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.
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  Preparing for the Olympic Games – lessons learned from London 2012 Richard Budgett ▪ UK Where are your loyalties: coach, team or athlete? Gordon Matheson ▪ USA 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 - Working with a professional rugby team É anna Falvey ▪ Ireland - Working with the Norwegian Olympic Team Lars Engebretsen ▪ Norway - Working with a semi-professional soccer team Jón Karlsson ▪ Sweden - Working with a Davis Cup tennis team Babette Pluim ▪ Netherlands - Working with a professional soccer team Luis Serratosa ▪ Spain 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 Management of concussion in the US; how the science, media, legislation and lawyers affect management strategies Gordon Matheson ▪ USA 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 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 Physical examination of the shoulder Ann Cools ▪ Belgium Surgical management of shoulder injuries Arne Kristian Aune ▪ Norway Injury prevention, conservative management and rehabilitation Ann Cools ▪ Belgium 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 How to assess the underperforming athlete Ola Rønsen ▪ Norway How we manage training and competition load in elite team sports athletes –the case of Real Madrid Luis Serratosa ▪ Spain 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 Physical examination of the elbow Denise Eygendaal ▪ Netherlands Injury prevention and conservative management of common injuries Ann Cools ▪ Belgium Surgical management and rehabilitation Denise Eygendaal ▪ Netherlands 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 From postseason injury analysis through pre-season screening – risk management in the team setting Roald Bahr ▪ Norway Periodic Health Evaluations in practice – the Real Madrid experience Luis Serratosa ▪ Spain Stay healthy! How it is done in the Norwegian Olympic team Ola Rønsen ▪ Norway 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 What is mechanotransduction? Karim Khan ▪ Canada Does eccentric training work? Roald Bahr ▪ Norway Does ultrasound-& Doppler-guided sclerosis work? Aasne Hoksrud ▪ Norway Do platelet-rich plasma injections work? Lars Engebretsen ▪ Norway Does shock-wave therapy work? Michael Kjær ▪ Denmark Does surgery work? Jón Karlsson ▪ Sweden 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 Is there a place for cortisone injections in the treatment of musculoskeletal injuries? Jens Ivar Brox ▪ Norway Is there a place for NSAIDs or Cox-2 inhibitors in the treatment of acute muscle tears? Karim Khan ▪ Canada Is there a place for NSAIDs or Cox-2 inhibitors in the treatment of fractures? Lars Nordsletten ▪ Norway Platelet-rich plasma injections for acute sports injuries: do they work? Lars Engebretsen ▪ Norway 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 The role of 'intervention' in hamstring injury, an examination of the evidence base and rationale behind some common interventions Bruce Hamilton ▪ Qatar 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 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 - Hamstring strain in an elite hurdler Lars Engebretsen ▪ Norway - Upper respiratory infection in an elite cross-country skier Ola Rønsen ▪ Norway - Female athlete with disordered eating Babette Pluim ▪ Netherlands - Achilles tendon pain in professional soccer player Jón Karlsson ▪ USA - Which are the medical factors that go into return to play decisions? Lars Engebretsen ▪ Norway - Which are the non-medical factors that go into return to play decisions? Gordon Matheson ▪ USA Open Forum: Review of cases and learning objectives 13.30 Lunch & Departure from hotel - Transfer to Oslo airport | 
