Monday 1 July 2019

08.30 – 10.30
Session 1: Working as a team physician – challenges and strategies
Chairs
Roald Bahr, Norway/Qatar & Fredrik S. Bendiksen, Norway

Format: Lecture series

Speakers:

Uğur Erdener, Turkey
Tsunekazu Takeda, Japan
Richard Budgett, Switzerland
Lars Engebretsen, Norway/Switzerland
Olivier Rabin, Canada
Alan Vernec, Canada
Phatho Zondi, South Africa
Mitsuo Ochi, Japan

Programme:
08.30-08.35
Welcome from the IOC Medical & Scientific Commission Chair
Uğur Erdener, Turkey 

08.35-08.40
Welcome from IOC Member, Japan
Tsunekazu Takeda, Japan

08.40-08.55
The scientific activities of the IOC Medical Commission
Lars Engebretsen, Switzerland/Norway 

08.55-09.10
The Olympic Movement Medical Code – How does it apply to you as team physician?
Richard Budgett, Switzerland 

09.10-09.30
How WADA is contributing to level the playing field
Olivier Rabin, Canada 

09.30-09.50
Understanding the Prohibited List and dietary supplements – keeping you and your athletes out of trouble
Alan Vernec, Canada 

09.50-10.05
Treatment of ACL and cartilage injury – the Japanese contribution
Mitsuo Ochi, Japan

10.05-10.20
When things don’t go to plan – a real headache: Lessons learnt so you don’t have to
Rachel Harris, Australia

10.20-10.30
Being team physician: working for a team, but especially in a team!
Elke van den Steen, Belgium

10.30-11.00
Coffee break

Monday 1 July 2019

11.00 – 12.45
Session 2: Hamstring injuries: Optimal treatment – minimal risk of reinjury

Chair: Adam Weir, The Netherlands/Qatar

Format: Case-based discussions

Speakers:
Haydar A. Demirel, Turkey
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:
11.00-11.05
Introduction of two cases illustrating key issues

11.05-11.15
Small-group discussions

11.15-11.30
Muscle regeneration after injury
Haydar A. Demirel, Turkey 

11.30-11.45
Classifying muscle injuries: useless or useful?
Johannes Tol, The Netherlands/Qatar 

11.45-12.00
What are the keys to rehabilitation success?
Rod Whiteley, Qatar 

12.00-12.15
Predicting prognosis–accurate classification or flawed fortunetelling?
Johannes Tol, The Netherlands/Qatar 

12.15-12.30
When everything fails – what is the role of surgery in hamstring injuries?
Gino Kerkhoffs, The Netherlands 

12.30-12.45
Panel: Review of cases and learning objectives

12.45 – 14.00 Lunch

Monday 1 July 2019

14.00 – 15.30
Session 3: Infective illness in the athletes

Chair: Roald Bahr, Norway/Qatar

Format: Interactive (Kahoot/Mentimeter)

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
• Know how antibiotic choices may be modified in athletes

Programme:
14.00-14.05
Introduction of the session (poll)
Roald Bahr, Norway/Qatar 

14.05-14.20
Infections in athletes – Who is at risk? (intrinsic and extrinsic risk factors)
Olaf Schumacher, Qatar 

14.20-14.40
Strategies for preventing of illness in your team
Nick Webborn, United Kingdom 

14.40-14.55
Possible medical complications in athletes who exercise during an infective illness
Martin Schwellnus, South Africa 

14.55-15.15
Antibiotic and other prescription medication for infections in athletes – which ones to use or not to use?
Wayne Derman, South Africa 

15.15-15.30
Questions & Post-test (Quiz)

15.30 – 16.00 Coffee Break

Monday 1 July 2019

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

Chair: Johannes Tol, The Netherlands/Qatar

Format:
Case-based discussions

Speakers:
Jiří Dvořák, Switzerland
Simon Kemp, United Kingdom
Willem Meeuwisse, Canada

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 programs following concussion
• Understand the critical issues (e.g. long term problems etc) and modifying factors that influence the clinical management of concussed athletes

Programme:
16.00-16.05
Introduction of two cases illustrating key issues

16.05-16.15
Small-group discussions

16.15-16.25
The 2016 Berlin Concussion Consensus Guidelines – what is new?
Jiří Dvořák, Switzerland

16.25-16.40
Acute sideline assessment and the role of the SCAT5
Simon Kemp, United Kingdom 

16.40-16.55
The role of active rehabilitation – taking a targeted approach to therapy
TBD

16.55-17.25
Hands on with the SCAT5 – workshop participation
Simon Kemp, United Kingdom & Willem Meeuwisse, Canada & Jiří Dvořák, Switzerland 

17.25-17.30
Panel: Review of cases
Simon Kemp, United Kingdom

Tuesday 2 July 2019

09.00-10.30
Session 5: Medical issues related to travelling with athletes

Chairs: Jiří Dvořák, Switzerland

Format: Interactive (Kahoot/Mentimeter)

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:
09.00-09.05
Introduction of session (poll)
Jiří Dvořák, Switzerland 

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, 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
Emin Ergen, Turkey/Qatar

10.20-10.30
Questions & post-test (Quiz)

10.30-11.00 Coffee break

Tuesday 2 July 2019

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

Chair: Lars Engebretsen, Norway/Switzerland

Format: Case-based discussions

Speakers:
Karim Khan, Canada
Rod Whiteley, Qatar
Ben Clarsen, Norway
Johannes Tol, The Netherlands/Qatar
Hideyuki Koga, Japan

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:
11.00-11.05
Introduction of two cases illustrating key issues

11.05-11.15
Small-group discussions

11.15-11.25
What is tendinopathy and why does it happen?
Karim Khan, Canda

11.25-11.40
The clinical assessment: history, physical examination, load assessment, demand
Rod Whiteley, Qatar 

11.40-11.55
Physiotherapy management: First line
Ben Clarsen, Norway 

11.55-12.05
Shock wave therapy, platelet-rich plasma or pharmaceutical treatments?
Johannes Tol, The Netherlands/Qatar 

12.05-12.15
Does surgery work?
Hideyuki Koga, Japan

12.15-12.30
Panel: Case discussions: which is the first treatment option, and which the last line of defense?

12.30-13.30 Lunch

Tuesday 2 July 2019

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, 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)
Simon Kemp, United Kingdom

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, 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

Tuesday 2 July 2019

15.30-17.00
Session 8: Pharmacological treatment of acute sports injuries

Chair: Adam Weir, The Netherlands/Qatar

Format: Case-based discussions

Speakers:
Robbart van Linschoten, The Netherlands
Lars Engebretsen, Norway/Switzerland
Karim Khan, Canada
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:
15.30-15.35
Introduction of two cases illustrating key issues

15.35-15.45
Small-group discussions

15.45-15.55
Is there a place for NSAIDs or Cox-2 inhibitors in the treatment of acute muscle or ligament tears?
Robbart van Linschoten, The Netherlands 

15.55-16.05
Is there a risk with NSAIDs or Cox-2 inhibitors in the treatment of fractures?
Lars Engebretsen, Norway/Switzerland

16.05-16.15
Is there a place for cortisone injections in the treatment of acute musculoskeletal injuries?
Karim Khan, Canada  

16.15-16.25
Platelet-rich plasma injections for acute musculoskeletal injuries: do they work?
Johannes Tol, The Netherlands/Qatar 

16.25-16.45
Treatment of pain in the athlete – The 2017 IOC consensus statement
Wayne Derman, South Africa 

16.45-17.00
Panel: Review of cases and learning objectives

Wednesday 3 July 2019

09.00-10.30
Session 9: Relative Energy Deficiency in Sport (RED-S): Clinical approach for the team physician

Chair: TBA

Format: Case-based discussions

Speakers:
Margo Mountjoy, Canada
Naama Constantini, Israel
Kathryn E. Ackerman, USA
Jane Moran, Canada

Learning objectives:

Participants will be able to:

  • Describe the pathophysiology of RED-S
  • Understand the health and performance presentations of Low Energy Availability
  • Identify and work up patients with RED-S appropriately
  • Manage patients with RED-S clinically
  • Develop a prevention program specifically for an at-risk population

Programme:
09.00-09.05
Introduction of two cases illustrating key issues

09.05-09-15
Small-group discussions

09.15-09.30
What is RED-S?
Margo Mountjoy, Canada

09.30-09.45
Making the diagnosis of RED-S
Naama Constantini, Israel

09.45-10.00
Treatment protocols for RED-S
Kathryn E. Ackerman, USA

10.00-10.15
Prevention of RED-S
Jane Moran, Canada

10.15 – 10.30
Panel: Review of cases and learning objectives 

10.30 – 11.00
Coffee Break

Wednesday 3 July 2019

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

Chair: Robbart van Linschoten, The Netherlands

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:
11.00-11.05
Introduction of two cases illustrating key issues

11.05-11.15
Small-group discussions

11.15-11.30
A decision-based model for return to play in sport
Roald Bahr, Norway/Qatar 

11.30-11.50
What is the best practice for medical decision making in return to play?
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, Qatar 

12.15-12.30
Panel: Panel discussion – Clearance for sports: Ethical dilemmas illustrated by cases

12.30 – 13.30 Lunch

Wednesday 3 July 2019

13.30-15.00
Session 11: Risk management: Models, methods and making it happen!

Chair: Wayne Derman, South Africa

Format: Interactive (Kahoot/Mentimeter)

Speakers:
Roald Bahr, Norway/Qatar
Olaf Schumacher, Qatar
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:
13.30-13.35
Introduction of the session (poll)
Wayne Derman, South Africa 

13.35-13.50
From postseason injury analysis through pre-season screening – risk management in the team setting
Roald Bahr, Norway/Qatar 

13.50-14.10
What are the benefits of Periodic Health Evaluations?
Olaf Schumacher, Qatar 

14.10-14.30
Functional testing as part of the PHE – Yes or no?
Rod Whiteley, Qatar 

14.30-14.50
Injury and illness surveillance in elite athletes – the Norwegian Olympic team experience
Ben Clarsen, Norway 

14.50-15.00
Questions & post-test (Quiz)

15.00-15.30 Coffee Break

Wednesday 3 July 2019

15.30-17.00
Session 12: The groin/hip enigma in sports

Chair: Lars Engebretsen, Norway/Switzerland

Speakers:
Adam Weir, The Netherlands/Qatar
Üstün Aydıngöz, Turkey
Per Hölmich, Denmark
Jón Karlsson, Sweden

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:
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, Turkey 

16.15-16.30
Treatment of groin injuries
Per Hölmich, Denmark

16.30-16.45
The hip in athletic groin pain
Jón Karlsson, Sweden 

16.45-17.00
Panel: Review of cases and learning objectives