Monday 28 September 2020

08.40-10.30         

Session 1: WORKING AS A TEAM PHYSICIAN – CHALLENGES AND STRATEGIES  

Chairs: Roald BAHR, Norway/Qatar & Fredrik S. BENDIKSEN, Norway  

Format: Lecture series  

Speakers:
Uğur Erdener, Turkey
Krisztián Kulcsár, Hungary
Lars Engebretsen, Norway/Switzerland
Richard Budgett, Switzerland
Alan Vernec, Canada
Phatho Zondi, South Africa
Jane Thornton, Canada
Karim Khan, Canada  

Programme:

08.40-08.50       Welcome from the IOC Medical & Scientific Commission Chair
Uğur Erdener, Turkey   

08.50-08.55       Welcome
Krisztián Kulcsár, Hungary

08.55-09.10      The scientific activities of the IOC Medical Commission
Lars Engebretsen, Switzerland/Norway  

09.10-09.25       The Olympic Movement Medical Code – How does it apply to you as team physician?
 Richard Budgett, Switzerland     

09.25-09.45      Understanding the Prohibited List and dietary supplements – keeping you and your athletes out of trouble
Alan Vernec, Canada

09.45-10.00      Working as a team physician – what they don’t teach you in medical school
Phatho Zondi, South Africa   

10.00-10.15       Slower, calmer, wiser – achieving excellence as a team doctor
Jane Thornton, Canada   

10.15-10.30      The team clinician as a leader, mentor AND and mentee – what’s the evidence?
Karim Khan, Canada

10.30-11.00      Coffee break

 

11.00-12.45       

Session 2: HAMSTRING INJURIES: OPTIMAL TREATMENT – MINIMAL RISK OF REINJURY       

Chair: Adam WEIR, The Netherlands/Qatar 

Format: Case-based discussions

Speakers:
Haydar A. Demirel, Turkey
Johannes Tol, The Netherlands/Qatar
Rod Whiteley, Qatar
Gino Kerkhoffs, The Netherlands 

Learning objectives:

Participants will be able to:

  • Understand the natural repair process of hamstring injuries
  • Discuss the prognostic value of muscle injury classification systems
  • Describe an evidence-based rehabilitation programme
  • Discuss possible prevention strategies
  • Describe when surgical treatment is indicated for hamstring injuries

Programme:

11.00-11.05       Introduction of two cases illustrating key issues

11.05-11.15       Small-group discussions

11.15-11.30       Muscle regeneration after injury
Haydar A. Demirel, Turkey     

11.30-11.45       Classifying muscle injuries: useless or useful?
Johannes Tol, The Netherlands/Qatar    

11.45-12.00       What are the keys to rehabilitation success?
Rod Whiteley, Qatar

12.00-12.15       Predicting prognosis–accurate classification or flawed fortunetelling?
Johannes Tol, The Netherlands/Qatar  

12.15-12.30       When everything fails – what is the role of surgery in hamstring injuries?
Gino Kerkhoffs, The Netherlands  

12.30-12.45       Panel: Review of cases and learning objectives

12.45-14.00      Lunch

 

14.00-15.30         

Session 3: ACUTE INFECTIVE ILLNESS IN ATHLETES      

Chair: Roald BAHR, Norway/Qatar  

Format: Interactive (Kahoot/Mentimeter)  

Speakers:
Olaf Schumacher, Qatar
Nick Webborn, United Kingdom
Martin Schwellnus, South Africa
Wayne Derman, South Africa  

Learning objectives:

Participants will be able to:

  • Identify risk factors for infection in athletes
  • Develop a working plan to decrease the risk of infections in individual athletes and a team
  • Be aware and screen for possible medical complications in athletes with an infection
  • Know how antibiotic choices may be modified in athletes

Programme:

14.00-14.05       Introduction of the session (poll)
Roald Bahr, Norway/Qatar  

14.05-14.20       Acute infections in athletes – Who is at risk? (intrinsic and extrinsic risk factors)
Olaf Schumacher, Qatar  

14.20-14.40       Strategies for preventing of acute infective illness in your team
Nick Webborn, United Kingdom  

14.40-14.55       Possible medical complications in athletes who exercise during an acute infective illness
Martin Schwellnus, South Africa

14.55-15.15      Antibiotic and other prescription medication for acute infections in athletes – which ones to use or not to use?
Wayne Derman, South Africa 

15.15-15.30       Questions & Post-test (Quiz)

15.30-16.00      Coffee break

 

16.00-17.30         

Session 4: MENTAL HEALTH SYMPTOMS AND DISORDERS: A CLINICAL APPROACH FOR THE TEAM PHYSICIAN           

Chair: Simon KEMP, United Kingdom  

Format: Case-based discussion

Speakers:
Margo Mountjoy, Canada
Vincent Gouttebarge, The Netherlands
Claudia Reardon, USA
Margot Putukian, USA

Learning objectives:

Participants will be able to:

  • Understand the magnitude and aetiology of mental health symptoms and disorders based on the available scientific knowledge
  • Be familiar with the IOC Sport Mental Health Assessment and Recognition Tools (SMHAT / SMHRT)
  • Develop competency in the clinical approach to athlete mental symptoms and disorders:
    • Treatment principles for the sport medicine physician
    • The return to play following time away for mental health symptoms and disorders
  • Develop a prevention program specifically targeted at high-risk sport situations for mental health symptoms and disorders

Programme:

16.00-16.05      Introduction of two cases illustrating key issues

16.05-16.15      Small-group discussions

16.15-16.30       Mental health symptoms and disorders in elite sport: Science base
Margo Mountjoy, Canada 

16.30-16.45      Screening for mental health symptoms and disorders in elite sport
Vincent Gouttebarge, The Netherlands

16.45-17.00       Treatment principles for mental health symptoms and disorders in elite athletes
Claudia Reardon, USA 

17.00-17.15      Prevention of mental health symptoms and disorders in elite athletes
Margot Putukian, USA

17.15-17.30       Panel: Panel discussion & Review of cases

 

Tuesday 29 September 2020

09.00-10.30       

Session 5: MEDICAL ISSUES RELATED TO TRAVELLING WITH ATHLETES      

Chair: Jiří DVOŘÁK, Switzerland

Format: Interactive (Kahoot/Mentimeter)   

Speakers:
Christa Janse van Rensburg, South Africa
Martin Schwellnus, South Africa
Olaf Schumacher, Qatar
Wayne Derman, South Africa
Emin Ergen, Turkey/Qatar

Learning objectives:

Participants will be able to:

  • Recognise and plan for possible medical issues related to travelling with athletes
  • Recognise and plan for environmental issues related to travel
  • Design a plan to reduce the negative effects of travel to foreign destinations
  • Formulate a clinical approach to common illnesses related to travel
  • Evaluate evidence that team illness prevention strategies are effective

 Programme:

09.00-09.05       Introduction of session (poll)
Jiří Dvořák, Switzerland  

09.05-09.20       Medical challenges – effects of travel fatigue and “jet lag”
Christa Janse van Rensburg, South Africa     

09.20-09.30       Medical challenges – risk of illness/infections and injuries
Martin Schwellnus, South Africa

09.30-09.45      Medical challenges – environmental issues (seasons, altitude, temperature and humidity, pollution)
Olaf Schumacher, Qatar 

09.45-10.00      Pre-travel preparation and approach to medical issues during travel: What the team physician should do?
Wayne Derman, South Africa 

10.00-10.15       What to bring when you travel: The team physician’s medical bag
Emin Ergen, Turkey/Qatar   

10.15-10.20       Are Team Illness Prevention Strategies (TIPS) effective?
Martin Schwellnus, South Africa

10.20-10.30       Questions & post-test (Quiz)

10.30-11.00      Coffee break

 

11.00-12.35           

Session 6: NOVEL APPROACHES TO THE TREATMENT OF TENDINOPATHY – THE CASE OF THE PATELLAR TENDON            

Chair: Margo MOUNTJOY, Canada    

Format: Case-based discussions 

Speakers:
Michael Kjær, Denmark
Rod Whiteley, Qatar
Ben Clarsen, Norway
Johannes Tol, The Netherlands/Qatar
Jón Karlsson, Sweden 

 Learning objectives:

Participants will be able to:

  • Understand the pathogenesis of tendinopathy
  • Become familiar with the effects of tendon loading
  • Develop a clinical reasoning process that identifies those who should undertake conservative treatment, those who need further intervention and those who require surgical treatment
  • Identify patients where further interventions such as Doppler-guided sclerosis, platelet-rich plasma injections, shock-wave therapy may be appropriate

Programme:

11.00-11.05       Introduction of two cases illustrating key issues

11.05-11.15       Small-group discussions

11.15-11.30      What is tendinopathy and why does it happen?
Michael Kjær, Denmark 

11.30-11.45      The clinical assessment: history, physical examination, load assessment, demand
Rod Whiteley, Qatar  

11.45-12.00      Physiotherapy management: First line
Ben Clarsen, Norway 

12.00-12.10       Shock wave therapy, platelet-rich plasma or pharmaceutical treatments?
Johannes Tol, The Netherlands/Qatar   

12.10-12.20       Does surgery work?
Jón Karlsson, Sweden

12.20-12.35       Panel: Case discussions: which is the first treatment option, and which the last line of defense?

12.35-13.30      Lunch

 

13.30-15.00    

Session 7: ANKLE INJURIES – WHEN YOU HEAR HOOF BEATS, THINK HORSE, BUT DON’T FORGET THE ZEBRA        

Chair: Simon KEMP, United Kingdom

Format: Interactive (Kahoot/Mentimeter)

Speakers:
Roald Bahr, Norway/Qatar
Gino Kerkhoffs, The Netherlands
Rod Whiteley, Qatar

Learning objectives:

Participants will be able to:

  • Describe the differential diagnoses after an ankle sprain – and their typical history and likelihood
  • Perform a quick but precise sideline management of an acute ankle injury
  • Distinguish a lateral ligament injury from a syndesmotic injury
  • Diagnose a peroneal tendon problem
  • Recognize a serious midfoot injury mechanism
  • Organize an accurate RTP program after an ankle injury

Programme:

13.30-13.35       Introduction of the session (poll)
Simon Kemp, United Kingdom  

13.35-13.55      Sideline management of ankle sprains – assessment and initial treatment
Roald Bahr, Norway/Qatar 

13.55-14.15       High ankle sprains – assessment and treatment
Gino Kerkhoffs, The Netherlands  

14.15-14.30      How to return the elite athlete to play after an ankle sprain
Rod Whiteley, Qatar   

14.30-14.50      Midfoot sprains – assessment and treatment
Gino Kerkhoffs, The Netherlands

14.50-15.00       Questions & post-test (Quiz)

15.00-15.30       Coffee break

 

15.30-17.00 

Session 8: MANAGING CONCUSSIONS IN THE TEAM SETTING   

Chair: Johannes TOL, The Netherlands/Qatar 

Format: Case-based discussions   

Speakers:
Jiří Dvořák, Switzerland
Simon Kemp, United Kingdom
Margo Mountjoy, Canada

 Learning objectives:

Participants will be able to:

  • Understand the 2016 Berlin Concussion Consensus statement and the key changes that have taken place in the clinical management of sports concussion
  • Be able to use the CRT and SCAT5 tools appropriately in the sideline/pitch side assessment of concussion
  • Understand the need to individualise and be able to prescribe safe RTP programs following concussion
  • Understand the critical issues (e.g. long-term problems) and modifying factors that influence the clinical management of concussed athletes

Programme:

15.30-15.35       Introduction of two cases illustrating key issues

15.35-15.45       Small-group discussions

15.45-15.55      The 2016 Berlin Concussion Consensus Guidelines – what is new?
Jiří Dvořák, Switzerland

15.55-16.10      Acute sideline assessment and the role of the SCAT5
Simon Kemp, United Kingdom

16.10-16.25      The role of active rehabilitation – taking a targeted approach to therapy
Margo Mountjoy, Canada

16.25-16.55      Hands on with the SCAT5 – workshop participation
Simon Kemp, United Kingdom / Jiří Dvořák, Switzerland 

16.55-17.00       Panel: review of cases Simon Kemp, United Kingdom

 

Wednesday 30 September 2020   

09.00-10.30           

Session 9: RELATIVE ENERGY DEFICIENCY IN SPORT (RED-S): CLINICAL APPROACH FOR THE TEAM PHYSICIAN        

Chair: Karim KHAN, Canada

Format: Case-based discussions 

Speakers:
Margo Mountjoy, Canada
Naama Constantini, Israel
Kathryn Ackerman, USA
Jane Moran, Canada 

Learning objectives:

Participants will be able to:

  • Describe the pathophysiology of RED-S
  • Understand the health and performance presentations of Low Energy Availability
  • Identify and work up patients with RED-S appropriately
  • Manage patients with RED-S clinically
  • Develop a prevention program specifically for an at-risk population

Programme:

09.00-09.05       Introduction of two cases illustrating key issues

09.05-09.15       Small-group discussions

09.15-09.30       What is RED-S?
Margo Mountjoy, Canada   

09.30-09.45       Making the diagnosis of RED-S
Naama Constantini, Israel 

09.45-10.00       Treatment protocols for RED-S
Kathryn Ackerman, USA

10.00-10.15       Prevention of RED-S
Jane Moran, Canada   

10.15-10.30       Review of cases and learning objectives

10.30-11.00      Coffee break

 

11.00-12.30           

Session 10: RETURN TO SPORT: HOW DO WE MAKE THE BEST RETURN TO PLAY DECISIONS FOLLOWING INJURY AND ILLNESS?    

Chair: Robbart VAN LINSCHOTEN, The Netherlands

Format: Case-based discussions 

Speakers:
Roald Bahr, Norway/Qatar
Martin Schwellnus, South Africa
Adam Weir, The Netherlands/Qatar
Rod Whiteley, Qatar

 Learning objectives:

Participants will be able to:

  • Design and implement a 3-step model for return-to-play that optimizes the medical decision making process
  • Cite the non-medical factors that are part of decision making for return to play

Programme:

11.00-11.05       Introduction of two cases illustrating key issues

11.05-11.15       Small-group discussions

11.15-11.30       A decision-based model for return to play in sport
Roald Bahr, Norway/Qatar

11.30-11.50      What is the best practice for medical decision making in return to play following acute illness?
Martin Schwellnus, South Africa    

11.50-12.00     Can imaging help make return to play decisions?
Adam Weir, The Netherlands/Qatar 

12.00-12.15       How can functional testing help make return to play decisions?
Rod Whiteley, Qatar 

12.15-12.30      Panel: Panel discussion – Clearance for sports: Ethical dilemmas illustrated by cases

12.30-13.30       Lunch

 

13.30-15.00           

Session 11: PHARMACOLOGICAL TREATMENT OF ACUTE SPORTS INJURIES   

Chair: Karim KHAN, Canada

Format: Case-based discussions 

Speakers:
Robbart van Linschoten, The Netherlands
Lars Engebretsen, Norway/Switzerland
Michael Kjær, Denmark
Johannes Tol, The Netherlands/Qatar
Wayne Derman, South Africa

Learning objectives:

Participants will be able to:

  • In relation to acute musculoskeletal injuries (muscle injuries or fractures), recite the pharmacology, contraindications, side effects and risks associated with the injection of local anesthetics/glucocorticoids/PRP, and prescription of NSAIDs

Programme:

13.30-13.35      Introduction of two cases illustrating key issues

13.35-13.45      Small-group discussions

13.45-13.55      Is there a place for NSAIDs or Cox-2 inhibitors in the treatment of acute muscle or ligament tears?
Robbart van Linschoten, The Netherlands     

13.55-14.05      Is there a risk with NSAIDs or Cox-2 inhibitors in the treatment of fractures?
Lars Engebretsen, Norway/Switzerland 

14.05-14.15      Is there a place for cortisone injections in the treatment of acute musculoskeletal injuries?
Michael Kjær, Denmark

14.15-14.25      Platelet-rich plasma injections for acute musculoskeletal injuries: do they work?
Johannes Tol, The Netherlands/Qatar 

14.25-14.45      Treatment of pain in the athlete – The 2017 IOC consensus statement
Wayne Derman, South Africa 

14.45-15.00      Panel: Review of cases and learning objectives

12.30-13.30       Coffee break

 

15.30-17.00          

Session 12: THE GROIN/HIP ENIGMA IN SPORTS      

Chair: Lars ENGEBRETSEN, Norway/Switzerland 

Speakers:
Adam Weir, The Netherlands/Qatar
Üstün Aydıngöz, Turkey
Per Hölmich, Denmark
Jón Karlsson, Sweden 

Learning objectives:

Participants will be able to:

  • Understand the complexity of the various interconnections between structures in the groin
  • Be aware of the complexity of diagnostic terminology used in groin injuries
  • Understand the clinical entities approach to groin pain
  • Understand the possibilities for imaging in athletic groin pain
  • Show potential and limitations/common misunderstandings of imaging
  • Know the evidence for the conservative treatment of athletic groin injuries
  • Appreciate the timeframes for the various treatment modalities in groin injuries
  • Have a framework to base the decision to refer for surgery on
  • Describe the prevalence of hip injuries in athletes presenting with athletic groin pain
  • Describe a system to make a diagnosis for athletes presenting with hip pain
  • Know the options and evidence behaving conservative and surgical treatment for athletes with hip pain

Programme:

15.30-15.35       Introduction of two cases illustrating key issues

15.35-15.45      Small-group discussions

15.45-16.00       Groin pain: anatomy and diagnosis– what do I need to know as a team physician?
Adam Weir, The Netherlands/Qatar

16.00-16.15        Imaging in groin pain – what do I need to know as a team physician?
Üstün Aydıngöz, Turkey  

16.15-16.30       Treatment of groin injuries
Per Hölmich, Denmark     

16.30-16.45       The hip in athletic groin pain
Jón Karlsson, Sweden  

16.45-17.00       Panel: Review of cases and learning objectives