fullname: Loosemore – volume: 39 start-page: 250 year: 2005 ident: R3 article-title: Sport and exercise medicine in the united kingdom comes of age publication-title: Br J Sports Med doi: 10.1136/bjsm.2005.019307 contributor: fullname: Batt – volume: 53 year: 2018 ident: R9 article-title: The effects of elective sports medicine internship on physical activity counselling attitude of medical students publication-title: TurkJSportsMed doi: 10.5152/tjsm.2018.109 contributor: fullname: Torgutalp – volume: 8 year: 2022 ident: R10 article-title: Is healthcare a team sport? widening our lens on interprofessional collaboration and education in sport and exercise medicine publication-title: BMJ Open Sport Exerc Med doi: 10.1136/bmjsem-2022-001377 contributor: fullname: Nigg – year: 2023 ident: R8 article-title: Is medical training adequate to promote health and give patients what they need? the role of sport and exercise medicine in 21st century healthcare publication-title: Br J Sports Med doi: 10.1136/bjsports-2022-106359 contributor: fullname: Murray – ident: 2024051512264789000_9.1.e001603.3 doi: 10.1136/bjsm.2005.019307 – ident: 2024051512264789000_9.1.e001603.6 doi: 10.1007/978-3-030-10433-7_1 – volume: 8 year: 2022 ident: 2024051512264789000_9.1.e001603.10 article-title: Is healthcare a team sport? widening our lens on interprofessional collaboration and education in sport and exercise medicine publication-title: BMJ Open Sport Exerc Med doi: 10.1136/bmjsem-2022-001377 contributor: fullname: Ulrich – volume: 9 year: 2023 ident: 2024051512264789000_9.1.e001603.7 article-title: The effectiveness of exercise physiology services during the COVID-19 pandemic: a pragmatic cohort study publication-title: Sports Med Open doi: 10.1186/s40798-022-00539-3 contributor: fullname: Owen – ident: 2024051512264789000_9.1.e001603.1 – ident: 2024051512264789000_9.1.e001603.2 doi: 10.1016/S0140-6736(12)60992-1 – ident: 2024051512264789000_9.1.e001603.8 doi: 10.1136/bjsports-2022-106359 – ident: 2024051512264789000_9.1.e001603.5 – ident: 2024051512264789000_9.1.e001603.9 doi: 10.5152/tjsm.2018.109 – ident: 2024051512264789000_9.1.e001603.4 doi: 10.1136/bjsm.2008.055350 |
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