Clin Sports Med April Working as a Team Physician

Foreword......Page 1
Preface......Page 2
Dedication......Page 4
Importance......Page 5
Chain of Command......Page 6
Successful Methods......Page 8
Practical Forms of Communication......Page 10
Not Communicating Enough......Page 12
Not Recognizing the Importance of Communication......Page 13
Bypassing Chains of Communication......Page 14
Summary......Page 15
What is Accessibility?......Page 17
Scope of Practice......Page 18
Pre-participation Examination......Page 21
Injury and Illness......Page 23
Policies and Procedures......Page 24
Medical Consults......Page 25
Medical Liaison and Specialty Provider Access......Page 26
References......Page 28
The politics of landing the job......Page 29
The politics of stakeholder interaction......Page 31
The Coach......Page 33
Visiting Teams......Page 34
The politics of malpractice insurance......Page 35
The politics of international competition......Page 36
The politics of treating star players......Page 37
Summary: the twelve-step ‘‘physicians and politics’’ program......Page 40
Objectives of the sports medicine team......Page 41
Who makes the cut?......Page 42
Coordination of care......Page 44
Avoiding pitfalls, confusion, and conflicts......Page 45
Establishing a winning team......Page 46
References......Page 47
Practice setting......Page 48
Team physician benefits......Page 49
Commitments and responsibilities......Page 50
Summary......Page 51
Balancing Life as a Team Physician......Page 53
Do the Right Thing, Always, no Exceptions......Page 54
Loyalty is the Weakest of Human Values......Page 55
Remember the five A’s: Availability, Ability, Affability, Advocacy, Affiliation......Page 56
Don’t Forget your Family and your Friends......Page 57
Negotiating Contractual Relationships......Page 58
Parties discussed......Page 61
Team responsibilities......Page 62
Terms of contract......Page 63
References......Page 64
Understanding Organization Structures of the College, University, High School, Clinical, and Professional Settings......Page 65
Organizational structure of the team physician in a high school setting......Page 68
Working the Sidelines with a Certified Athletic Trainer......Page 69
Organizational structures of the college and university settings......Page 70
Discipline and Certification of Staff Members......Page 71
Medical and Administrative Oversight of Staff Members......Page 72
Employment Agreement Structures of Staff Members......Page 73
Athlete Access to Sports Medicine Services......Page 74
Clinical setting......Page 75
Professional sports......Page 79
Olympic sports medicine for the team physician......Page 82
Team Physician and Athletic Trainer Teamwork......Page 83
Olympic Venue Athlete Medical Care: Warm-up Facility......Page 84
Olympic Venue Athlete Medical Care: Field-of-Play Priorities......Page 85
Sports Trauma Preparation......Page 86
Heat Stress and Asthma Protocols......Page 87
Heat Stress......Page 88
Reference......Page 90
Financial Implications of Serving as Team Physician......Page 91
Fee for Service......Page 92
Paying to Serve as Team Physician......Page 93
Soft-Money Arrangement......Page 94
Disadvantages of soft-money arrangement......Page 95
Disadvantages of volunteering......Page 96
Overall cost considerations......Page 97
The bottom line......Page 102
Summary......Page 104
Reference......Page 105
Educational Opportunities of the Team Physician......Page 106
Public Education......Page 107
Clinical Education......Page 108
Research and Professional Education......Page 110
Challenges to Establishing A Learning Environment in the Sports Medicine Setting......Page 111
Understanding your Audience......Page 112
Be Prepared......Page 113
Reference......Page 114
Names......Page 115
Brochures and Flyers......Page 116
Color......Page 118
Billboard......Page 119
Word of Mouth......Page 120
Web Site......Page 121
Tracking and Measuring Your Media Coverage......Page 122
Do-it-Yourself Media Monitoring......Page 123
Measuring and Analyzing Your Success......Page 124
Lessons in Sports Medicine: Advice from Experience......Page 126
Establishing a practice......Page 127
Priorities and ethics......Page 129
Communication......Page 134
Interactions with athletic trainers and physical therapists......Page 137
Dealing with other doctors and second opinions......Page 140
Other pointers and advice......Page 142
Trends for the Future as a Team Physician: Herodicus to Hereafter......Page 145
References......Page 160