Preliminary Scientific Programme
Tuesday, 22 October
09.00 - 11.00 Session 1:
Working as a team physician—challenges and strategies
Chair: Roald Bahr, Norway/Qatar
Speakers:
Lars Engebretsen, Norway/Switzerland
Richard Budgett, Switzerland
Alan Vernec, Canada
Phatho Zondi, South Africa (virtual)
Jane Thornton, Canada
Gloria Viseras, Switzerland
Programme:
09.00 - 09.10 Course introduction
Roald Bahr, Norway/Qatar
09.10 - 09.15 Welcome from the IOC
Richard Budgett, Switzerland
09.15 – 09.20 Welcome from CONI
Giovanni Malagò, Italy
09.20 - 09.35 The scientific activities of the IOC Medical and Scientific Department
Torbjørn Soligard & Lars Engebretsen, Norway/Switzerland
09.35 - 09.50 The Olympic Movement Medical Code – How does it apply to you as team physician?
Richard Budgett, Switzerland
09.50 - 10.10 Understanding the Prohibited List and dietary supplements – keeping you and your athletes out of trouble
Alan Vernec, Canada
10.10 - 10.25 Working as a team physician – what they don’t teach you in medical school
Phatho Zondi, South Africa
10.25 - 10.40 Slower, calmer, wiser - achieving excellence as a team physician
Jane Thornton, Canada
10.40 - 10.55 Safeguarding in Sport: The role of the Team Physician
Gloria Viseras, Switzerland
10.55 - 11.30 Coffee break
11.30 - 13.00 Session 2:
Hamstring injuries—Optimal treatment, minimal risk of reinjury
Chair: Adam Weir, The Netherlands
Speakers:
Haydar A. Demirel, Türkiye
Johannes Tol, The Netherlands
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:
11.30 - 11.35 Introduction of two cases illustrating key issues
11.35 - 11.45 Small-group discussions
11.45 - 11.55 Muscle regeneration after injury
Haydar A. Demirel, Türkiye
11.55 - 12.05 Classifying muscle injuries: useless or useful?
Johannes Tol, The Netherlands
12.05 - 12.20 What are the keys to rehabilitation success?
Rod Whiteley, Australia/Qatar
12.20 - 12.30 Does passive treatment have a role - cortisone, NSAIDS, shock wave therapy, platelet-rich plasma or other?
Johannes Tol, The Netherlands
12.30 - 12.40 When everything fails – what is the role of surgery in hamstring injuries?
Gino Kerkhoffs, The Netherlands
12.40 - 13.00 Panel: Review of cases and learning objectives
13.00 - 14.00 Lunch
14.00 - 15.30 Session 3:
Treating tendinopathy in the elite athlete—the case of the patellar tendon
Chair: Margot Putukian, USA
Speakers:
Michael Kjær, Denmark (virtual)
Rod Whiteley, Australia/Qatar
Roald Bahr, Norway/Qatar
Johannes Tol, The Netherlands
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:
14.00 - 14.05 Introduction of two cases illustrating key issues
14.05 - 14.15 Small-group discussions
14.15 - 14.30 What is tendinopathy and why does it happen?
Michael Kjær, Denmark
14.30 - 14.45 The clinical assessment: History, physical examination, load assessment, demand
Rod Whiteley, Australia/Qatar
14.45 - 15.00 Treating tendinopathy: Exercise or rest? Or both?
Roald Bahr, Norway/Qatar
15.00 - 15.10 Cortisone, NSAIDS, shock wave therapy & platelet-rich plasma – do they work?
Johannes Tol, The Netherlands
15.10 - 15.20 Does surgery work?Gino Kerkhoffs, The Netherlands
15.20 - 15.30 Panel: Case discussions: which is the first treatment option, and which the last line of defence?
15.30 - 16.00 Coffee break
16.00 - 17.30 Session 4:
Keeping elite athletes healthy—The model, the tools and how to make it happen!
Chair: Celeste Geertsema, New Zealand/Qatar
Speakers:
Roald Bahr, Norway/Qatar
Olaf Schumacher, Germany/Qatar
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 when in risk management planning
- Assess and prioritize injury risks and develop a strategy to mitigate risk
- Discuss lessons learned about these instruments shared by experienced clinicians working in the elite athlete setting
Programme:
16.00 - 16.20 A model to apply the principles of risk management in elite sports
Roald Bahr, Norway/Qatar
16.20 - 17.20 Workshop: Risk management planning in practice—the tools to identify, assess and mitigate the risk of injury and illness in your team
Olaf Schumacher, Germany/Qatar & Roald Bahr, Norway/Qatar
17.20 - 17.30 Plenary discussion
Wednesday, 23 October
09.00 - 10.30 Session 5:
Ankle injuries—when you hear hoof beats, think horse, but don’t forget the zebra
Chair: Simon Kemp, United Kingdom
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:
09.00 - 09.05 Introduction of the session (poll)
09.05 - 09.25 Sideline management of ankle sprains – assessment and initial treatment
Roald Bahr, Norway/Qatar
09.25 - 09.45 High ankle sprains – assessment and treatment
Gino Kerkhoffs, The Netherlands
09.45 - 10.00 How to return the elite athlete to play after an ankle sprain
Rod Whiteley, Australia/Qatar
10.00 - 10.15 Midfoot sprains – assessment and treatment
Gino Kerkhoffs, The Netherlands
10.15 - 10.30 Questions & post-test (Quiz)
10.30 - 11.00 Coffee break
11.00 - 12.30 Session 6:
Managing concussions in the team setting
Chair: Christa Janse van Rensburg, South Africa
Speakers:
Kathryn Schneider, Canada
Simon Kemp, United Kingdom
Margot Putukian, USA
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:
11.00 - 11.05 Introduction of two cases illustrating key issues
11.05 - 11.15 Small-group discussions
11.15 - 11.30 The Concussion Consensus Statement – update from the Amsterdam consensus meeting
Kathryn Schneider, Canada
11.30 - 11.45 The game day assessment – How do you recognise the player who should be removed from play and diagnose concussion?
Simon Kemp, United Kingdom
11.45 - 12.05 Hands on with the SCAT6 - workshop participation and introducing the enhanced office-based assessment
Margot Putukian, USA
12.05 - 12.20 Management of concussion and the role of active rehabilitation - taking a targeted approach to therapy
Kathryn Schneider, Canada
12.20 - 12.30 Panel: review of cases
Simon Kemp, United Kingdom
12.30 - 13.30 Lunch
13.30 - 15.00 Session 7:
Return to sport—How do we best make return to play decisions following injury and illness?
Chair: Wayne Derman, South Africa
Speakers:
Roald Bahr, Norway/Qatar
Martin Schwellnus, South Africa
Adam Weir, The Netherlands
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:
13.30 - 13.35 Introduction of two cases illustrating key issues
13.35 - 13.45 Small-group discussions
13.45 - 14.05 A model to help you make return to play decisions in sport
Roald Bahr, Norway/Qatar
14.05 - 14.20 What is the best practice for medical decision making in return to play following acute illness?
Martin Schwellnus, South Africa
14.20 - 14.30 Can imaging help make return to play decisions?
Adam Weir, The Netherlands
14.30 - 14.45 How can functional testing help make return to play decisions?
Rod Whiteley, Australia/Qatar 15 min
14.45 - 15.00 Panel discussion: Clearance for sports—ethical dilemmas illustrated by cases
15.00 - 15.30 Coffee break
15.30 - 16.45 Session 8:
Medical issues related to travelling with athletes
Chair: Margo Mountjoy, Canada
Speakers:
Christa Janse van Rensburg, South Africa
Celeste Geertsema, New Zealand/Qatar
Olaf Schumacher, Germany/Qatar
Wayne Derman, South Africa
Learning objectives:
Participants will be able to:
- Design a plan to reduce the negative effects of travel fatigue and jet-lag when travelling to foreign destinations
- Recognise and plan for environmental issues related to travel
- Determine risk and formulate a clinical approach to common infective illnesses related to travel
- Develop a comprehensive pre-travel strategy for a team
Programme:
15.30 - 15.35 Introduction of session (poll)
15.35 - 15.50 Travel fatigue and “jet lag” – measures to prevent and manage? Christa Janse van Rensburg, South Africa
15.50 – 16.05 Where you go determines what you get – a clinical approach to infective illness associated with travel (gastrointestinal, tropical, dermatological) Celeste Geertsema, New Zealand/Qatar
16.05 - 16.15 And don’t forget the environmental challenges!
Olaf Schumacher, Germany/Qatar
16.15 - 16.25 Planning is everything - preparation to reduce the risk of medical issues when the team is on the road
Wayne Derman, South Africa
16.25 - 16.35 What to bring when you travel: The team physician’s medical bag
Celeste Geertsema, New Zealand/Qatar
16.35 - 16.45 Questions & post-test (Quiz)
17.00 - 17.30 Guest speaker: Andrea Ferretti: Five lessons learned as a team physician
Thursday, 24 October
08.30 - 10.00 Session 9:
Relative Energy Deficiency in Sport (RED-S)—Clinical approach for the team physician
Chair: Simon Kemp, United Kingdom
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:
08.30 - 08.40 What is RED-S? How does it happen & What is the relevance for team docs?
Margo Mountjoy, Canada
08.40 - 08.55 Making the diagnosis of RED-S: A clinical approach to diagnosing REDs for team docs
Naama Constantini, Israel
08.55 - 09.15 Treatment protocols for RED-S: A clinical approach to treating REDs for team docs
Kathryn Ackerman, USA
09.15 - 09.30 Prevention of RED-S: What can team docs do to prevent REDs?
Margo Mountjoy, Canada
09.30 - 10.00 Workshop on the REDs CAT (Clinical Assessment Tool): Case-based approach to using the risk stratification tool for team docs.
10.00 - 10.30 Coffee break
10.30 - 12.00 Session 10: The groin/hip enigma in sports
Chair: Lars Engebretsen, Norway/Switzerland
Speakers:
Adam Weir, The Netherlands
Üstün Aydıngöz, Türkiye
Per Hölmich, Denmark
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:
10.30 - 10.35 Introduction of two cases illustrating key issues
10.35 - 10.45 Small-group discussions
10.45 - 11.00 Groin pain: anatomy and diagnosis– what do I need to know as a team physician?
Adam Weir, The Netherlands
11.00 - 11.15 Imaging in groin pain - what do I need to know as a team physician?
Üstün Aydıngöz, Türkiye
11.15 - 11.30 Treatment of groin injuries
Adam Weir, The Netherlands
11.30 - 11.45 The hip in athletic groin pain
Per Hölmich, Denmark
11.45 - 12.00 Panel: Review of cases and learning objectives
12.00 - 13.00 Session 11:
Doc, please help!—I struggle to breathe during exercise …
Chair: Maarit Valtonen, Finland
Speakers:
Martin Schwellnus, South Africa
Hege Clemm, Norway
James Hull, United Kingdom
Learning objectives:
Participants will be able to:
- Have an approach to clinical diagnosis and management of nasal obstruction in the athlete
- Know how to diagnose and treat lower airway dysfunction (asthma-related issues) in athletes
- Be aware of, and have a clinical approach to respiratory conditions that can cause breathing problems in athletes, but are not asthma
Programme:
12.00 - 12.05 Introduction of the session (poll)
12.05 - 12.15 Don’t forget the athlete’s nose… Martin Schwellnus, South Africa
12.15 - 12.30 Lower airway dysfunction in the athlete - optimising health and preventing adverse outcome James Hull, United Kingdom
12.30 - 12.45 When breathing goes wrong in athletes, and it is not asthma? Thinking outside the box to prevent impaired health and performance Hege Clemm, Norway
12.45 - 13.00 Questions & Post-test (Quiz)
13.00 - 14.00 Lunch
14.00 - 15.00 Session 12:
Acute respiratory infections in athletes
Chair: Roald Bahr, Norway
Speakers:
Maarit Valtonen, Finland
Wayne Derman, South Africa
Martin Schwellnus, South Africa
Learning objectives:
Participants will be able to:
- List the common pathogens and define the clinical syndromes of acute respiratory infections in athletes
- Identify risk factors associated with acute respiratory infections in athletes
- Develop a strategy 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 when athletes return to sport after an acute respiratory infection
- Have an approach to factors that influence clinical return-to-sport decision making in athletes with a recent acute respiratory infection
Programme:
14.00 - 14.05 Introduction of the session (poll)
14.05 - 14.25 Acute respiratory tract infections in athletes – who gets it, what causes it, and how do athletes present?
Maarit Valtonen, Finland
14.25 - 14.35 Treatment of acute respiratory infections in the athlete and the team – preventing spread, use of medications and antibiotics, other …?
Wayne Derman, South Africa
14.35 - 14.45 Potential medical complications after respiratory infections in athletes and who is likely get back to sport early … or later?
Martin Schwellnus, South Africa
14.45 - 15.00 Questions & Post-test (Quiz)
15.00 - 15.30 Coffee break
15.30 - 17.00 Session 13:
Mental health symptoms and disorders—A clinical approach for the team physician
Chair: Hege Clemm, Norway
Speakers:
Margo Mountjoy, Canada
Margot Putukian, USA
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:
15.30 - 15.40 Mental health symptoms and disorders in elite athletes: The science base
Margo Mountjoy, Canada
15.40 - 15.50 Mental health in the elite athlete: what’s the role of the team physician?
Margot Putukian, USA
15.50 - 16.05 Treatment principles for mental health symptoms and disorders in elite athletes
Alan Currie, United Kingdom
16.05 - 16.20 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
16.20 - 16.50 Case Study: Application of the IOC SMHAT-1 (one case) and small-group discussions
16.50 - 17.00 Panel: Panel discussion & Review of case