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Jonathan T Finnoff - One of the best experts on this subject based on the ideXlab platform.
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american medical society for Sports Medicine position statement principles for the responsible use of regenerative Medicine in Sports Medicine
Clinical Journal of Sport Medicine, 2021Co-Authors: Jonathan T Finnoff, Kimberly G Harmon, Kenneth Mautner, Tariq M Awan, Joanne Borgstein, Daniel C Herman, Gerard A Malanga, Zubin Master, Shane A ShapiroAbstract:ABSTRACT Many Sports Medicine physicians are currently considering introducing regenerative Medicine into their practice. Regenerative Medicine and the subclassification of orthobiologics are a complicated topic and have produced widely varying opinions. Although there is concern by government regulators, clinicians, scientists, patient advocacy organizations, and the media regarding the use of regenerative Medicine products, there is also excitement about the potential benefits with growing evidence that certain regenerative Medicine products are safe and potentially efficacious in treating musculoskeletal conditions. Sports Medicine physicians would benefit from decision-making guidance about whether to introduce orthobiologics into their practice and how to do it responsibly. The purpose of this position statement is to provide Sports Medicine physicians with information regarding regenerative Medicine terminology, a brief review of basic science and clinical studies within the subclassification of orthobiologics, regulatory considerations, and best practices for introducing regenerative Medicine into clinical practice. This information will help Sports Medicine physicians make informed and responsible decisions about the role of regenerative Medicine and orthobiologics in their practice.
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highlights from the american medical society for Sports Medicine position statement on responsible use of regenerative Medicine and orthobiologics in Sports Medicine
British Journal of Sports Medicine, 2021Co-Authors: Shane A Shapiro, Jonathan T Finnoff, Kimberly G Harmon, Tariq M Awan, Joanne Borgstein, Daniel C Herman, Gerard A Malanga, Zubin Master, Kenneth MautnerAbstract:Musculoskeletal conditions including osteoarthritis and chronic tendinopathies are leading causes of pain and disability worldwide. The emergence of novel regenerative therapies, referred to as orthobiologics, has led to promising interventions which may reduce pain and improve function. Orthobiologics are biological substances intended to enhance healing and alter the natural course of orthopaedic disease.1 2 Despite growing experience, the field remains under-researched with inconsistent evidence; yet increasing enthusiasm has permitted overexuberant, sometimes inappropriate use with proliferation of misinformation among both providers and patients. An American Medical Society for Sports Medicine (AMSSM) position statement was developed to help Sports Medicine physicians make informed and responsible decisions about the role of regenerative Medicine in their practice.3 The statement contains relevant terminology, review of basic and clinical science, ethics, regulations and best practices for considering regenerative Medicine in clinical practice (figure 1). The statement seeks to educate physicians regarding a broad and emerging discipline and is not an endorsement by AMSSM of any specific product or procedure. Figure 1 Responsible use of orthobiologics and other novel regenerative therapies requires multiple considerations before translation into routine clinical practice. Regenerative Medicine is rapidly growing with terms and definitions yet to be standardised. While originating with stem cell discovery and translation, regenerative therapies, of which orthobiologics is but one category, are no longer a single platform technology. Rather, they now encompass a heterogeneous collection of biological sources with varying activity that hold the potential to transform human health. Common orthobiologics employed in research and clinical practice are being conflated under the umbrella of ‘stem cell’ therapy in a …
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american medical society for Sports Medicine Sports ultrasound curriculum for Sports Medicine fellowships
Clinical Journal of Sport Medicine, 2021Co-Authors: Mederic M Hall, Jonathan T Finnoff, Jay Smith, David T Bernhardt, Douglas F Hoffman, Melody Hrubes, Kenneth Mautner, Ashwin L Rao, Jeremiah W Ray, Anna L WaterbrookAbstract:ABSTRACT Sports ultrasound is commonly used by Sports Medicine physicians to enhance diagnostic and procedural accuracy. This expert consensus statement serves as an update to the 2015 American Medical Society for Sports Medicine recommended Sports ultrasound curriculum for Sports Medicine fellowships. Although written in the context of the American Sports Medicine fellowship training model, we present a stepwise progression in both diagnostic and interventional Sports ultrasound that may be applicable to the broader Sports Medicine community. The curriculum is divided into 12 units with each unit including didactic instructional sessions, practical hands-on instruction, independent scanning practice sessions, and mentored clinical experience. To assist with prioritization of learning, we have organized relevant pathology and procedures as essential, desirable, and optional. The expanded content can serve as an outline for continuing education postfellowship or for any physician to further advance their Sports ultrasound knowledge and skill. We also provide updated scanning protocols, sample milestones, and a sample objective structured clinical examination (OSCE) to aid fellowships with implementation of the curriculum and ongoing assessment of fellow progress.
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american medical society for Sports Medicine Sports ultrasound curriculum for Sports Medicine fellowships
British Journal of Sports Medicine, 2021Co-Authors: Mederic M Hall, Jonathan T Finnoff, David T Bernhardt, Douglas F Hoffman, Melody Hrubes, Kenneth Mautner, Ashwin L Rao, Jeremiah W Ray, Jay SmithAbstract:Sports ultrasound is commonly used by Sports Medicine physicians to enhance diagnostic and procedural accuracy. This expert consensus statement serves as an update to the 2015 American Medical Society for Sports Medicine recommended Sports ultrasound curriculum for Sports Medicine fellowships. Although written in the context of the American Sports Medicine fellowship training model, we present a stepwise progression in both diagnostic and interventional Sports ultrasound that may be applicable to the broader Sports Medicine community. The curriculum is divided into 12 units with each unit including didactic instructional sessions, practical hands-on instruction, independent scanning practice sessions and mentored clinical experience. To assist with prioritisation of learning, we have organised relevant pathology and procedures as essential, desirable and optional The expanded content can serve as an outline for continuing education postfellowship or for any physician to further advance their Sports ultrasound knowledge and skill. We also provide updated scanning protocols, sample milestones and a sample objective structured clinical examination to aid fellowships with implementation of the curriculum and ongoing assessment of fellow progress.
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american medical society for Sports Medicine amssm position statement interventional musculoskeletal ultrasound in Sports Medicine
Pm&r, 2015Co-Authors: Jonathan T Finnoff, Mederic M Hall, Erik Adams, David J Berkoff, Andrew L Concoff, William Dexter, Jay SmithAbstract:Abstract The use of diagnostic and interventional ultrasound has significantly increased over the past decade. A majority of the increased utilization is by nonradiologists. In Sports Medicine, ultrasound is often used to guide interventions such as aspirations, diagnostic or therapeutic injections, tenotomies, releases, and hydrodissections. This American Medical Society for Sports Medicine (AMSSM) position statement critically reviews the literature and evaluates the accuracy, efficacy, and cost-effectiveness of ultrasound-guided injections in major, intermediate, and small joints, and soft tissues, all of which are commonly performed in Sports Medicine. New ultrasound-guided procedures and future trends are also briefly discussed. Based upon the evidence, the official AMSSM position relevant to each subject is made.
Mark Lavallee - One of the best experts on this subject based on the ideXlab platform.
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american medical society for Sports Medicine recommended Sports ultrasound curriculum for Sports Medicine fellowships
British Journal of Sports Medicine, 2015Co-Authors: Jonathan T Finnoff, Mederic M Hall, David J Berkoff, Fred Brennan, John P Difiori, Mark Lavallee, Kimberly G HarmonAbstract:The American Medical Society for Sports Medicine (AMSSM) developed a musculoskeletal ultrasound curriculum for Sports Medicine fellowships in 2010. As the use of diagnostic and interventional ultrasound in Sports Medicine has evolved, it became clear that the curriculum needed to be updated. Furthermore, the name ‘musculoskeletal ultrasound’ was changed to ‘Sports ultrasound’ (Sports US) to reflect the broad range of diagnostic and interventional applications of ultrasound in Sports Medicine. This document was created to outline the core competencies of Sports US and to provide Sports Medicine fellowship directors and others interested in Sports US education with a guide to create a Sports US curriculum. By completing this Sports US curriculum, Sports Medicine fellows and physicians can attain proficiency in the core competencies of Sports US required for the practice of Sports Medicine.
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american medical society for Sports Medicine recommended Sports ultrasound curriculum for Sports Medicine fellowships
Clinical Journal of Sport Medicine, 2015Co-Authors: Jonathan T Finnoff, Mederic M Hall, David J Berkoff, Fred Brennan, John P Difiori, Mark Lavallee, Kimberly G HarmonAbstract:: The following Sports ultrasound (Sports US) curriculum is a revision of the curriculum developed by the American Medical Society for Sports Medicine (AMSSM) in 2010. Several changes have been made to the curriculum with the primary aim of providing a pathway by which a Sports Medicine fellow can obtain sufficient Sports US training to become proficient in the core competencies of Sports US. The core competencies of Sports US are outlined in the learning objectives section of this document. The term "Sports US" was purposefully chosen rather than "musculoskeletal ultrasound" (MSK US) because it was recognized by the panel that the evolving field of Sports US encompasses non-MSK applications of ultrasound such as the FAST examination (focused assessment with sonography for trauma). Although the Sports US core competencies in this curriculum are all MSK in nature, they represent the minimum Sports US knowledge a Sports Medicine fellow should acquire during fellowship. However, additional training in more advanced MSK and non-MSK applications of ultrasound can be provided at the fellowship director's discretion. Completion of this Sports US curriculum fulfills the American Institute of Ultrasound in Medicine's (AIUM) requirements to perform an MSK US examination and the prerequisites for the American Registry for Diagnostic Medical Sonography's (ARDMS) MSK sonography certification examination.
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musculoskeletal ultrasound education for Sports Medicine fellows a suggested potential curriculum by the american medical society for Sports Medicine
British Journal of Sports Medicine, 2010Co-Authors: Jonathan T Finnoff, Mark Lavallee, Jay SmithAbstract:The following musculoskeletal ultrasound (MSK US) curriculum was developed by the American Medical Society for Sports Medicine (AMSSM) to provide a pathway by which a Sports Medicine fellow can obtain adequate MSK US training during their fellowship to meet the requirements of competency outlined by the American Institute of Ultrasound in Medicine (AIUM) Training Guidelines for the Performance of MSK US Examination. Many fellowship programmes may not be able to follow all of the recommendations outlined by this document owing to their available resources. However, this curriculum can be used as a suggested/potential guideline for MSK US training within a Sports Medicine fellowship, and may assist programmes in developing or modifying their own internal training methods.
Jay Smith - One of the best experts on this subject based on the ideXlab platform.
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american medical society for Sports Medicine Sports ultrasound curriculum for Sports Medicine fellowships
Clinical Journal of Sport Medicine, 2021Co-Authors: Mederic M Hall, Jonathan T Finnoff, Jay Smith, David T Bernhardt, Douglas F Hoffman, Melody Hrubes, Kenneth Mautner, Ashwin L Rao, Jeremiah W Ray, Anna L WaterbrookAbstract:ABSTRACT Sports ultrasound is commonly used by Sports Medicine physicians to enhance diagnostic and procedural accuracy. This expert consensus statement serves as an update to the 2015 American Medical Society for Sports Medicine recommended Sports ultrasound curriculum for Sports Medicine fellowships. Although written in the context of the American Sports Medicine fellowship training model, we present a stepwise progression in both diagnostic and interventional Sports ultrasound that may be applicable to the broader Sports Medicine community. The curriculum is divided into 12 units with each unit including didactic instructional sessions, practical hands-on instruction, independent scanning practice sessions, and mentored clinical experience. To assist with prioritization of learning, we have organized relevant pathology and procedures as essential, desirable, and optional. The expanded content can serve as an outline for continuing education postfellowship or for any physician to further advance their Sports ultrasound knowledge and skill. We also provide updated scanning protocols, sample milestones, and a sample objective structured clinical examination (OSCE) to aid fellowships with implementation of the curriculum and ongoing assessment of fellow progress.
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american medical society for Sports Medicine Sports ultrasound curriculum for Sports Medicine fellowships
British Journal of Sports Medicine, 2021Co-Authors: Mederic M Hall, Jonathan T Finnoff, David T Bernhardt, Douglas F Hoffman, Melody Hrubes, Kenneth Mautner, Ashwin L Rao, Jeremiah W Ray, Jay SmithAbstract:Sports ultrasound is commonly used by Sports Medicine physicians to enhance diagnostic and procedural accuracy. This expert consensus statement serves as an update to the 2015 American Medical Society for Sports Medicine recommended Sports ultrasound curriculum for Sports Medicine fellowships. Although written in the context of the American Sports Medicine fellowship training model, we present a stepwise progression in both diagnostic and interventional Sports ultrasound that may be applicable to the broader Sports Medicine community. The curriculum is divided into 12 units with each unit including didactic instructional sessions, practical hands-on instruction, independent scanning practice sessions and mentored clinical experience. To assist with prioritisation of learning, we have organised relevant pathology and procedures as essential, desirable and optional The expanded content can serve as an outline for continuing education postfellowship or for any physician to further advance their Sports ultrasound knowledge and skill. We also provide updated scanning protocols, sample milestones and a sample objective structured clinical examination to aid fellowships with implementation of the curriculum and ongoing assessment of fellow progress.
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american medical society for Sports Medicine amssm position statement interventional musculoskeletal ultrasound in Sports Medicine
Pm&r, 2015Co-Authors: Jonathan T Finnoff, Mederic M Hall, Erik Adams, David J Berkoff, Andrew L Concoff, William Dexter, Jay SmithAbstract:Abstract The use of diagnostic and interventional ultrasound has significantly increased over the past decade. A majority of the increased utilization is by nonradiologists. In Sports Medicine, ultrasound is often used to guide interventions such as aspirations, diagnostic or therapeutic injections, tenotomies, releases, and hydrodissections. This American Medical Society for Sports Medicine (AMSSM) position statement critically reviews the literature and evaluates the accuracy, efficacy, and cost-effectiveness of ultrasound-guided injections in major, intermediate, and small joints, and soft tissues, all of which are commonly performed in Sports Medicine. New ultrasound-guided procedures and future trends are also briefly discussed. Based upon the evidence, the official AMSSM position relevant to each subject is made.
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american medical society for Sports Medicine amssm position statement interventional musculoskeletal ultrasound in Sports Medicine
British Journal of Sports Medicine, 2015Co-Authors: Jonathan T Finnoff, Mederic M Hall, Erik Adams, David J Berkoff, Andrew L Concoff, William Dexter, Jay SmithAbstract:Background The use of diagnostic and interventional ultrasound has significantly increased over the past decade. A majority of the increased utilisation is by non-radiologists. In Sports Medicine, ultrasound is often used to guide interventions such as aspirations, diagnostic or therapeutic injections, tenotomies, releases and hydrodissections. Objective Critically review the literature related to the accuracy, efficacy and cost-effectiveness of ultrasound-guided injections (USGIs) in major, intermediate and small joints; and soft tissues. Design Systematic review of the literature. Results USGIs are more accurate than landmark-guided injections (LMGIs; strength of recommendation taxonomy (SORT) Evidence Rating=A). USGIs are more efficacious than LMGIs (SORT Evidence Rating=B). USGIs are more cost-effective than LMGIs (SORT Evidence Rating=B). Ultrasound guidance is required to perform many new procedures (SORT Evidence Rating=C). Conclusions The findings of this position statement indicate there is strong evidence that USGIs are more accurate than LMGI, moderate evidence that they are more efficacious and preliminary evidence that they are more cost-effective. Furthermore, ultrasound-guided (USG) is required to perform many new, advanced procedures and will likely enable the development of innovative USG surgical techniques in the future.
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musculoskeletal ultrasound education for Sports Medicine fellows a suggested potential curriculum by the american medical society for Sports Medicine
British Journal of Sports Medicine, 2010Co-Authors: Jonathan T Finnoff, Mark Lavallee, Jay SmithAbstract:The following musculoskeletal ultrasound (MSK US) curriculum was developed by the American Medical Society for Sports Medicine (AMSSM) to provide a pathway by which a Sports Medicine fellow can obtain adequate MSK US training during their fellowship to meet the requirements of competency outlined by the American Institute of Ultrasound in Medicine (AIUM) Training Guidelines for the Performance of MSK US Examination. Many fellowship programmes may not be able to follow all of the recommendations outlined by this document owing to their available resources. However, this curriculum can be used as a suggested/potential guideline for MSK US training within a Sports Medicine fellowship, and may assist programmes in developing or modifying their own internal training methods.
Mederic M Hall - One of the best experts on this subject based on the ideXlab platform.
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american medical society for Sports Medicine Sports ultrasound curriculum for Sports Medicine fellowships
Clinical Journal of Sport Medicine, 2021Co-Authors: Mederic M Hall, Jonathan T Finnoff, Jay Smith, David T Bernhardt, Douglas F Hoffman, Melody Hrubes, Kenneth Mautner, Ashwin L Rao, Jeremiah W Ray, Anna L WaterbrookAbstract:ABSTRACT Sports ultrasound is commonly used by Sports Medicine physicians to enhance diagnostic and procedural accuracy. This expert consensus statement serves as an update to the 2015 American Medical Society for Sports Medicine recommended Sports ultrasound curriculum for Sports Medicine fellowships. Although written in the context of the American Sports Medicine fellowship training model, we present a stepwise progression in both diagnostic and interventional Sports ultrasound that may be applicable to the broader Sports Medicine community. The curriculum is divided into 12 units with each unit including didactic instructional sessions, practical hands-on instruction, independent scanning practice sessions, and mentored clinical experience. To assist with prioritization of learning, we have organized relevant pathology and procedures as essential, desirable, and optional. The expanded content can serve as an outline for continuing education postfellowship or for any physician to further advance their Sports ultrasound knowledge and skill. We also provide updated scanning protocols, sample milestones, and a sample objective structured clinical examination (OSCE) to aid fellowships with implementation of the curriculum and ongoing assessment of fellow progress.
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american medical society for Sports Medicine Sports ultrasound curriculum for Sports Medicine fellowships
British Journal of Sports Medicine, 2021Co-Authors: Mederic M Hall, Jonathan T Finnoff, David T Bernhardt, Douglas F Hoffman, Melody Hrubes, Kenneth Mautner, Ashwin L Rao, Jeremiah W Ray, Jay SmithAbstract:Sports ultrasound is commonly used by Sports Medicine physicians to enhance diagnostic and procedural accuracy. This expert consensus statement serves as an update to the 2015 American Medical Society for Sports Medicine recommended Sports ultrasound curriculum for Sports Medicine fellowships. Although written in the context of the American Sports Medicine fellowship training model, we present a stepwise progression in both diagnostic and interventional Sports ultrasound that may be applicable to the broader Sports Medicine community. The curriculum is divided into 12 units with each unit including didactic instructional sessions, practical hands-on instruction, independent scanning practice sessions and mentored clinical experience. To assist with prioritisation of learning, we have organised relevant pathology and procedures as essential, desirable and optional The expanded content can serve as an outline for continuing education postfellowship or for any physician to further advance their Sports ultrasound knowledge and skill. We also provide updated scanning protocols, sample milestones and a sample objective structured clinical examination to aid fellowships with implementation of the curriculum and ongoing assessment of fellow progress.
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american medical society for Sports Medicine amssm position statement interventional musculoskeletal ultrasound in Sports Medicine
Pm&r, 2015Co-Authors: Jonathan T Finnoff, Mederic M Hall, Erik Adams, David J Berkoff, Andrew L Concoff, William Dexter, Jay SmithAbstract:Abstract The use of diagnostic and interventional ultrasound has significantly increased over the past decade. A majority of the increased utilization is by nonradiologists. In Sports Medicine, ultrasound is often used to guide interventions such as aspirations, diagnostic or therapeutic injections, tenotomies, releases, and hydrodissections. This American Medical Society for Sports Medicine (AMSSM) position statement critically reviews the literature and evaluates the accuracy, efficacy, and cost-effectiveness of ultrasound-guided injections in major, intermediate, and small joints, and soft tissues, all of which are commonly performed in Sports Medicine. New ultrasound-guided procedures and future trends are also briefly discussed. Based upon the evidence, the official AMSSM position relevant to each subject is made.
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american medical society for Sports Medicine recommended Sports ultrasound curriculum for Sports Medicine fellowships
British Journal of Sports Medicine, 2015Co-Authors: Jonathan T Finnoff, Mederic M Hall, David J Berkoff, Fred Brennan, John P Difiori, Mark Lavallee, Kimberly G HarmonAbstract:The American Medical Society for Sports Medicine (AMSSM) developed a musculoskeletal ultrasound curriculum for Sports Medicine fellowships in 2010. As the use of diagnostic and interventional ultrasound in Sports Medicine has evolved, it became clear that the curriculum needed to be updated. Furthermore, the name ‘musculoskeletal ultrasound’ was changed to ‘Sports ultrasound’ (Sports US) to reflect the broad range of diagnostic and interventional applications of ultrasound in Sports Medicine. This document was created to outline the core competencies of Sports US and to provide Sports Medicine fellowship directors and others interested in Sports US education with a guide to create a Sports US curriculum. By completing this Sports US curriculum, Sports Medicine fellows and physicians can attain proficiency in the core competencies of Sports US required for the practice of Sports Medicine.
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american medical society for Sports Medicine amssm position statement interventional musculoskeletal ultrasound in Sports Medicine
British Journal of Sports Medicine, 2015Co-Authors: Jonathan T Finnoff, Mederic M Hall, Erik Adams, David J Berkoff, Andrew L Concoff, William Dexter, Jay SmithAbstract:Background The use of diagnostic and interventional ultrasound has significantly increased over the past decade. A majority of the increased utilisation is by non-radiologists. In Sports Medicine, ultrasound is often used to guide interventions such as aspirations, diagnostic or therapeutic injections, tenotomies, releases and hydrodissections. Objective Critically review the literature related to the accuracy, efficacy and cost-effectiveness of ultrasound-guided injections (USGIs) in major, intermediate and small joints; and soft tissues. Design Systematic review of the literature. Results USGIs are more accurate than landmark-guided injections (LMGIs; strength of recommendation taxonomy (SORT) Evidence Rating=A). USGIs are more efficacious than LMGIs (SORT Evidence Rating=B). USGIs are more cost-effective than LMGIs (SORT Evidence Rating=B). Ultrasound guidance is required to perform many new procedures (SORT Evidence Rating=C). Conclusions The findings of this position statement indicate there is strong evidence that USGIs are more accurate than LMGI, moderate evidence that they are more efficacious and preliminary evidence that they are more cost-effective. Furthermore, ultrasound-guided (USG) is required to perform many new, advanced procedures and will likely enable the development of innovative USG surgical techniques in the future.
Kimberly G Harmon - One of the best experts on this subject based on the ideXlab platform.
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american medical society for Sports Medicine position statement principles for the responsible use of regenerative Medicine in Sports Medicine
Clinical Journal of Sport Medicine, 2021Co-Authors: Jonathan T Finnoff, Kimberly G Harmon, Kenneth Mautner, Tariq M Awan, Joanne Borgstein, Daniel C Herman, Gerard A Malanga, Zubin Master, Shane A ShapiroAbstract:ABSTRACT Many Sports Medicine physicians are currently considering introducing regenerative Medicine into their practice. Regenerative Medicine and the subclassification of orthobiologics are a complicated topic and have produced widely varying opinions. Although there is concern by government regulators, clinicians, scientists, patient advocacy organizations, and the media regarding the use of regenerative Medicine products, there is also excitement about the potential benefits with growing evidence that certain regenerative Medicine products are safe and potentially efficacious in treating musculoskeletal conditions. Sports Medicine physicians would benefit from decision-making guidance about whether to introduce orthobiologics into their practice and how to do it responsibly. The purpose of this position statement is to provide Sports Medicine physicians with information regarding regenerative Medicine terminology, a brief review of basic science and clinical studies within the subclassification of orthobiologics, regulatory considerations, and best practices for introducing regenerative Medicine into clinical practice. This information will help Sports Medicine physicians make informed and responsible decisions about the role of regenerative Medicine and orthobiologics in their practice.
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highlights from the american medical society for Sports Medicine position statement on responsible use of regenerative Medicine and orthobiologics in Sports Medicine
British Journal of Sports Medicine, 2021Co-Authors: Shane A Shapiro, Jonathan T Finnoff, Kimberly G Harmon, Tariq M Awan, Joanne Borgstein, Daniel C Herman, Gerard A Malanga, Zubin Master, Kenneth MautnerAbstract:Musculoskeletal conditions including osteoarthritis and chronic tendinopathies are leading causes of pain and disability worldwide. The emergence of novel regenerative therapies, referred to as orthobiologics, has led to promising interventions which may reduce pain and improve function. Orthobiologics are biological substances intended to enhance healing and alter the natural course of orthopaedic disease.1 2 Despite growing experience, the field remains under-researched with inconsistent evidence; yet increasing enthusiasm has permitted overexuberant, sometimes inappropriate use with proliferation of misinformation among both providers and patients. An American Medical Society for Sports Medicine (AMSSM) position statement was developed to help Sports Medicine physicians make informed and responsible decisions about the role of regenerative Medicine in their practice.3 The statement contains relevant terminology, review of basic and clinical science, ethics, regulations and best practices for considering regenerative Medicine in clinical practice (figure 1). The statement seeks to educate physicians regarding a broad and emerging discipline and is not an endorsement by AMSSM of any specific product or procedure. Figure 1 Responsible use of orthobiologics and other novel regenerative therapies requires multiple considerations before translation into routine clinical practice. Regenerative Medicine is rapidly growing with terms and definitions yet to be standardised. While originating with stem cell discovery and translation, regenerative therapies, of which orthobiologics is but one category, are no longer a single platform technology. Rather, they now encompass a heterogeneous collection of biological sources with varying activity that hold the potential to transform human health. Common orthobiologics employed in research and clinical practice are being conflated under the umbrella of ‘stem cell’ therapy in a …
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american medical society for Sports Medicine position statement on concussion in sport
Clinical Journal of Sport Medicine, 2019Co-Authors: Kimberly G Harmon, Stanley A Herring, James R Clugston, Katherine L Dec, Brian Hainline, Shawn F Kane, Anthony P Kontos, John J Leddy, Michael Mccrea, Sourav PoddarAbstract:Sport-related concussion (SRC) is a common injury in recreational and organized sport. Over the past 30 years, there has been significant progress in our scientific understanding of SRC, which in turn has driven the development of clinical guidelines for diagnosis, assessment, and management of SRC. In addition to a growing need for knowledgeable health care professionals to provide evidence-based care for athletes with SRC, media attention and legislation have created awareness and, in some cases, fear about many issues and unknowns surrounding SRC. The American Medical Society for Sports Medicine formed a writing group to review the existing literature on SRC, update its previous position statement, and address current evidence and knowledge gaps regarding SRC. The absence of definitive outcomes-based data is challenging and requires relying on the best available evidence integrated with clinical experience and patient values. This statement reviews the definition, pathophysiology, and epidemiology of SRC, the diagnosis and management of both acute and persistent concussion symptoms, the short- and long-term risks of SRC and repetitive head impact exposure, SRC prevention strategies, and potential future directions for SRC research. The American Medical Society for Sports Medicine is committed to best clinical practices, evidence-based research, and educational initiatives that positively impact the health and safety of athletes.
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american medical society for Sports Medicine recommended Sports ultrasound curriculum for Sports Medicine fellowships
British Journal of Sports Medicine, 2015Co-Authors: Jonathan T Finnoff, Mederic M Hall, David J Berkoff, Fred Brennan, John P Difiori, Mark Lavallee, Kimberly G HarmonAbstract:The American Medical Society for Sports Medicine (AMSSM) developed a musculoskeletal ultrasound curriculum for Sports Medicine fellowships in 2010. As the use of diagnostic and interventional ultrasound in Sports Medicine has evolved, it became clear that the curriculum needed to be updated. Furthermore, the name ‘musculoskeletal ultrasound’ was changed to ‘Sports ultrasound’ (Sports US) to reflect the broad range of diagnostic and interventional applications of ultrasound in Sports Medicine. This document was created to outline the core competencies of Sports US and to provide Sports Medicine fellowship directors and others interested in Sports US education with a guide to create a Sports US curriculum. By completing this Sports US curriculum, Sports Medicine fellows and physicians can attain proficiency in the core competencies of Sports US required for the practice of Sports Medicine.
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american medical society for Sports Medicine recommended Sports ultrasound curriculum for Sports Medicine fellowships
Clinical Journal of Sport Medicine, 2015Co-Authors: Jonathan T Finnoff, Mederic M Hall, David J Berkoff, Fred Brennan, John P Difiori, Mark Lavallee, Kimberly G HarmonAbstract:: The following Sports ultrasound (Sports US) curriculum is a revision of the curriculum developed by the American Medical Society for Sports Medicine (AMSSM) in 2010. Several changes have been made to the curriculum with the primary aim of providing a pathway by which a Sports Medicine fellow can obtain sufficient Sports US training to become proficient in the core competencies of Sports US. The core competencies of Sports US are outlined in the learning objectives section of this document. The term "Sports US" was purposefully chosen rather than "musculoskeletal ultrasound" (MSK US) because it was recognized by the panel that the evolving field of Sports US encompasses non-MSK applications of ultrasound such as the FAST examination (focused assessment with sonography for trauma). Although the Sports US core competencies in this curriculum are all MSK in nature, they represent the minimum Sports US knowledge a Sports Medicine fellow should acquire during fellowship. However, additional training in more advanced MSK and non-MSK applications of ultrasound can be provided at the fellowship director's discretion. Completion of this Sports US curriculum fulfills the American Institute of Ultrasound in Medicine's (AIUM) requirements to perform an MSK US examination and the prerequisites for the American Registry for Diagnostic Medical Sonography's (ARDMS) MSK sonography certification examination.
