Sport and exercise medicine around the world: global challenges for a unique healthcare discipline

Justin Carrard^#¹, Ana Morais Azevedo^#^{2

3}, Boris Gojanovic⁴, Pascal Edouard^{5

6}, Tej Pandya⁷, Diana Gai Robinson^{8

9}, Gürhan Dönmez^{10

11}, Laila Ušacka¹², Rodrigo A Martínez Stenger^{13

14}, Luciana De Michelis Mendonça¹⁵, Jane Thornton¹⁶, Miguel Reis E Silva¹⁷, Isabel Schneider¹⁸, Johannes Zwerver^{19

20}, Moa Jederström²¹, Kristina Fagher²², Omar AlSeyrafi²³, Phathokuhle Zondi²⁴, Fariz Ahamed^{25

26}, Mandy Zhang²⁷, Katja Van Oostveldt²⁸, Norasak Suvachittanont²⁹, Carole Akinyi Okoth^{30

31}, Loïc Bel³², Eloise Matthews³³, Luke Nelson³⁴, Karen Kotila^{35

36}, Karsten Hollander³⁷, Patrick J Owen^#³⁸, Evert Verhagen^#³⁹

Affiliations

¹ Division of Sport and Exercise Medicine, Department of Sport, Exercise and Health, University of Basel, Basel, Switzerland.
² La Trobe Sport and Exercise Medicine Research Centre, La Trobe University, Melbourne, Victoria, Australia.
³ The Australian Ballet, Melbourne, Victoria, Australia.
⁴ Swiss Olympic Medical Center, Hôpital de La Tour, Meyrin, Geneva, Switzerland.
⁵ Université Jean Monnet Saint-Etienne, Lyon 1, Université Savoie Mont-Blanc, Inter-university Laboratory of Human Movement Biology (EA 7424), Saint-Etienne, France.
⁶ Department of Clinical and Exercise Physiology, Sports Medicine Unit, University Hospital of Saint-Etienne, Faculty of Medicine, Saint-Etienne, France.
⁷ Adult Critical Care Unit, The Royal London Hospital, Barts Health NHS Trust, London, UK.
⁸ Medical School, Notre Dame University, Sydney, New South Wales, Australia.
⁹ Sydney Sportsmed Specialists, Sydney, New South Wales, Australia.
¹⁰ Department of Sports Medicine, Hacettepe University Faculty of Medicine, Ankara, Turkey.
¹¹ Gençlerbirliği Sports Club, Ankara, Turkey.
¹² Faculty of Medicine, University of Latvia, Riga, Latvia.
¹³ Dr A. Zubizarreta Hospital, Buenos Aires, Argentina.
¹⁴ Argentinian Sports Physicians Association, Buenos Aires, Argentina.
¹⁵ Physical Therapy Department, School of Physical Education, Physical Therapy and Occupational Therapy, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
¹⁶ Western Centre for Public Health & Family Medicine, Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada.
¹⁷ Health and Performance Department, Sport Lisboa e Benfica, Lisboa, Portugal.
¹⁸ Physio-Motion - Sport treiben gesund bleiben. Sports, Exercise, and Health Advisor and Service Provider, Groebenzell, Germany.
¹⁹ Sports & Exercise Medicine, SportsValley, Gelderse Vallei Hospital, Ede, Netherlands.
²⁰ Center for Human Movement Sciences, University of Groningen, University Medical Center Groningen, Groningen, Netherlands.
²¹ Athletics Research Center, Department of Health, Medicine and Caring Sciences, Linköping University, Linkoping, Sweden.
²² Rehabilitation Medicine Research Group, Department of Health Sciences, Lund University, Lund, Sweden.
²³ Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar.
²⁴ High-Performance Commission, Medical Advisory Committee, South African Sports Confederation and Olympic Committee, Houghton, Johannesburg, South Africa.
²⁵ Sri Lanka Sports Medicine Association, National Hospital of Sri Lanka, Colombo, Sri Lanka.
²⁶ Sports and Exercise Medicine Unit, Colombo South Teaching Hospital, Kalubowila, Sri Lanka.
²⁷ Singapore Sport and Exercise Medicine Centre, Changi General Hospital, SingHealth, Singapore.
²⁸ Antwerp University Hospital, Antwerp, Belgium.
²⁹ Heart Institute, Samitivej Sukhumvit Hospital, Bangkok, Thailand.
³⁰ National Spinal Injury Referral Hospital, Ministry of Health, Nairobi, Kenya.
³¹ Medical Commission National Olympic Committee, Nairobi, Kenya.
³² School of Health Professions, Bern University of Applied Sciences, Bern, Switzerland.
³³ Pinnacle Sports Physicians, Christchurch, New Zealand.
³⁴ Health & High Performance, Melbourne, Victoria, Australia.
³⁵ Danish Society of Sports Physical Therapy, Odense, Denmark.
³⁶ Boarding School of Nyborg, Nyborg, Denmark.
³⁷ Institute of Interdisciplinary Exercise Science and Sports Medicine, MSH Medical School Hamburg, Hamburg, Germany.
³⁸ Deakin University, Institute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences, Geelong, Victoria, Australia.
³⁹ Amsterdam Collaboration on Health & Safety in Sports, Department of Public and Occupational Health, Amsterdam Movement Sciences, Amsterdam University Medical Centres, Vrije Universiteit Amsterdam, Amsterdam, Netherlands.

^# Contributed equally.

PMID: 37020535
PMCID: PMC10069566
DOI: 10.1136/bmjsem-2023-001603

Editorial

Sport and exercise medicine around the world: global challenges for a unique healthcare discipline

Justin Carrard et al. BMJ Open Sport Exerc Med. 2023.

. 2023 Mar 29;9(1):e001603.

doi: 10.1136/bmjsem-2023-001603. eCollection 2023.

Authors

Affiliations

¹ Division of Sport and Exercise Medicine, Department of Sport, Exercise and Health, University of Basel, Basel, Switzerland.
² La Trobe Sport and Exercise Medicine Research Centre, La Trobe University, Melbourne, Victoria, Australia.
³ The Australian Ballet, Melbourne, Victoria, Australia.
⁴ Swiss Olympic Medical Center, Hôpital de La Tour, Meyrin, Geneva, Switzerland.
⁵ Université Jean Monnet Saint-Etienne, Lyon 1, Université Savoie Mont-Blanc, Inter-university Laboratory of Human Movement Biology (EA 7424), Saint-Etienne, France.
⁶ Department of Clinical and Exercise Physiology, Sports Medicine Unit, University Hospital of Saint-Etienne, Faculty of Medicine, Saint-Etienne, France.
⁷ Adult Critical Care Unit, The Royal London Hospital, Barts Health NHS Trust, London, UK.
⁸ Medical School, Notre Dame University, Sydney, New South Wales, Australia.
⁹ Sydney Sportsmed Specialists, Sydney, New South Wales, Australia.
¹⁰ Department of Sports Medicine, Hacettepe University Faculty of Medicine, Ankara, Turkey.
¹¹ Gençlerbirliği Sports Club, Ankara, Turkey.
¹² Faculty of Medicine, University of Latvia, Riga, Latvia.
¹³ Dr A. Zubizarreta Hospital, Buenos Aires, Argentina.
¹⁴ Argentinian Sports Physicians Association, Buenos Aires, Argentina.
¹⁵ Physical Therapy Department, School of Physical Education, Physical Therapy and Occupational Therapy, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
¹⁶ Western Centre for Public Health & Family Medicine, Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada.
¹⁷ Health and Performance Department, Sport Lisboa e Benfica, Lisboa, Portugal.
¹⁸ Physio-Motion - Sport treiben gesund bleiben. Sports, Exercise, and Health Advisor and Service Provider, Groebenzell, Germany.
¹⁹ Sports & Exercise Medicine, SportsValley, Gelderse Vallei Hospital, Ede, Netherlands.
²⁰ Center for Human Movement Sciences, University of Groningen, University Medical Center Groningen, Groningen, Netherlands.
²¹ Athletics Research Center, Department of Health, Medicine and Caring Sciences, Linköping University, Linkoping, Sweden.
²² Rehabilitation Medicine Research Group, Department of Health Sciences, Lund University, Lund, Sweden.
²³ Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar.
²⁴ High-Performance Commission, Medical Advisory Committee, South African Sports Confederation and Olympic Committee, Houghton, Johannesburg, South Africa.
²⁵ Sri Lanka Sports Medicine Association, National Hospital of Sri Lanka, Colombo, Sri Lanka.
²⁶ Sports and Exercise Medicine Unit, Colombo South Teaching Hospital, Kalubowila, Sri Lanka.
²⁷ Singapore Sport and Exercise Medicine Centre, Changi General Hospital, SingHealth, Singapore.
²⁸ Antwerp University Hospital, Antwerp, Belgium.
²⁹ Heart Institute, Samitivej Sukhumvit Hospital, Bangkok, Thailand.
³⁰ National Spinal Injury Referral Hospital, Ministry of Health, Nairobi, Kenya.
³¹ Medical Commission National Olympic Committee, Nairobi, Kenya.
³² School of Health Professions, Bern University of Applied Sciences, Bern, Switzerland.
³³ Pinnacle Sports Physicians, Christchurch, New Zealand.
³⁴ Health & High Performance, Melbourne, Victoria, Australia.
³⁵ Danish Society of Sports Physical Therapy, Odense, Denmark.
³⁶ Boarding School of Nyborg, Nyborg, Denmark.
³⁷ Institute of Interdisciplinary Exercise Science and Sports Medicine, MSH Medical School Hamburg, Hamburg, Germany.
³⁸ Deakin University, Institute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences, Geelong, Victoria, Australia.
³⁹ Amsterdam Collaboration on Health & Safety in Sports, Department of Public and Occupational Health, Amsterdam Movement Sciences, Amsterdam University Medical Centres, Vrije Universiteit Amsterdam, Amsterdam, Netherlands.

^# Contributed equally.

PMID: 37020535
PMCID: PMC10069566
DOI: 10.1136/bmjsem-2023-001603

No abstract available

Keywords: Education; Exercise; Health promotion; Sports & exercise medicine; Training.

PubMed Disclaimer

Conflict of interest statement

Competing interests: JC, AMA, PE, TP, LU, MJ, KF, NS, CAO, KH and PJO are associate editors at BMJ Open Sport and Exercise Medicine. DR is senior editor at BMJ Open Sport & Exercise Medicine, and EV is the editor-in-chief of BMJ Open Sport & Exercise Medicine. JT is editor, while PE, PZ, KK and EV are associate editors at the British Journal of Sports Medicine.

Figures

**Figure 1**
Geographical locations of the contributors to the blog series ‘Sport and Exercise Medicine (SEM) Around the World’.

**Figure 2**
Challenges currently faced by sport and exercise medicine (SEM) and suggested solutions.

See this image and copyright information in PMC

References

1. BMJ Open Sport & Exercise Medicine: The SEM Around the World blog series. 2021. Available: https://blogs.bmj.com/bmjopensem/category/sem-around-the-world
1. Jaques R, Loosemore M. Sports and exercise medicine in undergraduate training. Lancet 2012;380:4–5. 10.1016/S0140-6736(12)60992-1 - DOI - PubMed
1. Cullen M, Batt M. Sport and exercise medicine in the united kingdom comes of age. Br J Sports Med 2005;39:250–1. 10.1136/bjsm.2005.019307 - DOI - PMC - PubMed
1. Pigozzi F. Specialisation in sports medicine: the state of the sport medicine specialty training core curriculum in the european union. Br J Sports Med 2009;43:1085–7. 10.1136/bjsm.2008.055350 - DOI - PubMed
1. Germov J. Challenges to medical dominance. second opinion: an introduction to health sociology. USA: Oxford University Press, 2019: 478–503.

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Sport and exercise medicine around the world: global challenges for a unique healthcare discipline

Affiliations

Sport and exercise medicine around the world: global challenges for a unique healthcare discipline

Authors

Affiliations

Conflict of interest statement

Figures

References

Publication types

LinkOut - more resources

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