IOC Advanced Team Physician Course
May 30 - June 1, 2012 - Oslo, Norway

 

The final programme as a PDF I
 

4th IOC Advanced Team Physician Course
 
Oslo, Norway ▪ May 30 - June 1, 2012
 


Organized by the Oslo Sports Trauma Research Center and Olympiatoppen, the Norwegian Olympic Training Center

 
 


Course vision

This will be a team physician course geared towards the practical issues of working with high-level athletes in a team sports setting! We will learn from the best! We will address controversial topics where agreement may not exist and new evidence on diagnosis and treatment. We will challenge existing dogma. Upon arrival in Oslo, participants will receive cases illustrating specific scenarios, which we will address through small-group discussions, plenary lectures and panel discussions.
 

Course information

Faculty: 20 speakers
 
Maximum capacity: 80 participants (first come, first served!)
 
Location: Soria Moria Hotel, Oslo – situated above the famous Holmenkollen ski jump, Norway's most visited tourist attraction and one of one of the world's most famous sporting arenas. Welcome to Soria Moria, the conference hotel on the roof of Oslo. The hotel's location at the gateway to Nordmarka offers easy access to Oslo’s vast national park area, yet is just 20 minutes by tram to the center of Oslo. Soria Moria provides an ideal framework for the meeting, with excellent conference facilities in inspiring surroundings.

Program

Tuesday May 29th

 
Individual arrivals throughout the day; transfer by shuttle from Oslo airport to Soria Moria hotel (apx. 60 min)
 

20.00 Welcome dinner at the Soria Moria hotel

 
 

Wednesday May 30th

 

09.00 - 10.30 Session 1

Working as a team physician – challenges and strategies

 
Chairs: Lars Engebretsen & Roald Bahr
 
Patrick Schamasch ▪ Switzerland
Richard Budgett ▪ UK
Gordon Matheson ▪ USA
 
Introduction Roald Bahr ▪ Norway
 
The role of the IOC Medical Commission Patrick Schamasch ▪ Switzerland I
 
Preparing for the Olympic Games – lessons learned from London 2012 Richard Budgett ▪ UK I
 
Where are your loyalties: coach, team or athlete? Gordon Matheson ▪ USA I
 

10.30 - 11.00 Coffee break

 

11.00 - 12.30 Session 2

Working as a team physician – pearls & pitfalls

 
Chair: Roald Bahr
 
Richard Budgett ▪ UK
Éanna Falvey ▪ Ireland
Lars Engebretsen ▪ Norway
Jón Karlsson ▪ Sweden
Patrick Schamasch ▪ Switzerland
Babette Pluim ▪ Netherlands
Luis Serratosa ▪ Spain
 
The smartest and the dumbest thing I have done as a team physician:
- Working with the British Olympic and Paralympic Teams Richard Budgett ▪ UK I
- Working with a professional rugby team Éanna Falvey ▪ Ireland I
- Working with the Norwegian Olympic Team Lars Engebretsen ▪ Norway I
- Working with a semi-professional soccer team Jón Karlsson ▪ Sweden I
- Working with a Davis Cup tennis team Babette Pluim ▪ Netherlands I
- Working with a professional soccer team Luis Serratosa ▪ Spain I
 
Panel discussion
 

12.30 - 13.30 Lunch break

 

13.30 - 15.00 Session 3

Managing concussions in a team setting

 
Chair: Markus Waldén ▪ Sweden
 
Paul McCrory ▪ Australia
Éanna Falvey ▪ Ireland
Gordon Matheson ▪ USA
 
Introduction of learning objectives and two cases illustrating key issues
  • explain the rapid changes that have taken place in clinical management and regulatory policy related to concussion management
  • use the SCAT2 and Pocket SCAT2 tools appropriately
  • interpret the clinical management of patients with concussion within the context of multiple outside influences
     
Small-group discussions
 
The Zurich Concussion Consensus Guidelines Paul McCrory ▪ Australia
Acute sideline assessment and the role of the SCAT2 Éanna Falvey ▪ Ireland I
Management of concussion in the US; how the science, media, legislation and lawyers affect management strategies Gordon Matheson ▪ USA I
Guidelines for safe return to play; controversies and long term risks Paul McCrory ▪ Australia
 
Open Forum: Review of cases and learning objectives
 

15.00 - 15.30 Coffee break

 

15.30 - 17.00 Session 4

The groin/hip enigma in sports

 
Chair: Karim Khan ▪ Canada
 
Per Hölmich ▪ Denmark
Éanna Falvey ▪ Ireland
Marc Philippon ▪ USA
 
Introduction of learning objectives and two cases illustrating key issues
  • Summarize the evidence for the biomechanical stressors which predispose the athlete to groin pain
  • Discuss a standardized and evidence-based approach to diagnose groin pain
  • Accurately diagnose femoroacetabular impingement and list the indications for surgical treatment

Small-group discussions

 
The biomechanics of groin pain – the evidence base for current practice and the myth of osteitis pubis! Éanna Falvey ▪ Ireland I
Soft tissue problems of the groin - well established diagnoses or entities? Per Hölmich ▪ Denmark
The approach to differential diagnosis and treatment of hip pain Marc Philippon ▪ USA 
 
Open Forum: Review of cases and learning objectives
 

17.00 - 18.30 Session 5

Managing the overhead throwing athlete: Shoulder

 
Chair: Lars Engebretsen ▪ Norway
 
Babette Pluim ▪ Netherlands
Ann Cools ▪ Belgium
Arne Kristian Aune ▪ Norway
 
Introduction of learning objectives and two cases illustrating key issues
  • Discuss sports-related risk factors for shoulder pain in the overhead athlete and the structures ultimately affected
  • Work through a clinical examination algorithm
  • List the pros and cons associated with surgical treatment
  • Prescribe evidence-based prevention and rehabilitation programs
 
Small-group discussions
 
Shoulder injuries in elite sport Babette Pluim ▪ Netherlands I
Physical examination of the shoulder Ann Cools ▪ Belgium I
Surgical management of shoulder injuries Arne Kristian Aune ▪ Norway I
Injury prevention, conservative management and rehabilitation Ann Cools ▪ Belgium I
 
Open Forum: Review of cases and learning objectives
 

19.00 Dinner at Soria Moria hotell & Holmenkollen Ski Jump Tower/Museum


Thursday May 31st

 

08.30 - 10.00 Session 6

The underperforming athlete: causes and management

 
Chair: Michael Kjær ▪ Denmark
 
Richard Budgett ▪ UK
Ola Rønsen ▪ Norway
Luis Serratosa ▪ Spain
 
Introduction of learning objectives and two cases illustrating key issues
  • Discuss the variety of conditions, medical and non-medical, that may be related to underperformance
  • Confidently manage athletes with prolonged fatigue and underperformance using a multidisciplinary approach
  • Learn from the practical experiences obtained over years at a high-level, high-performance, intense training volume team
 
Small-group discussions
 
What is overtraining? Richard Budgett ▪ UK I
How to assess the underperforming athlete Ola Rønsen ▪ Norway I
How we manage training and competition load in elite team sports athletes –the case of Real Madrid Luis Serratosa ▪ Spain I
 
Open Forum: Review of cases and learning objectives
 

10.00 - 10.30 Coffee break

 

10.30 - 12.00 Session 7

Managing the overhead throwing athlete: Elbow

 
Chair: Per Hölmich ▪ Denmark
 
Babette Pluim ▪ Netherlands
Ann Cools ▪ Belgium
Denise Eygendaal ▪ Netherlands
 
Introduction of learning objectives and two cases illustrating key issues
  • Highlight 6 key conditions affecting the athlete with elbow pain
  • Execute adroit physical examination to detect the recently described pathology in the athlete’s elbow
  • Prescribe evidence-based prevention and rehabilitation
  • Discuss recent development in minimally invasive surgery with realistic windows for post-op rehabilitation
 
Small-group discussions
 
Elbow injuries in athletes Babette Pluim ▪ Netherlands I
Physical examination of the elbow Denise Eygendaal ▪ Netherlands I
Injury prevention and conservative management of common injuries Ann Cools ▪ Belgium I
Surgical management and rehabilitation Denise Eygendaal ▪ Netherlands I
 
Open Forum: Review of cases and learning objectives
 

12.00 - 13.00 Lunch break

Sesion: Heiko Van Vliet, DJO Global

Elektro stimulation goes "Wireless"
A new era in functional rehabiltation and re-athletisation

 

13.00 - 14.30 Session 8

Protecting health and preventing illness in athletes

 
Chair: Babette Pluim ▪ Netherlands
 
Roald Bahr ▪ Norway
Ben Clarsen ▪ Norway
Gordon Matheson ▪ USA
Luis Serratosa ▪ Spain
Ola Rønsen ▪ Norway
 
Introduction of learning objectives
  • Articulate the key elements of the Periodic Health Evaluation
  • Use Periodic Health Evaluations and Team Injury Surveillance in a team setting
  • Quantify the injury risk in the preparation phase and list ways to mitigate it
  • Discuss lessons learned about these instruments shared by experienced clinicians working in the elite athlete setting
Injury and illness patterns in elite athletes – What can I expect when working with an Olympic team? Ben Clarsen ▪ Norway
Screening in athletes: What are the take home messages of the IOC consensus on Periodic Health Evaluation? Gordon Matheson ▪ USA I
From postseason injury analysis through pre-season screening – risk management in the team setting Roald Bahr ▪ Norway I 
Periodic Health Evaluations in practice – the Real Madrid experience Luis Serratosa ▪ Spain I
Stay healthy! How it is done in the Norwegian Olympic team Ola Rønsen ▪ Norway I
 
Open Forum: Review learning objectives
 

14.30 - 15.00 Coffee break

 

15.00 – 16.45 Session 9

Novel approaches to the treatment of tendinopathy – the case of the patellar tendon

 
Chair: Paul McCrory ▪ Australia
 
Roald Bahr ▪ Norway
Michael Kjær ▪ Denmark
Karim Khan ▪ Canada
Aasne Hoksrud ▪ Norway
Lars Engebretsen ▪ Norway
Jón Karlsson ▪ Sweden
 
Introduction and two cases illustrating key issues
  • Define tendinopathy, its pathogenesis and mechanotherapy
  • Discuss the relative merit of eccentric exercise prescription, Doppler-guided sclerosis, platelet-rich plasma injections, shock-wave therapy and contemporary surgery
Small-group discussions
 
What is tendinopathy and why does it happen? Michael Kjær ▪ Denmark I
What is mechanotransduction? Karim Khan ▪ Canada I
Does eccentric training work? Roald Bahr ▪ Norway I
Does ultrasound-& Doppler-guided sclerosis work? Aasne Hoksrud ▪ Norway I
Do platelet-rich plasma injections work? Lars Engebretsen ▪ Norway I
Does shock-wave therapy work? Michael Kjær ▪ Denmark I
Does surgery work? Jón Karlsson ▪ Sweden I
 
Open Forum: Case discussions: which is the first option, and which the last line of defense? Review of learning objectives
 

17.00 Departure for Oslo Harbor – boat trip on the Oslo Fjord


Friday June 1st

 

08.00 - 09.45 Session 10

Pharmacological treatment of common sports injuries

 
Chair: Michael Kjær ▪ Denmark
 
Gordon Matheson ▪ USA
Jens Ivar Brox ▪ Norway
Karim Khan ▪ Canada
Lars Nordsletten ▪ Norway
Lars Engebretsen ▪ Norway
 
Introduction of learning objectives and two cases illustrating key issues
  • In relation to MSK injuries, recite the pharmacology, contraindications, side effects and risks associated with the injection of local anesthetics/glucocorticoids/PRP, and prescription of NSAIDs (for muscle or fracture)
Small-group discussions
 
Is there a place for local anesthetics in the treatment of acute sports injuries? Gordon Matheson ▪ USA I 
Is there a place for cortisone injections in the treatment of musculoskeletal injuries? Jens Ivar Brox ▪ Norway I 
Is there a place for NSAIDs or Cox-2 inhibitors in the treatment of acute muscle tears? Karim Khan ▪ Canada I
Is there a place for NSAIDs or Cox-2 inhibitors in the treatment of fractures? Lars Nordsletten ▪ Norway I
Platelet-rich plasma injections for acute sports injuries: do they work? Lars Engebretsen ▪ Norway I
 
Open Forum: Review of cases and learning objectives
 

09.45 - 10.15 Coffee break

 

10.15 - 11.45 Session 11

The hamstring problem in sports

 
Chair: Jón Karlsson ▪ Sweden
 
Markus Waldén ▪ Sweden
Carl Askling ▪ Sweden
Bruce Hamilton ▪ Qatar
Roald Bahr ▪ Norway
 
Introduction of learning objectives and two cases illustrating key issues
  • Use the evidence-base for intervention in hamstring injury to prescribe preventive and treatment programs for specific categories of patients
  • Integrate novel clinical tests with imaging results to guide the clinical element of the return to sport decision
  • Differentiate primary prevention from prevention of recurrent hamstring strain
Small-group discussions
 
Hamstring injury - still a growing problem in elite sports? Markus Waldén ▪ Sweden I
The role of 'intervention' in hamstring injury, an examination of the evidence base and rationale behind some common interventions Bruce Hamilton ▪ Qatar I 
Different types of hamstring strains require different rehabilitation protocols –
Specific exercises and a specific test before return to sport Carl Askling ▪ Sweden
This is how you can prevent hamstring strains in your team Roald Bahr ▪ Norway I
 
Open Forum: Review of cases and learning objectives
 

11.45 - 12.00 Coffee break

 

12.00 - 13.30 Session 12

Return to sport: How do we make the best medical decisions?

 
Chair: Karim Khan ▪ Canada
 
Paul McCrory ▪ Australia
Lars Engebretsen ▪ Norway
Ola Rønsen ▪ Norway
Babette Pluim ▪ Netherlands
Jón Karlsson ▪ Sweden
Gordon Matheson ▪ USA
 
Introduction of learning objectives and five cases:
  • Design an approach for return-to-play decisions that optimizes the medical decision making process
  • Cite the non-medical factors that are part of decision making for return to play
     
- Concussion in a soccer player Paul McCrory ▪ Australia I
- Hamstring strain in an elite hurdler Lars Engebretsen ▪ Norway I 
- Upper respiratory infection in an elite cross-country skier Ola Rønsen ▪ Norway I
- Female athlete with disordered eating Babette Pluim ▪ Netherlands I
- Achilles tendon pain in professional soccer player Jón Karlsson ▪ USA I
- Which are the medical factors that go into return to play decisions? Lars Engebretsen ▪ Norway I
- Which are the non-medical factors that go into return to play decisions? Gordon Matheson ▪ USA I
 
Open Forum: Review of cases and learning objectives
 

13.30 Lunch & Departure from hotel - Transfer to Oslo airport