Programme

Monday 27 November

09.00 – 10.30
Session 1: Working as a team physician – challenges and strategies

Chairs: Roald Bahr ▪ Norway/Qatar & Haydar A. Demirel ▪ Turkey

Format: Lecture series

Speakers:
Uğur Erdener ▪ Turkey
Richard Budgett ▪ Switzerland
Lars Engebretsen ▪ Switzerland/Norway
Young-Hee Lee ▪ South Korea
Olivier Rabin ▪ Canada
Alan Vernec ▪ Canada

Programme:
Welcome
Uğur Erdener ▪ Turkey
5 min

Welcome
Richard Budgett ▪ Switzerland 5 min

The scientific activities of the IOC Medical Commission
Lars Engebretsen
▪ Switzerland/Norway 15 min

The Olympic Movement Medical Code – How does it apply to you as team physician?
Richard Budgett ▪ Switzerland 20 min

Preparing for a major sports event as Chief Medical Officer of a National Federation/National Olympic Committee
Young-Hee Lee ▪ South Korea 20 min

The advance of science – reassuring clean athletes that cheats will be caught
Olivier Rabin ▪ Canada 20 min

Understanding the Prohibited List and dietary supplements – keeping you and your athletes out of trouble
Alan Vernec ▪ Canada 20 min


11.00 – 12.30
Session 2: Hamstring injuries: Optimal treatment – minimal risk of reinjury

Chair: Lars Engebretsen ▪ Switzerland/Norway

Format: Case-based discussions

Speakers:
Johannes Tol ▪ The Netherlands/Qatar
Rod Whiteley ▪ 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 prevention strategies
  • Describe when surgical treatment is indicated for hamstring injuries

Programme:
Introduction of two cases illustrating key issues  5 min

Small-group discussions  10 min

Classifying muscle injuries: useless or useful?
Johannes Tol ▪ The Netherlands/Qatar  15 min

What are the keys to rehabilitation success?
Rod Whiteley ▪ Qatar 15 min

Predicting prognosis–accurate classification or flawed fortunetelling?
Johannes Tol ▪ The Netherlands/Qatar  15 min

When everything fails – what is the role of surgery in hamstring injuries?
Gino Kerkhoffs ▪ The Netherlands 15 min

Panel: Review of cases and learning objectives 15 min


14.00 – 15.30
Session 3: Infective illness in the athletes

Chair:  Roald Bahr ▪ Norway/Qatar
 
Format: Interactive (Kahoot)

Speakers:
Olaf Schumacher ▪ Qatar
Nick Webborn ▪ United Kingdom
Martin Schwellnus ▪ South Africa
Wayne Derman ▪ South Africa

Learning objectives:
Participants will be able to:

  • Identify risk factors for infection in athletes
  • Develop a working plan to decrease the risk of infections in individual athletes and a team
  • Be aware and screen for possible medical complications in athletes with an infection
  • Recognise and manage acute and chronic tropical infections in athletes
  • Know how antibiotic choices may be modified in athletes

Programme:
Introduction of the session (online questions)
Roald Bahr ▪ Norway/Qatar  5 min

Infections in athletes – Who is at risk? (intrinsic and extrinsic risk factors)
Olaf Schumacher ▪ Qatar 15 min

Strategies for preventing of illness in your team
Nick Webborn ▪ United Kingdom 20 min

Possible medical complications in athletes who exercise during an infective illness
Martin Schwellnus ▪ South Africa 15 min

Antibiotic and other prescription medication for infections in athletes – which ones to use or not to use?
Wayne Derman ▪ South Africa 20 min

Questions & Post-test 15 min


16.00 – 17.30
Session 4: Managing concussions in the team setting

Chair: Johannes Tol ▪ The Netherlands/Qatar

Format: Case-based discussions

Speakers:
Michael Makdissi ▪ Australia
Simon Kemp ▪ United Kingdom
Jiří Dvořák▪ Switzerland

Learning objectives:
Participants will be able to:

  • Understand the 2016 Berlin Concussion Consensus statement and the key changes that have taken place in the clinical management of sports concussion
  • Be able to use the CRT and SCAT5 tools appropriately in the sideline/pitch side assessment of concussion
  • Understand the need to individualise and be able to prescribe safe RTP programmes following concussion
  • Understand the critical issues (e.g. long term problems etc) and modifying factors that influence the clinical management of concussed athletes

Programme:
Introduction of two cases illustrating key issues  5 min

Small-group discussions  10 min

The 2016 Berlin Concussion Consensus Guidelines – what is new?
Jiří Dvořák▪ Switzerland  10 min

Acute sideline assessment and the role of the SCAT5
Simon Kemp ▪ United Kingdom 15 min

The role of active rehabilitation – taking a targeted approach to therapy
Michael Makdissi ▪ Australia  15 min

Hands on with the SCAT5 – workshop participation
Simon Kemp ▪ United Kingdom, Michael Makdissi ▪ Australia, Jiří Dvořák▪Switzerland  20 min

Panel: Review of cases and learning objectives  15 min


Tuesday 28 November
09.00 – 10.30
Session 5: Medical issues related to travelling with athletes

Chair: Jiří Dvořák▪ Switzerland 

Format: Interactive (Kahoot)

Speakers:
Christa Janse van Rensburg ▪ South Africa
Martin Schwellnus ▪ South Africa
Olaf Schumacher ▪ Qatar
Wayne Derman ▪ South Africa
Emin Ergen ▪ Turkey/Qatar

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

Programme:
Introduction of session (Online questions)
Jiří Dvořák▪ Switzerland  5 min

Medical challenges – effects of travel fatigue and “jet lag”
Christa Janse van Rensburg ▪ South Africa 15 min

Medical challenges – risk of illness/infections and injuries
Martin Schwellnus ▪ South Africa 15 min

Medical challenges – environmental issues (seasons, altitude, temperature and humidity, pollution)
Olaf Schumacher ▪ Qatar 15 min

Pre-travel preparation and approach to medical issues during travel: What the team physician should do?
Wayne Derman ▪ South Africa 15 min

What to do on arrival: The team physician’s checklist
Emin Ergen ▪ Turkey/Qatar 15 min

Questions & post-test 10 min


11.00 – 12.30
Session 6: Novel approaches to the treatment of tendinopathy – the case of the patellar tendon

Chair: Lars Engebretsen ▪ Switzerland/Norway

Format: Case-based discussions

Speakers:
Rod Whiteley ▪ Qatar
Ben Clarsen ▪ Norway
Johannes Tol ▪ The Netherlands/Qatar
Jón Karlsson ▪ Sweden

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:
Introduction of two cases illustrating key issues  5 min

Small-group discussions  10 min

The clinical assessment: history, physical examination, load assessment, demand
Rod Whiteley ▪ Qatar 15 mins

Physiotherapy management: First line
Ben Clarsen ▪ Norway 15 mins

Platelet-rich plasma, shock wave therapy and pharmaceutical treatments?
Johannes Tol ▪ The Netherlands/Qatar 15 min

Does surgery work?
Jón Karlsson ▪ Sweden 15 min

Panel: Case discussions: which is the first treatment option, and which the last line of defense?  15 min


14.00 – 15.30
Session 7: Medical considerations for athletes with impairment

Chair: Simon Kemp ▪ United Kingdom

Format: Interactive (Kahoot)

Speakers:
Cheri Blauwet ▪ USA
Wayne Derman ▪ South Africa
Nick Webborn ▪ United Kingdom

Learning objectives:
Participants will be able to:

  • Understand the medical challenges of the athlete with impairment
  • Understand common injury patterns in athletes with impairment
  • Recognise and plan for environmental issues related to travel in athletes with impairment
  • Design a plan to reduce the illness and injury exacerbation in Paralympic athletes when travelling to foreign destinations
  • Design an injury and illness prevention programme for athletes with impairment
  • Understand the common medications used by athletes with impairment

Programme:
Introduction of the session (Online questions)
Simon Kemp ▪ United Kingdom 5 min

Introduction to the paralympic athlete
Cheri Blauwet ▪ USA 15 min

Medical challenges of the athlete with impairment – developing practical solutions 
Wayne Derman ▪ South Africa
20 min

Medications, boosting and other dangerous practices used by Paralympic athletes
Cheri Blauwet ▪ USA 20 min

Common injuries in athletes with impairment: do we need different prevention strategies in Paralympic athletes to Olympic athletes?
Nick Webborn ▪ United Kingdom 20 min

Questions & post-test 10 min


16.00 – 17.30
Session 8: Pharmacological treatment of acute sports injuries

Chair: Adam Weir ▪ The Netherlands/Qatar

Format: Case-based discussions

Speakers:
Robbart van Linschoten ▪ The Netherlands
Jón Karlsson ▪ Sweden
Lars Engebretsen ▪ Switzerland/Norway
Johannes Tol ▪ The Netherlands/Qatar
Wayne Derman ▪ South Africa

Learning objectives:
Participants will be able to:

  • In relation to acute musculoskeletal injuries (muscle injuries or fractures), recite the pharmacology, contraindications, side effects and risks associated with the injection of local anesthetics/glucocorticoids/PRP, and prescription of NSAIDs

Programme:
Introduction of two cases illustrating key issues  5 min

Small-group discussions 10 min

Is there a place for NSAIDs or Cox-2 inhibitors in the treatment of acute muscle tears?
Robbart van Linschoten ▪ The Netherlands 10 min

Is there a place for cortisone injections in the treatment of acute musculoskeletal injuries?
Jón Karlsson ▪ Sweden 10 min

Is there a place for NSAIDs or Cox-2 inhibitors in the treatment of fractures?
Lars Engebretsen ▪ Switzerland/Norway 5 min

Platelet-rich plasma injections for acute musculoskeletal injuries: do they work?
Johannes Tol ▪ The Netherlands/Qatar  10 min

Treatment of pain in the athlete – The 2017 IOC consensus statement
Wayne Derman ▪ South Africa 15 min

Panel: Review of cases and learning objectives  25 min


Wednesday 29 November

09.00 – 10.30
Session 9: When is early surgery indicated in sports injuries – and when is it NOT?

Chair: Richard Budgett ▪ Switzerland

Format: Interactive (Kahoot)

Speakers:
Jón Karlsson ▪ Sweden
Tolga Aydoğ ▪ Turkey
Lars Engebretsen ▪ Switzerland/Norway
Gino Kerkhoffs ▪ The Netherlands

Learning objectives:
Participants will be able to:

  • Discuss the pros and cons of early surgical treatment vs. early rehabilitation for selected injuries to the shoulder, spine, knee, lower leg, ankle and foot

Programme:
Introduction of the session (Online questions)
Richard Budgett ▪ Switzerland  5 min

Knee injuries – Which cases should have early surgery? And which should NOT?
Jón Karlsson ▪ Sweden  15 min

Spine injuries – Which cases should have early surgery? And which should NOT?
Tolga Aydoğ ▪ Turkey  15 min

Shoulder injuries – Which cases should have early surgery? And which should NOT?
Lars Engebretsen ▪ Switzerland/Norway  15 min

Lower leg injuries – Which cases should have early surgery? And which should NOT?
Jón Karlsson ▪ Sweden  15 min

Ankle and foot injuries – Which cases should have early surgery? And which should NOT?
Gino Kerkoffs ▪ The Netherlands  15 min

Questions & post-test 10 min


11.00 – 12.30
Session 10: Return to sport: How do we make the best medical decisions?

Chair: Martin Schwellnus ▪ South Africa

Format: Case-based discussions

Speakers:
Roald Bahr ▪ Norway/Qatar
Martin Schwellnus ▪ South Africa
Adam Weir ▪ The Netherlands/Qatar
Rod Whiteley ▪ 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:
Introduction of two cases illustrating key issues  5 min

Small-group discussions  10 min

A decision-based model for return to play in sport
Roald Bahr ▪ Norway/Qatar 10 min

What is the best practice for medical decision making in return to play?
Martin Schwellnus ▪ South Africa 10 min

Can imaging help make return to play decisions?
Adam Weir  ▪ The Netherlands/Qatar  10 min

How can functional testing help make return to play decisions?
Rod Whiteley ▪ Qatar 15 min

Panel: Panel discussion – Clearance for sports: Ethical dilemmas illustrated by cases 15 min


14.00 – 15.30
Session 11: Risk management: Models, methods and making it happen!

Chair: Wayne Derman ▪ South Africa

Format: Interactive (Kahoot)

Speakers:
Roald Bahr ▪ Norway/Qatar
Olaf Schumacher ▪ Qatar
Erdem Kaşıkcıoğlu ▪ Turkey
Rod Whiteley ▪ 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:
Introduction of the session (Online questions)
Wayne Derman ▪ South Africa  5 min

From postseason injury analysis through pre-season screening – risk management in the team setting
Roald Bahr ▪ Norway/Qatar  15 min

What are the benefits of Periodic Health Evaluations?
Olaf Schumacher ▪ Qatar  15 min

ECG screening as part of the PHE – Yes or no?
Erdem Kaşıkcıoğlu ▪ Turkey  15 min

Functional testing as part of the PHE – Yes or no?
Rod Whiteley ▪ Qatar  15 min

Injury and illness surveillance in elite athletes – the Norwegian Olympic team experience
Ben Clarsen ▪ Norway  15 min

Questions & post-test 10 min


16.00 – 17.30
Session 12: The groin/hip enigma in sports

 Chair: Roald Bahr ▪ Norway/Qatar

Speakers:
Adam Weir ▪ The Netherlands/Qatar
Üstün Aydıngöz ▪ Turkey
Per Hölmich ▪ Denmark/Qatar
Onur Tetik ▪ Turkey

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 time frames 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:
Introduction of two cases illustrating key issues 5 min

Small-group discussions 10 min

Groin pain: anatomy and diagnosis– what do I need to know as a team physician?
Adam Weir ▪ The Netherlands/Qatar 15 min

Imaging in groin pain – what do I need to know as a team physician?
Üstün Aydıngöz ▪ Turkey 15 min

Treatment of groin injuries
Per Hölmich ▪ Denmark/Qatar 15 min

The hip in athletic groin pain
Onur Tetik ▪ Turkey 15 min

Panel: Review of cases and learning objectives 15 min