1. family and parenting
2. motherhood
3. pregnancy

THE OFFICIAL NEWSLETTER OF THE AMERICAN MEDICAL SOCIETY FOR SPORTS MEDICINE
The Sideline Report
News in the World of Sports Medicine
SEPTEMBER 2012
IN THIS ISSUE:
Click on the link below to view article:
AMSSM NEWS
Cindy Chang, MD: The CMO of the
London Olympic Games...............................1
PRO: Exercise and Sports in Pregnancy.......1
CON: Exercise in Pregnancy..........................1
AMSSM Members at the 2012 Olympics......5
Chronic Traumatic Encephalopathy (CTE)
What We Know, What We Don’t..................7
Note from the Editor....................................9
Editorial Board..............................................9
The World of Sports Medicine
AAP Recommends Allowing Youth with
Solitary Kidneys to Participate in Contact
Sports.........................................................10
World Organizations Collaborate Regarding
the Misuse of Compounds by Athletes......10
SASMA Publishes Guidelines on the Use of
Supplements in Sport.................................10
Dutch Researchers Link Pediatric Obesity with
Significant Cardiovascular Disease.............10
News From the Board
Presidential Corner.....................................11
Want To Get Involved?
Join A Committee.......................................12
Fellowship Committee................................13
Membership Committee............................14
2012 Foundation Supporters .....................15
$85,000 in Research Grant Awards
Now Available..........................................15
AMSSM Foundation Leadership.................15
Contributions by AMSSM Members/
Supporters...............................................16
Member in the Spotlight
Dr. Christopher M. Miles............................17
Odds and Ends
AMSSM Career Center................................18
AMSSM Store.............................................18
Clinical Journal of Sport Medicine
for the iPad® ...........................................19
Important NRMP Match Dates...................19
Upcoming Conferences..............................19
AMSSM NEWS
Cindy Chang, MD: The Chief Medical Officer
of the London Olympic Games
By Nailah Coleman, MD
The last several years have been
amazing for Cindy Chang. She is recognized as one of the leading primary
care sports medicine physicians in the
country. She has presented at national
meetings on a variety of sports medicine topics. She served on the Board
of Directors of the American Medical
Society of Sports Medicine (AMSSM)
and on the Medical Education
Committee of the American College of
Sports Medicine (ACSM). She received
the AMSSM Founders Award in 2003,
which recognizes outstanding professional achievement and community
service. She served as the 2011-2012
continued on page 3
continued on page 2
Issues in Sports Medicine: PRO and CON
PRO: Exercise and Sports in Pregnancy
By George G.A. Pujalte, MD
During pregnancy, many women
exercise regularly and continue a fitness routine1. Additionally, previously
inactive pregnant women may want to
begin a program of exercise1, as some
medical conditions associated with
pregnancy, such as gestational diabetes and hypertension, can be prevented by regular physical activity.
There are numerous benefits of
exercise and sports participation for
women. Leadership and teamwork
skills are developed, and there are
lifelong boosts to physical and emotional health2-3. Accordingly, female
athletes who get pregnant should
continue their participation in exercise
continued on page 3
CON: Exercise in Pregnancy
By Michael Pitzer, M.D.
There are very few circumstances in
the human life cycle when exercise is
not of benefit. Multiple professional
organizations recommend regular exercise, including the American College
of Obstetricians and Gynecologists
(ACOG). However, the potential risks
SEPTEMBER 2012 from exercise change during pregnancy, and pregnant women should
undergo clinical evaluation prior to
exercise¹.
ACOG advises against exercise involving the supine position and motionless
continued on page 4
THE SIDELINE REPORT | 1
AMSSM NEWS
CINDY CHANG, MD
Continued from page 1
President of the AMSSM. She was
named Chief Medical Officer (CMO) of
the London Olympic Games, the first
woman to reach this position for any
Olympic Games, winter or summer.
We also must remember she still practices as a sports medicine specialist in
California. What events conspired for
all of this to happen? How does she
maintain this high level of activity?
Cindy Chang, trained as a family
physician, began her sports medicine
career at The Ohio State University
about 20 years ago. She later transferred to the University of California
Berkeley as Head Team Physician.
Dr. Chang noted that both programs
provided a wealth of variety in sports
offerings, including rugby, fencing,
shooting, and water polo in addition
to the ‘standard’ sports programs
like football. Her two teams will be
competing against each other in
one of our great American pastimes,
September 15th, but either way,
Dr. Chang wins. After 13 years,
Dr. Chang resigned as Head Team
Physician at Cal to spend more time
with her children and family.
Dr. Chang has been working with
the Olympic organization since 1996,
after spending two weeks at the
Colorado Springs Olympic Training
Center, a requirement for participation. She has worked extensively with
the Paralympic Games, including
serving on the medical teams of the
1998 and 2002 Paralympic Games
and, most recently, serving as CMO
for the Beijing Paralympic Games in
2008. When asked about her previous
Olympic work and being selected as
CMO in London, she replied, “There
were some challenges there, and
I must have done okay in my role,
because I got the phone call asking
me to serve as CMO for London! I was
pretty excited and quite honored to
have been asked…”
Dr. Chang also acknowledges the
OLYMPIC REACH: AMSSM’s Immediate Past President, Dr. Cindy Chang served as the Chief
Medical Officer for the USA Olympic Team in London. Pictured here at the Opening Ceremony
with NBA Stars LeBron James, Carmelo Anthony and Kevin Durant.
teamwork necessary to accomplish
such a big endeavor as serving as
Chief Medical Officer. Working collaboratively with other providers augments the knowledge of all involved.
What is the Chief Medical Officer
of the Olympic Games and why is this
not a full time position? The CMO is a
volunteer job, which alone deserves
significant applause. Dr. Chang will
have spent months of her time preparing for and working at the London
Games 2012. The United States
Olympic Committee also has a salaried physician, who serves as Medical
Director. In some part, the two roles
may overlap at The Games. In addition to coordination of the complex
medical coverage and 80 sports
medicine providers, Dr. Chang also
provided medical coverage herself and
took call.
As she is not based in Colorado
Springs, much of Dr. Chang’s preparation for the 2012 Games involved
phone and email communication.
She has also made several trips to
Colorado Springs for meetings and
media training, as well as a one-week
visit to London this past February
to meet the London Organizing
Committee of the Olympic Games
(LOCOG) medical team and tour the
medical facilities and area hospitals.
She reviewed the information about
the selected medical staff and assisted
them in attaining licensure to practice
in the United Kingdom during The
Games.
When she returned to London,
Dr. Chang moved into the Olympic
Village with our athletes and began
the process of unpacking the USA supplies, medications, and equipment and
setting up the USA Sports Medicine
Clinic in our section of the Olympic
Village. She supervised a team of medical and orthopaedic sports medicine
providers, athletic trainers, massage
therapists, physical therapists, and
chiropractors. Dr. Chang spent a total
of six weeks In London, before, during,
and after The Games.
continued on page 3
2 | THE SIDELINE REPORT
SEPTEMBER 2012
AMSSM NEWS
CINDY CHANG, MD
Continued from page 2
Dr. Chang’s confidence was assured,
given her past experience and selected team of experts; however, she remarks that some things still can make
her uneasy. One of her many roles
was serving as medical spokesperson,
which included having to comment on
an athlete’s medical condition after an
injury or illness that affects his ability to compete. Prior to the Olympics,
Chang said, “…I really hope that I am
not seen, nor heard at these Games!
Let the athletes be in the spotlight—
they are deserving of the attention!”
As the first woman CMO of the
Olympic Games, Dr. Chang experienced another gender first. She was
one of the first female Head Team
Physicians of a Division I University
football team. An interesting position;
Dr. Chang notes because when she
first began at Cal, she was younger
than many of the coaches who had
never seen a woman physician. As a
woman sports medicine physician, I
definitely look to Dr. Chang as a role
model. Her response: “I am proud to
wear that mantle as well. “
As mentioned earlier in the article,
PRO
Continued from page 1
and sports, in the presence of medical
safety assurances.
In a study of pregnant women
who exercised regularly, self-esteem
was improved, and the usual physical discomforts of pregnancy such as
fatigue, varicosities, and peripheral
edema were reduced4. In one study,
depressed pregnant women were
randomized into one of three groups:
aerobic exercise, relaxation, and no
treatment. The women in the aerobic exercise group showed greater
improvement in aerobic capacity
and greater decreases in depression
than did the women in the other two
groups5.
Dr. Chang stepped down as Head Team
Physician at Cal in 2008 to spend more
time with her family. It does not seem
that serving as AMSSM’s President
and as CMO of the London Olympic
Games would allow much time for
family. Dr. Chang took her time considering her level of participation in
the London Games and consulted with
her family first. She has also become
a great multi-tasker. Movie-watching
is not only about sitting and eating
popcorn; it is also about folding laundry, answering email, and reviewing
manuscripts. Fortunately, her family is
lovingly understanding…and probably
counting the days to have ‘all’ of
Dr. Chang back at home.
Although Dr. Chang has a special
place in her heart for her former Cal
student-athletes, she enjoyed all of the
sports and meeting all of our athletes.
“It is often the lesser known athletes
who have experienced the most fascinating journeys to the Olympics, and
who are the most willing to share that
with others.” Dr. Chang was focused on
providing the best medical services to
our athletes so that they can perform
their personal best as well.
Dr. Chang, in addition to sharing
her knowledge and experience with
the sports medicine providers at the
Olympic Games, enjoyed learning
from her colleagues while she was
there. Using every experience as a
learning opportunity, Dr. Chang plans
to return to Cal and augment her
already outstanding clinical practice.
What can we learn from Dr. Chang?
Her words of wisdom apply not just to
sports medicine coverage but to the
greater game of life: “Be humble, be
willing to learn, and be part of a bigger team... Recognize what you don’t
know and be willing to admit that you
need assistance.”
Now that The Games are over, what
is in store for Dr. Chang? A long nap?
A Caribbean cruise? A chateau in the
south of France? Unfortunately, there
is no rest for the weary. Dr. Chang
is returning to California to conduct
a concussion educational event for
three local schools. She will also be
presenting a proposal to the city
school board to place AED’s in each of
the high schools in her area, having already set up a plan for First Aid/CPR/
AED certification for local coaches and
staff.
And then…she will rest. n
Physiologic benefits of exercise in
pregnancy include improved aerobic
capacity and blood pressure, improved response to carbohydrates,
and decreased blood glucose1. A
decreased risk of preeclampsia is
associated with physical activity in
pregnancy6. Potentially, in women
with gestational diabetes, exercise
could prevent progression from management by diet alone to the need for
oral agents and/or insulin1.
It has been shown that women who
continued endurance exercises gained
less weight and delivered earlier
compared to women who stopped
exercising before 28 weeks7. Women
who continued to exercise had a lower
incidence of surgical vaginal deliver-
ies, fewer cesarean sections, shorter
active labors, and fewer fetuses with
intolerance of labor, compared to
women who stopped exercising8.
Concern for health of the pregnancy may be the main reason why
pregnant women may hesitate to
exercise, and why physicians may
have second thoughts about recommending exercise to their pregnant
patients. However, it has been shown
that exercise and athletic activity, with
professional healthcare monitoring
and plentiful hydration to prevent
overheating, is generally safe before
14 weeks of gestation9. Ten to fifteen
percent of all pregnancies spontaneously miscarry for no explainable
SEPTEMBER 2012 continued on page 4
THE SIDELINE REPORT | 3
AMSSM NEWS
PRO
Continued from page 3
reason in the first trimester10, and a
high level of fitness has been found to
have no effect on this rate11.
Most pregnant athletes with normal
pregnancies can safely continue to
participate in team activities, with
progressive modifications, as the pregnancy develops past the 14th week,
and athletes can compete successfully while pregnant, with no adverse
health effects2. While direct trauma
to the gravid abdomen in sports is a
possibility, it is exceedingly rare and
presumably avoidable, if adjustments
are made on a case-to-case basis2.
In early pregnancy, physical risk
from athletics is low, given appropriate health monitoring2. First trimester nausea and vomiting (“morning
sickness”) may interfere with athletic
participation, but it does not typically
harm the mother or fetus2. High level
athletic activity under the guidance
of a health care professional and in
conjunction with a certified athletic
trainer and coach, using sensible and
monitored training methods, does
not ordinarily place the mother or her
CON
fetus at risk before 14 weeks of gestation12.
A 2008 systematic review of hyperthermia studies in pregnant athletes
indicated there are no fetal abnormalities or adverse birth outcomes that
have been associated with inadequate
maternal-fetal thermoregulation during exercise13. Furthermore, extremely
physically-fit women, such as collegiate
student-athletes, are far superior at
regulating their temperature during
pregnancy than their non-athletic
peers13.
It is safe for pregnant athletes to
continue their pre-pregnancy levels
of exertion14. The American College
of Obstetricians and Gynecologists14,
The Society of Obstetricians and
Gynaecologists of Canada15, Royal
College of Obstetricians and
Gynaecologists16, and The Royal
Australian and New Zealand College
of Obstetricians and Gynaecologists17,
all acknowledge that exercise during
pregnancy, including strength training,
can be safe and is even recommended,
provided that there are no medical or
obstetric complications. In fact, it is
recommended that exercise be pre-
studies failed to replicate these findings, but it is still worth discussing with
standing in pregnant women. They
pregnant patients who have physically
argue that after the first trimester,
demanding jobs or patients who intend
the supine position causes a relative
to continue strenuous physical activity
obstruction of venous return and will
while pregnant³∙⁴.
result in decreased cardiac output and
Outside of the physiologic cardiovasorthostatic hypotension¹. Similarly,
cular changes that affect physical activmotionless standing, as part of yogaity in pregnancy, some specific physical
type exercise, is also associated with a activities prove to be a much higher risk
significant decrease in cardiac output
in pregnant women. Contact sports and
in pregnant women and should be
sports with a high fall risk are generavoided¹.
ally discouraged during pregnancy¹. For
In the 1980s and 1990s, epidemioexample, ice hockey is a contact sport
logic studies linked strenuous physiwith high risk for blunt abdominal/
cal activity and deficient diets to the
uterine trauma. Such trauma would
development of intrauterine growth
be hazardous to the health of a pregrestriction¹. This link seemed to be
nant woman and the developing fetus.
stronger in women whose employment Skiing, while not a contact sport, has
required prolonged standing or repeti- an inherently high risk of falling, which
tive strenuous physical activity². Other could result in abdominal trauma and
Continued from page 1
scribed for healthy pregnant patients
if obstetric evaluation showed no
contraindications1. Studies show
that improvements in fitness may be
achieved without any alteration in
either maternal or fetal wellbeing,
which means that exercise can be
started in a woman who had not been
exercising before pregnancy, if the
program is carefully structured and
supervised1.
Many women are already engaged
in exercise at the onset of pregnancy,
and others initiate an exercise regimen after becoming pregnant. When
performed properly and in a monitored manner by healthy pregnant
women, activities such as swimming,
resistance training, impact and nonimpact activities, and aerobics, may
be beneficial during pregnancy and
should therefore be started or continued. For high-level pregnant athletes,
it appears that maintaining a high
level of fitness promotes rapid return
to the previous level of fitness without risk to mother and fetus, as long
as safety is emphasized18. n
REFERENCES EXERCISE IS MEDICINE: PRO | CON
harm to the woman or fetus. Other recreational activities identified by ACOG to
have higher associated risks to woman
and fetus in pregnancy include soccer, basketball, gymnastics, horseback
riding, and vigorous racquet sports¹.
ACOG has also identified scuba diving
as a recreational activity that should be
avoided during pregnancy, due to the
risk of decompression sickness to the
developing fetus⁵. Similarly, exercise at
altitudes greater than 6,000 feet should
be avoided during pregnancy for risk of
adverse effects from altitude sickness⁶.
As in non-pregnant women, hemodynamically significant heart disease and
restrictive lung disease are contraindications to aerobic exercise during pregnancy. Pregnancy-specific problems that
are absolute contraindications to aerobic
continued on page 6
4 | THE SIDELINE REPORT
SEPTEMBER 2012
AMSSM NEWS
AMSSM Members at the 2012 Olympics
By Syed Naseeruddin, MD
AMSSM is thrilled that
several of its members
have been in London
covering the Olympic
Games. First and foremost is our Immediate
Past President, Dr. Cindy Chang who
served as the Chief Medical Officer for
the entire USA delegation. A detailed
article by Dr. Nailah Coleman is available in this newsletter, Cindy Chang,
MD: The Chief Medical Officer of the
London Olympic Games.
From Pittsburgh,
UPMC faculty member
Dr. Eric Anish is both
thrilled and honored to
have been part of the
Team USA medical staff
for the Olympics. “I am so thankful
for all the tremendous support that I
have received from my colleagues at
the University of Pittsburgh Medical
Center and Duquesne University
and from my wonderful family.
Without their support and encouragement, the opportunity to work
an Olympic Games would not have
been possible.” Eric had completed an
internship and residency in Internal
Medicine at Strong Memorial Hospital
in Rochester, New York, and served
as a Chief Medical Resident there. He
also completed a fellowship in sports
medicine at UPMC Shadyside. Eric
currently serves as a team physician
for Duquesne University, and has
been actively involved in the United
States Olympic Committee Sports
Medicine Program.
Eric‘s involvement with Team
USA Medical Staff coverage for the
London Olympics started with the
United States Olympic Committee
Sports Medicine Volunteer Program.
“I did volunteer rotations at the
Olympic Training Centers in Chula
Vista, Colorado Springs, and Lake
Placid. These were followed by an
opportunity to the work the 2011 PanAmerican Games in Mexico. Shortly
after the Pan-American Games, I
was invited to work the Olympics
in London.” In London, Eric helped
to staff the USOC Sports Medicine
Clinics at the High Performance
Training Center at the University of
East London-Docklands and in the
Olympic Village. Additionally, he
helped with specific team coverage
for those sports that do not have their
own physician assigned through their
sport’s National Governing Body. He
highly recommends younger AMSSM
members to begin by submitting
an application to the USOC Sports
Medicine Volunteer Program. “Doing
an initial two-week volunteer rotation
at an Olympic Training Center was
my first step to working at a future
Olympic Games.”
Dr. Jim Barrett is
a graduate of John’s
Hopkins Medical School
and completed his residency in family medicine
at the University of
Missouri (Columbia) and then did
his sports medicine fellowship at the
UC Davis campus in Sacramento. He
currently is a faculty member and
team physician at the University of
Oklahoma. Describing how Jim got
involved in covering the Olympic
Games, he states, “I got involved after
talking to an orthopedic surgeon I
worked with. He had been to Seoul
South Korea for the Olympics and
recommended that I get involved.
I had always wanted to be involved
with the Olympics in some way since
growing up and I was not going to be
one of the athletes! In London, I have
a unique job working as the physician
SEPTEMBER 2012 for the USOC staff.” Jim had previously covered the Parapan Games in Rio
and the Paralympics in Beijing where
he found that both had great venues
and great staff.
His advice for younger AMSSM
members who would like to get
involved is to “start by going to
AMSSM Olympic breakout session to
learn more about the process. Sign
up for time at the Olympic Training
Center. If you have a chance to work
with one of the teams, take advantage
of the opportunity. Consider working with the Paralympians as they
are truly inspiring.” Prior to heading
to London, Jim shared that he was
“looking forward to a great experience working with a great group of
people!”
C. Mark Chassay, MD
is Co-Founder of
Texas Sports & Family
Medicine, PLLC and has
practiced sports and family medicine since 1995.
In February 2005, Dr. Chassay was
promoted to Head Team Physician for
Intercollegiate Athletics, a position
he held until January 1, 2012 when
he was appointed Deputy Executive
Commissioner at Texas Health &
Human Services. Dr. Chassay still
continues his 16th season of work
with UT Athletics as an Assistant
Team Physician. In addition, he also
served as Team Medical Physician for
the Austin Wranglers Arena Football
League team from its 2004 inaugural
season until 2006.
Mark is also involved in the United
States Olympic Committee Volunteer
Program. In September 2003, he
completed the United States Olympic
Committee Level I Volunteer Program
at the Chula Vista (California) Training
continued on page 6
THE SIDELINE REPORT | 5
AMSSM NEWS
GOING TO THE OLYMPICS
Continued from page 5
Center. In May 2005, he served as
Chief Medical Officer for the United
States at the VISA World Paralympic
Cup in Manchester, England. Mark
served as a Medical Officer at the
2007 Pan American Games in Rio
de Janeiro, Brazil in July 2007 and
for Team USA at the XXIX Summer
Olympics held in Beijing, China in
August 2008. Recently, he also served
as the Chief Medical Officer for the
2011 Parapan American Games –
Guadalajara, Mexico. In London, Mark
will be the Chief Medical Officer at the
London Paralympics and involved in
cycling coverage.
Mark earned his medical degree
from the University of Texas Medical
School at Houston in 1992. He subsequently completed a family practice
residency at Memorial Hermann
Hospital Southwest in Houston in
1995. After his residency, he moved to
Southern California and completed a
primary care sports medicine fellowship at Kaiser Permanente (Fontana,
CA) and the SPORT Clinic of Riverside
in 1996. His advice for aspiring
Olympic coverage physicians is to
“Submit your application after finishing your fellowship as the waiting list
to volunteer is lengthy. If you have
a National Governing Body (NGB) in
your hometown, get on their volunteer list.”
CON
Continued from page 4
exercise include incompetent cervix,
persistent second- or third-trimester
bleeding, placenta previa after 26
weeks of gestation, evidence of preterm labor, ruptured membranes, preeclampsia, pregnancy-induced hypertension, and multiple gestation at risk
for premature labor¹. Relative contraindications to aerobic exercise during
pregnancy are similar to relative con-
AMSSM member,
Dr. Suzi Clarke is based
in the Emergency
Department at St.
Vincent’s University
Hospital, Dublin and
the Sports Surgery Clinic, Santry. She
graduated from the University College
in Dublin, Ireland and completed her
sports medicine fellowship at Wake
Forest University, North Carolina
in 2009. She has worked as a Team
Physician for Swim Ireland and Irish
Athletics as well as a Medical Officer
for the Irish Hockey Association. In
London, she worked at the Lensbury
Training Camp and in the Olympic
Village.
Peter Donaldson, MD,
a sports medicine
physician at Beaumont
Health System in West
Bloomfield, Michigan,
was assigned to both
the general clinic and to the U.S.
Equestrian Team while in London.
Dr. Donaldson earned his medical
degree from Wayne State University
School of Medicine and completed
a residency in emergency medicine
and a fellowship in sports medicine at
Emory University School of Medicine
and Providence Hospital and Medical
Center, respectively. In addition to his
clinical practice, Dr. Donaldson serves
as an Assistant Professor at Oakland
University-William Beaumont School
of Medicine.
traindications in non-pregnant women.
Severe anemia, pulmonary disease,
uncontrolled diabetes or hypertension,
and patients who are extremely overor underweight are listed by the ACOG
as relative contraindications to aerobic
exercise during pregnancy¹.
In conclusion, pregnancy puts
women and fetuses at increased risk
for complications from general aerobic exercise and recreational physical
activities. Some positions and activities
Previously, he was selected to serve
as a physician on the sled hockey
team for the 2010 Winter Paralympics
in Vancouver, and was a physician
for the 2011 Pan American Games in
Mexico. These summer games are also
a homecoming of sorts. Dr. Donaldson
was born in England, living in Central
England’s Leamington Spa, northwest
of London, until he was 4 years old.
He is a dual citizen of both England
and the U.S. and as an undergraduate,
he studied at Oxford University for
one year.
Dr. Ola Rønsen, who
was previously featured as AMSSM’s first
member in the new
“International Member”
category (June 2012, The
Sideline Report) was also in London as
the Team Physician for the Norwegian
team.
Two additional AMSSM members participated in the Paralympics
in London. Dr. JoAnne Allen, from
Wilmington, North Carolina, is working with Rowing, Sailing and Football
teams; Dr. Suzy Kim, from Long Beach,
California, is working with Track and
Field athletes. n
should be avoided. Pregnant patients
should approach exercise cautiously, as
significant physiologic changes occur,
and possible obstetrical complications
are numerous. However, in the absence
of absolute or relative contraindications,
exercise can be initiated or maintained
during pregnancy with appropriate
education and counseling from medical
providers. n
REFERENCES EXERCISE IS MEDICINE: PRO | CON
6 | THE SIDELINE REPORT
SEPTEMBER 2012
AMSSM NEWS
Chronic Traumatic Encephalopathy (CTE) What We Know, What We Don’t
By John MacKnight, MD
Chronic Traumatic Encephalopathy
(CTE) has become a condition of
great interest in the sports medicine
community. The deaths of several
high profile and notoriously hardhitting NFL players have brought this
devastating entity to the forefront
of both the medical community and
the lay press. Originally described in
the early 1900’s as “dementia pugilistica,” for its association with repetitive head trauma in boxers, CTE has
now been clearly linked with other
high-risk contact/collision sports,
most notably American football. Its
recognition as a public health concern
is beginning to channel the energies
of the sports medicine community to
improve prevention, identification,
and management of this devastating
disorder. Research has begun to shed
more light on the challenge of CTE,
but many fundamental questions still
remain.
What We Know
Repetitive brain trauma, with or
possibly without symptomatic concussion, is responsible for characteristic
neurodegenerative changes in the
brains of susceptible individuals.
Multiple mechanisms appear to play
a role in this process, including direct
physical damage, excitatory neurotransmitter release, and delayed
cell death, from the stimulation of
both necrotic and apoptotic cascades.
Other factors may include focal ischemia, breakdown of the blood-brain
barrier, inflammation, and the release
of cytokines. These fundamental
physical and biochemical changes
appear to lie at the foundation of CTE
development.
Histopathologic study of the brains
of those who succumb to CTE has
allowed us to understand its neuropathology. Neurofibrillary Tangles
(NFTs), Astrocytic Tangles, and dot-
like spindle-shaped Neuropil Neurites
(NNs) are common in the dorsolateral
frontal, subcallosal, insular, temporal, dorsolateral parietal, and inferior
occipital cortices. The shape of the
neurites is distinct from the predominantly threadlike forms found in
Alzheimer’s Disease (AD) and suggests
an axonal origin. CTE also classically demonstrates a high density of
hyper-phosphorylated tau protein in
the medial temporal lobe structures
(hippocampus, entorhinal cortex, and
parahippocampal gyrus) involved in
encoding and storage of new information. This tau proteinopathy is
characteristically irregular in distribution, with multifocal patches of dense
NFTs in the superficial cortical layers,
often in a perivascular arrangement.
This distribution pattern distinguishes
CTE pathologically from AD. Similarly,
beta-amyloid (Aβ) deposition in CTE is
an inconsistent feature relative to the
pronounced deposition seen in AD.
Each of the characteristically affected
areas of the central nervous system
gives rise to CTE’s typical clinical features.
Corsellis et al in 1973 described
three stages of clinical deterioration
in boxers with CTE. The first stage
was characterized by affective disturbances and psychotic symptoms. The
second stage was heralded by social
instability, erratic behavior, memory
loss, and the initial symptoms of
Parkinson’s disease. The third stage
consisted of general cognitive decline
progressing to dementia, often accompanied by full-blown Parkinsonism, as
well as speech and gait disturbances.
Today we see CTE patients presenting in a similar manner. Marked
deterioration in cognitive function,
especially recent memory loss, motor
and cerebellar dysfunction, and a
broad range of psychiatric symptoms
such as personality change, paranoia,
SEPTEMBER 2012 panic attacks, and major depression
with suicidality may all be commonly
seen. Additional psychiatric features
may include inappropriate aggression
or violence, poor impulse control, agitation, apathy, and hypersexuality.
Correlating these clinical observations with neuropathologic data,
we understand that damage to the
septum pellicidum and adjacent
periventricular gray matter, as well as
frontal and temporal lobes, results in
altered affect, emotional lability, and
memory loss. Degeneration of the
substantia nigra creates symptoms of
Parkinsonism characterized by tremor,
bradykinesia, and rigidity. Cerebellar
scarring and neuronal loss create
loss of balance and coordination,
staggered and ataxic gait, as well as
slowed, slurred, or dysarthric speech.
Diffuse neuronal loss is manifest by
loss of intellect in a pattern similar to
AD, and motor neuron disease has
been associated with a widespread
finding of Transactive Response (TAR)
DNA-binding protein of approximately
43 kDa (TDP-43) size. The clinical
features associated with TDP-43
deposition include muscle weakness,
atrophy, fasciculations, dysarthria,
dysphagia, hyperactive deep tendon
reflexes, and gait problems. This constellation of motor neuron findings,
when seen in association with CTE,
has been termed Chronic Traumatic
Encephalomyelopathy (CTEM) and
closely mimics Amyotrophic Lateral
Sclerosis (ALS).
At present, CTE is clinically diagnosed during life and only definitively
diagnosed by neuropathologic evaluation after death. No biomarkers are
yet practically available to assist in the
diagnosis of CTE, though CSF tau and
phosphorylated tau and isoprostanes
in plasma and CSF may have the potential to assist in both the prediction
continued on page 8
THE SIDELINE REPORT | 7
AMSSM NEWS
CTE
known at present. Prospective studies
will need to be undertaken to follow
and diagnosis of CTE in the future.
head trauma patients, over years, to asRadiologic evaluations may also
sess for the development of CTE. This is
play a future role in seeing the clasvital to our understanding the magnisic pathologic findings of CTE, though tude of this problem. It is also unknown
no modality can confer a definitive
what severity or recurrence of head indiagnosis at present. MRI may detect jury, or both, is required to initiate CTE.
diffuse atrophy and cavum sepThere are no well-designed prospective
tum pallucidum with fenestrations.
studies that have yet addressed these
Susceptibility-Weighted Imaging (SWI) important causative factors.
is valuable in seeing head trauma No consensus-based criteria for
associated microhemorrhages which
the diagnosis of CTE presently exist.
may play a role in setting the CTE cas- More research is needed to develop
cade in motion, but its clinical utility
such criteria to provide a reliable and
is limited at present. Diffusion Tensor valid indicator of neuropathologically
Imaging (DTI) is sensitive to diffuse ax- verified CTE. It is clear there are many
onal injury as may be seen with acute athletes with noteworthy concussion
head trauma, but its usefulness in the histories who do not develop CTE. We
evaluation of CTE is also unknown
need to understand what seemingly
at present. Magnetic Resonance
protects those individuals while others
Spectroscopy (MRS) measures brain
appear to be at great risk. Prospective
chemistry and changes in metabolism studies may help to link clinical phein association with head trauma and
notypes or genotypes with greater or
can show areas of neuron damage,
lesser CTE risk.
cell damage, or release of excitatory
The sports medicine community
transmitters. Event-Related Potentials needs to continue working toward
(ERP) are being used to study the
timely in vivo diagnosis if we hope to
long-term effects of head trauma
have a major impact on the natural
and may have a role in CTE as well.
history of CTE. Similarly, as we betThere is particular interest in P300, a
ter understand the neuropathology,
cognitive ERP with a link to memory
research will need to focus on diseasefunction. Increased P300 latency and specific treatments which presently do
decreased amplitude may be seen in
not exist.
dementia patients and may become
Ultimately, CTE does not develop
an important marker for those with
without repeated head injuries, and
CTE as well.
our ongoing mission must be to seek
improved means of protecting our athWhat We Don’t Know
letes from head trauma, concussions,
The overall incidence of CTE is unand the sequelae that may follow.
Continued from page 7
When considering Return-To-Play (RTP)
decisions for individuals having suffered a concussion, it is vital to factor
in the potential long-term risk of CTE.
Studies using event-related potentials,
transcranial magnetic stimulation, balance testing, multitask effects on gait
stability, PET scanning, and DTI MRI
have all shown abnormalities in head
trauma patients that persist at least
2-4 weeks. If a link between unresolved concussive findings and risk for
CTE can be established, then RTP time
frames will need to be extended to
facilitate more complete recovery and
lessen the risk for long-term complications. Finally, one of the key features of
CTE is that it continues to progress decades after the activity that produced
the traumatic injury has stopped.
Multiple pathologic cascades continue
to exert their effects throughout an
individual’s lifetime. We need to understand why this occurs and what we
can do to stop it.
We are in the infancy of our understanding of CTE and its impact on
athletes. Clearly, many vital questions
remain, and there is much work yet
to do. Our primary focus as clinicians
must continue to be the prevention
of concussion, with its appropriate
management to follow if and when an
injury does occur. Our research colleagues will continue to focus on a better understanding of the pathophysiology of CTE, with major implications
for improvements in prevention and
treatment of this devastating, progressive, and ultimately lethal condition. n
22ND ANNUAL MEETING • APRIL 17-21, 2013
MANCHESTER GRAND HYATT | SAN DIEGO, CA
2013 AMSSM
ABSTRACT
SUBMISSIONS
Instructions and online submission forms will be posted at www.amssm.org
• For Case Abstracts, the deadline is Tuesday, November 13, 2012 at 12:00 p.m. (Noon) CST
• For Research Abstracts, the deadline is Monday, December 3, 2012 at 12:00 p.m. (Noon) CST
TO SUBMIT AN ABSTRACT, YOU MUST BE AN AMSSM MEMBER!
8 | THE SIDELINE REPORT
SEPTEMBER 2012
AMSSM NEWS
Note from
the Editor
I hope everyone enjoyed the
summer – it was great to see
many of our colleagues and
athletes participate in the Olympic
Games and served as a time
to enjoy a reprieve before preparticipation examinations signal
that the sports year is back in full
swing. I hope that you enjoy this
edition of The Sideline Report.
Many of our committee members
have done a great job putting
together updates and articles
relevant to our membership. Feel
free to email newsletter@amssm.
org if you have ideas for topics
that you think are important to
AMSSM or that you would like
to see in the newsletter. We take
great pride in The Sideline Report
and hope that it meets your needs
and represents AMSSM well.
Thank you for reading and for all
that you do.
EDITORIAL BOARD
2013 AMSSM 22ND
The Sideline Report
ANNUAL MEETING
Editor-in-Chief
Chad Asplund, MD
[email protected]
Section Editors
AMSSM NEWS
Kelsey Logan, MD
[email protected]
Christopher Meyering, DO
[email protected]
THE WORLD OF
SPORTS MEDICINE
RIDE
THE WAVE!
Thad Barkdull, MD
[email protected]
NEWS FROM THE BOARD
The Future of Sports Medicine
Chad Asplund, MD
[email protected]
MEMBER IN THE SPOTLIGHT
APRIL
17 - 21, 2013
Jeff Kreher, MD
[email protected]
ODDS AND ENDS
Chad Asplund, MD
SAN DIEGO,
CALIFORNIA
[email protected]
Production Editor
Joan Brown
[email protected]
Chad Asplund, MD
Editor-in-Chief
A quarterly publication published by
AMSSM
Submission Dates:
January 1
April 1
July 1
October 1
Manchester Grand Hyatt San Diego
SEPTEMBER 2012 THE SIDELINE REPORT | 9
The World of Sports Medicine
Articles Written by Thad Barkdull, MD
AAP Recommends Allowing Youth with
Solitary Kidneys to Participate in Contact
Sports
World Organizations Collaborate
Regarding the Misuse of Compounds by
Athletes
Kidney injuries from sports are rare, so youth with
just one kidney need not be barred from playing contact
sports, according to a study in the July 2012 Pediatrics
(published online June 18). The American Academy of
Pediatrics (AAP) recommends a “qualified yes” for participation in contact or collision sports for young athletes with
a single kidney, but many physicians are reluctant to give
the go-ahead. It is estimated that 1 in 1,500 people are
born with a single kidney. The study, “Sport-Related Kidney
Injury Among High School Athletes,” looked at data from
the National Athletic Trainers’ Association High School
Injury Surveillance Study from 1995 to 1997. Researchers
analyzed data from more than 4.4 million “athlete exposures,” defined as one athlete participating in one game
or practice. Of 23,666 reported injuries, only 18 involved
a kidney, and none of those were catastrophic or required
surgery. This number of injuries is far fewer than numbers
reported for the head/neck/spine, brain or knee. The
authors concluded that the data does not support limiting sports participation by athletes with otherwise normal
single kidneys.
The International Federation of Pharmaceutical
Manufacturers and Associations (IFPMA), the global
Biotechnology Industry Organization (BIO) and the World
Anti-Doping Agency (WADA) launched the campaign
entitled “2 Fields 1 Goal”, intended to create “a strong
framework of collaboration and [encourage] the voluntary
cooperation of IFPMA and BIO member companies with
WADA to readily identify compounds with the potential for
misuse by athletes and to stop doping in sport.”
A major part of the campaign is the publication of a
booklet “Points to Consider: Identification of Compounds
with Potential for Doping Abuse and Sharing of Information
with WADA” which gives practical information to pharmaceutical companies to identify compounds that might
have athlete abuse potential, and take appropriate steps to
mitigate the risk of their abuse.
IFPMA: 2 Fields 1 Goal Campaign
Booklet - Points to Consider: ID of Compounds with Potential for
Doping Abuse/Sharing of Information with WADA
American Academy of Pediatrics, July 2012, Published Online
18 June 2012
Dutch Researchers Link Pediatric Obesity
with Significant Cardiovascular Disease
South African Sports Medicine
Association Publishes Guidelines on
the Use of Supplements in Sport
Researchers from the Netherlands recently published
findings in the Archives of Disease in Childhood that
showed children identified as obese were at more significant risk for high blood pressure, hyperlipidemia, and
elevated blood glucose.
From 2005 to 2007, researchers collected data from
pediatricians regarding new patients identified with obesity; they were asked to obtain lipid, fasting blood glucose,
and blood pressures. Data on each child was then provided
monthly. 67% of the children had at least one cardiovascular risk factor, and the study authors concluded that “The
prevalence of impaired fasting glucose in [these children] is
worrying, considering the increasing prevalence worldwide
of type 2 diabetes in children and adolescents. Likewise,
the high prevalence of hypertension and abnormal lipids
may lead to cardiovascular disease in young adulthood.”
“Internationally accepted criteria for defining severe
obesity and guidelines for early detection and treatment
of severe obesity and [underlying ill health] are urgently
needed.”
The SASMA recently published guidelines delineating
their position on the use of supplements in sport. They
have provided statements regarding use for both adults
and youth, clarifying the distinctive effects that can occur
in both populations. The organization noted that, “The
SAIDS Position Statement and Practical Guidelines were
borne out of a deep concern regarding the growing number of reports of health harming effects and positive doping cases related to the use of supplements in adults and
youth (including ‘dietary’, ‘performance-enhancing’, ‘sport
supplements’). The aim of these documents and resources
is to create awareness and education with regards to minimizing the risks associated with sports supplement use in
children and adolescents.”
SAIDS Position Statement and Guidelines on the Use of
Supplements in Sport
Medical News Today. Overweight Kids Already Have Risk
Factors for Heart Disease. 24 July
10 | THE SIDELINE REPORT
SEPTEMBER 2012
News from the Board
PRESIDENTIAL CORNER
OFFICERS
Jonathan A. Drezner, MD
President
[email protected]
John P. DiFiori, MD
First Vice President
[email protected]
Christopher Madden, MD
Second Vice President
[email protected]
Katherine L. Dec, MD
Secretary/Treasurer
[email protected]
Cindy J. Chang, MD
Immediate Past President
[email protected]
BOARD OF DIRECTORS
Chad Asplund, MD
[email protected]
Anthony Beutler, MD
[email protected]
Sean Bryan, MD
[email protected]
Chad Carlson, MD
[email protected]
Matthew Gammons, MD
[email protected]
Suzanne Hecht, MD
[email protected]
Neeru Jayanthi, MD
[email protected]
Amy P. Powell, MD
[email protected]
Mark Stovak, MD
[email protected]
Thomas Trojian, MD
[email protected]
Verle Valentine, MD
[email protected]
L. Tyler Wadsworth, MD
[email protected]
Dear Colleagues,
With the close of the London Olympics and the start of fall
sports around the corner, there is a thrill in the air within the
sports community. Congratulations to Dr. Cindy Chang, Chief
Medical Officer, and all of the medical professionals who provided care to Team USA. What an Olympic Games!
Four months ago in Atlanta, Dr. Chang introduced the current AMSSM strategic plan. The AMSSM Board of Directors, committee members, staff and a
multitude of other volunteer leaders have been hard at work towards these
objectives.
In Atlanta, I also shared my goals for this presidential year which align with
the AMSSM strategic plan. Below is an update for how we’re achieving them:
1. Advance and encourage research and scholarship within AMSSM.
• Research Grants: Thanks to the support of the AMSSM Foundation,
AMSSM members will now be eligible for $85,000 in research grant awards.
Applications are now being accepted for 2013 AMSSM Foundation Research
Grants and the new Young Investigator’s Grant program. And the forthcoming
AMSSM-ACSM Clinical Research Grant Award represents an exciting new partnership with ACSM and great opportunity for the member who will be selected
for this $20,000 grant.
• Research Workshop: AMSSM experienced record attendance for the 2012
Research Workshop, July 27-29 in Philadelphia, with 101 fellows participating.
Thanks to the outstanding work of the 2012 Research Workshop Chair, David
Webner, MD, the planning committee and faculty. The committee made some
very positive and dramatic changes to the curriculum, providing more opportunities for small group learning and a more interactive learning model. I’m
pleased to report that the conference will be re-branded and expanded in 2013
to become the AMSSM Fellows Research and Leadership Conference. More
details to come.
• 2013 Annual Meeting: Plans are shaping up nicely for the 22nd Annual
Meeting (April 17-21 in San Diego, CA). The program will be highlighted by a
half-day symposium on concussion, and include sessions on extremity injuries,
youth sports, imaging modalities, challenges to the practice, return to play,
tendinopathy, foot and ankle, cardiac issues, controversies in sports medicine
and sports medicine on the Pacific Coast. Mark your calendars!
2. Expand our partnerships with other national and international societies to
support the interests of sports medicine physicians.
Two important emerging initiatives are being explored by AMSSM with the
American Institute of Ultrasound in Medicine (AIUM) and the American
Registry for Diagnostic Medical Sonography (ARDMS).
• ARDMS: AMSSM met with the ARDMS leadership this summer to discuss
its plans for the new RMSK sonography credential that ARDMS is launching
in September. AMSSM is proposing that ARDMS modify its requirements for
sitting for the exam, by creating alternative pathways for those with significant
experience in MSK Ultrasound and provide credit for those participating in
continued on page 12
SEPTEMBER 2012 THE SIDELINE REPORT | 11
News from the Board
PRESIDENTIAL CORNER
Continued from page 11
fellowship programs with robust training in MSK U/S.
• AIUM: Sean Bryan, MD (Education Committee Chair);
Jay Smith, MD; and Executive Director, Jim Griffith will be
participating in the AIUM First Forum meeting located in New
York City, November 11-12 and meeting with AIUM leadership prior to the Forum.
3. Advocate for exercise and safety in sports for all ages.
• NCSL – For the first time, AMSSM participated in the
National Conference of State Legislators meeting, Aug. 6-9 in
Chicago, IL. Chad Carlson, MD (Practice and Policy Committee
Chair); Jim Griffith (AMSSM Executive Director); Neeru
Jayanthi, MD; Balakrishnan Natarajan, MD; and Sara Brown,
DO represented AMSSM at the meeting while visiting with
state legislators and their staffs about issues and legislation
important to sports medicine physicians and our patients.
• Joint Initiatives – AMSSM participated in and endorsed
an NATA Position Statement on “Preventing Sudden Death
During Collegiate Strength and Conditioning Sessions” and
endorsed a document from the Arthritis Foundation and the
CDC called “Environmental and Policy Strategies to Increase
Physical Activity Among Adults with Arthritis.”
• ECG Training Module – The modules are in development
for the comprehensive online training program for physicians to gain expertise in ECG interpretation and the proper
evaluation of ECG abnormalities suggestive of a pathologic
cardiovascular disorder. The training module should launch
in late 2012, and plans are underway for a 2013 issue of BJSM
to highlight this initiative, a joint AMSSM-Parent Heart Watch
Pilot ECG Interpretation Training Conference in January 2013
and a pre-conference workshop at the 2013 AMSSM Annual
Meeting.
4. Guide the continued purpose and contributions of our
organization.
• Values Statement: To further define our direction, in addition to refining AMSSM’s mission, vision and goals, AMSSM
has also adopted a values statement that defines our core
values – focused on service; honesty, integrity and respect;
quality and excellence; and communication, collaboration
and teamwork. New Vision Statement
There is much to be excited about in AMSSM! If you’re
not already actively engaged in an AMSSM Committee or
Subcommittee, I encourage you to get involved. Most of the
committees are open and offer a great way to volunteer your
time on important projects and initiatives, network with
colleagues and gain valuable experience with leaders in our
profession. n
Jonathan A. Drezner, MD
AMSSM President
WANT TO GET INVOLVED?
JOIN A COMMITTEE
COMMUNICATIONS COMMITTEE
Chairs: Amy Powell, MD and Chad Asplund, MD
[email protected]
Mission: The Communications Committee will be responsible for
AMSSM’s communications with its members, the media and the general
public.
Accepting all members.
EDUCATION COMMITTEE
Chair: Sean Bryan, MD Vice-Chair: Anthony Beutler, MD
[email protected]
Mission: The Education Committee will support the AMSSM as the premier educational resource for sports medicine physicians.
Accepting all members.
FELLOWSHIP COMMITTEE
Chair: Mark Stovak, MD
[email protected]
Mission: The Fellowship Committee will be an advocate, advisor and
effective supporter of current fellows, residents and Fellowship Directors
in maximizing the quality of postgraduate education in sports medicine.
Accepting Fellowship members only.
INTERNATIONAL/INTER-ORGANIZATIONAL
RELATIONS COMMITTEE
Chair: Thomas Trojian, MD
[email protected]
Mission: The International/Inter-Organizational Relations (IIOR)
Committee will create and foster direct, personal, professional and
collaborative connections between AMSSM and other medical and
sport-related national and international organizations for the benefit
of increasing the visibility of AMSSM and advancement of the field of
sports medicine.
Accepting Active, Associate, Affiliate and Fellowship members.
MEMBERSHIP COMMITTEE
Chair: Neeru Jayanthi, MD
[email protected]
Mission: The Membership Committee will recruit and retain qualified
members with diverse backgrounds to support the mission of the Society
and the advancement of the discipline of sports medicine.
Accepting all members.
PRACTICE AND POLICY COMMITTEE
Chair: Chad Carlson, MD Vice-Chair: Verle Valentine, MD
[email protected]
Mission: The Practice and Policy Committee will educate the AMSSM
membership about economic and policy issues germane to the practice
of sports medicine, with the goals of optimizing smart business practices
and marshaling organizational resources in the arena of public policy to
help effect positive change.
Accepting Active, Associate, Affiliate, Fellowship and Resident members.
PUBLICATIONS COMMITTEE
Chair: L. Tyler Wadsworth, MD
[email protected]
Mission: The Publications Committee will provide oversight and interface with AMSSM academic endeavors to include AMSSM position statements, journals, books and review of documents and manuscripts under
consideration for official AMSSM endorsement.
Accepting all members.
RESEARCH COMMITTEE
Chair: Suzanne Hecht, MD Vice-Chair: Matthew Gammons, MD
[email protected]
Mission: The Research Committee will facilitate the pursuit of scientific
investigations in sports medicine for the purpose of the advancement of
the knowledge base in the discipline.
Accepting Fellowship members only.
12 | THE SIDELINE REPORT
SEPTEMBER 2012
News from the Board
FELLOWSHIP COMMITTEE
Chair: Mark Stovak, MD
The Fellowship Committee functions under the guidance of several
Subcommittee Chairs but each subcommittee needs members. If you
are interested in any of these areas,
please contact the Subcommittee
Chair below.
This update will highlight the work
of the Fellowship Committee:
• Match Ethics: Subcommittee
Chair: Dr. Mark Stovak - Participation
in the 2011-12 Match was excellent.
This was the third Match monitored
by this subcommittee. No penalties to
AMSSM benefits were necessary for
any programs for this Match year.
• Periodic Survey: Subcommittee
Chair: Dr. Mike Henehan – The survey
occurs every two years and the next
Fellowship survey will occur in early
2013. The results will be discussed
during the Fellowship Forum at the
2013 Annual Meeting. Please look for
this survey.
• Fellows’ Matters: Subcommittee
Chair: Dr. Irfan Asif - Planning is moving along to transition from paper applications to ERAS for the 2014 Match.
Wonderful improvements have been
made to the Fellows Resources page
on the website. Check it out!
• ACGME: Subcommittee Chair:
Dr. Walt Taylor - New duty hour
requirements and new Fellowship
requirements started July 1, 2011 and
the effect on our programs is being
monitored. Survey results on these
issues were presented at the 2012
Annual Meeting.
• In-Training Exam: Subcommittee
Chairs: Dr. Stephen Paul and Scott
Rand - Transitioning the 2012 ITE to
the AMSSM was a success. Question
writers and editors are hard at work
creating quality questions for the
2012-13 ITE. Test question writers are
always needed. Please volunteer.
• Musculoskeletal Ultrasound
Curriculum: Subcommittee Chair:
Dr. Mark Lavallee - The curriculum
option for fellowship education was
published in the December 14, 2010
edition of BJSM. This curriculum
is constantly being evaluated and
changes will be made as needed.
• Professional Development:
Subcommittee Chair: Dr. Bill DexterA second great session on “Faculty
Development” was presented at the
2012 Annual Meeting. This has been
a wonderful addition to the Annual
Meetings. Planning is underway for
the 2013 Annual Meeting with very
interactive sessions expected. Please
attend!
• Fellowship Forum: Subcommittee
Chair: Dr. Mark Stovak - Planning is
under way for the topics to be presented at the 2013 Annual Meeting.
An ACGME Family Medicine-Review
Committee member is expected to be
at the 2013 Annual Meeting to address
ACGME updates & answer questions.
Please attend this session. n
ADVANCED TEAM
PHYSICIAN COURSE
DECEMBER 6-9, 2012
Hyatt Regency New Orleans
New Orleans, Louisiana
SPECIFIC HIGHLIGHTS INCLUDE:
• Dance medicine
• hip and elbow disorders
• Treatment of early knee arthritis in the athlete
• A variety of medical issues in sports
Online ATPC Registration and Conference Details
SEPTEMBER 2012 THE SIDELINE REPORT | 13
News from the Board
MEMBERSHIP COMMITTEE
Chair: Neeru Jayanthi, MD
Subcommittee Chairs:
Dr. Stacey Pappas - International
Members; Dr. E. James Swenson
Jr. - Resident Scholarship Awards;
Dr. David Kruse - Resident Student
Special Interest Group; Drs. Martha
Pyron and Shelley Street - Diversity
Special Interest Group; Dr. Selina
Shah - Internal Medicine Special
Interest Group; Dr. Christopher Guyer
- Emergency Medicine Special Interest
Group; Dr. Mark Halstead Pediatrics Special Interest Group;
and Dr. Ken Mautner - PM&R Special
Interest Group.
News:
•We would like thank Andrew
Gregory, MD for his dedicated work
as the Membership Committee Chair
and his significant help in transition to
my new role in chairing this important
Committee. The Committee is functioning well with the wonderful work of the
subcommittee chairs and the incorporation of the special interest groups serving under the Membership Committee.
• As of the 2012 Annual Meeting in
April, there was a record number 2,054
members, up from 1,838 in 2011! The
majority of these are Active members, while all the other categories of
Fellowship, Resident and Student members also increased. This is truly a credit
to the strength of this organization and
2012 MEMBERSHIP STATISTICS
its passionate members in promoting
(Reported
April 2012 AMSSM BOD Meeting)
and spreading the word.
• A new International Membership
Active Members
category was created and we have al(includes Charter
1,439
ready reviewed and approved a numMembers/Founders)
ber of new, high profile International
Associate Members
17
Members, and anticipate this to grow
Affiliate Members
3
as well. We encourage you to spread
the news about this international apEmeritus Members
9
peal!
Fellowship Members
210
• Ossur Americas will again support
Military Members
0
Fellow Members’ membership fees for
Resident Members
270
up to the first 177 Fellowship memStudent Members
106
berships accepted UPFRONT rather
than after reimbursement. We encour- TOTAL Members
2054
age the fellowship directors of these
fellows to keep their AMSSM membership up to date to help underscore
the benefits of AMSSM membership for
the importance of the benefits of this themselves and their fellows.
organization.
• We will continue current Resident
Scholarship awards, and are continuFuture:
ing to investigate other ways to allow
• We have sent out letters to each
feasibility of students and residents to
of the fellowship program directors
become members and attend the
with the help of Mark Stovak, MD
Annual Meetings.
(Chair, Fellowship Committee) to re• Committee members and special inmind them to renew or maintain their terest group chairs have made suggesactive AMSSM membership.
tions to include more topics relevant to
•We are happy to have more PM&R underrepresented specialty types in the
members, but have found that many
Annual Meeting.
fellowship directors of PM&R sports
Please come join the Membership
medicine fellowship programs are not Committee at our next Annual Meeting
members, and we will be working with or email me directly at membership @
members of the PM&R Special Interest amssm.org if you would like to be inGroup to make sure they are aware of volved in any way!! n
AMSSM ANNUAL MEMBERSHIP TRENDS
BREAKDOWN BY SPECIALTY
14 | THE SIDELINE REPORT
SEPTEMBER 2012
AMSSM FOUNDATION
The AMSSM Foundation is dedicated to the support and recognition of excellence in sports medicine education,
research and scientific activities, while promoting opportunities for humanitarian outreach.
2012 FOUNDATION
SUPPORTERS
PLATINUM LEVEL
$100,000 +
GOLD LEVEL
$50,000 - $99,999
SILVER LEVEL
$25,000 - $49,999
BRONZE LEVEL
$10,000 – $24,999
$85,000 in Research Grant Awards Now Available
See Application Deadlines Below
The AMSSM Foundation, in conjunction with the AMSSM Research
Committee, is pleased to announce the 5th year of the AMSSM Foundation
Research Grant Award program, and two exciting new grant programs.
AMSSM Research Grant Awards ($50,000/yr) – DEADLINE - Nov. 1, 2012 - The
purpose of the Research Grant Award program is to foster original scientific
investigations by members of AMSSM. Research proposals that investigate
issues within the broad discipline of sports medicine will be considered,
including clinical practice, injury prevention and rehabilitation, basic science,
epidemiology and education. Completed grant applications must be submitted
by Nov. 1, 2012. To be eligible, the primary investigator must be an AMSSM
member. More information and the grant application instructions are available
at AMSSM Foundation Research Grant Application.
NEW! - AMSSM Young Investigator’s Research Grant Awards ($15,000/yr) –
DEADLINE – Oct. 1, 2012 - The purpose of these awards is to foster original
scientific investigations by members of the AMSSM in the early stages of his/
her career. The primary investigator must be an AMSSM member who is 5 years
or less since completion of sports medicine fellowship training. Current AMSSM
fellows and residents are eligible to apply. Grants will have a maximum of
$5,000 per award, with most awards expected to be in the $2,000-3,000 range.
Completed grant applications must be submitted by Oct. 1, 2012. AMSSM
Foundation Young Investigator’s Research Grant Awards
NEW! - AMSSM-ACSM Clinical Research Grant Award ($20,000/yr - $10,000
from AMSSM, $10,000 from ACSM) – DEADLINE – Feb. 8, 2013 - The purpose
of the AMSSM-ACSM Clinical Research Grant Award is to foster original
scientific investigations with a strong clinical focus among physician members
of AMSSM and the ACSM. The primary investigator must be a physician and a
member of AMSSM and ACSM. The maximum total grant is $20,000, which will
be awarded to a single research proposal for the initial maximum time period
of a two-year grant cycle. Completed grant applications must be submitted
by the second Friday of February (Feb. 8, 2013). More information and the
instructions will be posted on the AMSSM website later this Fall.
The Research Committee is chaired by Suzanne Hecht, MD and Matt Gammons,
MD serves as the Vice-Chair.
AMSSM Foundation Leadership
OFFICERS
Margot Putukian, MD
President
Jeffrey Tanji, MD
Vice President
Rob Johnson, MD
Secretary/Treasurer
BOARD OF DIRECTORS
Marje Albohm (Corporate)
Kim Fagan, MD
Mike McHugh (Corporate)
Karl Fields, MD
Kim Harmon, MD
Osric King, MD
Craig Young, MD
SEPTEMBER 2012 THE SIDELINE REPORT | 15
AMSSM FOUNDATION
CONTRIBUTIONS BY AMSSM MEMBERS/SUPPORTERS
2011-2012 ANNUAL FUND DONORS
FOUNDERS’ CIRCLE
Kim Fagan, MD
A special recognition given by the Founders for cumulative gifts or pledges of $10,000 or more made within five years.
Brian Halpern, MD
John Lombardo, MD
Ty Wadsworth, MD
Craig Young, MD
PLATINUM $1,000 +
Jeff Anderson, MD
Chad Carlson, MD
Jessica Ellis, MD
Jonathan Finnoff, DO
Matthew Gammons, MD
John Hulvey, MD
Rob Johnson, MD
Gregory Landry, MD
Douglas McKeag, MD
Amy Powell, MD
Margot Putukian, MD
Thomas Sevier, MD
Jay Smith, MD
Jeff Tanji, MD
GOLD $500 - $999
Marco Bosquez, MD
Sara Brown, DO
Cindy Chang, MD
John DiFiori, MD
Robert Dimeff, MD
Karl Fields, MD
Ann Grooms, MD
Kim Harmon, MD
Suzanne Hecht, MD
Brent James, MD
Wesley Lewis, MD
James Moriarity, MD
George Morris, MD
Aurelia Nattiv, MD
Mark Niedfeldt, MD
Luis Palacios, MD
Tracy Ray, MD
James Robinson, MD
Stephen Simons, MD
Mark Halstead, MD
Brian Hardin, MD
Shane Hernesman, MD, PA
Thomas Howard, MD
Susan Joy, MD
Osric King, MD
Thomas Kohl, MD
David Lisle, MD
Jason Matuszak, MD
Nick Monson, DO
Ross Osborn, MD
Stephen Paul, MD
Sourav Poddar, MD
Scott Rand, MD
Delphis Richardson, MD
Jason Robertson, MD
Aaron Rubin, MD
Paul Stricker, MD
Steven Weintraub, DO
Mark Williams, DO
SILVER $250 - $499
Kenneth Bielak, MD
James Bryan, MD
Robert Cabry Jr, MD
A.J. Cianflocco, MD
Sean Convery, MD
Leslie Cooper, MD
Dave Cosca, MD
Katherine Dec, MD
BRONZE $25 - $249
Kristin Abbott, MD
Peter Alasky, DO
Mark Alexander, MD
Joanne Allen, MD
Julie Arends, MD
Joseph Armas, MD
Kiersten Arthur, MD
Chad Asplund, MD
Joseph Atkin, MD
Doug Aukerman, MD
Katerina Backus, MD
John Baldea, MD
Kenneth Barnes, MD, MSc
Jim Barrett, MD
Michael Barry, MD
Darryl Bates, MD
Casey Batten, MD
Matthew Bayes, MD
Tricia Beatty, DO
O.Adebunmi Beckley, MD
Rachel Bengtzen, MD
Holly Benjamin, MD
Anthony Beutler, MD
Joshua Bloom, MD
Damond Blueitt, MD
Marilyn Boitano, MD
Jennifer Bontreger, DO
Mark Bouchard, MD
David Bowden, MD, MPH
Jennifer Brake, MD
Erik Brand, MD, MSc
James Bray, MD
Jeff Brent, MD
Susannah Briskin, MD
Jacel Brooks, MD
Michael Broton, MD
Sean Bryan, MD
Craig Burnworth, MD
Monique Burton, MD
Jeffrey Bytomski, DO
Gregory Cain, MD
William Callahan, MD
Kristine Campagna, DO
Martin Canillas, MD
Nicholas Cardinale, MD
Christopher Carlson, MD
Kathleen Carr, MD
Leon Cheng, MD
Irfan Chhipa, MD, MPH
John Chico, MD
Donald Christie Jr, MD
Stephanie Chu, DO
Jane Chung, MD
Heather Cichanowski, MD
Chris Clemow, MD
James Clugston, MD
Gloria Cohen, MD
Criag Coleby, MD
Brian Coleman, MD
Nailah Coleman, MD
John Colianni, MD
Douglas Comeau, DO
Douglas Connor, MD
Daniel Constance, MD
Kara Cox, MD
Peter Cronin, MD
Sean Cupp, MD
Kurt Dallow, MD
Brian Daniels, MD
James Daniels, MD, MPH
Jason Davenport, MD
Courtney Dawley, DO
Carly Day, MD
Rajwinder Deu, MD
Kevin deWeber, MD
William Dexter, MD
Alex Diamond, DO, MPH
Matthew Diamond, MD
Manuel Diaz, MD
Jason Diehl, MD
Sameer Dixit, MD
Jonathan Drezner, MD
Kevin Eerkes, MD
Michael Ellerbusch, MD
Lauren Elson, MD
Nicolai Esala, DO
Scott Evans, MD
Kristopher Fayock, MD
Robyn Fean, MD
David Feig, MD
Jean Ferdinand, MD
Kenton Fibel, MD
Richard Figler, MD
Willa Fornetti, DO, MS
Todd Fowler, MD
Masaru Furukawa, MD
Robert Gambrell, MD
Kristen Geiger, MD
Nicole Gesik, DO
Andrew Getzin, MD
Mandeep Ghuman, MD
Steven Giles, MD
Laura Goldberg, MD
Arlene Goodman, MD
Marci Goolsby, MD
Andrew Gottschalk, MD
Laura Gottschlich, DO
Aaron Gray, MD
Andrew J.M. Gregory, MD
Jim Griffith, MBA, CAE
Ann Grooms, MD
Rodney Guimont, MD
Joshua Hackel, MD
Matthew Hale, MD, MPH
Heather Hammonds, MD
Brian Hang, MD
Peter Hanson, MD
George Harris, MD, MS
David Harsha, MD
Benjamin Hasan, MD
Michael Henehan, DO
Jeremy Henrichs, MD
Marc Hilgers, MD, PhD
Garry Ho, MD
B. Jeff Holcomb, MD, MS
Warren Howe, MD
Stephen Huang, MD, MS
Mark Hudak, MD
Ryan Hudson, MD
Jeremy Hunt, MD
Lindsay Huston, MD
Phuong Huynh, MD
Jonathan Jackson, MD
Richard Jacobs, MD
Neeru Jayanthi, MD
Nathaniel Jones, MD
Beverly Jordan, MD, ATC
Matthew Kanaan, DO, MS
Kristine Karlson, MD
Amanda Kelly, MD
Karim Khan, MD
Jacklyn Kiefer, DO
Robert Kiningham, MD
Chris Klenck, MD
Jessica Knapp, DO
Jennifer Koontz, MD, MPH
Daniel Kraeger, DO
Daniel Kraft, MD
David Krey, DO
David Kruse, MD
Geoffrey Kuhlman, MD
Cynthia LaBella, MD
Michael LaGrange, MD
Eric Lake, DO
Charles Lascano, MD
Mark Lavallee, MD
Constance Lebrun, MD
John Leddy, MD
Matt Leiszler, MD
Amy Leu, DO
Richard Levandowski, MD
David Liddle, MD
Todd Lorenc, MD
Emily Lott, MD
Joseph Luftman, MD
Wauca Luna, MD
Tom Lundquist, MD
Christopher Madden, MD
Brian Mahaffey, MD
Navid Mahooti, MD
Douglas Marania, MD
Kenneth Mautner, MD
Catharine Mayer, MD
Bryan Mayol, MD
Teri McCambridge, MD
Kendra McCamey, MD
Michael McCartney, MD
Andrew McMarlin, DO
Donna Meltzer, MD
Jeremy Metzler, MD
Charlie Michaudet, MD
Michael Miller, MD
Brandon Mines, MD
Anuruddh Misra, MD
Jennifer Mitchell, MD
Marc Molis, MD
A.J. Monseau, MD
Daniel Montero, MD
Brad Moser, MD
Carter Muench, MD
Gregory Murphy, MD
Syed Naseeruddin, MD
Rodolfo Navarro, MD
Jeffrey Nelson, MD
Guy Nicolette, MD
J. Michael Niehoff, MD
David Nikovits, MD
J. Michael Noble, MD
Melissa Novak, DO
Jennifer Oberstar, MD
Francis O’Connor, MD, MPH
Tara Oden, MD
John O’Kane, MD
Leonardo Oliveira, MD
David Olson, MD
Stacey Ostrin, MD
Nicole Otto, MD
Theodore Paisley, MD
Luis Palacio, MD
Chad Palmer, MD
Andrea Pana, MD, MPH
Stacey Pappas, MD, MS
Federick Parker, MD
Eric Parks, MD
Rowan Paul, MD
Matthew Pecci, MD
Brooke Pengel, MD
Andrew Peterson, MD
Charles Peterson, MD
Michael Petrizzi, MD
Jack Pinney, MD
Thomas Plut, DO
Thomas Pommering, DO
Gale Prentiss, MD
William Primos, MD
Alan Provance, MD
George Pujalte, MD
Thomas Pulling, MD
Lara Quinlan, MD
Catherine Rainbow, MD
Jeremy Reed, DO
Andrew Reisman, MD, ATC
Edward Reisman, MD
Rowena Reyes, MD
Stepehn Rice, MD, PhD, MPH
Brent S.E. Rich, MD, ATC
Tara Robbins, MD
William Roberts, MD, MS
Alysia Robichau, MD
Ola Rønsen, MD, PhD
David Ross, MD
Pierre Rouzier, MD
Aaron Rowland, DO
James Russell, MD
Benjamin Saben, MD
Mark Sakr, DO
Philip Salko, MD
Jon Schultz, MD
Chris Schuster, MD
Benson Scott, MD
Matthew Sedgley, MD
Barbara Semakula, MD
Nilesh Shah, MD
Selina Shah, MD
Alan Shahtaji, DO
Stefanie Shaver, MD
Michael Shea, MD
Brian Shiple, DO
Matthew Silvis, MD
Juris Simanis, MD, MSP, MSPH
David Smith, MD
Michael (Seth) Smith, MD
Mary Solomon, DO
Keith Spain, MD
Richard Spelts, DO
Shawn Spooner, MD
Mark Stovak, MD
Steven Stovitz, MD, MS
Shelley Street, MD
Natalie Suedekum, MD
E. James Swenson Jr, MD
Walter Taylor, MD
Matthew Tennison, MD
Thomas Terrell, MD, M Phil
Eric Thomson, MD
Jack Trainor, MD
Daniel Trimberger, MD
Thomas Trojian, MD
Cameron Trubey, MD
Priscilla Tu, DO
Jana Upshaw, MD
Leon Uribe, MD
Verle Valentine, MD
Elizabeth Vasser, MD
Natalie Voskanian, MD
Katherine Walker, MD
Bryant Walrod, MD
Kevin Waninger, MD, MS
Ashley Warren, MD
David Webner, MD
Pnina Weiss, MD
David Weldy, MD, PhD
Jeff Westerfield, MD
Russell White, MD
Joe Wierzbicki, MD
Cyd Charisse Williams, MD
John Wilson, MD
Rosalind Womack, MBChB
Valarie Wong, MD
Jon Woo, MD
2012-2013 ANNUAL FUND DONORS
SILVER $250 - $499
John Shelton Jr, MD
BRONZE $25 - $249
Carla Fritz, MD
Robert Kennedy, MD
Kevin McAward, MD
Jerrad Zimmerman, MD
Whether $50 or $2,500, your gift to the
AMSSM Foundation is fully tax deductible and is
a great way to support AMSSM education and
research initiatives. Make your gift today.
AMSSM Foundation Donation Form
16 | THE SIDELINE REPORT
SEPTEMBER 2012
Member in the Spotlight
Dr. Christopher M. Miles
Written by Luis Salazar, MD and Edited by Jeffrey Kreher, MD
Dr. Christopher M. Miles is currently an Assistant Sports
Medicine Fellowship Director and Clinical Professor in family medicine at Wake Forest University. Chris was born in
Phoenix, AZ but grew up in Iowa until the age of 10 where
his love and support for the Iowa Hawkeyes began. His family then moved to Metamora, IL where he considers home.
He was exposed early in life to athletics with the help of his
sister’s athletic endeavors but it was his parents
who encouraged a diverse exposure to sports.
Chris grew up playing tennis, hockey, soccer,
basketball, track, and found his passion in playing football. He took his football talents to Knox
College (DIII) in Galesburg, IL where he was recruited as a wide receiver. Ultimately, several ACL
injuries on his team allowed him to showcase
his football abilities as a safety. While at Knox
College he began working on pursing an athletic
training degree, which exposed him to the team
physicians in the athletic training room both as a
student and an athlete. Following this exposure,
he changed his major to Biochemistry and set his
eyes on medical school. His time at Knox College
also allowed him to meet his wife who was a basketball
player while he was a student athletic trainer.
While attending the University of Illinois College Of
Medicine, Chris was initially interested in emergency medicine and orthopedics. However, during his second year, he
Member in the Spotlight Favorites
Favorite color
RED
Favorite Number
41
Food
Ahi Tuna with wasabi
Drink
Arnold Palmer
(1/2 tea, 1/2 lemonade)
Vacation spot
A tie: Outer Banks/Hawaii
Sports team
Iowa Hawkeyes
Sport to watch
Football
Sport to play
I enjoy too many to have just one
Car
I am a truck guy (Silverado currently)
Music
Contemporary Christian
TV show
Jeopardy
Movie
The 5th Quarter (filmed during my fellowship)
Book
Practice by the Book – A Christian Doctor’s Guide to Living and Serving
Magazine
I prefer the newspaper
participated in an early clinical rotation that initially exposed
him to primary care sports medicine (PCSM). During his third
year, while on his orthopedic rotation he realized that if you
are in a surgical case and are hungry, you have to wait, or if
you have to use the bathroom - you have to hold it. At that
moment, he realized that orthopedic surgery was not for him
as he is very fond of both of those activities. This drove him
to choose a career path with an outpatient clinical
practice and the freedom it gave him. In his family
medicine residency in Peoria, IL he worked with a
PCSM physician who served as a mentor who demonstrated all the good qualities of family medicine
and works toward putting that mentorship forward
in his current practice.
Having been in central Illinois for most of his life,
he chose to go to Wake Forest for his sports medicine fellowship. After fellowship he was able to
return to Illinois to work in a three-person private
sports medicine group with two of his residency
classmates. There he helped cover high schools and
Bradley University in the Peoria, IL area. Although
there was an academic affiliation with his residencytraining program, his true passion for teaching, mentoring,
and research was limited. Dr. Miles has recently returned
to Winston-Salem, NC with Wake Forest to work with the
Department of Family Medicine and the sports medicine
fellowship program. He is excited about the diverse opportunities he has working with athletes at
various levels; ability to teach medical
students, residents,
fellows, and pursue
his research interest in
concussion and social
media education.
Outside of work,
Dr. Miles is an active member in his church and in faith-based community
outreach programs. He and his wife, Dawn, stay busy with
2-year old Hayden and both try to stay physically active training and competing in sprint triathlons. Dawn is able to stay
home with their son, teaches fitness classes and is a personal
trainer. Chris feels very blessed and is honored to practice
family and sports medicine. He finds great joy in teaching
medical students, residents, and fellows. Yet, if he was forced
to switch careers, he would love to be the first base coach for
the St. Louis Cardinals. After all, he would only have to work
half of the games and even when he did work his two defined
tasks of holding and advancing the runner seem like very
achievable tasks. n
SEPTEMBER 2012 THE SIDELINE REPORT | 17
Odds and Ends
AMSSM STORE
AMSSM CAREER CENTER
The AMSSM Career Center offers its members—and
the industry at large—an easy-to-use and highly targeted
resource for online employment connections.
AMSSM knows how critical it is for employers in the
healthcare industry to attract first-rate talent with a minimum expenditure of time and resources. AMSSM also
strives to provide members smooth career transitions for
those seeking jobs.
Books | eBooks • Brochures | Posters
DVDs | Digital • Wearables
Books | eBooks
Authors: Stephen Paul, MD;
Scott Rand, MD; Mark Stovak, MD, Marc
P. Hilgers, MD, PhD
Length: 544 pages
Published: 2012
Format: Book
Book: $69.95
ePub: $55.96
FOR EMPLOYERS:
Employers can post jobs online, search for qualified
candidates based on specific job criteria, and create an
online resume agent to email qualified candidates daily.
They also benefit from online reporting that provides job
activity statistics.
DVDs
2012 AMSSM Annual Meeting Conference DVDs are now available at a
discounted rate of $40 each (regular price $99.95) through September 30th.
The discount code for this offer is AMSSMDVDS.
FOR JOB SEEKERS:
•
•
•
•
•
•
•
•
•
•
The AMSSM Career Center is a free service that provides
access to employers and jobs in the healthcare industry.
In addition to posting their resumes (with confidentiality
option), job seekers can browse and view available jobs
based on their criteria and save those jobs for later review
if they choose. Job seekers can also create a search agent
to provide email notifications of jobs that match their
criteria.
AN ADDED BENEFIT FOR BOTH EMPLOYERS
AND JOB SEEKERS:
Both employers and job seekers have access to the
National Healthcare Career Network, a group of over 265
top healthcare associations and professional organizations,
including the American Hospital Association, the American
Academy of Pediatrics and the Association of American
Medical Colleges. AMSSM’s alliance with the NHCN increases both the employer and job seekers’ reach.
Biologic Therapies
Cardiac Disorders
Care of the Elite Athlete
Controversies in the Care of Pediatric Athletes
Faculty Development
Head and Neck: Current Concepts
Hip and Groin Pain
Injury Prevention
Preventing Sudden Death in Athletes
The Endurance Athlete
AMSSM Brochures
•
•
•
•
What is a Sports Medicine Specialist? (for insurers)
What is a Sports Medicine Specialist? (for patients)
The Sports Medicine Specialist – Could It Be a Career for You?
What is a Sports Medicine Specialist? (for legislators)
Each brochure is
available for purchase:
$75.00 for 100 copies
The AMSSM Career Center
Wearables
• Members receive 50% off for job postings
• Posting your resume (with confidentiality option) is free
Visit the AMSSM Career Center at amssm.org
Order from the AMSSM Store www.amssmstore.com or from
the AMSSM Website www.amssm.org
18 | THE SIDELINE REPORT
SEPTEMBER 2012
Odds and Ends
Coming Soon
for AMSSM Members!
Upcoming Conferences
Clinical Journal of Sport Medicine
for the iPad®
SEPTEMBER 14-16, 2012
The same information that’s
so critical to your profession–
now brought to you for the
iPad.
This dynamic app optimizes
the best in digital technology
to enhance a print–like reading experience with seamless
multimedia integration, easy
navigation and more.
Portland, Maine
• Easy–to–read, full–text articles
• Adjustable text sizing with “pinch and zoom”
• Engaging multimedia videos and supplemental digital content (SDC)
• Ability to store or delete downloaded issues
• Speedy issue–browsing capability via Quick View and linked Table of Contents
• Quick scrolling through abstract summaries
• Convenient notification when a new issue is available
Watch your emails for the launch of the new iPad version
expected to be early this fall.
AMSSM/MAINE MEDICAL CENTER
ULTRASOUND GUIDED INJECTIONS
Beginning Level Course
Conference Details
DECEMBER 6-9, 2012
2012 ADVANCED TEAM PHYSICIAN COURSE
Hyatt Regency New Orleans
New Orleans, Louisiana
Conference Details
APRIL 17-21, 2013
AMSSM 22ND ANNUAL MEETING
Manchester Grand Hyatt San Diego
San Diego, California
JUNE 21-23, 2013
AMSSM/MAINE MEDICAL CENTER
MUSCULOSKELETAL ULTRASOUND
Intermediate/Advanced Level Course
Portland, Maine
Conference Details
APRIL 5-9, 2014
AMSSM 23RD ANNUAL MEETING
Hyatt Regency New Orleans
New Orleans, Louisiana
Important NRMP Match Dates
APRIL 15-19, 2015
AUGUST 29, 2012 (12 noon ET)
Westin Diplomat Resort and Spa
Hollywood, Florida
Registration begins
NOVEMBER 7, 2012 (12 noon ET)
Rank order list submission begins
DECEMBER 5, 2012 (11:59 p.m. ET)
Quota change deadline
DECEMBER 19, 2012 (9:00 p.m. ET)
Deadline for registration and ROL certification
AMSSM 24TH ANNUAL MEETING
APRIL 16-20, 2016
AMSSM 25TH ANNUAL MEETING
Sheraton Dallas
Dallas, Texas
APRIL 25-29, 2018
AMSSM 27TH ANNUAL MEETING
Walt Disney World Swan And Dolphin
Orlando, Florida
JANUARY 9, 2013 (12 noon ET)
Match Day
SEPTEMBER 2012 THE SIDELINE REPORT | 19