招待講演

スポーツ整形外科専門クリニックの国際ネットワーク構築

プライベートクリニックで、2年に1度の国際学会を開催しているロンドンの「Fortius Clinic」。そのトップであり、ヨーロッパのトップアスリートの治療を手がけていることでも有名なAndrew M. Williamsを招待し、国際的に活躍しネットワークを構築する経緯やノウハウをご講演いただきました。

- 講師

  • スポーツ整形外科専門クリニックの国際ネットワーク構築

    Andrew M. Williams
    (Fortius Clinic, a London musculoskeletal care centre London)

スポーツ整形外科専門クリニックの国際ネットワーク構築

Andrew M. Williams(Fortius Clinic, a London musculoskeletal care centre London)

International Networking of Sports Orthopaedic Clinics

Fortius Clinic

7 years old. ‘Number 1’ for UK orthopaedic and sports medicine. 2 outpatient clinics (soon to be 3), each with Xray, ultrasound, and MRI, and a Surgery Centre. 50 surgeons and another 30 doctors- radiologists / sports physicians. We care for many of the UK’s athletes- personally: 52 football teams including 16 of 20 English Premiership teams, and 9 or 12 English Rugby Premiership plus several Welsh teams. My colleagues include leaders in their fields. FIFA awarded us ‘F-MARC’ as a ‘medical centre of excellence’ in 2015. We have strong research commitments and links with Imperial College, London.

Why have a sports orthopaedic clinic?

  • Treating athletes is good:
    • Learning – makes doctors better.
    • A challenging environment which improves everyone.
    • Good for clinic profile and a proof of excellence.
    • Non-athletes get better care.

Why network?

  • ‘Stronger together’- politics, making policies for wellbeing in sports.
  • Data is power and bigger data is bigger power! eg collaborative outcomes data .
  • Learn from each other:
    • successes and problems;
    • different experiences / issues in different parts of the World.
  • Research –improves the care of patients- collaboration.

How to Network?

  • Start: meet and ‘talk’ – become friends!
  • Share experiences e.g. lateral meniscectomy problematic in football.
  • Fellowships- Fortius annual fellows’ exchange week with the Dutch Arthroscopy Association; Fortius Clinical and Research Fellows
  • Collaboration: audit / research projects- pool data.
  • Education eg joint conferences, invitations to join faculty, a ‘team’ at big conferences.
  • Produce consensus statements.
  • Publish together.

xamples of collaborations in sports medicine: some good - some poor

  • Collective societies eg ACL Study Group, Herodicus Society
  • Committees of societies eg ESSKA sports committee
  • FIFA medical network: online ideas’ exchange
  • F-MARC centres of excellence- meet annually.
  • English rugby and UEFA injury data.

Problems

  • Is it really ‘sports’ or just arthroscopic /soft tissue conditions?
  • ‘Sleeping partners’: often members like being in the ‘club’ but don't contribute.
  • Too many conferences / organisations involved = less quality
  • Very few of the great clinics continue at the same level when the founders retire- replacing leaders is difficult.
  • Low quality science is difficult to avoid in sports medicine.

Keys to success

  • Not too big a network.
  • Members committed, contribute, and must believe in ‘mission’
  • Choose achievable projects for collaboration.

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