Program Schedule: Day 1

Wednesday, June 11th

Time

Topics

Faculty

Learning Objectives

7:00AM - 8:00AM Registration    
8:00AM - 8:10AM

Introduction

  • Eligibility for Sports Board Certification
  • Examination Format
  • Available Study Materials
Jonathan Finnoff, DO
  1. Describe the format of the Sports Board Examination
  2. Outline the eligibility requirements to take the Sports Board Examination
  3. List resources available to assist with studying for the Sports Board Examination
8:10AM - 8:30AM

Nutrition

  • General principles of nutrition
  • Fluid Replacement
  • Carbohydrates
  • Protein
  • Fat
  • Metabolism
  • Vitamins/minerals
  • Supplements
  • Weight Management
    • Weight loss
    • Weight gain

Susan Kleiner, PhD

  1. Design an appropriate fluid replacement program.
  2. Summarize current recommendations for post-exercise carbohydrate replacement.
  3. Explain the correct ratio of carbohydrates, proteins, and fats in an athlete’s diet.
  4. Discuss the most common vitamin and mineral deficiencies in athletes.
  5. Summarize the purported and actual benefits of various supplements.
  6. Create an appropriate diet for weight management.
8:30AM - 9:00AM

Exercise Physiology

  • Training Response/Physical Conditioning
    • Aerobic
    • Anaerobic
    • Resistance
    • Flexibility
  • Muscle
    • Contraction
    • Lactate kinetics
    • Delayed onset muscle soreness
    • Fiber types
  • Neuroendocrine
  • Respiratory
  • Circulatory
  • Special populations
    • Children
    • Elderly
    • Athletes with chronic disease
Jonathan Finnoff, DO
  1. Explain the appropriate training response to aerobic and anaerobic training.
  2. Summarize the benefits of appropriate resistive training.
  3. Discuss the importance of flexibility training.
  4. Classify muscle fiber types.
  5. Discuss the etiology of delayed muscle soreness.
  6. Classify the different types of muscle contractions.
  7. Evaluate lactate kinetics and how they apply to the athlete.
  8. Explain special needs of athletes with chronic illness or disabilities.
9:00AM - 9:20AM

Biomechanics

  • Throwing/Overhead activities
  • Swimming
  • Gait/Running
  • Cycling
  • Jumping
Mark Harrast, MD
  1. Categorize the different phases of the throwing cycle.
  2. Demonstrate the phases of the gait and running cycle.
  3. Explain the ergonomic requirements of the cyclist.
  4. Summarize the biomechanical needs of jumping and landing.
9:20AM - 9:40AM

Pharmacology

  • Therapeutic Drugs
    • Analgesics
    • Antibiotics
    • Antidiabetic agents
    • Antihypertensives
    • Asthma medications
    • Corticosteroids
    • NSAIDs/COX-2 inhibitors
    • Viscosupplementation
Jeff Tanji, MD
  1. Prescribe therapeutic medications used specifically for the injured athlete.
  2. Discuss which asthma medications are used for prevention and maintenance and which are used to abort an acute asthma attack.
  3. Summarize potential adverse side effects of antihypertensive and anti-diabetic medications.
9:40AM - 10:00AM

Doping in Sports

  • History of Doping and the World Anti-Doping Agency (WADA)
  • The Code
  • Categories of Performance-enhancing Drugs
  • Benefits and Adverse Effects of Performance-enhancing Drugs
  • Sanctions for use of Performance-enhancing Drugs
  • Drug testing
  • Therapeutic Use Exemptions

Jeff Tanji, MD

  1. Determine which medications are prohibited and which medications are allowed for an athlete in accordance with the sport’s governing body.
  2. List the WADA categories of performance enhancing drugs.
  3. Describe the processes used by governing bodies to drug test athletes.
  4. Fill out a therapeutic use exemption form.
10:00AM - 10:15AM Question & Answer Jonathan Finnoff, DO
Jeff Tanji, MD
Mark Harrast, MD
 
10:30AM - 10:50AM

Principles of Musculoskeletal Rehabilitation

  • Phases of rehabilitation
  • Rehabilitation techniques and exercises
  • Return to play

Mark Harrast, MD

  1. Describe the phases of rehabilitation
  2. Outline a standard post-injury rehabilitation program
  3. Make a return to play determination for an athlete with a musculoskeletal injury.
10:50AM - 11:10AM

Sports Medicine Procedures

  • Casting, splinting, bracing
  • Joint and soft tissue injection/aspiration
  • Compartment pressure testing
Jonathan Finnoff, DO
  1. Differentiate between the various materials used for casting, splinting, and bracing.
  2. Discuss indications for joint and soft tissue injections.
  3. Describe how to perform compartment pressure testing.
11:10AM - 11:30AM

Event Administration

  • Personnel
  • Venue setup
  • Environmental factors
  • Emergency planning
  • Communication
  • Participants
Mark Harrast, MD
  1. Outline the components of an event medical team.
  2. List the job duties of the medical director.
  3. Identify the appropriate “no start” temperature for a marathon.
11:30AM - 11:50AM

Braces & Protective Equipment

  • Knee
  • Ankle
  • Wrist
  • Eye protection
  • Helmets
  • Padding
  • Gloves
  • Breakaway bases
Jonathan Finnoff, DO
  1. Differentiate between prophylactic, functional, and rehabilitative bracing.
  2. Discuss the material used to construct protective eye-wear.
  3. Explain the benefits of breakaway bases.
11:50AM - 12:00PM Question & Answer Mark Harrast, MD

Jonathan Finnoff, DO
 
1:00PM - 2:00PM

Pre-Participation Examination

  • Administration
    • Timing/frequency
    • Mass vs individual
    • Screening tests
  • Cardiovascular
    • Valvular disease
    • Arrhythmogenic right ventricular dysplasia
    • Arteriosclerotic coronary artery disease
    • Athletic heart syndrome
    • EKG
    • Hypertension
    • Hypertrophic cardiomyopathy
    • Marfan’s syndrome
    • Murmurs
    • Syncope
  • CNS
    • Seizure
    • Stingers/burners
    • Traumatic brain injury
    • Transient quadriparesis
  • Musculoskeletal
    • Cervical stenosis
    • Joint disorders
    • Scoliosis
  • Paired organs
    • Eyes
    • Kidneys
    • Testicles
  • Abdominal
  • Education/Prevention
    • Asthma
    • Diabetes mellitus
    • Drugs
    • Female triad
    • Injury prevention
    • Infectious disease
  • Special Populations
    • Disabled athletes
    • Special Olympians
    • Sickle cell
    • Hematologic disorders
    • Cystic fibrosis
Jeff Tanji, MD
  1. Develop and administer a pre-participation examination in an individual or group setting.
  2. Identify the appropriate timing and frequency of pre-participation examinations.
  3. Administer screening tests to detect conditions and general health of athletes
  4. Recognize which tests are appropriate for screening the cardiovascular system.
  5. Develop or adopt a screening tool for assessing central nervous system conditions or previous injuries.
  6. Employ guidelines regarding athletic participation in athletes with conditions due to a loss of a critical paired organ.
  7. Provide education for athletes and their families regarding precautions that should be taken for athletes with chronic medical conditions and injury prevention.
  8. Create a screening program for athletes with special needs.
2:00PM - 2:20PM

Conditioning and Training Techniques

  • Principles of training
  • Periodization
  • Strength training
  • Endurance training
  • Speed training
  • Flexibility
  • Sports specificity
  • Overtraining
  • Altitude training
Jonathan Finnoff, DO
  1. Discuss the principles of training.
  2. Employ the training theory of periodization.
  3. Summarize the components of a conditioning program.
  4. Create a systematic conditioning program.
  5. Evaluate an individual who has overtraining syndrome.
  6. Instruct athletes on the appropriate use of altitude training.
2:20PM - 2:40PM

Exercise Screening, Testing and Prescription

  • Principles of exercise prescription
  • Medical clearance/screening
    • Apparently healthy athletes
    • Athletes with chronic disease
  • Exercise testing for performance
  • Protocols/Benefits in special populations
    • Pediatric
    • Geriatric
    • Cardiovascular/cerebrovascular
    • Diabetes mellitus
    • Disabled athlete
    • Fibromyalgia
    • HIV infection
    • Cancer
    • Osteoarthritis
    • Osteoporosis
    • Pulmonary
    • Weight control
Jeff Tanji, MD
  1. Evaluate healthy athletes and athletes with chronic disease prior to implementing an exercise program.
  2. Develop conditioning programs for pediatric and geriatric athletes, and individuals with chronic disease.
  3. Employ an appropriate exercise program for weight loss.
2:40PM - 3:00PM

Bone Injuries & Conditions

  • Acute fractures (discuss healing cascade but not management)
  • Stress fractures
  • Osteochondrosis
  • Bone tumors

Kyle Swanson, MD

  1. Describe the mechanism of injury for stress fractures.
  2. Outline the phases of bone healing.
  3. List the types of bone tumors
3:00PM - 3:15PM Question & Answer Jonathan Finnoff, DO

Jeff Tanji, MD

Kyle Swanson, MD
 
3:30PM - 3:50PM

Muscle and Tendon Injuries & Conditions

  • Chronic tendinopathy
  • Acute tendon injuries
  • Muscle strains
  • Muscle contusions
  • Myositis ossificans traumatica
  • Tendon and tendon sheath tumors
  • Muscle tumors
Mark Harrast, MD
  1. Describe the pathophysiology of tendinopathy.
  2. List the names of tendon sheath tumors.
  3. Grade muscle strain injuries.
3:50PM - 4:10PM

Cartilage and Joint Injuries & Conditions

  • Osteoarthritis
  • Chondral lesions
  • Osteochondral lesions
  • Chondrocalcinosis
  • Avascular necrosis
  • Acute ligament injuries
  • Chronic ligament injuries
Kyle Swanson, MD
  1. Describe the pathophysiology of osteoarthritis.
  2. Grade chondral and osteochondral lesions.
  3. Summarize the radiologic findings of avascular necrosis.
  4. Grade ligament injuries.
4:10PM - 4:30PM

Role of the Team Physician

  • Ethics
  • Medical-Legal
    • Physician responsibility
    • Physician liability
    • Preparticipation clearance
    • Return to play
    • Waiver of liability
  • Administrative Responsibilities
Mark Harrast, MD
  1. Identify the role of the team physician.
  2. Analyze the medical and administrative responsibilities of the team physician.
  3. Recognize the role of the team physician and potential ethical conflicts between the players and coaches.
  4. Employ the steps that should be taken to insure a player safely returns to play.
  5. Recognize specific liability issues surrounding the care and return to play of the injured athlete
4:30PM - 4:50PM

Fractures & Dislocation Management

  • Principles of fracture management
  • Radiologic description of fractures
  • Fracture reduction techniques
  • Indications for referral
  • Fracture emergencies
  • Principles of joint dislocation management
  • Reduction techniques
  • Indications for referral
  • Dislocation emergencies
Kyle Swanson, MD
  1. Summarize the principles of fracture management.
  2. Correctly describe the radiologic appearance of fractures.
  3. Describe how to reduce a dislocation.
  4. List indications for referral.
4:50PM - 5:00PM Question & Answer Mark Harrast, MD

Kyle Swanson, MD

Susan Kleiner, PhD
 
5:00PM - 5:15PM Test Questions from the Day’s Topics