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In 2009. Cullen published ‘Crossroads or threshold? Sport and exercise medicine (SEM) as a specialty in the UK’.1 The editorial describes a ‘crossroads’ created by establishing SEM registrar posts but a lack of SEM National Health Service (NHS) consultant posts. The ‘threshold’ relates to the potential opportunities of establishing adequate SEM consultant posts to service the general population in the UK. In this editorial, the authors will examine ‘what lies beyond the crossroads’ and explore how the medical specialty of SEM in the UK has developed, the current challenges faced and discuss the recent vote (May 2023) in favour of dissolving the two largest SEM UK organisations to combine and reform as a college of SEM.
State of play: SEM in the UK
The Faculty of Sport and Exercise Medicine (FSEM), along with the Joint Royal Colleges of Physicians Training Board), is responsible for the specialist SEM training programme. The British Association of Sport and Exercise Medicine (BASEM), whose formation dates back to 1952, provides SEM education to its multidisciplinary membership. SEM first became a medical specialty in the UK in 2005.1 Since then there has been significant growth, now with 19 NHS trusts employing SEM Consultants and 180 physicians on the SEM Specialist Register.2 3 This number continues to grow, with an average of …
Footnotes
Twitter @krmarino1
Contributors KRM created the initial draft of the manuscript. All authors contributed to edits and final approval.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Provenance and peer review Not commissioned; externally peer reviewed.