#74

July 2015

Le bulletin officiel de l’académie canadienne de la médecine du sport et de l’exercice

The Official Newsletter of the Canadian Academy of Sport and Exercise Medicine

What’s Inside... The Proust Questionnaire Dr. Richard Goudie Page 2 Research Committee Update Page 3 Upcoming Events Page 4 Management of Heat Related Illness in the Disabled Athlete Page 5 FIFA WWC 2015 Page 6 CASEM in the News Page 7 New Members Page 8 Job Opportunities Pages 8-10 Endurance Course Registration Page 11

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Sport Safety Committee Update

Our Sport Safety Committee needs your help! We are currently on life support and need enthusiastic members with new & interesting ideas for helping CASEM be the leaders in Sport Safety across Canada. Of all of the CASEM Committees, Sport Safety is one that we should all be passionate about. Sport & Exercise Medicine IS sport safety – making sport & exercise fun, safe and enjoyable for our patients. Our mandate is to find new & innovative ways to spread the message about safe sport, injury prevention and healthy play to our members, to our medical colleagues and to the public. New committee members means new ideas, stronger voices, broader connections and more exposure for CASEM. We could be a resource for both the sport and medical communities. I hear the comments coming however - "I have no time for that" or "I already belong to the ______ Committee". We hear you and understand how busy you all are. Our committee only meets a couple of times per year (in person & teleconference), so the time commitment is very minimal. I am currently trying to arrange a teleconference meeting to invite new members to join. Please follow the link to a “Doodle” poll for possible times for this meeting: http://doodle.com/uughe5q5p9wvma9w We are also looking for new ideas. If you cannot be on the committee, please support the committee by sending us ideas for projects that promote safety in sport. Please contact myself or the CASEM Head Office with any questions. - [email protected] Jack Ceaser Chair, Sport Safety Committee 180 Elgin Street - Ottawa, Ontario K2P 2K3 T. 613-748-5851 or 1-877-585-2394

Dr. Richard Goudie CASEM President 2015-2016 Président ACMSE 2015-2016 THE PROUST QUESTIONNAIRE with Richard Goudie What is your idea of perfect happiness? "Perfect" is a difficult word to define. Happiness can only be achieved when one's environment is calm and positive: a healthy family, children who are motivated to succeed, great communication within the family unit, daily stresses managed and minimized. It's a lot to ask for. I guess a challenging bike ride in a beautiful country followed by a great meal and robust red wine is too simplistic.

What do you consider your greatest achievement? I don't think I have achieved anything great. Maybe that's the self deprecation thing again. There are many individuals who are known for great achievements or have changed lives, I don't see myself as part of that group. Si vous deviez mourir et ensuite revenir comme une personne ou une chose, ce serait quoi? Moi-même. Réponse plate, je sais.

Quelle est votre plus grande peur? Probablement de laisser passer quelque chose. Il y a tant d'expériences à vivre, mais «pas assez de temps». Je me demande comment ce sera quand Where would you most like to live? j’aurai un pied dans la tombe et je réfléchirai sur ce que je "ne fais pas" à It's pretty hard not to appreciate Canada as a country of residence but when the cold winter hits Barrie, my mind wanders to warmer climates. la place de ce que j’ai atteint, où je suis allé et ce que j’ai fait. The south of France comes to mind. Probably because I have been there What is the trait you most deplore in yourself? and enjoy the mix of mountains, sea, endless roads for cycling and proxProcrastination and self deprecation are tied for first place. imity to many different cultures. I'm sure there are many beautiful areas where one can live but I still think Canada has what I look for and can Quel est le trait que vous déplorez le plus dans les autres? still enjoy everywhere else as a travel destination. If I want to hide from Manque de bon sens. the winter I should gravitate toward the west coast. What is your greatest extravagance? Who are your favorite writers? I really don't see myself as being extravagant but probably the easiest I love to read and shift from intense factual history novels like Peter answer is my bike or maybe the limited edition watch I just received as a Ackroyd's "Foundation: the History of England from its earliest Begingift for my birthday. Does a gift count as my personal extravagance...? ning to the Tudors" to quick story telling books. I will often have more What is your current state of mind? Stressed about answering all these questions and someone is likely going to read the answers. What do you consider the most overrated virtue? I don't think you can overrate a virtue. What do you most dislike about your appearance? Too personal. This is PG rated isn't ? Which living person do you most despise? That's a strong sentiment. I don't think I'm allowed to despise someone I don't really know personally. There are a lot of people I don't respect. People murdering others selfishly (suicide bombers, racists, antiabortionists, unhappy individuals who are angry in a divorce or at work) for example. Which words or phrases do you most overuse? It's a swear word in french....just kidding. I don't think I use anything enough to be considered overused. Maybe: " It wasn't me!" Qui ou quoi est le plus grand amour de votre vie? Ma femme, Darlene. Enfin une question facile à répondre.

than one book going at the same time. I have always enjoyed Stephen King for entertainment since his earlier works and still read his new stories. I find the late Tom Clancy books a very good diversion and have followed his characters through many years of change. I have read many James Mitchener novels and have started to get into Edward Rutherford's books which are similar. What is it that you most dislike? I don't like it when people don't take responsibility for their situation. Everyone should be accountable for themselves and refrain from blaming society, their boss, their teachers, their parents. Another variant is troubling others for your own difficulty. I think of this every time we hear of a group going on strike or job actions like taxi drivers causing road blockades in Toronto because they are unhappy with the Uber system. School children and their parents shouldn't be held hostage because teachers are having contract difficulties. Stuff like that bugs me. Quelle est votre plus grand regret? Malheureusement j’ai beaucoup de regrets. De ne pas avoir plus parlé en français à mes enfants quand ils étaient très jeunes, de ne pas avoir été plus motivé à atteindre des niveaux de sport plus élevés quand l'occasion m’y était présente dans ma jeunesse et de ne pas avoir escaladé Kilimandjaro quand j’ai eu la chance. Ce sont ceux auxquels que je pense souvent.

When and where were you happiest? Either carefree backpacking in Thailand with Darlene before we had chil- How would you like to die? dren or bike riding a Tour de France stage in the Pyrenees in 2008. Too morbid to answer. I can tell you I would most certainly not want to die drowning or in a closed space. I'm terribly claustrophobic. Quel talent aimeriez-vous avoir? What is your motto? Je voudrais être capable do jouer n’importe quoi sur la guitar. I never thought I had one. I will refer to "Control the controllables" for various situations. Which talent would you most like to have? 2 I would like to be able to play anything on the guitar.

Research Committee Update Since 2006, CASEM has awarded 21 Research Grants (RG) and 8 New Investigator Grants (NIG). Of the grants that were awarded from 2006 to 2013, almost 50% of the studies were published in a peer-reviewed journal and 25% of the studies received additional research funding to continue the original research project. These are excellent statistics in terms of publication and re-funding rates and reflects the high quality of both the Sport Medicine research being conducted by CASEM members and the review process of granting the CASEM research grants. The CASEM Research Committee is very excited to announce a NEW CASEM research grant: The CASEM Multi-Centre Trial (MCT) Grant The purpose of this grant to is foster multi-centre investigations that involve both academic centers and community sport medicine physician and clinics. The amount of the CASEM MCT Grant would be in the amount of $15,000 and be awarded in May, 2016. The main criteria for applying for the MCT Grant will be:    

No existing or matching funds are required. Topic of the research must have direct relevance to Sport Medicine. The principle investigator must be a CASEM member and be an integral part of the development and administration of the research project. The project must involve at least 5 clinics, of which at least 2 must be community/non-academic institution-based sport and exercise medicine clinics.

The CASEM Research Committee is very grateful to the CASEM Board of Directors for recognizing the importance of Sport Medicine clinical research in developing the discipline of Sport and Exercise Medicine through their generous unrestricted funding of the three CASEM types of research grants. If you have any questions about the CASEM Research Committee or the any of the CASEM Research Grants, please contact Dr. Victor Lun: [email protected]

CASEM 2015 Research Grant Recipients Dr. Neil Dilworth: "“Duration of symptoms and associated clinical exam findings in sports-related concussion in the pediatric population (age 12-18) in Toronto: A Prospective Cohort Study" Dr. Pierre Frémont: “A randomized controlled trial on recreational runners with patellofemoral pain: effects of rehabilitation approaches based on specific underlying mechanisms." New Investigator Grant Proposal Dr. Bryan Chung: "“Epidemiology of flexor tendon pulley injury in the hand in recreational climbers"

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UPCOMING EVENTS CASEM’S ENDURANCE SPORT MEDICINE COURSE August 27-28, 2015 Huntsville, Ontario The CASEM Summer Endurance Sport Medicine Course is back and this time we are holding the course immediately prior to the new Ironman Muskoka event in Huntsville – this is the ONLY Ironman in Ontario and only the third in Canada – this course will provide a great opportunity to increase knowledge on the issues pertinent to endurance athletes and their care by reviewing the latest science regarding sports and exercise, as well as common sports related injuries and illness. In addition to the course, attendees also have the option to earn additional CME credit by volunteering in the Ironman® Medical Tent on race day. The one and a half day course is open to physicians in the fields of Family Medicine, Internal Medicine, Pediatrics, Emergency Medicine, PM&R, Orthopedics and others who care for athletes or engage in regular athletic activity, as well as Physical Therapists, Athletic Trainers, Physicians Assistants, Nurse Practitioners and Exercise Scientists. “To have a sport medicine course focussed on the endurance athlete prior to the race will be a huge benefit for both the race and the community” says Dr. Rich Trenholm, CASEM member and Medical Director of Ironman Muskoka. “The race provides medical professionals and allied health professionals with a unique opportunity to volunteer in the medical tent at Ironman Muskoka where what they learned in theory can be put into practice”. REGISTER ONLINE or complete the form at the end of the newsletter.

Keep Your Edge: Hockey Sports Medicine in 2015 8/28/15 - 8/30/15 Toronto Marriott Downtown, Eaton Centre Hotel Toronto, Ontario, Canada Score one for your team by attending AOSSM’s multidisciplinary course, Keep Your Edge: Hockey Sports Medicine in 2015, August 28-30th at the Toronto Marriott Downtown. The educational event will present an array of treatment options for a fullrange of injuries common at all levels of hockey play. Co-Chairs, Don Chow, MD, Gary Dorshimer, MD and Michael Stuart, MD lead experienced faculty that will expose you to choice strategies to prevent, treat, and rehabilitate hockey injuries, including:  Developing evaluation and management plans through case-based discussions  Learning surgical and non-surgical treatment methods  Acquiring updates on concussion screening, protective equipment, rule changes, nutritional needs and supplements Click here for the preliminary program for complete details and click here to register. Registration deadline is July 28, 2015.

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Management of Heat Related Illness in Disabled Athletes As a former Torontonian, I know August in Toronto can be extremely hot and humid. So, with the ParaPan Am Games quickly approaching (August 7-15, 2015), athletes and healthcare providers need to be aware of and prepared for cases of heat related illness. Disabled athletes, spinal cord injured athletes in particular, may face increased risk of heat related illness due to alteration in their ability to regulate their core temperatures during exercise. Sweating, (via evaporation on the skin), and peripheral cutaneous vasodilation, (via conduction and convection through the skin) are the 2 most common means the body uses to dissipate heat and maintain core temperature in hot environments. However, spinal cord injured athletes, because of impaired autonomic function, may lose the ability to sweat or increase blood flow below the level of their injury. This means these athletes have a relatively smaller body surface area with which to handle heat stress. Moreover, some of these athletes may be on anti-cholinergic medications for neurogenic bladder control, and these medications can adversely affect both hydration and thermoregulation. Recall that sweat production is largely a cholinergic function. Common signs and symptoms of early stage heat related illness include muscle cramps, lightheadedness, fatigue, weakness, headache, nausea and vomiting. More serious symptoms involve the central nervous system, including confusion, decreased coordination and even collapse. Athletes will appear flushed and will feel hot to touch above the level of the spinal cord injury, but their skin will be dry. Treatment of suspected heat related illness includes cessation of activity, loosening and / or removal of clothing and head gear (if any), and relocation to a cooler, shadier environment if possible. External cooling with ice packs, cooling vests, misting water sprays or fans over ice should be utilized. Oral rehydration, if the athlete is alert enough, will help increase circulating blood volume and eventually stimulate peripheral vasodilation and cutaneous heat dissipation, but the immediate focus of management should be on decreasing core temperature rather than rehydration. In more advanced cases where central nervous system symptoms are present, management in a medical tent or other medical venue may be necessary. Ice baths, if available can be utilized and intravenous hydration will be required. Be aware if large volumes of IV fluids are required, the disabled athlete may require temporary insertion of a Foley catheter or more frequent intermittent catheterizations. Core temperature will need to be closely monitored, and external cold sources will need to be removed when core temperature drops below 37 degrees Celsius, or if the athlete starts shivering. Remember athletes with complete spinal cord injuries will not feel the cold stimulus on their skin below the level of injury, and excessive external cooling carries the risk of damage to insensate skin. Disabled athletes can reduce their risk of hyperthermia by training and acclimatizing in appropriate environments and maintaining appropriate levels of hydration before, during and after competitions. ACSM guidelines suggest 500cc of fluid 2 hours before exercise, with an additional 250-500cc 30 to 60 minutes prior to exercise on particularly hot days. Sweat loss will need to be replaced on an ongoing basis during activities. Other groups of disabled athletes should not be forgotten. For instance, it is recommended that CP athletes have longer rest periods in the shade and adequate hydration during all training and competitions because of their reduced thermoregulatory capacity. Blind athletes, if their visual impairment is on the basis of cutaneous albinism, will also require close monitoring and special protection against heat related illnesses, including adequate sunscreen protection. The latter recommendation applies to all who participate in outdoor activities in the summer. As with able-bodied athletes, heat related illnesses in disabled athletes are largely preventable. Submitted by: Deirdre E. McLean, MD, PM&R On behalf of the Athletes with a Disability Committee

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FIFA World Cup Fun! FIFA WWC 2015 has been huge success so far with excellent spectator support and some of Canada's largest crowds at any sporting event ever. Having Canada staying on through next rounds is a huge motivation to keep people involved and Canadians interested in this exciting event. CASEM should be proud of the following members who have really done fabulous jobs to date and allowed this event to run smoothly medically

I also had FIFA Medical Officers stationed at each venue to assist in medical management and also perform doping control operations for every match. They all sang praises of their Canadian colleagues listed above. We are lucky indeed to have such competent well trained sports medicine physicians to keep the WWC 2015 healthy and running smoothly medically. Of course many other CASEM members have volunteered their time in doping control and all the various venues as well.

cheers, Cathy Dr Nick Rose-Vancouver Venue medical officer-also National Dr Cathy Campbell-FIFA General Medical Officer for WWC 2015 Organizing Committee chair Dr Terry De Freitas-Edmonton Venue Medical Officer Dr Ed Pilat-Winnipeg Venue Medical Officer Dr Taryn Taylor-Ottawa Venue Medical Officer Dr Manon Cote-Montreal Venue Medical Officer Dr Stephanie Melanson-Moncton Venue Medical Officer

Dr Nick Rose, CMO for the National Organizing Committee for WWC 2015 Dr Cathy Campbell, FIFA General Medical officer for WWC 2015

The Edmonton Crew Dr Silina Motufaga - FIFA Venue Medical Officer from Fiji Dr Roman Tulis - assistant to Dr DeFreitas Dr Terry Defreitas - NOC (National Organizing Committee) Venue Medical Officer

Drs. Andrew Marshall, Anita Pozgay, Amandev Aulakh, Isabelle Aube

The Ottawa Crew

Drs. Taryn Taylor, Maureen Grace and Andy Marshall

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CASEM IN THE NEWS

Providing championship care at the FIFA Women’s World Cup By Ross Neitz on July 3, 2015 (Edmonton) On the opening night of the 2015 FIFA Women’s World Cup, Teresa De Freitas found herself in a sea of red fighting back tears. As a crowd of 53,000 team Canada supporters serenaded the home squad with their rendition of O Canada, De Freitas, along with colleagues who were volunteering their medical expertise at the event, soaked in the moment. “I was sitting with two younger physicians and this was their first big event. And I was almost in tears because they were like, ‘I can’t believe I’m here!’” recalls De Freitas. “I was just so proud to see them so excited.” De Freitas, or Terry to most, is the venue medical officer for Edmonton’s Women’s World Cup matches. She is also one of the newest members of the University of Alberta's Faculty of Medicine & Dentistry, after having been hired as an assistant professor in the Department of Family Medicine on June 1. "It’s been a challenge to start a new position and organize medical services for a major event at the same time,” says Freitas. “But multitasking is part of the sports medicine environment, as well a huge part of being a physician and a mother of two kids, so I am enjoying both right now." Throughout the FIFA Women’s World Cup, De Freitas is leading the team of health professionals providing medical services in Edmonton. The duties include being a liaison for the medical teams accompanying the participating soccer teams, providing prescriptions and X-rays as needed to athletes and team staff, arranging for emergency response services both on the field and in the VIP delegate area and arranging for anti-doping chaperones during drug tests at the event. She also helps co-ordinate emergency care in the stands on game days through the help of volunteers from St. John’s Ambulance. According to De Freitas, her job is to be ready for anything.

For De Freitas, the challenge of providing medical care at major sporting events is also what holds the appeal. “For sports medicine physicians, it’s exciting to be able to provide medical services for athletic events. It’s a different kind of pressure. In an emergency room there’s lots of pressure, of course, but when you’re in a sports medicine event you also have to consider media, security and the magnitude of the injury in relation to the team or the athlete themselves,” says De Freitas. “It’s a little bit of a different spin on medical care, and that’s why sports medicine physicians really enjoy it. It attracts you to that area.”

“It just depends on the day. Over the years, I’ve seen all kinds of different things that you would see in any hospital emergency room hap- Though much of her attention at the moment is occupied by her work at the Women’s World Cup, De Freitas is just as excited about her pen at the event. Anything can happen.” future with the Faculty of Medicine & Dentistry. The duties as venue medical officer will keep De Freitas busy until July 4, when the final match is played in Edmonton. For Terry, it is just the latest in a long string of international events at which she’s volunteered her time over the past 15 years. After graduating from the U of A’s medical program in 1995, De Freitas first volunteered her medical expertise at Edmonton’s World Taekwondo Championships in 1999. After that, she soon became hooked on sports medicine and quickly became the team physician for Taekwondo Canada, a position she held for several years, going to both the Beijing Olympics in 2008 and the 2011 Pan-Am Games in Guadalajara, Mexico. In 2013 she was chosen as the Edmonton venue medical officer for the FIFA U-20 Women’s World Cup in 2014 and the FIFA Women’s World Cup in 2015.

“We’re trying to put more of a focus on sports medicine within the Department of Family Medicine and to enhance what’s already a great program. We want to make sports medicine more accessible to our residents. It’s really an exciting area of medicine to be in,” she says. It’s clear if anyone would know about the excitement of sports medicine in Edmonton, it’s De Freitas. “To be able to provide a really quality service, it makes you proud as a host. It makes you feel proud to be a Canadian when you do it well.”

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Congratulations Dr. Jane Thornton on becoming one of 17 new Fellows joining Action Canada’s leadership program and its prestigious network.

To learn more about Action Canada and it’s leadership program visit the Action Canada website:

NEW MEMBERS

Nadira Rambihar Matthew Aue Alyssa Wong Luc De Garie Matthew Lewington Lemi Adebayo

Sandhya Singh Richard Van der Ross Tin Jasinovic Simon Phaneuf Richard Lee

JOB OPPORTUNITIES

1100 Walkers Line Suite 102, Burlington, ON L7N 2G3 Phone: 905-336-3340 Fax: 905-336-6095 The Elliott Sports Medicine Clinic is looking for a Sport Medicine Physician to join our multidisciplinary team. This opportunity is ideal for a physician looking to work a few days a week, or to set up a full practice, as this clinic

has ample MSK consults. With 3 other Sport Medicine Physicians on-site, Athletic Therapists, Physiotherapists, Massage Therapists, a Pedorthist and a Chiropractor the clinic provides a unique environment for cross referrals.   

3500 square foot clinic EMR (Optional) Flexible Hours (Part-Time, Full Time) For further information please contact directly: Erin MacDonald or Jessica Price 905-336-3340

[email protected]

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JOB OPPORTUNITIES

Newly Expanding Multi-Disciplinary Sports Medicine Practice centered at West Hamilton, Ancaster and Dundas. Practitioners include: Sport Medicine Physician, Athletic Therapists, Physiotherapists, RMTs, Osteopaths, Nautropath, Pedorthist, Medical Accupuncturist and Kinesiologists. Patient load is derived from local active population and Athletes that we provide on field medical services for. There is an opportunity to practice both Sport and Family medicine.       

All services on site including EMR and administration 5 blocks from McMaster University Hospital pharmacy and other Medical Professionals, Dental Office and Fitness Center in the building free parking, ground floor access and view of the Rail Trail low overhead Family Physicians needed in the area.

Contact Jennifer Somerville Tel: 289 922-8920. - [email protected]

The Sport Medicine Centre Sport Medicine Physician Winnipeg, MB The Sport Medicine Centre in Winnipeg, Manitoba is seeking a Sport Medicine Physician who is interested in joining a multidisciplinary team of professionals dedicated to best practices and an enhanced level of patient care. Sport Medicine Centre practitioners are committed to exceptional patient care experience, professional development, in addition to communicating and working in a team atmosphere. The candidate we are looking for will join our team members in a diverse, dynamic and patient-centered environment. The Sport Medicine Centre is part of the new Canada Games Sport for Life Centre which is home to Sport Manitoba, over 70 provincial and national sport organizations, our Sport Performance Centre, and the Manitoba Sports Hall of Fame. In the summer of 2015 Sport Manitoba will begin construction of the over 120,000 sq. ft. Training Centre which will adjoin our existing heritage facility. When complete in Spring 2017, the opening of the Training Centre will also provide for a significant expansion of the Sport Medicine Centre. Spring, summer, fall, winter. Winnipeg is perfectly seasoned for those who love to live, work and play amongst nature's alternating vistas. If you like sunshine and blue skies, we are the spot for you. Winnipeg is the Cultural Cradle of Canada, the home of the famous Royal Winnipeg Ballet, Folklorama, music festivals galore, even Winnie the Pooh is from Winnipeg! Of course, when it comes to sport you haven’t truly had goosebumps until you experience your first Winnipeg Jets home game or join the Blue Bomber faithful at our new Investors Group Field. It’s an exciting time for sport and sport medicine in Manitoba. If you are a Sport Medicine Physician interested in joining an exciting opportunity to get in at the ground level, join a dynamic team at a facility that is unique in Canada and are committed to best practices in prevention, performance, and management in an integrated environment then we would like to hear from you! For more information on this opportunity, please contact: Rickie Walkden, Director/Senior Therapist Sport Medicine Centre (204) 925-5945 [email protected]

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JOB OPPORTUNITIES

Sport Medicine/Orthopedic Triage Position in Kelowna, B.C. Kelowna Orthopedics, a group of 8 orthopedic surgeons practicing in Kelowna, B.C., seeks a Sport Medicine physician or non-operative Orthopedic surgeon to associate with the Kelowna Orthopedic Clinic. The Kelowna Orthopedic group has a diverse practice with fellowship-trained surgeons in Sports Medicine, Upper Extremity, Trauma, Foot and Ankle, Pediatrics, and Arthroplasty. The Kelowna Orthopedic Clinic is centrally located in Kelowna close to the hospital in the South Richter Professional Building, where there is diagnostic imaging on site. The successful candidate will establish a practice within the orthopedic clinic, and will develop a primary sport medicine practice, as well as develop a musculoskeletal referral triage practice that compliments the existing practice of Kelowna Orthopedics. There will be the opportunity to work closely and collaborate with the eight orthopedic surgeons. Surgical assisting may also be available to add variety and depth to the experience. It is expected that the candidate will have completed the CASEM Diploma exam and/or FRCS(C) in orthopedic surgery (or equivalents). As part of the Kelowna Orthopedic Team, the candidate will be able to develop a primary referral practice within the Kelowna Medical community. As well, there will be an opportunity to become involved in the care of athletic teams in the community, and at the University of B.C. Okanagan campus if desired. The practice will include management of acute injuries, as well as an opportunity to develop expertise in procedural sport medicine applications. Workup and triage of basic non-operative orthopedic referrals including shoulder and foot and ankle will also be part of the practice. Close support and consultation would be available from the orthopedic group working out of the same office. The Kelowna Medical Community comprises over 100 Family Practitioners, and over 100 Specialists who have practices at Kelowna General Hospital. KGH is the regional tertiary care hospital for Interior Health and serves a population of over 300,000 in the Okanagan Valley of British Columbia. The hospital has undergone extensive renovation and new construction over the last 5 years. The University of BC Okanagan campus, with a student population of 6000, is located in Kelowna. UBCO has a satellite medical school of the UBC Medical Faculty. The Southern Medical Program at UBCO graduates 32 physicians per year. Kelowna is a vibrant growing city with an international airport and easy access to Vancouver, Seattle and multiple international destinations. The moderate climate encourages four season outdoor activities. Recreational activities are second to none. There are superb educational opportunities for young families.

Remuneration for this position will be based on the fee for service model for a physician licensed in the Province of B.C. Office overhead will be shared and very reasonable in our established offices. Interested physicians should contact Dr. Jack Oliver or Dr. Curtis Myden at Kelowna Orthopedics. Dr. Jack Oliver 250-763-7988 [email protected] Dr. Curtis Myden 778-478-6289 [email protected] 10

ENDURANCE SPORT MEDICINE COURSE August 27-28, 2015

REGISTRATION* Registrations www.casem-acmse.org click on Events CASEM Members Non Members Medical Students—CASEM members Medical Students—Non members Residents/Fellows—CASEM members Residents/Fellows—Non CASEM Ironman Medical Volunteer

$399.00 $499.00 $100.00 $200.00 $299.00 $350.00 $300.00

Registration Rate includes a breakfast, lunch, morning and afternoon breaks—the first 30 registrants will receive a special CASEM gift. Name: ____________________________________________________________ Address:___________________________________________________________ Address:___________________________________________________________ Email:_____________________________________________________________ Payment: Credit Card-

MC

Visa

Card Number_______________________________________________________ Expiry Date: ________________________________________________________ Signature: _________________________________________________________

CANCELLATION POLICY $100.00 cancellation fee will apply to all reimbursements issued PRIOR to August 15, 2015 After this date NO refunds will be issued. Canadian Academy of Sport and Exercise Medicine (CASEM) 180 Elgin Street, Suite 1400 Ottawa ON K2P 2K3 Please complete and return by email at [email protected] *CASEM reserves the right to cancel the course should minimum numbers not be reached

Tel. 613 748-5851 [email protected]

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