Wednesday, 2 November 2011

Football Medicine Strategies for Knee Injuries 21-22 April London Stamford Bridge


The Isokinetic FIFA Medical Centre of Excellence is proud to announce that the 2012 Football Medicine Conference will take place at Stamford Bridge Stadium, London, over the weekend of the 21st and 22nd of April.
This decision marks an exciting shift in the history of the International Conference on Sports Rehabilitation and Traumatology, having previously been held in Bologna, Italy, for the past 20 years.


With this exciting news, we can also announce the title of the conference 'Football Medicine Strategies for Knee Injuries'.

Injuries to the knee are among the most common sports-related injuries, with incidence rates in football particularly high. For this reason we have designed a conference which tackles common challenges presented to football players and their support teams.

Conference President:
Stefano Della Villa
Bryan English
Scientific Director:
Dott. Giulio Sergio Roi



Registration Form







Friday, 2 September 2011

Sports Injuries Symposium Homerton Monday 10 October 2011

Cost Dr £100.00 AHP 75.00 Student £50.00

To Register contact Ms. Ellenor Buxton,

Physiotherapy department,
Homerton University Hospital,
Homerton Row,
London, E9 6SR
Tel: 020 8510 7835
Email: Ellenor.buxton@homerton.nhs.uk
peter.resteghini@homerton.nhs.uk
ziali.sivardeen@homerton.nhs.uk



Tuesday, 28 June 2011

Liability, Risks and Indemnity - Hospital of St John + Elizabeth, London NW8 9NH 4th July 2011, 6.00 – 8.00pm




When it goes wrong are you covered ?

Liability, Risks and Indemnity -  Hospital of St John + Elizabeth, 
London NW8 9NH

4th July 2011, 6.00 – 8.00pm
Hospital of St John + Elizabeth, 
London NW8 9NH

A free and compelling presentation by Neil Redman of SEMPRIS and Medico-Legal specialist Dr Gerard Panting on the liability, risks and indemnity issues facing doctors involved in the treatment, reporting and medical assessment of professional sportsmen & women.
The short presentation will:

(1)        Examine the key risks and liabilities associated with the treatment, reporting and medical assessment of professional sportsmen and women.

(2)        Seek to clarify the ability of the traditional Medical Defence Organisations (MDOs) to respond to these risks, following recent changes and withdrawal of key elements of their indemnity cover. 

To confirm attendence please email or phone SEMPRIS
Telephone: +44 (0) 208 770 0333


“A brilliantly simple presentation that seriously questions the adequacy of traditional MDO indemnity cover for doctors in this area of sports medicine” - Dr James Brown Co-Founder UKADIS

Thursday, 23 June 2011

Liability, Risks and Indemnity - Venue Hospital of Elizabeth and St John 4th July 2011, 6.00 – 8.00pm



When it goes wrong are you covered ?

Liability, Risks and Indemnity -  Hospital of St John + Elizabeth, 
London NW8 9NH

4th July 2011, 6.00 – 8.00pm

Hospital of St John + Elizabeth, 
London NW8 9NH

A free and compelling presentation by Neil Redman of SEMPRIS and Medico-Legal specialist Dr Gerard Panting on the liability, risks and indemnity issues facing doctors involved in the treatment, reporting and medical assessment of professional sportsmen & women.
The short presentation will:

(1)        Examine the key risks and liabilities associated with the treatment, reporting and medical assessment of professional sportsmen and women.

(2)        Seek to clarify the ability of the traditional Medical Defence Organisations (MDOs) to respond to these risks, following recent changes and withdrawal of key elements of their indemnity cover. 

To confirm attendence please email or phone SEMPRIS
Telephone: +44 (0) 208 770 0333
Email: info@sempris.co.uk


“A brilliantly simple presentation that seriously questions the adequacy of traditional MDO indemnity cover for doctors in this area of sports medicine” - Dr James Brown Co-Founder UKADIS

Sunday, 12 June 2011

Locum / fixed term Physician required for the Department of Musculoskeletal, Sport and Exercise Medicine - Anglia Community Enterprise.



An opportunity has arisen for a 6 month fixed term position with the possibility for extending the arrangement.
There are 9 sessions per week and consideration will be given to applicants who wish to work all the sessions, or part of the sessions. 
 The physician (s) will be required:-

·        To work as part to the Tier 2 Musculoskeletal service within ACE along with the existing physician
·        To receive referrals from other Health Professionals (primarily General Practitioners) regarding patients with musculoskeletal and/or exercise/activity-related problems.
·        To provide a high standard consultation, investigation, diagnosis and treatment service for such patients
·        To communicate with the patients General Practitioner
·        To paper triage all referrals of patients with spinal problems
·        To advise the referral and booking service where problems arise triaging patients with musculoskeletal problems.
·        To see patients with knee osteoarthritis for hyaluronan injections (regular weekly session)
·        To maintain spreadsheets for audit purposes.
·        X Ray, MRI, CT, Ultrasound, Nuclear Medicine, Pathology and all usual investigative facilities are available
·        Facilities for joint and soft tissue injection available.
·        Links with Ace and Colchester Hospital Physiotherapy services and links with ACE podiatry service are in place.
·        All consultations will be recorded on Systm1
·        Secretarial support is provided.

The successful candidate(s)  is likely to have -
o       Higher qualifications and experience in Sport and Exercise Medicine or Musculoskeletal Medicine
o       Considerable practical experience in Musculoskeletal Medicine
o       Ability to perform joint and soft tissue injections
o       Ability to record consultations on an IT system.

Salary £74,505 pro rata 


For more information please contact 
Dr Paul Marfleet telephone 01206 286801 

Please note that these  attachments are drafts- please look for the final advert and
reply accordingly HR have yet to tweak the wording I am told.

The drafts also say respond to me but I will be teaching on the Foundation course
all week and will not be able to respond to any questions before next Friday.

Cheers

Paul



JOB SUMMARY - DRAFT Release

To work as part of the Tier 2 Musculoskeletal Service receiving referrals regarding patients with musculoskeletal and or exercise / activity related problems

To provide a high standard consultation, investigation, diagnosis and treatment service for such patients

To communicate with the patients General Practitioner

To undertake  paper triage all referrals of patients with spinal problems

To advise the referral and booking service where problems arise triaging patients with musculoskeletal problems.

To manage the administrative support to the service

DEPARTMENTAL STRUCTURE

Head of Allied Health Professions

Senior MSK Physician   ( Tendring )

Temporary MSK Physician


MAIN DUTIES & RESPONSIBILITIES

Lead physician for the primary secondary care interface providing diagnosis and treatment and prevention strategies for patients with musculoskeletal and sports injury / dysfunction

To provide a high standard consultation, investigation, diagnosis and treatment service for patients referred

To work closely with the Clinical Assessment service, advising where problems arise triaging patients with musculoskeletal problems

To work with the ACE musculoskeletal specialist physiotherapists for specific interventions

Clinical/Professional Duties


To see patients with knee osteoarthritis for hyaluronan injections To maintain spreadsheets for audit purposes.

To refer patients for X Ray, MRI, CT, Ultrasound, Nuclear Medicine, Pathology and other investigations as required.

To work as part of a team in close liaison with physiotherapy services.

To work wit other relates services such as podiatry

To advise on service developments and best practice


Communication Skills

To communicate with GPS, patients and other services within ACE and other local health providers.

To establish and maintain effective communication regarding the service with stakeholders


Analytical & Judgemental skills

To utilise a wide range of treatment skills and options to formulate and carry out interventions in relation to the specialist area

To demonstrate high level of professional behaviours, competence and sound decision making

Patient/Client Care

To work as an autonomous practitioner evidencing high levels of problem solving, clinical reasoning and independence of judgement

To provide a high standard consultation, investigation, diagnosis

To provide specialist interventions as appropriate to patient need

To make referrals to secondary care as appropriate.

To refer patients for further investigations such as X-ray, MRI CT ultrasound, pathology



Policy & Service Development

To participate and contribute to any local pathway / service developments relating to Musculoskeletal Services
To contribute to strategic developments within ACE

To be responsible for the formulation of service protocols and guidance to support evidence based clinical practice


Planning & Organisation

To plan and organise the flow of patient through the service in conjunction with the other physician

 To use excellent prioritising skills and time management to meet  the unpredictable and conflicting needs of the service.

To work with the other physician within the service, ensuring that there is cover for periods of annual leave and that waiting time requirements within the service are adhered to

Information Management

To ensure that all written electronic records are maintained in a timely and accurate manner in line with the organisation policy for record keeping and Information Governance policy and procedure

To maintain activity databases, recording all consultations within the organisation information system ( S1)



Education & Research

To undertake audit, research and use government guidelines to recommend changes in service delivery and clinical practice.

To comply with the organisation mandatory audit procedures

To attend relevant training as identified at annual appraisal including mandatory training

To keep up to date with current literature and national guidelines relating to the service


Freedom to Act

To work within standards set by ACE , and relevant professional code of conduct

To manage own caseload and work with other physician to manage the waiting list 

To be responsible for own practice and accountable for all aspects of treatment and care delivered to patients

To supervise the department administrative support


Effort & Environment

To manage distressed or aggressive patients/ carers

To be able to drive and have use of a vehicle to carry out duties

To have frequent concentration in areas of service planning , reporting, dealing with complaints and aspects of staff management

Further information – Additional Job Requirements


Infection Control

You are accountable and responsible for the prevention and control of healthcare associated infections and must comply with the standard set by the Health and Social Care Act 2008: Code of Practice for health and adult social care on the prevention and control of infections and related guidance (Revised December 2009).

Information Governance

Information Governance (IG) includes, but is not limited to, Data Protection, Code of Confidentiality, Freedom of Information, Information Security, Records Management and the Registration Authority.  You have a responsibility to keep up to date with the organisations IG policies and ensure they are adhered to whilst performing your duties.  You must not breach these policies, whether during your employment with the organisation, or after the end of it, whether you resign or are dismissed by the organisation.  All IG policies are available on the public website and the staff extranet.


Child Protection

Everyone employed by the organisation regardless of the work they do has a statutory duty to safeguard and promote the welfare of children. When children and/or their carers use our services it is essential that all child protection concerns are both recognised and acted on appropriately.  You have a responsibility to ensure you are familiar with and follow the Southend Essex and Thurrock (SET) child protection procedures and the organisations supplementary child protection guidance which is accessed electronically on the Extranet site. To ensure you are equipped to carry out your duties effectively, you must also attend mandatory child protection training and updates at the competency level appropriate to the work you do and in accordance with the organisations child protection training guidance. 

Safeguarding Adults

Everyone employed by the organisation regardless of the work they do has a duty to safeguard and promote the welfare of vulnerable adults. When patients and/or their carers use our services it is essential that all protection concerns are both recognised and acted on appropriately.  You have a responsibility to ensure you are familiar with and follow organisational policies in relation to safeguarding vulnerable adults. To ensure you are equipped to carry out your duties effectively, you must also attend mandatory vulnerable adult protection training and updates at the competency level appropriate to the work you do and in accordance with the organisations vulnerable adult protection training guidance. 




This job description is not a definite or exhaustive list of responsibilities but identifies the key responsibilities and tasks of the post holder.  The specific objectives of the post holder will be subject to review as part of the individual performance review process.



PERSON SPECIFICATION FOR
JOB TITLE


CRITERIA

Essential
P
Desirable
P
Education/ Qualifications
Higher qualifications and experience in Sport and Exercise Medicine or Musculoskeletal Medcine

P



CRITERIA

Essential
P
Desirable
P
Skills/Abilities
Able to carry out joint and soft tissue injection
Able to use ultrasound
Ability to use Word, PowerPoint, e-mail, Excel and Access (or similar spreadsheet or database packages)
Car owner/driver/access to a motor vehicle (role will involve travel to other sites that cannot be easily accessed by public transport means)
Demonstrates the ability to work independently using own initiative.

Ability to work as part of a team liaising with a range of professionals and services


P


P




CRITERIA

Essential
P
Desirable
P
Experience
Considerable practical experience in Musculoskeletal Medcine

Experience of working with Specialist  physiotherapist

Advanced clinical skills in the diagnosis, assessment and treatment  of musculoskeletal patients




CRITERIA

Essential
P
Desirable
P
Knowledge/ Understanding
Sound knowledge and understanding of national and local strategy relating to musculoskeletal services.
 Understanding of clinical governance and risk





CRITERIA

Essential
P
Desirable
P
Personal Attributes/Other
Able to build good networks and relationships
Ability to communicate effectively with client group and families
Able to demonstrate empathy, sensitivity and tact






Thursday, 2 June 2011

SEMPRIS Free Meeting on Medical Indemnity for your practice - Yorkshire

14th June 2011, 6.00 – 8.00pm


The Yorkshire Clinic, Bingley, BD16 1TW


A compelling risk assessment by Neil Redman of SEMPRIS and Medico-Legal specialist Dr Gerard Panting of the liability, risks and indemnity issues facing doctors involved in the treatment, reporting and medical assessment of professional sportsmen & women.


Targeted principally at Radiologists, Cardiologists, Orthopaedic Specialists, Anaesthetists, and SEM Physicians, the short presentation will examine the risks and liabilities posed by the type of questions given below. Clarification will be provided on the ability of the traditional Medical Defence Organisations (MDOs) to respond to these risks, following the recent changes and withdrawal of key elements to their indemnity cover.


 Do you treat professional sportsmen / women?


 Do you provide medical services directly to a club/s?


 Are you using Waiver Letters with patients and or clubs?


 Are you in receipt of Waiver Letters from patients or clubs?


 Do you provide screening, medical reports or assessments directly for clubs?


 Do you have a contract, whether implied or actual, to provide services to a club/s?


 Do you provide screening, medical reports or assessments for contracted, third party providers?


What is a ‘Subrogated Claim’ and will your indemnity to respond to such a claim from a third party?


 What precedents can be drawn from the outcome of the El-Safty vs WBA FC case?


 Why have the MDU and MPS withdrawn cover in respect of third party claims?
Timetable of events:
6.00 – 6.30pm Registration


6.30 – 7.15pm Presentation and Q&A Session


7.15 – 8.00pm Refreshments


8.00pm Close


This event is kindly sponsored by The Yorkshire Clinic, part of Ramsay Healthcare.


_____________________________________________________________________________________________________


RSVP: If you would like to attend the presentation please email, fax, or telephone your confirmation together with details of colleagues who mat wish to attend with you to: info@sempris.co.uk or call Callum Payne on 0208 770 0333 or Fax: 0208 770 2194. Places are limited so please respond promptly to reserve your place.

Tuesday, 17 May 2011

Treatment of Proximal Hamstring Ruptures - A Systematic Review

Int J Sports Med. 2011 May 11.

Source

The Ohio State University, Orthopaedics, Columbus, United States.

Abstract

Proximal hamstring ruptures are increasingly treated surgically, despite little high-level supporting evidence. We sought to determine whether there are differences in clinical outcome after surgical vs. non-surgical treatment of proximal hamstring tendinous avulsions/ruptures and acute vs. chronic surgical repair of tendinous avulsions. Multiple medical databases were searched for Level I-IV evidence. 18 studies were included. 298 subjects (300 proximal hamstring injuries) were analyzed with mean age of 39.7 years. 286 injuries were managed with surgical repair vs. 14 non-operative. 95 surgical cases were performed within 4 weeks of the injury (acute), while 191 were performed beyond 4 weeks (chronic). 292 injuries were tendinous avulsions while 8 were bony tuberosity avulsions. Surgical repair resulted in significantly (p<0.05) better subjective outcomes, greater rate of return to pre-injury level of sport, and greater strength/endurance than non-surgical management. Similarly, acute surgical repair had significantly better patient satisfaction, subjective outcomes, pain relief, strength/endurance, and higher rate of return to pre-injury level of sport than chronic repair (p<0.001) with reduced risk of complications and re-rupture (p<0.05). Chronic surgical repair also improves outcomes, strength and endurance, and return-to-sport, but not as well as acute repair. Non-operative treatment results in reduced patient satisfaction, with significantly lower rates of return to pre-injury level of sport and reduced hamstring muscle strength.

Links also see below to papers / articles of interest

See also here for a review on Hamstring Injuries from Ortho Super Site


Acute proximal hamstring rupture paper 2007 MRI + Anatomical drawings

Monday, 16 May 2011

Elite Human Performance Centre

PML deliver sports science, sports medicine and cardiac screening services to the FA, UEFA, FIFA, professional football and cricket clubs and professional athletes throughout the UK.


The Lab is a consolidation of experience, learning and innovation and a hub of dedicated sports medicine professionals with common interests and who recognise the holistic nature wellbeing and of treating athletes and patients at all levels of ability. Professional clubs and individual athletes can benefit from our services for baseline assessment, injury prevention and conditioning strategies. The Lab is an ideal location to send long term injured athletes for a change of scenery and intense 1:1 conditioning and rehabilitation or when your treatment room becomes full. The Lab is a 1500 sq ft facility located in Oswestry, Shropshire and is just over an hour from Liverpool, Manchester and Birmingham airports. We are 3 and a half hours from London by road. The Lab is within a beautifully restored former Maltings which retains many of the original features and provides a wonderful restful environment. It is impossible to see into the building and we have private garage parking available on site. The Lab is equipped with the latest and innovative equipment, each item being chosen individually for its merit and capabilities rather than branding.

For further information on the Lab and the services we offer, please visit www.pmlthelab.com or email j.pither@pml.tel

Sports Medicine Indemnity Medico Legal Care Pro Sport Evening Meeting - Free

Sport & Exercise Medicine Professional Indemnity Scheme


INVITATION

7th June 2011, 6.00 – 8.00pm

Worsley Park Hotel & Country Club

Manchester M28 2QT

A compelling risk assessment by Neil Redman of SEMPRIS and Medico-Legal specialist Dr Gerard Panting of the liability, risks and indemnity issues facing doctors involved in the treatment, reporting and medical assessment of professional sportsmen & women.

Targeted principally at Radiologists, Cardiologists, Orthopaedic Specialists, Anaesthetists, and SEM Physicians, the short presentation will examine the risks and liabilities posed by the type of questions given below. Clarification will be provided on the ability of the traditional Medical Defence Organisations (MDOs) to respond to these risks, following the recent changes and withdrawal of key elements of their indemnity cover.

 Do you treat professional sportsmen / women?

 Do you provide medical services directly to a club/s?

 Are you using Waiver Letters with patients and or clubs?

 Are you in receipt of Waiver Letters from patients or clubs?

 Do you provide screening, medical reports or assessments directly for clubs?

 Do you have a contract/s, whether implied or actual, to provide services to a club/s?

 Do you provide screening, medical reports or assessments for contracted, third party providers?

 What is a ‘Subrogated Claim’ and will your current indemnity respond to a claim from a third party?

 What precedents can be drawn from the outcome of the El-Safty vs WBA FC case?

 Why have the MDU and MPS withdrawn cover in respect of third party claims?
Timetable of events:
6.00 – 6.30pm Registration

6.30 – 7.15pm Presentation and Q&A Session

7.15 – 8.00pm Refreshments

8.00pm Close



This event is kindly sponsored by Oaklands Hospital, part of Ramsay Healthcare.

_________________________________________________________________________________


RSVP: If you would like to attend the presentation please email, fax, or telephone your confirmation together with details of colleagues who mat wish to attend with you to: info@sempris.co.uk or call Callum Payne on 0208 770 0333 or Fax: 0208 770 2194. Places are limited so please respond promptly to reserve your place.


Latest date for confirmation of attendance – 31st May 2011

Tuesday, 10 May 2011

Shaping the Future of Musculoskeletal Services - A conference for interface musculoskeletal practitioners 8 June 2011, Skinners Hall, Dowgate, London


Time
Session
Speaker
9.00am
Arrival, Registration and Coffee

9.30am
Welcome Address
Dr. Christopher Deighton (chair)
Consultant Rheumatologist, Royal Derby Hospital;
President Elect of the British Society of Rheumatology
9.45am
Musculoskeletal Commissioning – The National Perspective
John Wicks
NHS Commissioning Board Implementation Team, Department of Health
10.10am
A Commissioner’s Perspective
Dr. Victoria Tzortziou-Brown
GPwSI in musculoskeletal conditions;
Research Fellow SEM;
Commissioning Executive Committee member, Tower Hamlets;
Regional Commissioning Champion RCGP
10.35am
Delegate Discussion: MSK Commissioning

11.10am
Coffee Break

11.30am
Developing a Musculoskeletal Interface Service – A 15 Year Experience
Dr. Peter Dawes
Rheumatologist UHNS
Clinical Lead Haywood Hospital
11.55am
Shaping the Future Through Feedback on Patient Experience
Dr. Lisa Roberts
Arthritis Research UK senior lecturer in physiotherapy;
Consultant physiotherapist
12.20pm
Delegate Discussion: Skills and Competencies

12.45pm
Lunch

1.50pm
Clinical Vignettes from the Interface
Dr. Ajit Menon
Consultant Rheumatologist, Haywood Hospital
2.15pm
Developing Disease Pathways  – Lessons Learnt at the MSK Interface 
Susan Oliver
Nurse consultant, Rheumatology
2.40pm
Delegate Workshop: Developing an MSK Patient Pathway

4.25pm
Closing Address
Dr. Christopher Deighton (chair)

4.45pm
Close



Post Conference Reception
Post conference reception drinks will be served until 7pm, to continue the opportunities for networking and to allow delegates to enjoy the fantastic surroundings of Skinner’s Hall.
As places are limited, please let us know if you’d like to attend the drinks reception when you register

Workshop Facilitators
Dr Louise WarburtonGPwSI; President of the Primary Care Rheumatology Society
Dr Adrian DunbarGPwSI; Associate Director of Postgraduate Medical Education, University of Leeds
Dr Tony MitchellGPwSI; Education Lead, East Lancs MSK Service

Contact
Abby Webster
Communications Manager
t: 0300 790 0400
e:
a.webster@arthritisresearchuk.org
w:
www.arthritisresearchuk.org

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