Original article

The role of the Sports and Exercise Medicine Physician in the National Health Service: A questionnaire-based survey

Patrick O`Halloran, Victoria Tzortziou Brown^*, Kirsty Morgan, Nicola Maffulli, Mark Perry, Dylan Morrissey

Queen Mary University London, Barts and the London School of Medicine and Dentistry, United Kingdom

Correspondence to: Victoria Tzortziou Brown, Centre for Sports and Exercise Medicine, Barts and The London School of Medicine and Dentistry, 2 Maynards Quay, London, E1W 3RY, United Kingdom; victoriagiorgio{at}yahoo.co.uk

Accepted 3 October 2009

Objectives: To investigate the opinions of general practitioners, orthopaedic surgeons, rheumatologists, sport and exercise medicine (SEM) registrars and public health consultants on training, caseload, the most appropriate setting, and the position of SEM within the National Health Service (NHS) in the United Kingdom.

Method: A cross-sectional questionnaire-based survey investigated the opinions of the above professionals from three primary care trusts and associated hospitals in London and Birmingham.

Results: With a 50% response rate (n=226), 93% (208/224) of participants felt there was a role for SEM in the NHS. 56% (124/223) agreed this role should be in both primary and secondary care. 64% (136/212) of participants felt that their practice would benefit from the input of a SEM physician and 95% (191/202) would consider referring patients to SEM services. 74% (165/222) agreed SEM should have a public health role and 63% (140/222) believed these responsibilities should be evenly balanced with the treatment of sports injuries. Despite the emphasis on public health work from SEM policy makers, none of the SEM registrars selected public health as an important training area. 31% (44/140) of participants felt that a lack of education in the medical profession regarding SEM represented the greatest hindrance to its development in the NHS.

Conclusion: Several areas of agreement were demonstrated across the specialties, many of which matched the views of policy makers. This study involved participants from a range of cognate disciplines, and was the first to investigate this issue since SEM was recognised as a specialty in 2005.

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