What Is an Extreme Sports Healthcare Provider: An Auto-Ethnographic Study of the Development of an Extreme Sports Medicine Training Program

Overview

Journal Int J Environ Res Public Health

Publisher MDPI

Specialties Environmental Health
Public Health

Date 2022 Jul 27

PMID 35886138

Authors

Larissa Trease

Edi Albert

Glenn Singleman

Eric Brymer

Affiliations

Soon will be listed here.

Abstract

"I remember when sex was safe and skydiving was dangerous" read a popular bumper sticker during the HIV crisis. Popular perceptions of extreme sport (ES) often include the descriptor 'dangerous'. Therefore, why is the popularity of ES increasing exponentially with "dedicated TV channels, internet sites, high-rating competitions, and high-profile sponsors drawing more participants"? More importantly, how should health practitioners respond to the influx of ES athletes with novel injuries, enquiries and attitudes. This paper describes the results of a collaborative auto-ethnographic approach to answering "what is an extreme sports medicine health care provider and what are the components of an effective Extreme Sports Medicine (ESM) training program?" The study was conducted following the first ESM university course offered in Australia with the intention of assessing the learning design and reflecting on the development and practice of ES health practitioners. We explicated three overarching themes common to both the ES health practitioner and for the effective training of healthcare providers in the support of ES endeavors and athletes. These themes were individual, task and environmental factors. The impacts of these findings confirm that ESM courses are vital and should be designed specifically to ensure that practitioners are effectively supported to develop the unique skills necessary for practice in real world extreme sports events.

References

Strong A, Stoutenberg M, Hobson-Powell A, Hargreaves M, Beeler H, Stamatakis E . An evaluation of physical activity training in Australian medical school curricula. J Sci Med Sport. 2017; 20(6):534-538. DOI: 10.1016/j.jsams.2016.10.011. View

Osborne S, Adams J, Fawkner S, Kelly P, Murray A, Oliver C . Tomorrow's doctors want more teaching and training on physical activity for health. Br J Sports Med. 2016; 51(8):624-625. DOI: 10.1136/bjsports-2016-096807. View

Cardinal B, Park E, Kim M, Cardinal M . If Exercise is Medicine, Where is Exercise in Medicine? Review of U.S. Medical Education Curricula for Physical Activity-Related Content. J Phys Act Health. 2014; 12(9):1336-43. DOI: 10.1123/jpah.2014-0316. View

Hoffman M . Preventing Casualties in Ultramarathons. Sports Med. 2021; 51(8):1599-1600. DOI: 10.1007/s40279-021-01513-x. View

Pain M, Pain M . Essay: Risk taking in sport. Lancet. 2005; 366 Suppl 1:S33-4. DOI: 10.1016/S0140-6736(05)67838-5. View

Brymer E, Feletti F, Monasterio E, Schweitzer R . Editorial: Understanding Extreme Sports: A Psychological Perspective. Front Psychol. 2020; 10:3029. PMC: 7005245. DOI: 10.3389/fpsyg.2019.03029. View

Renjith V, Yesodharan R, Noronha J, Ladd E, George A . Qualitative Methods in Health Care Research. Int J Prev Med. 2021; 12:20. PMC: 8106287. DOI: 10.4103/ijpvm.IJPVM_321_19. View

Buckley R . To Analyze Thrill, Define Extreme Sports. Front Psychol. 2018; 9:1216. PMC: 6066573. DOI: 10.3389/fpsyg.2018.01216. View

Humphries D, Jaques R, Dijkstra H, Asif I, Batt M, Borjesson M . Delphi developed syllabus for the medical specialty of sport and exercise medicine: part 2. Br J Sports Med. 2020; 55(2):81-83. DOI: 10.1136/bjsports-2020-102102. View

10.

Farrell L, Bourgeois-Law G, Regehr G, Ajjawi R . Autoethnography: introducing 'I' into medical education research. Med Educ. 2015; 49(10):974-82. DOI: 10.1111/medu.12761. View

11.

Feletti F, Brymer E, Bonato M, Aliverti A . Injuries and illnesses related to dinghy-sailing on hydrofoiling boats. BMC Sports Sci Med Rehabil. 2021; 13(1):118. PMC: 8485530. DOI: 10.1186/s13102-021-00343-8. View

12.

Sinclair P, Kable A, Levett-Jones T, Booth D . The effectiveness of Internet-based e-learning on clinician behaviour and patient outcomes: A systematic review. Int J Nurs Stud. 2016; 57:70-81. DOI: 10.1016/j.ijnurstu.2016.01.011. View

13.

Gardner M, Grimm J, Conner B . Examining the Role of Risk Compensation in Extreme Sports. J Sport Exerc Psychol. 2021; 43(3):215-222. DOI: 10.1123/jsep.2020-0159. View

14.

Hoffman M, Pasternak A, Rogers I, Khodaee M, Hill J, Townes D . Medical services at ultra-endurance foot races in remote environments: medical issues and consensus guidelines. Sports Med. 2014; 44(8):1055-69. DOI: 10.1007/s40279-014-0189-3. View

15.

Witheridge A, Ferns G, Scott-Smith W . Revisiting Miller's pyramid in medical education: the gap between traditional assessment and diagnostic reasoning. Int J Med Educ. 2019; 10:191-192. PMC: 7246123. DOI: 10.5116/ijme.5d9b.0c37. View

16.

Hoffman M, Khodaee M, Nudell N, Pasternak A . Recommendations on the Appropriate Level of Medical Support at Ultramarathons. Sports Med. 2020; 50(5):871-884. DOI: 10.1007/s40279-020-01272-1. View

17.

Kordi R, Moghadam N, Rostami M . Sports and exercise medicine in undergraduate medical curricula in developing countries: a long path ahead. Med Educ Online. 2011; 16. PMC: 3040663. DOI: 10.3402/meo.v16i0.5962. View

18.

Biesta G, van Braak M . Beyond the Medical Model: Thinking Differently about Medical Education and Medical Education Research. Teach Learn Med. 2020; 32(4):449-456. DOI: 10.1080/10401334.2020.1798240. View

19.

Albert E, Cooling N, Tooth M, Scott P, Ayton J, Watzl R . Development of the special skills post in expedition medicine for general practice registrars in Australia. Wilderness Environ Med. 2008; 19(1):60-3. DOI: 10.1580/07-WEME-WI-100.1. View

20.

Neunhaeuserer D, Niebauer J, Degano G, Baioccato V, Borjesson M, Casasco M . Sports and exercise medicine in Europe and the advances in the last decade. Br J Sports Med. 2021; 55(20):1122-1124. DOI: 10.1136/bjsports-2021-103983. View