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Preparticipation Screen

Learning Objectives:
  1. Identify medical and family history components important in assessing an adolescent during a pre-participation screen
  2. Recognize the medical conditions that limit participation in certain sports activities
  3. Identify risk factors for abuse of performance enhancing drugs
Readings and Videos:
  • Readings
    1. Peterson AR, Bernhardt DT. The preparticipation sports evaluation. Pediatr Rev 2011;32(5):e53-65.
    2. Roberts WO1, Löllgen H, Matheson GO. Advancing the preparticipation physical evaluation: an ACSM and FIMS joint consensus statement. Clin J Sport Med. 2014 Nov;24(6):442-7.
    3. LaBotz M, Griesemer BA, Council On Sports Medicine and Fitness. Use of Performance-Enhancing Substances. Pediatrics 2016;138(1).
  • Podcast
    1. Advancing the Preparticipation Evaluation: A Conversation with Dr. William Roberts (Podcast)
Materials to Develop Educational Sessions:
Clinical and Community Settings:
  • Outpatient (adolescent clinic, primary care clinic, subspecialty clinics, sports medicine clinics)



Common Injuries

Learning Objectives:
  1. Recognize and understand risk factors for common overuse injuries in adolescents such as patellofemoral pain syndrome, shoulder instability, tibial stress fracture, spondylolysis.
  2. Recognize and diagnose common traumatic sports injuries in adolescents such as ACL tear, ankle sprain, patellar dislocation.
Readings and Videos:
  • Readings
    1. DiFiori JP. Evaluation of overuse injuries in children and adolescents. Curr Sports Med Rep 2010;9(6):372-8.
    2. Valovich McLeod TC, Decoster LC, Loud KJ, Micheli LJ, Parker JT, Sandrey MA, et al. National Athletic Trainers' Association position statement: prevention of pediatric overuse injuries. J Athl Train 2011;46(2):206-20.
    3. Metzl JD. Managing sports injuries in the pediatric office. Pediatr Rev 2008;29(3):75-84; quiz 85.
  • Podcasts
    1. Overuse Injuries & Burnout in Youth Sports with Dr. John DiFiori (lead author), Dr. Joel S. Brenner and Dr. Neeru Jayanthi.
  • Websites and Online Resources
    1. Overuse injuries in Children. American Assoc of Orthopedic Surgeons
Interactive Learning Opportunities
  • American Medical Society for Sports Medicine - interactive online cases
    1. 32 Yo Woman With Excruciating Left Lower Extremity Pain
    2. Knee Pain After A Slide Tackle In Football 
Clinical and Community Settings:
  • Adolescent Clinic/Rotation
  • Resident Continuity Clinic
  • Sports Medicine Clinic (during adolescent rotation or separate rotation/ experience)
  • Emergency department
  • Acute/urgent care settings

Female Athlete Triad and Relative Energy Deficiency

Learning Objectives:
  1. Identify components of the female athlete triad and the possible long-term health consequences associated
  2. Recognize that excessive exercise may result in relative energy deficiency in athletes and others focused on exercise for weight management
  3. Recognize athletes who are at risk for developing female athlete triad 
  4. Describe possible treatment approaches to adolescents diagnosed with female athlete triad.
Readings and Videos:
  • Readings
    1. Joy E, De Souza MJ, Nattiv A, Misra M, Williams NI, Mallinson RJ, et al. 2014 female athlete triad coalition consensus statement on treatment and return to play of the female athlete triad. Curr Sports Med Rep 2014;13(4):219-32.
    2. Mountjoy M, Sundgott-Borgen J, Burke L, et al. The IOC consensus statement: beyond the Female Athletic Triad—Relative Energy Deficiency in Sport (RED-S). Br J Sports Med 2014, 48:491-497.
    3. Weiss Kelly AK, Hecht S, Council on Sports Medicine and Fitness. The Female Athlete Triad. Pediatrics 2016;138(2). 
  • Podcasts and Videos
    1. Female Athlete Triad Discussion with American Medical Society of Sports Medicine (AMSSM) members Drs. Britt Marcussen, Scott Young, Elizabeth Joy, and Aurelia Nattiv.
    2. Dr. Gloria Cohen presents The Female Athlete Triad at the ONSF Medical Education Conference for medical professionals held at Greenwich Hospital on November 8, 2014
Interactive Learning Opportunities:
  • American Medical Society for Sports Medicine - interactive online cases
    • Hip Pain in a College Runner
    • Devastating Fracture In An Adolescent Runner: Nature Vs. Nurture?
  • Sports Medicine in the Pediatric Office: 2008 © American Academy of Pediatrics. Jordan D. Metzl MD, FAAP. Available for purchase ($) and includes a skills-focused 2-hour DVD.
Clinical and Community Settings:
  • Adolescent Clinic/Rotation
  • Eating disorder treatment center
  • Pediatric/
  • Adolescent gynecology
  • Sports medicine



Learning Objectives:
  1. Recognize symptoms of sports-related concussion in adolescents
  2. Describe second impact syndrome
  3. Explain the importance of return to play guidelines and practice their implementation
Readings and Videos:
Interactive Learning Opportunities
Materials to Develop Educational Sessions:
Clinical and Community Settings
  • Adolescent Clinic
  • Emergency Room Rotation
  • Neurology/ concussion clinic 
  • Continuity clinic
  • Sports medicine
  • College health
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