BJSM Podcast

‘Personalized medicine’ has been touted as a major health opportunity. How likely is the promise to be realised? Tim Caulfield hit the global headlines in February 2011 when he was one of the first to argue that human genome had not delivered in the way that some had claimed it would. His Science paper echoed around in the world and was picked up by major news sources like the NY Times, Al Jazeera and the BJSM Blog http://bit.ly/11Ax6pn. Professor Caulfield is a terrific health communicator - a champion of ‘knowledge translation’ aka ‘knowledge exchange’ among other things. The concept of turning research into action. In this podcast he gives BJSM listeners insights into how genomic discoveries may or may not influence personal and public health. He even underwent personal genomic screening in the interests of science! This podcast is relevant to one of BJSM’s most popular papers - ‘What makes champions’ by geneticist Professor Malcolm Collins and physiologist Dr Ross Tucker http://bit.ly/10bIshB. In upcoming weeks we’ll drill deeper into injury risk and genetic predisposition with Professor Malcolm Collins. You can keep an eye on new BJSM podcast releases on our home page (www.bsjm.bmj.com) and via Twitter (@BJSM_BMJ)

Dr Rogerio Teixeira da Silva, from the Sao Luiz Hospital in Sao Paulo, Brazil, former President of the Brazilian Orthopaedic Sports Medicine Society, has a great interest in sports medicine, specifically upper extremity injuries in tennis players. He talks about his experiences with Gustavo Kuerten and what the athlete has meant for tennis in Brazil, the medical care of junior tennis players, hip range of motion, scapular dyskinesia and humeral stress reactions. He also previews the 13th STMS World Congress on Tennis Medicine and Science - Buenos Aires, 21-23 February 2013. See also: Stress reaction of the humerus in tennis players bit.ly/13UYSCh Clinical and ultrasonographic correlation between scapular dyskinesia and subacromial space measurement among junior elite tennis players bit.ly/11h9SUK Sacral stress fracture: an unusual cause of low back pain in an amateur tennis player bit.ly/ZlB2wQ Shoulder strength profile in elite junior tennis players: horizontal adduction and abduction isokinetic evaluation bit.ly/10widsD

In this podcast we look at what sports and exercise medicine around the world can learn from Australia, just one of the countries where the area is thriving. Scott Gardner is an Australian sports scientist currently working in the UK, recently with British Cycling, and he describes what’s going on at the Australian Institute of Sport, and why he thinks they’re so good at training clinicians (0.45). Sports medicine in football is where John Orchard, associate professor at the University of Sydney and sports physician for Australian cricket and the Sydney Roosters, thinks the country is getting it right. He argues that politics in the English Premier League can prevent clinicians from doing their job properly, whereas those working in Australia face a much more open culture (5.24). And Peter Brukner, previously head of Sports Medicine & Sports Science at Liverpool FC and media commentator, talks about how the media and public down under are very interested in, and hence knowledgeable about, sports injuries, and how this has a positive impact for clinicians. He also gives us a round up of what other countries are doing particularly well in sports and exercise medicine (13.11). Future BJSM podcasts will put other nations under the spotlight; Phil Glasgow will share Team GB’s Olympic success story in the next installment in this series. Drs Gardner, Orchard and Brukner spoke about sports and exercise medicine in Australia at a meeting organised by the Sporting Health Group, where Harriet Vickers (BMJ’s assistant multimedia editor) recorded this podcast. See also: Who is to blame for all the football inuries? http://bit.ly/NOJQF5 On the value of team medical staff: can the “Moneyball” approach be applied to injuries in professional football? http://bit.ly/10aYJSY

Professor Kim Harmon from the University of Washington, former President of AMSSM, has a strong clinical record in managing concussion on sideline in football. She led the AMSSM’s consensus document on concussion and here she guides you as to how to interpret current concussion ‘guidelines’ into best practice for your players on game day. She also previews AMSSM’s Annual Meeting - San Diego, April 2012.

Jill Cook is BJSM’s deputy editor with particular emphasis on physiotherapy. She is a professor at Monash University, Frankston, Australia, and a renowned international tendon authority. In this podcast she answers questions she is commonly asked about the ‘continuum model’ of tendinopathy that she and Craig Purdam (Australian Institute of Sport) proposed. See also: Is tendon pathology a continuum? A pathology model to explain the clinical presentation of load-induced tendinopathy bit.ly/YKmKkM Is compressive load a factor in the development of tendinopathy? bit.ly/XTvZlk Jeremy Lewis’s podcast on rotator cuff tendinopathies bit.ly/Nhll0U Jill’s previous podcast on managing tendinopathies bit.ly/15DM8Qp

GlobalPANet is the world’s first dedicated global physical activity communication network. GlobalPANet rapidly communicates the latest research around the globe via its unique e-News and website. GlobalPANet informs about recent physical activity developments, careers and events, as well as being linked to a global network of those with professional and personal interests in physical activity. It is brought to you by the International Society of Physical Activity and Health (ISPAH). Listen to Trevor explain this benefit or see the website. Feel free to submit content for the GlobalPANet site to Trevor via trevor.shilton@heartfoundation.org.au.

Every physical activity advocate dreams that physical activity will one day have the same ‘brand equity’ as popular products like Apple. Many folks know of successful media campaigns for physical activity promotion in various countries. There is a science behind this, and getting it right can save hundreds of thousands of dollars in failed campaigns. Dr Trevor Shilton, National Heart Foundation, Perth, Australia, is an international expert on promoting physical activity using various forms of media. He shares these secrets with BJSM editor Karim Khan. Think of it as Mad Men (marketing) meets Dragon’s Den (persuasion - selling a product!). See also: Fiona Bull’s podcast on the 7 investments http://bit.ly/R0asX0 Related paper on 7 investments http://bit.ly/OY9t7o Social marketing: why injury prevention needs to adopt this behaviour change approach http://bit.ly/ZK3m7G

Fiona Bull, professor at the School of Population Health, University of Western Australia, talks Karim Khan through the investments the Global Advocacy for Physical Activity has identified as key for getting more people active. These include public awareness, urban planning, sports programmes, and promoting activity in primary care and schools. See also: NON COMMUNICABLE DISEASE PREVENTION: Investments that Work for Physical Activity http://bit.ly/hcWRMN

Matthew Wilson, who runs the Sports Cardiology Research Programme at Aspetar Sports Medicine Centre, Qatar, talks Karim Khan through key issues, and the latest research, in sports cardiology. 0.46 Five clinical questions in pre participation screening 3.44 Should ECGs be mandatory? 4.56 Who should be screened? 6.34 Risk stratification for cardiac arrest 8.52 The common electrical and ion channel issues 12.37 Key papers See also: BJSM supplement:Advances in Sports Cardiology bit.ly/RLIBWq

The focus of this podcast is health promotion and behaviour change. Joining Karim Khan, BJSM editor, and Domhnall McAuley, BMJ primary care editor, is Mike Evans, associate professor of family medicine at the University of Toronto and founder of the Health Design Lab. Dan Heath, senior fellow at Duke University’s Center for the Advancement of Social Entrepreneurship, and co-author of a book “Switch – how to change things when change is hard” also joins the panel. The Health Design Lab’s viral video 23 and 1/2 hours: What is the single best thing we can do for our health? has been watched over 2.5m times, and is freely available on youtube http://bit.ly/sHJgx6 See also: www.heathbrothers.com www.myfavouritemedicine.com This podcast is a BMJ production, previously published here http://bit.ly/InCkgD