As the days are draw in, it’s timely to remind you of the changes in practice we need to know about at SEMPRIS. As your specialist indemnifier, we’re always at the end of the phone to answer your queries, so please don’t hesitate to ask if you are uncertain about anything.
So that we can give you the best advice on your options, the changes to let us know about in good time are:
Retirement – we can talk to you about cover implications, excess options and the all-important Extended Reporting Period, even as you wind down your practice.
Parental leave – we understand this is not always straightforward, and the earlier we’re informed, the better able we are to assist.
Leaving employment – it’ important to consider run-off cover for the work you have carried out.
New roles – early conversations with a new employer are key to contract negotiations and we can help to lay out your indemnity responsibilities and considerations to discuss with a new club or clinic.
Travel-whether travelling with a team, taking a sabbatical or moving abroad–will have implications for your indemnity, which we can explain to you over the phone or in writing.
Starting up or selling a company – there are restrictions on who / what you are able to cover under your own SEMPRIS policy, and we can advise on this according to your own personal circumstances.
We are very aware that these do not cover even half of the permutations of what happens in the sporting world (or just life in general!), and we are always here to help, so do let us know if you have a different change in circumstances which you would like to talk through in confidence.
Meanwhile, here is our latest round-up of some of the articles and resources we found interesting. Do let us know if there are any others you have read that you’d like us to highlight to our members, your colleagues.
Research, Articles and Podcasts
CARDIOLOGY
Obstructive Hypertrophic Cardiomyopathy – Mavacamten: Rationale for clinically guided dose titration to optimize individual response https://www.ahajournals.org/doi/10.1161/JAHA.124.033767
Myocarditis – Long-term prognostic performance of cardiac magnetic resonance imaging markers versus complicated clinical presentation after an acute myocarditis https://www.sciencedirect.com/science/article/abs/pii/S0167527324011896
IMAGING
Low Back Pain – Pars interarticularis and pedicle stress injuries in young athletes with low back pain: a retrospective cohort study of 902 patients evaluated with magnetic resonance imaging https://journals.sagepub.com/doi/10.1177/03635465241264804
MSK
Cervical Spine and Shoulder Pathology – Overlapping, masquerading, and causative pathology: a systematic review https://journals.sagepub.com/doi/pdf/10.1177/2192568218822536
Hamstrings – Muscle‐tendon geometric adaptations to resistance training using the hip extension and Nordic hamstring exercises https://onlinelibrary.wiley.com/doi/10.1111/sms.14728
ACL Reconstruction – The efficacy of blood flow restriction training to improve quadriceps muscle function after ACL reconstruction https://journals.lww.com/acsm-msse/abstract/9900/the_efficacy_of_blood_flow_restriction_training_to.633.aspx
Meniscal Tears – Arthroscopic partial meniscectomy versus exercise therapy for degenerative meniscal tears: 10-year follow-up of the OMEX randomised controlled trial https://bjsm.bmj.com/content/early/2024/09/26/bjsports-2024-108644
ACL Repair vs. Reconstruction – Clinical results of primary repair versus reconstruction of the anterior cruciate ligament https://hotcorner.libsyn.com/clinical-results-of-primary-repair-versus-reconstruction-of-the-anterior-cruciate-ligament-with-authors-dr-kyle-kunze-md-dr-benedict-nwachukwu-md-mba
Patellofemoral Pain – Are adjunct treatments effective in improving pain and function when added to exercise therapy? https://blogs.bmj.com/bjsm/2024/08/30/are-adjunct-treatments-effective-in-improving-pain-and-function-when-added-to-exercise-therapy-in-people-with-patellofemoral-pain/
Osteoarthritis – The control group matters: Pain, physical function, and strength improvements relative to the comparator intervention in knee and hip osteoarthritis https://pubmed.ncbi.nlm.nih.gov/39214068/
Hip Bone Density – Developing an exercise intervention to minimise hip bone mineral density loss following traumatic lower limb amputation https://bjsm.bmj.com/content/early/2024/09/03/bjsports-2024-108721
Charcot-Marie-Tooth Disease – The effect of ankle‐foot orthoses on gait characteristics: A systematic review and meta‐analysis https://onlinelibrary.wiley.com/doi/10.1002/jfa2.70003
Ankle Fractures – Rehabilitation in adults https://pubmed.ncbi.nlm.nih.gov/39312389/
Plantar Fasciitis – 5 Management methods https://www.physio-network.com/blog/methods-manage-plantar-fasciopathy/
GENERAL
SAS and LE Doctors – Specialty and associate specialist (SAS) and locally employed (LE) doctors are at a disadvantage when facing regulatory investigations into their fitness to practise https://www.medscape.co.uk/viewarticle/sas-doctors-face-legal-disadvantages-gmc-investigations-2024a1000ivp
Chronic Pain – Is chronic pain caused by central sensitisation? A review and critical point of view https://www.sciencedirect.com/science/article/abs/pii/S0149763424003555
Microbiome in Health and Disease – A systematic framework for understanding the microbiome in human health and disease: from basic principles to clinical translation https://www.nature.com/articles/s41392-024-01946-6
Chronic Traumatic Encephalopathy – Diagnose & Treat – Understanding Chronic Traumatic Encephalopathy https://www.sportsinjurybulletin.com/diagnose–treat/understanding-chronic-traumatic-encephalopathy
Transgender Athletes – Effect of gender affirming hormones on athletic performance in transwomen and transmen: implications for sporting organisations and legislators https://bjsm.bmj.com/content/55/11/577
Female Athletes and Cholesterol Levels – Association of LEAF-Q and EDE-QS scores with cholesterol levels in Finnish female athletes https://bmjopensem.bmj.com/content/10/3/e002050
RESOURCE ROUND-UP
Some websites, podcasts and resources you might find useful:
Heart Podcast – Prognosis after chest pain and an ED visit – a troponin story https://heartbmj.podbean.com/e/prognosis-after-chest-pain-and-an-ed-visit-a-troponin-story/
DATES FOR YOUR DIARY
Interventional Radiology – Nurses and Radiographer Study Day, Saturday 26 October 2024; Cambridge https://www.mybir.org.uk/l/s/community-event
BASEM 2024 Annual Conference, 7 – 08 November 2024; Coventry Arena https://basem.co.uk/basem-annual-conference-2024/
Soccer Medicine Advanced Course, 19th November, online https://www.academiaclinicadragao.com/produto/football-medicine-advanced-course/
The Hand Course, Monday 11th November, Elland Road Conference Centre, Leeds thehandcourse@outlook.com Details https://www.youtube.com/watch?v=m9KWmnJgCug
Do let us know your feedback, and any suggestions you have for websites, apps or networks for inclusion in future bulletins.
DISCLAIMER: Horizons is intended as a helpful round-up for members of potentially interesting articles/opinions that have been shared online. SEMPRIS are not qualified to make/infer any clinical judgements, and the inclusion of content, events and resources does not imply endorsement.
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