President's Update October

Dr Paul Jackson

Our Diploma Ceremony, to award those who have passed our exam and taken up membership, was on the 28th September at the Royal College of Physicians London and I am pleased to say the Faculty welcomed 43 new Fellows and Members and 2 new Honorary Fellows Dr Jumbo Jenner and Professor Angus Wallace. Also awarded was the Macleod Medal for the candidate who achieved the highest score in the exam, congratulations to Dr Richard Collins.

My warmest congratulations to all those who received awards on the day. You can view the
 Diploma Ceremony Booklet on our website.

Following the ceremony, we had a fantastic turn out for our annual dinner, with a record number of guests from other Royal Colleges.

Our joint conference with BASEM was on the 12-13 October in Bath and was attended by 400 delegates, speakers and chairs. The FSEM (UK) session covered three core topics: 

Biocultural Approaches to Adolescent Sport
International Syllabus in SEM 

We also welcomed our International Visiting Fellows to the conference, who brought with them a vast amount of experience in sports medicine, wellness and preventative medicine, MSK injuries, concussion and ultrasound.

Thank you for supporting our Diploma Day and Annual Conference and I hope to see our Members & Fellows again at next year's events.

Dr Paul D Jackson

Written by Dr Paul D Jackson at 11:00

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FSEM (UK) and BASEM Working Together for Sport and Exercise Medicine

Relay BAton Small Shutterstock _110153336The Faculty of Sport and Exercise Medicine will join BASEM in celebrating its 65th Anniversary when we come together for the 4th joint BASEM/FSEM Annual Conference in Bath later this year.

FSEM is a relatively young organisation which celebrated its 10th anniversary last year and over the 10 years we have come a long way, we now have 119 doctors on the GMC specialist register for SEM plus many more Members and Fellows who work in SEM as part of their portfolio careers.

Our Membership examination (MFSEM) has been transformed from the old Diploma Examination and may now be taken by any doctor wishing to test their knowledge and clinical skills in the specialty. We anticipate that this will become the benchmark for doctors from other areas of medicine spending some of their time working in SEM. For those choosing a career in Sport & Exercise Medicine we continue to have high application rates for places on our higher specialist training programme.

The Executive Committees of FSEM (UK) and BASEM meet each year to agree which organisation will lead on various areas of mutual interest. The current agreement is that BASEM will deliver all education apart from higher specialist training, and FSEM (UK) will fulfil its statutory duty to deliver higher specialist training, to set standards, and to organise examinations. Over the last couple of years, FSEM (UK) and BASEM have worked together to ensure mutual recognition of Faculty of Pre-Hospital Care approved immediate care courses, regardless of the organisation delivering the training. This has been very helpful for doctors working in more than one sport. We have also released joint statements to clarify that doctors have a primary responsibility to their patient when there has been a lack of clarity about this in the media. The Faculty has also produced an updated version of the Professional Code in which the duties and responsibilities of an SEM doctor are mapped against the GMC document Good Medical Practice.

In addition to the respective roles in education and training the greatest challenge for both FSEM (UK) and BASEM in coming years is to work with the Departments of Health in the four Home Countries to bring more Musculoskeletal Medicine delivered by SEM doctors into the NHS, to promote the benefits of increased physical activity, and to introduce Exercise Medicine as a highly effective management option, particularly in those with multi-morbidity. The Faculty keeps a database of those already delivering MSK services and Exercise Medicine to the NHS. If you are working for the NHS or with an independent provider contracted to the NHS, the Faculty office would like to hear from you.

In writing this I realise that have been a member of BASEM for exactly half of its existence and more than half of my life. I have attended most of the Annual Conferences over the past 30 years, the most memorable of which was the one held in Bruges in the early 1990s. I look forward to this year’s BASEM/FSEM (UK) conference in Bath October 12-13 both for the academic content and the opportunity to catch up with many friends and colleagues.

This article appeared in BASEM Today September 2017


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President's Update August

Dr Paul JacksonWHO is hosting an open web-based consultation to develop a draft global action plan to promote physical activity. This consultation and its resulting action plan is a welcome move by the World Health Organisation and, on behalf of its membership, the FSEM (UK) will be responding. In our key policy priorities, we continue to call for a national approach to the application of physical activity in disease prevention:

  • Address the treatment and prevention of non-communicable diseases with a new focus on a national preventative strategy including the therapeutic use of physical activity and exercise

This message, backed up with our recommendation to increase Exercise Medicine and physical activity assessment in the NHS, has been an important part of our consultation responses for the UK and devolved governments. Addressing the promotion of physical activity is a global problem, which will ultimately be addressed on a national level and delivered via local partnerships and services. 'Think globally act locally', a saying contributed to the Scots town planner Sir Patrick Geddes, has never been more relevant and could be the key to achieving the Five Year Forward View's 'radical upgrade in prevention and public health'.

The Faculty is looking forward to hosting the second phase of the American Medical Society for Sports Medicine (AMSSM) and FSEM (UK) Travelling Fellowship Programme. Our visiting fellows from the U.S. will be Dr Lee Rice, Dr Ken Barnes and Dr Mederic Hall and they will join us at on the 30th of September until the 14th October. We have a packed programme lined up for our three visiting fellows which will conclude with all three speaking at our joint annual conference with BASEM on the 12 and 13 October. Further details are in our Travelling Fellowship news item.

Written by Dr Paul D Jackson at 10:26

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Ten reasons why we should all love cyclists

Ten reasons why we should all love cyclists

Cycling Shutterstock The Conversation BlogKeep rollin’. Shutterstock Seamus Allison, Nottingham Trent University

Cyclists globally are much maligned by drivers who may never have thought about the many benefits they provide. In fact, cycling as a form of truly sustainable transport is increasingly the focus of attention by governments seeking solutions to multiple societal problems.

In April 2017, the UK government finally announced its Cycling and Walking Investment Strategy allocating £1.2 billion to support initiatives aimed at making cycling and walking the norm. Hard on its heels was a study in the British Medical Journal of Sports Medicine showing that moderate exercise performed several times a week can protect against dementia and boost mental health, adding to what we already know about the many physical health benefits of exercise.

The potential benefits to us all of greater levels of commuter cycling are manifold and go well beyond health. Here are ten of the ways cyclists help everyone:

1) They help improve air quality. At a time when air quality and how it can be improved is increasingly a talking point, cycling offers a low cost, virtually emission-free solution that has been staring us in the face for years.

2) They help reduce congestion. Bicycles take up less space than motor vehicles, it’s as simple as that. So if there were more bikes and fewer cars congestion would drop. Besides, have you ever seen an ambulance held up by cycle traffic?

3) They ease the burden on the NHS. Research shows that exercise improves our health and makes us less prone to serious long-term health problems. It has also been shown that on average cyclists have the health of people ten years younger than them. As a result, cyclists help to reduce waiting times and the burden on the NHS.

4) Cyclists boost the economy. The Department for Transport’s own figures suggest that for every £1 invested in cycling there is a return in the range of £5.10 to £10. It has also been shown that car journeys cost the economy six times more than journeys by bike and that gap is widening Both these impacts are due to the multiple societal costs of driving, such as the cost of poor health, the cost of congestion and so on.

Lights Shutterstock The Conversation Blog File -20170516-11937-wgwgwiGreen transport. Shutterstock

5) Cycling boosts everyone’s quality of life. Studies have shown that where cycling and walking are the predominant modes of transport, people report a positive impact on their well-being.

6) Cyclists help to combat climate change. While walking is probably the only truly sustainable mode of transport, cycling comes a close second and allows us to cover greater distances than walking. While much debate surrounds the true impact of electric vehicles, it is increasingly clear that they are not actually the sustainable solution we require.

7) They improve road safety. While the safety in numbers effect for cyclists is well understood, it is not so clear what impact higher cycling numbers have on overall road safety. However, it appears that more people are killed and injured by motor vehicles than by cyclists even after correcting for the difference in road miles covered by the two. A 100kg cycle with rider travelling at 12mph just doesn’t have the same potential to cause harm as a 1,500kg vehicle travelling at 30mph

8) Cycling improves mental health. Cycling as a form of moderate exercise positively impacts cyclists’ mental health and there is now evidence to suggest that it can also reduce the impact of dementia.

9) Cyclists help lower the cost of car insurance. In advanced economies, most cyclists are also car owners and pay insurance accordingly. However, because they use their vehicles less frequently they present a lower insurance risk. Cyclists do not receive a reduction in their insurance bill as a result of this reduced risk. Consequently, they help to subsidise the insurance costs of other drivers assuming insurance companies seek to protect revenue.

10) They help reduce the tax burden for road maintenance. In the UK, motoring receipts from vehicle duty are considerably lower than the cost of road maintenance. Since most cyclists pay vehicle duty but place a lower burden on the road infrastructure, they contribute more than they take out and so subsidise the costs for other road users.

The ConversationCycling is increasingly seen as a solution capable of addressing multiple societal problems. It will take a shift in how the public thinks about how we travel and our relationship with vehicles, transport infrastructures, tax systems and each other before we start to realise that this has been obvious for some time. But if that happens, perhaps even the most ardent car lover might be prepared to give a second thought to what could be achieved if they just got on their bike.

Seamus Allison, Senior Lecturer, Nottingham Trent University

This article was originally published on The Conversation. Read the original article.

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FSEM Joins Academy of Medical Royal Colleges

President's Update

Dr Paul JacksonI am pleased to announce that the FSEM (UK) has been accepted as a member of the Academy of Medical Royal Colleges (AoMRC), this is a big milestone in the development of the Faculty and the specialty. Sport and Exercise Medicine will now have a voice to promote exercise medicine and musculoskeletal medicine directly to those representing all of the other medical specialties in the UK. AoMRC is in a position to collectively influence and shape healthcare across the four nations of the UK and I will keep you up to date with the work we do with the AoMRC on behalf of our membership. 

We have made good progress in raising the profile of the skills that SEM physicians have in MSK Medicine. Our key messages and evidence outlining how effective SEM led MSK services can be in an NHS setting have been communicated in all of our 
recent policy responses. This includes our policy mapping on prevention and supported self-management via the Arthritis and Musculoskeletal Alliance (ARMA). We will also be following developments coming from last week's election results and working on FSEM (UK) policy recommendations for new ministers and returning ministers.

Dr Jo Larkin's blog about the 
MSK care pathway for rehabilitation, also featured on the ARMA website, is a useful tool when sharing and communicating the relevance of SEM in MSK care.

The perception still remains that SEM is all about sport medicine, which is a vital part of what we deliver, however this is beginning to change as we engage more. All of our Members and Fellows have a part to play through the promotion of their skills and training relevant to the Five Year Forward View and its objective 'a radical upgrade in prevention and public health'. I like to add the importance of SEM in the management as well as the prevention of many common conditions, and this is where we can enable a 'radical upgrade' in care pathways and health outcomes for people living with an MSK condition.   
We now have available an excellent Faculty position statement on the complex topic of 
screening for asymptomatic atlanto-axial instability (AAI) in Down Syndrome (DS) athletes. This fully referenced literature review will help doctors in directing athletes with Down Syndrome to the most appropriate sports and activities whilst still encouraging them to take part in exercise which we know brings significant physical and mental health benefits. 

As always, we welcome views from our Fellows and Members on the Faculty and the work it carries out. Our regular Council Meetings provide a platform for our members to get involved via our Council Representatives.

Dr Paul D Jackson, President of the Faculty of Sport and Exercise Medicine UK

Written by Dr Paul D Jackson at 13:10

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