Returning injured World War II soldiers to battle-ready status helped establish physiatry as a specialty. The parallel of returning an athlete to activity underscores a close relationship between sports medicine and physiatry. In addition, the musculoskeletal focus of physiatry has always complemented sports medicine. Frank Krusen, MD, who coined the ...

Preventive medicine education is unique in that its successes are measured in groups of people. Conveying this population perspective can be difficult, even to preventive medicine residents, some of whom have been in clinical practice for many years. The Case-Based Series in Population-Oriented Prevention (C-POP) was adapted for use in ...

Because only a few people will not steal under any circumstances, it might be time to reassess your organization and review the controls in place to prevent theft and embezzlement from within. Learn whether your practice is a target for thieves and what you can do to prevent loss of ...

Claims denial management can enhance revenue in times of declining payment and increasing cost pressures. Denials usually arise from process problems leading to inadequate documentation. A denial management team should oversee prospective prevention and claims recovery. Prospective prevention minimizes denials by defining scope of service, tracking causes for denials, and ...

BACKGROUND: Sport and exercise related injuries are responsible for about 5% of the workload in the accident and emergency (A&E) department, yet training in sports medicine is not a compulsory part of the curriculum for Higher Specialist Training. AIM: To determine how A&E medicine consultants and specialist trainees view their ...

The objective of the Sideline Preparedness Statement is to provide physicians who are responsible for making decisions regarding the medical care of athletes with guidelines for identifying and planning for medical care and services at the site of practice or competition. It is not intended as a standard of care ...

The influence of morphological, biological, sociological, psychological, and environmental factors on the practice of organized sports and the amount of moderate to vigorous physical activity was examined through a questionnaire and continuous heart-rate monitoring, for 80 schoolchildren, 11 to 16 years old. Sport-practicing boys had a lower percentage of fat ...

The insertion of central venous catheters (CVCs) is an established practice in the management of children who need long-term total parenteral nutrition or chemotherapy. Inadvertent falling out of CVCs before the cuff becomes incorporated in the tissues is a commonly encountered problem. The technique described involves inserting a circular stitch ...

Chronic lung disease (CLD) of prematurity remains a substantial problem despite modern perinatal and neonatal care. CLD remains related to gestational age and lung immaturity, although it has become clear that severe initial lung disease is not a prerequisite for CLD to develop. Attempts to prevent CLD to date have ...

Each year, a number of children and adolescents die suddenly from cardiac problems that are associated with a small subgroup of disorders and high-risk behaviors. While sudden cardiac death in any child or adolescent is distressing, it can be particularly devastating when it occurs in a seemingly healthy young athlete. ...

The teaching of preventive medicine in the medical school curriculum occurs both in independent and in interdisciplinary courses and units. A survey was conducted to examine the changes in preventive medicine context, content, and allotted hours that have occurred in the transition from the traditional Flexnerian curriculum to the more ...

Obstetricians and gynecologists play an important role in preventive medicine. A great deal of obstetrics and gynecology is dependent on the principles of preventive medicine, such as understanding populations, risk profiling, epidemiology, and statistics as they pertain to screening programs and prevention. Thus, it is reasonable that an ob-gyn clerkship ...

Many similarities can be drawn between the athletic and industrial population. It is time for a shift in the approach toward injured workers utilizing a sports medicine perspective. We must think of workers as industrial athletes and recognize that the sports medicine model can be appropriately adapted to the injured ...

Evidence of a growing need for preventive medicine specialists is the congruence between needed competencies for practice in the current health care environment, as identified by the Council on Graduate Medical Education (COGME) and in other national reports, and the core competencies of preventive medicine residents. The total number of ...

Preventive medicine is an increasingly important area of clinical practice. Conceptually, preventive medicine involves three tasks of the clinician: screening, counseling, and immunization/prophylaxis. This opening article reviews some of the basic tenets underlying screening including basic epidemiologic principles, characteristics of a good screening situation, barriers to screening, and some of ...

You, our readers, don't often think of yourselves as being at the forefront of a medical trend-but, in fact, you are. That trend is the gradual emergence of a "health model" of medicine, with its roots in sports medicine and similar health-oriented clinical disciplines. You practice in this mode whenever ...

As part of a detailed survey, we recently asked our physician readers to define sports medicine. No single definition stood out. Words and phrases used included (among many others): art and science of medicine applied to physical activity, care of athletes, disease prevention and treatment, emphasis on function, enhancing fitness, ...

Globalisation, empowerment and technological change will determine the emerging directions in sports medicine in the new millennium. Networks and alliances of scientist and clinician services, as well as electronic profiling of athletes' learning styles, genetic predisposition and other variables, will enhance the spectrum of sports medicine services. Visionary direction will ...

OBJECTIVES: To determine whether integrating primary care sports medicine into academic emergency medicine (EM) can enhance both revenue and the academic program. METHODS: A retrospective descriptive review of all patients seen in a primary care sports medicine practice at a university hospital sports medicine clinic was done over a 24-month ...

We have arrived at a watershed in the fight against drugs in sport. This must not be looked upon as a war. War eventually has winners and losers. In the fight against drugs in sport we have a major ethical, educational, financial, health and management problem. The solution to the ...

Preventive medicine is the best insurance for effective avian health maintenance and infectious disease control. Psittacine birds should have a yearly physical examination including a thorough history. Additionally, these animals require adequate management and husbandry including a commercial bird food diet supplemented with fresh fruits and vegetables. A complete preventive ...

OBJECTIVE: To assess if the impact of teaching preventive medicine can be increased by supplementing conventional teaching with a practice based preventive audit undertaken by general practice registrars and their supervisors. METHOD: A practice based medical record audit of preventive activities was undertaken by 30 general practice registrars and 27 ...

OBJECTIVE: To evaluate whether nurse run clinics in general practice improve secondary prevention in patients with coronary heart disease. DESIGN: Randomised controlled trial. SETTING: A random sample of 19 general practices in northeast Scotland. PATIENTS: 1173 patients (685 men and 488 women) under 80 years with working diagnoses of coronary ...

Pre-eclampsia and eclampsia remain one of the leading causes of maternal morbidity and mortality worldwide. They also contribute to perinatal morbidity and mortality as well. Multiple strategies have been proposed for the prevention of pre-eclampsia, with mixed results. Likewise, different strategies for the management of pre-eclampsia have been proposed, also ...

BACKGROUND: The evolution of American health care into integrated systems of delivery and finance requires a specialized set of population-based skills for physicians. The field of preventive medicine represents one source of this expertise. Specific competencies for the emerging area of managerial medicine have not been well delineated. METHODS: Using ...

The image is familiar and dramatic. An elite athlete is injured, and a sports medicine physician is at his or her side while the athlete is carried from the field or arena to the sidelines and perhaps to a waiting ambulance. Thousands in the stands and millions more in front ...

Experimental evidences are offered in this article for the popular medicinal use of some umbelliferous herbs.

Managed care is giving rise to changes in the practice of medicine. These changes can be problematic for physicians who care for athletes on sports teams if team physicians and athletes are not in the same insurance plan. Also, insurance carriers are sometimes unaware of the special needs of athletes. ...

OBJECTIVES: Receptionists are an integral part of the primary care service. We aimed to discover their views on preventive medicine issues. METHOD: One hundred and fifty receptionists from general practices in Sydney, Australia, completed a questionnaire on their attitudes and beliefs towards preventive medicine and brief intervention for alcohol. They ...

Physicians versed in sports medicine may want to look to industry, where primary care skills are increasingly in demand. Aggressive rehab methods honed on athletes can also return workers to the job more quickly. The result? Physicians can expand their practices while helping employers save on worker's compensation costs.

Sports medicine might seem a trendy, market driven health care arena serving to promote the welfare of elite athletes and those who care for them. But a closer look reveals a much older ancestral tree with roots at the very onset of recorded medicine and branches that intertwine with every ...

The specialty of preventive medicine and managed care organizations share many common philosophies. Ties have been established between these two groups, but opportunities exist for strengthening and expanding relationships. I identified six preventive medicine residencies with strong rotations at managed care organizations and surveyed them for basic information regarding their ...

To say the least, any type of audit or investigation can be very stressful on a physician's practice. And, of course, negative findings may lead to severe financial repercussions when an insurer demands refunds of overpayments, or you find yourself on the defensive in criminal or civil litigation. Although there ...

Last year's football World Cup serves to highlight the confusion now surrounding the classical aim of both sport and sports medicine, namely a healthy mind in a healthy body. The recent focus on violent injuries and the exponential increase in medical litigation suggests that this relationship is not so clearly ...

Dr. Doug Clement of Vancouver has devoted his career to sports medicine and the development of athletes. The former Olympic athlete keeps busy as codirector of the Sports Medicine Clinic and professor of medicine at the University of British Columbia, and as coach and mentor to several world-class runners.

This article reports the use of medicinal leech therapy for the relief of severe postoperative vascular congestion of the penis in a male infant with exstrophy of the bladder. When more conventional methods of decongestion were unsuccessful, medicinal leech therapy markedly improved the infant's chance of remaining both phenotypically and ...

A routine visit to a physician's office generally is composed of the reason for the visit; attention to ongoing medical problems; and preventive medicine considerations. A separate visit for preventive medicine activities can be helpful. A computer-generated annual birthday greeting to patients that suggests specific preventive medicine studies would result ...

Of the currently available literature on assessment of physician competency, very little applies to the needs of preventive medicine specialists. Yet the diversity of the field and the confusion among other medical specialists about the particular expertise of preventive medicine physicians suggest a need for consensus on fundamental competencies expected ...

Homicide is the leading cause of death in African-American men aged 15-34 years, yet physicians rarely discuss homicide prevention with patients. The authors propose that physicians have a role in preventing homicide similar to their role in other preventive medicine issues. This study evaluated patients' responsiveness to a physician's counseling ...

This self-directed learning module highlights key elements in this topic area. It is part of the chapter on sports medicine in the Self-Directed Medical Knowledge Program for practitioners and trainees in physical medicine and rehabilitation. This article covers the role of the physiatrist in sports medicine and presents an overview ...

The purposes of our study were (1) to determine preventive medicine topics most relevant to clinical practice, and (2) to determine if medical education affects medical students' attitudes regarding preventive medicine. Our method of study was two surveys. The first survey asked practicing physicians to rank the 23 topics identified ...

Surveillance and management 295 times of 29 hemophiliacs was carried out from 1985 to 1990. Among them, 113 were hospitalized, 103 with bleeding and 5 for prevention. Joint bleeding was the most frequent (46.96%), thereafter nose bleeding and bleeding from the gum, the mouth and mucous membrane (15.53%). Hemophiliacs having ...

I describe a practical approach to developing primary care curricular in preventive medicine, starting with the articulation of a rationale that relates training to current medical education, mortality, medical manpower, and health care system characteristics. I discuss recommended features of the ambulatory care setting for instruction and include automated record ...

The Society of Apothecaries examination in Sports Medicine consists of four parts: a multiple-choice question paper; a written paper; a clinical section; and an oral section. The candidates must have experience in sports medicine and have to submit a dissertation and a case history book. The importance of an examination ...

Primary prevention is the mainstay of management of occupational dermatoses. Despite the high rates of dermatoses found in a study of 686 female workers in a canning factory in March 1990, use of protective gloves was extremely low, even though there was evidence that they prevented acute paronychia and intertrigo. ...

Sports medicine in New Zealand is characterized by a team approach. Experienced professionals work together to the benefit of athletes, be they elite performers or those in sport for purely recreational purposes. A no-fault accident compensation scheme is used to provide speedy access to treatment services for those injured in ...

Preventive medicine as a discipline confronts considerable internal and external pressure today about society's needs for prevention specialists. Training in the field has remained static in the face of great changes. This article asserts the need to reassess the philosophy, content, and structure of graduate training in preventive medicine. The ...

This chapter discusses the preparticipation examination and outlines its components. Sports participation history and physical forms recently published by the Sports Medicine Committee of the American Academy of Pediatrics are provided. The author stresses the importance of performing a musculoskeletal assessment as part of the sports physical, and describes the ...

The disparity in health status between black and white Americans exists chiefly because of an excess of preventable disease in blacks. This situation calls for an increase in preventive services for blacks, services which might best be implemented or directed by black specialists in preventive medicine. However, there exists both ...

The value of integrating preventive medicine into primary care is widely accepted, although practical teaching methods to model this integration into medical student clerkships are not well developed. This paper reports on a competency-based clinical preventive medicine curriculum developed within an existing family medicine clinical clerkship. Evaluation of the curriculum ...