Preliminary Scientific Programme
Tuesday 7 November
08.45 - 10.30 Session 1: Working as a team physician – challenges and strategies
Chair: Roald Bahr, Norway/Qatar
Format: Lecture series
Speakers:
- Uğur Erdener, Türkiye
- Lars Engebretsen, Norway/Switzerland
Richard Budgett, Switzerland
Alan Vernec, Canada - Phatho Zondi, South Africa
- Jane Thornton, Canada
- Gloria Viseras, Switzerland (virtual)
Programme:
08.40 - 08.50 Welcome from the IOC Medical & Scientific Commission Chair
Uğur Erdener, Türkiye
08.50 - 09.05 The scientific activities of the IOC Medical Commission
Lars Engebretsen, Norway/Switzerland
09.05 - 09.20 The Olympic Movement Medical Code – How does it apply to you as team physician?
Richard Budgett, Switzerland
09.20 - 09.40 Understanding the Prohibited List and dietary supplements – keeping you and your athletes out of trouble
Alan Vernec, Canada
**09.40 - 09.55 Working as a team physician – what they don’t teach you in medical school **
Phatho Zondi, South Africa
09.55 - 10.10 Slower, calmer, wiser - achieving excellence as a team physician
Jane Thornton, Canada
**10.10 - 10.25 **Safeguarding in Sport: The role of the Team Physician
Gloria Viseras, Switzerland (virtual)
10.30 - 11.00 Coffee break
11.00 - 12.30 Session 2: Hamstring injuries: Optimal treatment – minimal risk of reinjury
Chair: Adam Weir, The Netherlands
Format: Case-based discussions
Speakers:
- Haydar A. Demirel, Türkiye
- Johannes Tol, The Netherlands/Qatar
- Rod Whiteley, Australia/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 passive treatment strategies
- Describe when surgical treatment is indicated for hamstring injuries
Programme:
10.55 - 11.00 Introduction of two cases illustrating key issues
11.00 - 11.10 Small-group discussions
11.10 - 11.25 Muscle regeneration after injury
Haydar A. Demirel, Türkiye (virtual)
11.25 - 11.35 Classifying muscle injuries: useless or useful?
Johannes Tol, The Netherlands/Qatar
11.35 - 11.50 What are the keys to rehabilitation success?
Rod Whiteley, Australia/Qatar
11.50 - 12.00 Does passive treatment have a role - cortisone, NSAIDS, shock wave therapy, platelet-rich plasma or other?
Johannes Tol, The Netherlands/Qatar
12.00 - 12.10 When everything fails – what is the role of surgery in hamstring injuries?
Gino Kerkhoffs, The Netherlands
12.10 - 12.25 Panel: Review of cases and learning objectives
**12.30 - 13.30 Lunch **
13.30 - 15.00 Session 3: Acute respiratory infections in athletes
Chair: Richard Budgett, Switzerland
Format: Interactive (Kahoot/Mentimeter)
Speakers:
- Martin Schwellnus, South Africa
- Olaf Schumacher, Germany/Qatar
- Nick Webborn, United Kingdom (virtual)
- Wayne Derman, South Africa
Learning objectives:
Participants will be able to:
- Define the clinical syndromes of acute respiratory infections in athletes
- Identify risk factors for acute respiratory infections in athletes
- Develop a working plan to decrease the risk of acute respiratory infections in individual athletes and a team
- Know how to treat acute respiratory infections in athletes, including the use of antibiotics or not
- Be aware and screen for possible medical complications in athletes with an acute respiratory infection
- Have an approach to clinical return-to-sport decision making in athletes with a recent acute respiratory infection
Programme:
13.30 – 13.35 Introduction of the session (poll)
13.35 – 13.45 Acute respiratory tract infections in athletes – pathology and clinical syndromes
Martin Schwellnus, South Africa
13.45 - 14.00 Acute respiratory infections in athletes - Who is at risk? (intrinsic and extrinsic risk factors)
Olaf Schumacher, Germany/Qatar
14.00 - 14.15 Strategies for preventing of acute respiratory infections in your team
Nick Webborn, United Kingdom (virtual)
14.15 - 14.30 Treatment of acute respiratory infections in athletes – medications, antibiotics, other …?
Wayne Derman, South Africa
**14.30 - 14.45 Potential medical complications and clinical return-to-sport decision making in athletes with a recent acute respiratory infection **
Martin Schwellnus, South Africa
14.45 - 15.00 Questions & Post-test (Quiz)
15.00 - 15.30 Coffee break
15.30 - 17.05 Session 4: Treating tendinopathy in the elite athlete – the case of the patellar tendon
Chair: Margo Mountjoy, Canada
Format: Case-based discussions
Speakers:
- Michael Kjær, Denmark
- Rod Whiteley, Australia/Qatar
- Ben Clarsen, Norway
- Johannes Tol, The Netherlands/Qatar
- Gino Kerkhoffs, The Netherlands
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:
15.30 – 15.35 Introduction of two cases illustrating key issues
15.35 – 15.45 Small-group discussions
15.45 – 16.00 What is tendinopathy and why does it happen?
Michael Kjær, Denmark (virtual)
16.00 - 16.15 The clinical assessment: History, physical examination, load assessment, demand
Rod Whiteley, Australia/Qatar
16.15 – 16.30 Physiotherapy management: First line
Ben Clarsen, Norway
16.30 - 16.40 Cortisone, NSAIDS, shock wave therapy & platelet-rich plasma – do they work?
Johannes Tol, The Netherlands/Qatar
16.40 - 16.50 Does surgery work?
Gino Kerkhoffs, The Netherlands
16.50 - 17.05 Panel: Case discussions: which is the first treatment option, and which the last line of defense?
Wednesday 8 November
09.00 - 10.30 Session 5: Medical issues related to travelling with athletes
Chair: Phato Zondi, South Africa
Format: Interactive (Kahoot/Mentimeter)
Speakers:
- Christa Janse van Rensburg, South Africa
- Martin Schwellnus, South Africa
- Olaf Schumacher, Germany/Qatar
- Wayne Derman, South Africa
- Celeste Geertsema, Qatar/New Zealand (virtual)
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)
09.05 - 09.20 Medical challenges – effects of travel fatigue and “jet lag”
Christa Janse van Rensburg, South Africa
**09.20 - 09.35 Medical challenges – risk of illness/infections and injuries **
Martin Schwellnus, South Africa
09.35 - 09.50 Medical challenges – environmental issues (seasons, altitude, temperature and humidity, pollution)
Olaf Schumacher, Germany/Qatar
09.50 - 10.05 Pre-travel preparation and approach to medical issues during travel: What the team physician should do?
Wayne Derman, South Africa
10.05 - 10.20 What to bring when you travel: The team physician’s medical bag****Celeste Geertsema, Qatar/New Zealand (virtual)
10.20 - 10.30 Questions & post-test (Quiz)
10.30 - 11.00 Coffee break
11.00 - 12.30 Session 6: Return to sport: How do we make the best return to play decisions following injury and illness?
Chair: Wayne Derman, South Africa
Format: Case-based discussions
Speakers:
- Roald Bahr, Norway/Qatar
- Martin Schwellnus, South Africa
- Adam Weir, The Netherlands/Qatar
- Rod Whiteley, Australia/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 - 11.35 A decision-based model for return to play in sport
Roald Bahr, Norway/Qatar
11.35 - 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, Australia/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 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, Australia/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)
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, Australia/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: Christa Janse van Rensburg, South Africa
Format: Case-based discussions
Speakers:
- Jiři Dvořak, Switzerland
- Simon Kemp, United Kingdom
- Margot Putukian, USA
- Kathryn Schneider, Canada
Learning objectives:
Participants will be able to:
- Understand the Concussion Consensus process and the key areas that will be discussed at the Amsterdam meeting
- Be able to integrate the SCAT6 appropriately in their side-line assessment of a player following a head impact
- Understand and apply an office assessment to individualise and be able to prescribe safe RTP programs following concussion
- Understand evidence informed targeted treatment strategies, 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 - 16.00 The Concussion Consensus Statement – update from the Amsterdam consensus meeting
Jiří Dvořák, Switzerland
16.00 - 16.15 The game day assessment – How do you recognise the player who should be removed from play and diagnose concussion?
Simon Kemp, United Kingdom
16.15 - 16.35 Hands on with the SCAT6 - workshop participation and introducing the enhanced office-based assessment
Margot Putukian, USA
16.35 - 16.50 Management of concussion and the role of active rehabilitation - taking a targeted approach to therapy
Kathryn Schneider, Canada
16.50 - 17.00 Panel: review of cases
Simon Kemp, United Kingdom
Thursday 9 November
09.00 - 10.30 Session 9: Relative Energy Deficiency in Sport (RED-S): Clinical approach for the team physician
Chair: Simon Kemp, United Kingdom
Format: Case-based discussions
Speakers:
- Margo Mountjoy, Canada
- Naama Constantini, Israel
- Kathryn Ackerman, USA
Learning objectives:
Participants will be able to:
- To become familiar with the pathophysiology of REDs
- To gain an understanding of the health and performance presentations of Low Energy Availability
- To develop competency in the clinical approach to REDs
- the identification and clinical work up of REDs
- the clinical management of REDs
- To develop a prevention program specifically for an at-risk population
Programme:
09.00 - 09.10 What is RED-S? How does it happen & What is the relevance for team docs?
Margo Mountjoy, Canada
09.10 - 09.25 Making the diagnosis of RED-S: A clinical approach to diagnosing REDs for team docs
Naama Constantini, Israel
**09.25 - 09.45 Treatment protocols for RED-S: A clinical approach to treating REDs for team docs **
Kathryn Ackerman, USA
09.45 - 10.00 Prevention of RED-S: What can team docs do to prevent REDs?
Margo Mountjoy, Canada
10.00 - 10.30 Workshop on the REDs CAT (Clinical Assessment Tool): Case-based approach to using the risk stratification tool for team docs.
10.30 - 11.00 Coffee break
11.00 - 12.30 Session 10: Risk management: Models, methods and making it happen!
Chair: Jane Thornton, Canada
Format: Interactive (Kahoot/Mentimeter)
Speakers:
- Roald Bahr, Norway/Qatar
- Olaf Schumacher, Germany/Qatar
- Rod Whiteley, Australia/Qatar
- Ben Clarsen, Norway
Learning objectives:
Participants will be able to:
- Articulate the key elements of risk management in a team sport context
- Use Periodic Health Evaluations and Team Injury Surveillance in a team setting
- Quantify the injury risk in the preparation phase and develop a strategy to mitigate risk
- Discuss lessons learned about these instruments shared by experienced clinicians working in the elite athlete setting
Programme:
**11.00 - 11.05 Introduction of the session (poll)**11.05 - 11.20 From postseason injury analysis through pre-season screening – risk management in the team setting
Roald Bahr, Norway/Qatar
11.20 - 11.40 What are the benefits of Periodic Health Evaluations?
Olaf Schumacher, Germany/Qatar
11.40 - 12.00 Functional tests as part of the PHE – Yes or no?
Rod Whiteley, Australia/Qatar
12.00 - 12.20 What are the benefits of injury and illness surveillance in elite athletes?
Ben Clarsen, Norway
12.20 - 12.30 Questions & post-test (Quiz)
12.30 - 13.30 Lunch
13.30 - 15.00 Session 11: Mental health symptoms and disorders: A clinical approach for the team physician
Chair: Roald Bahr, Norway/Qatar
Format: Case-based discussion
Speakers:
- Margo Mountjoy, Canada
- Margot Putukian, USA (virtual)
- Alan Currie, United Kingdom
- Vincent Gouttebarge, The Netherlands
Learning objectives:
Participants will be able to:
- Understand the magnitude and aetiology of mental health symptoms and disorders in elite athletes based on the available scientific knowledge.
- Develop a prevention program specifically targeted at high-risk sport situations for mental health symptoms and disorders.
- Develop competency in the clinical approach to mental symptoms and disorders in elite athletes with a focus on treatment principles and the return to play process.
- Be familiar with the IOC Sport Mental Health Assessment and Recognition Tools (SMHAT-1 / SMHRT-1).
- Apply the IOC Sport Mental Health Assessment Tool (SMHAT-1).
Programme:
13.30 - 13.40 Mental health symptoms and disorders in elite athletes: The science base
Margo Mountjoy, Canada
13.40 - 13.50 Mental health in the elite athlete: what’s the role of the team physician?
Margot Putukian, USA (virtual)
13.50 - 14.05 Treatment principles for mental health symptoms and disorders in elite athletes
Alan Currie, United Kingdom
14.05 - 14.20 Hands on with the IOC SMHAT-1/SMHRT-1: How it helps you evaluate mental health symptoms and disorders in elite athletes
Vincent Gouttebarge, The Netherlands
14.20 - 14.50 Case Study: Application of the IOC SMHAT-1 (one case) and small-group discussions
**14.50 - 15.00 Panel: Panel discussion & Review of case **
15.00 - 15.30 Coffee break
15.30 - 17.00 Session 12: The groin/hip enigma in sports
Chair: Lars Engebretsen, Norway/Switzerland
Format: Case-based discussion
Speakers:
- Adam Weir, The Netherlands/Qatar (virtual)
- Üstün Aydıngöz, Türkiye
- Per Hölmich, Denmark (virtual)
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, Türkiye (virtual)
16.15 - 16.30 Treatment of groin injuries
Adam Weir, Netherlands
16.30 - 16.45 The hip in athletic groin pain
Per Hölmich, Denmark (virtual)
16.45 - 17.00 Panel: Review of cases and learning objectives
End of sessions and departures