UCSF Mini-Medical School Presents “Medicine of Cycling” Series for the Public Feb-Apr 2013 #cme #medschool

Posted on December 21, 2012 by mabramson

Thursday evenings, February 28 – April 4 2013

7:00 to 8:45 p.m., Mission Bay Campus, 600 16th Street

Cycling is a unique sport shared by kids and adults, used for recreation and transportation, and enjoyed by people of many fitness and ability levels. Kids, bike racers and commuters alike share the joy of adventure, speed, and accessibility the bike provides. All cyclists also share the pain of falling off the bike, overuse injuries, fear associated with injury, and other medical consequences that
result from exposure to the elements. This course, led by a multidisciplinary team of experts and cyclists in fields of neurology, psychology, urology, dermatology, nutrition, bike fit, and sports medicine, will cover a wide range of topics which affect every cyclist. Join us and the cycling community to discuss the ups and the downs of living and loving the bike.

Course chair:
Anna Abramson, MD, Assistant Clinical Professor of Medicine; Co-Chair, Medicine of Cycling
Kristin Wingfield, MD, CCFP, Diploma Sports Medicine (CASEM)


More Information, speakers and syllabus @ UCSF

Registration @ UCSF Continuing Medical Education


Nutrition, Facial Injuries, Lower Extremity Conditions in Cycling, and the Female Cyclist headline Day 3 of the 2012 Medicine of Cycling Conference

Posted on August 27, 2012 by mabramson

COLORADO SPRINGS, Colo. (August 26, 2012) Hip injury, sweat rate, cardiac screening, disordered eating, and dental care were just a few of the topics discussed today at the third annual Medicine of Cycling Conference. Medical experts presented a range of diverse topics from their respective fields and, casting the cyclist-as-patient into the spotlight, each presentation exposed medical issues specific to cyclists.

With the help of modern technology, Mark Greve, MD, medical director of Team Type 1, started the day with a check-in from the USA Pro Challenge. He discussed what it's like to be a team physician for a team in a major race. While this year's race was largely uneventful from a team physician perspective, Dr. Greve discussed his medical kit, how often he gets to ride his bike during events (rarely, if ever), and how he manages the language barrier with TT1 athletes from around the world.

Claudette Lajam, MD of New York University Langone Medical Center started off the day with her presentation on Lower Extremity Conditions in Cycling. Dr. Lajam highlighted IT Band Syndrome, hip dysfunction, labral tears, arthritis, and hip arthroplasty, as well as hip impingement and knee problems that affect all ages of the cycling population.

Next up Monique Ryan MS, RD, CSSD, LDN, HFS, brought her decades of experience working with endurance athletes to bear in her talk on Nutrition Strategies Designed for the High Performance Cyclist. In her presentation, Ryan detailed optimal foods for after, during, and before training, plus emphasized the need to jumpstart recovery immediately post training and racing. To support her topic, Ryan cited many studies and literature that examined carbohydrate absorption rates and sweat rates in cyclists to determine optimum intakes of carbohydrates and fluids when training and racing.

Michael Giudici, MD continued with his presentation on Pre-participation Cardiovascular Screening for Competitive Athletes. His talk examined the answer to the question, "What are the causes of sudden death in young competitive athletes, and what can we do to identify them?" and named myocarditis, coronary artery anomalies, and heat stroke effect on the heart as some of the threats to competitive athletes. He concluded with current American Heart Association recommendations for pre-participation cardiovascular screening of competitive athletes.

Gloria Cohen, MD finished off the morning sessions with The Female Cyclist, where she discussed The Female Athlete Triad: Eating Disorders, Amenorrhea and Osteoporosis. In addition, Dr. Cohen pointed out to participants that estimates of disordered eating are unknown, they vary from 4-39 percent; it is still a widely under-reported condition.

The afternoon sessions began with conference organizer, Anna Abramson, MD, announcing the results of a survey-based study of team physicians, team owners and team captains.

Paul Abramson, MD, gave a talk on Integrative Medicine and Cycling, which was followed by a presentation on Evaluation and Field Management of Traumatic Facial Injuries.  Aaron Liddell, MD DMD and John Tannyhill MD DDS drew attention to the many headlines in the cycling media about serious facial crashes in the pro peloton, including facial/head lacerations and mid-face trauma, both of which are some of the hardest things to fix. They also emphasized the importance of dental care, citing a couple top pro racers who were out for a significant portion of season due to wisdom tooth infections.

Margarita Sevilla, MD offered advice on how to prevent deaths in triathlon during her presentation on Triathlon Medicine. Preparedness and education are key, according to Dr. Sevilla. She also added general tips on how to prevent injury, such as core strengthing, proper bike fit, treadmill analysis, incorporating rest, and cross training.

The third annual Medicine of Cycling Conference concluded with a presentation by Matthew Fedoruk, PhD, Science Director of the US Anti-Doping Agency, whose talk on Cycling and Anti-Doping: A Health Professional's Perspective detailed educational efforts to explain the health ramifications of doping in cycling. To help conference participants become better informed, Fedoruk offered attendees many resources for medical practitioners, athletes, and coaches, as well as websites, phone numbers.

Dates for the fourth annual Medicine of Cycling Conference will be forthcoming, please check the website for more information.

Team Type 1 Medical Director Mark Greve, MD Checks in via Skype from USA Pro Cycling Challenge

Posted on August 26, 2012 by mabramson

With the marvel of modern technology, Mark Greve, MD, medical director of TT1, checked in with the Medicine of Cycling Conference via Skype to discuss what it's like to be a team physician for a major race. While this year's event was largely uneventful from a team doc perspective, Dr. Greve discussed his medical kit, how often he gets to ride during events (he doesn't), and how he manages the language barrier with the TT1 athletes from all over the world.

Thanks to Dr. Greve for a fantastic session!

Concussion in cycling, skin care, legal issues, bike fit and research at Medicine of Cycling Conference 2012

Posted on August 25, 2012 by mabramson

COLORADO SPRINGS, Colo. (August 25, 2012) Post-crash management during a bike race can make the difference between retiring from the race and continuing under potentially life-threatening circumstances. A cyclist with a concussion may keep on racing for the sake of his team, sponsors, and sometimes, his paycheck. The lively topic of concussions in cycling started off Day 2 of the third annual Medicine of Cycling Conference, where attendees learned how to determine if an athlete has suffered a concussion and what are the current tools and different methods to diagnose a potentially concussed athlete. Neurologist Jeffrey Kutcher, MD and researcher Steven Broglio PhD of the University of Michigan Neurosport presented the latest findings from the fast-moving field of research of brain injury.

The attendees were also reminded about life-threatening issues that may be elevated in cyclists through improper skin care. Timothy Berger, MD, a professor of clinical dermatology at UCSF, presented some of the most important skin-related issues facing cycling: sun exposure and protection, road rash, saddle sores, skin cancer and poison oak/poison ivy.

"The sessions so far have been great, and I was particularly impressed with the dermatology lecture," said Rozanne Puleo, a family nurse practitioner and registered clinical exercise physiologist from Boston. "The skin is our largest organ, and one frequently impacted by the sport of cycling, but because it is seemingly non life-threatening, it gets under-emphasized in sports medicine circles. But today's talk reminded us of the great risk our cyclists face in terms of skin cancer, and also provided practical tips for prevention that can apply to every cyclist in every discipline."

Stephen Hess Esq. addressed the legal ramifications of practicing telemedicine, which he defined as any audio/video/data communication that occurs in the physician's presence with the patient. From a legal standpoint, Hess explained that the "practice of medicine" varies from state to state and advised attendees to check the law before traveling.

The afternoon set the stage for the controversial topic of bike fit, in which Curtis Cramblett, PT delivered an overview of bicycle fitting tools, technologies, theory, and practice. The fact that bike fitting is not yet a licensed profession has created a legion of self-described bike fit experts and unvalidated theories on "proper bike fit." To address this, the newly-formed Medicine of Cycling Bike Fit Task Force commenced panel discussions in order to build some consensus on this topic of great importance. The task force and panelists include some of the foremost experts on bicycle fitting from the diverse stakeholder groups of the bicycle industry, physical therapy, bicycle retailers and physicians.

The conference continues tomorrow at 8 a.m. (MST) with presentations on lower extremity conditions in cycling, nutrition for high performing cyclists, cardiovascular screening, the female cyclist, triathlon medicine, and cycling and doping. For more information, visit https://medicineofcycling.com/syllabus-for-2012-medicine-of-cycling-cme-conference/

Medicine of Cycling Conference and Hands-on Bike Race EMT Medical Training Kicks off Friday

Posted on August 21, 2012 by mabramson

The 3rd annual Medicine of Cycling conference and Medical Emergencies in Cycling Course (MECC) kicks off this week! The education begins on Friday morning at the US Olympic Training Center for the sold-out MECC course chaired by Jamie Watkins, MD and Aaron Goldberg, MD. MECC features At the conclusion of MECC, we convene on downtown Colorado Springs, CO for the finish of the 5th stage of the USA Pro Cycling Challenge. Then it is back to US Olympic Training Center for an evening welcome reception hosted by USA Cycling's CEO, Steve Johnson, PhD.

Saturday morning marks the beginning of the Medicine of Cycling Conference Continuing Medical Education (CME) event chaired by Anna Abramson, MD; Mark Abramson and Jamie Watkins, MD. With presenters across a wide range of topics, the conference is a unique educational opportunity for medical practitioners with an interest on cycling. After Saturday's sessions, we take to the streets for a scenic and hilly ride through Colorado Springs' finest terrain including the iconic Garden of the Gods. Saturday evening brings us to another epic feast at the spectacular Marigold Cafe & Bakery, a French bistro run by chef Dominique Chavanon.

Sunday's conference sessions begin with a check-in with Mark Greve, MD, a team doc traveling with the USA Pro Cycling Challenge.  Sunday's sessions include lower extremities, nutrition, cardiovascular screening, integrative medicine, facial trauma, triathlon medicine and anti-doping.

Last-minute registration is still available on UCSF's Office of CME website: https://www.cme.ucsf.edu/cme/CourseDetail.aspx?coursenumber=MMJ13002

Medicine of Cycling Conference in Three weeks

Posted on August 3, 2012 by hwoodhull

Third annual Medicine of Cycling Conference
August 24-26, 2012
The US Olympic Training Center
Colorado Springs, CO

Friday, August 24
Medical Emergencies in Cycling Course – Hands-on training for real life cycling emergencies - CURRENTLY FULL
US Pro Challenge Stage 5 Finish Colorado Springs
Welcome Reception - US Olympic Training Center Rotunda - Hall of Fame

Saturday, August 25
Clinical Evaluation of the Concussed Cyclist - Jeffrey Kutcher, MD is an Associate Professor in the Department of Neurology at the University of Michigan and the Director of Michigan NeuroSport.   He is the team neurologist for University of Michigan athletics, a consultant to the NHLPA, and was recently named Director of the new concussion management policy in the NBA.
Concussion Assessment Tools: Evidence for Use  - Steven Broglio, PHD, ATC is an Assistant Professor in the School of Kinesiology and NeuroSport Researcher at the University of Michigan.  He is currently chairing the upcoming Position Statement on concussion management from the National Athletic Trainers Association.
Legal Issues for Physicians caring for Cyclists - Stephen Hess, JD is an attorney with Sherman and Howard in Colorado Springs, CO.  He has represented athletes and National Governing Bodies in competition disputes.
Dermatology for the Cyclist - Timothy Berger, MD is a Professor of Clinical Dermatology at UCSF as well as the Executive Vice-Chair, Chief of Clinics, the Endowed Chair in Dermatology Medical Student Education.
Exercise Physiology in the Office - Michael Ross, MD runs the Performance Lab in Philadelphia, a sports medicine and exercise testing facility.  He has been a team physician for numerous professional cycling teams.
Bike Fit Panel  - Moderators: Michael Ross, MD and Curtis Cramblett, PT Head of Medicine of Cycling Bike Fit Task Force
Group Ride – Tour the legendary Garden of the Gods on a bicycle.
Dinner - Get to know speakers and fellow attendees over French cuisine at Marigold Café.

Sunday, August 26
Lower Extremity Conditions in Cycling - Claudette Lajam MD is an Assistant Professor of Orthopedic Surgery at NYU Langone Medical Center.  She is a volunteer physician for the Century Road Club Association and other New York City bicycling groups.
Integrative Medicine and Cycling - Paul Abramson, MD is a physician in private practice and founder of My Doctor Medical Group, Clinical Faculty at UCSF School of Medicine
Preparticipation Cardiovascular Screening for Competitive Athletes - Michael C. Giudici, MD, FACC, FACP, FHRS is a member of the Genesis Heart Institute and specializes in Electrophysiology.
The Female Cyclist - Gloria Cohen, MD, FACSM, Dip Sport Med (CASEM) works with Orthopaedic and Neurosurgery Specialists in Greenwich, CT and is the Primary Care Sports Medicine Team Physician at Columbia University.  She was the former Team Physician for the Canadian National and Olympic Cycling Teams.
Evaluation and Field Management of Traumatic Facial Injuries - Aaron Liddell, MD, DMD and John Tannyhill, MD, DDS specialize in facial trauma and reconstruction.
Nutrition Strategies Designed for the High Performance Cyclist - Monique Ryan, MS, RD, CSSD, LDN, HFS is the owner of Personal Nutrition Designs in Chicago.  She has over 25 year of sports nutrition experience working with endurance athletes.
Cycling and Anti-Doping: A Health Professional’s Perspective - Matthew Fedoruk, PHD is theScience Director US Anti-Doping Agency.

Curtis Cramblett, PT CFMT, CSCS, Cycling Coach to host Bike Fit Panel at 2012 Medicine of Cycling CME Conference

Posted on July 2, 2012 by hwoodhull

Curtis Cramblett, PT, CFMT, CSCS, Cycling Coach

Curtis Cramblett, PT, CFMT, CSCS, Cycling Coach is has been a practicing physical therapist for over 20 years, cycling sports medicine 15 years and cycling and racing in the amature ranks his whole life.  He has worked with teams including Garmin Cervello and Tibco and many Olympic and world class athletes as their PT, professional bike fitter and coach.  He is located in San Jose California and is passionate about cycling efficiency and health.

Aaron Goldberg, MD to present at 2012 Medicine of Cycling CME Conference MECC

Posted on June 26, 2012 by hwoodhull

Aaron Goldberg MD

Dr. Goldberg is an Emergency Medicine Physician in Milwaukee WI. He is the director for Emergency Medicine resident education at St Lukes Medical Center. He is the team physician for IS Corp Cycling as well the My Wife Inc Cyclocross Team. His interests include management of acute injuries as well as cyclocross injuries.

Stephen Hess, ESQ. to present at 2012 Medicine of Cycling CME Conference

Posted on June 26, 2012 by hwoodhull

Stephen Hess, ESQ.

Mr. Hess is a sports and Olympic law expert with Sherman & Howard, LLC. He has represented dozens of Olympic athletes and hopefuls in disputes involving participation in Olympics and other actions involving National Governing Bodies of many sports. Mr. Hess also serves as the Chair of the Court of Arbitration for the International Bobsled and Skeleton Federation.

Happy Freedman to present at 2012 Medicine of Cycling CME Conference

Posted on June 26, 2012 by hwoodhull

Happy Freedman

Happy Freedman is a cycling coach with over 30 years of experience, most recently, as the Columbia University D1 Cycling Team. Mr. Freedman has consulted with health care practitioners from many New York hospitals including the Hospital for Special Surgery, where he works as clinical coordinator for the Positano Foot Center.