Page 1 Page 2 Page 3 Page 4 Page 5 Page 6 Page 7 Page 8 Page 9 Page 10 Page 11 Page 126 www.fsem.ac.uk | Excellence in Musculoskeletal Medicine, Exercise Medicine and Team Care Excellence in Musculoskeletal Medicine, Exercise Medicine and Team Care | www.fsem.ac.uk 7 FSEM - PROFESSIONAL CODE FSEM - PROFESSIONAL CODE 1.12. When using material such as quotes, photographs, or endorsements from athletes, teams or patients to promote or publicise your professional practice or clinic you must obtain their full consent in writing. The consent should be clear about how the material will be used. 1.13. Respect the views of other Members and Fellows in public and avoid unbalanced criticism of colleagues by impugning their professional or personal reputations. 1.14. Only engage with the media in areas of SEM in which you have knowledge and expertise. 2. Safety and quality You must: 2.1. When a patient returns to physical activity and where there is a chance of re injury, you must inform the patient of the known short term and long term consequences to their health. Where you believe there is a high risk of significant further injury you must state this in terms that the patient fully understands the consequences of their actions. In certain circumstances you may wish to obtain a signed disclaimer/acknowledgement from the patient if you believe the patient to be competing against medical advice. 2.2. Where you believe that the risk to return to sport is significantly detrimental to the health of your patient you are under no obligation to continue to provide treatment. You must feel able to refuse treatment to the patient if you feel the risks of return to sport are unacceptably high. 2.3. Advocate for the patient if you believe they are being pressured to make a decision to return to physical activity if it is thought that they have a high risk of further injury. 2.4. Have the authority and support of the sport rules, to remove a patient from the field of play and further potential injury if you believe they do not have the full mental capacity to act in their own best interests i.e. after a concussion 2.5. Ensure that the clinic environment that you are working in is fit for purpose to apply your skills and respects the privacy of the patient and where applicable meet the standards of any external organisation (e.g. Care Quality Commission). 2.6. Refuse to attend a sporting fixture or event where in your opinion the medical and emergency facilities do not meet the requisite minimum standards for that sport. If there are no published minimum standards and you believe participants would come to significant harm because of inadequate medical facilities, seek guidance from your medical indemnity provider. 2.7. Raise concerns on patient safety, training regimes, equipment and environments which you feel may have a significant adverse effect on the short or long term health of the patient. Refer to GMC Raising and acting on concerns about patient safety. 2.8. When travelling abroad with athletes and teams observe international regulations regarding temporary medical practice, medication importation and prescription practice. 2.9. When travelling abroad ensure that you have indemnity cover and seek clarity whether this relates to the athletes only or allows you to provide medical services to the support and administrative staff. 2.10. When travelling with minors have adequate training in issues related to child protection, and be mindful of the increased responsibilities of adults travelling with young people to ensure their safety. You should: 2.11. When appropriate, endorse physical activity as an adjunct to the medical management of physical and mental illness amongst your professional colleagues, community and MDT. 2.12. Discuss and educate patients about prevention strategies, protective equipment and clothing. 2.13. Continue to act in the patients best interests when a hospital, medical group or healthcare corporation may pay a club/organisation in exchange for the ‘privilege’ of providing medical support to that club/organisation. If appropriate you should make it clear to the patient that their best medical care should be obtained elsewhere. 2.14. When requested, provide appropriate supervision to doctors undertaking higher specialist training in sport and exercise medicine. Ensure you meet all the requirements of a training facility and governance for doctors undertaking higher specialist training in sport and exercise medicine. 2.15. Rehearse medical services including crowd care, mass participation event care and pre-hospital emergency care where appropriate. You should understand and have practiced your role in any major incident plan.