What's New in Sports Medicine
Mark D. Miller, MD

It is indeed an honor to be asked to present this update for the subspecialty of sports medicine. I would be remiss if I did not recognize the previous author of this section, Dr. Christopher Harner. When I embarked on this academic project, I did not have a good appreciation for the work that would be involved or how large the shoes were that I was being asked to fill. Sports medicine continues to grow as a subspecialty, and, as has been pointed out in previous updates, it crosses many boundaries. Therefore, before embarking upon a year-inreview article for orthopaedic sports medicine, it may be useful first to define what sports medicine really means. The central focus for the practice of sports medicine is the care of the athlete. Athletes come in a variety of shapes and sizes and represent a variety of sports, competitive levels, and nationalities, and we have dedicated our professional careers to their care. The American Board of Orthopaedic Surgery (ABOS) and the American Board of Medical Specialties (ABMS) have defined orthopaedic sports medicine to include expertise in the areas summarized in Table I. As orthopaedic sports medicine subspecialists, we have a variety of operative tools and techniques available to help us in this mission. The arthroscope is one such tool, but being an accomplished arthroscopist does not make one an orthopaedic sports medicine subspecialist.

View this table:
TABLE I

Areas of Expertise in Orthopaedic Sports Medicine

As we embark upon difficult decisions regarding subspecialty certification, it is important for us to focus on these critical concepts. The ABMS formally approved subspecialty certification in orthopaedic sports medicine on March 20, 2003. Subspecialty certification is intended to be an extension of the current academic and scientific environment and will be built by the contributions of the orthopaedic sports medicine community. The …


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