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2020 – 2021 Monthly Fellows Webinar Series
Leadership Lecture with James R. Andrews, MD: Hist ...
Leadership Lecture with James R. Andrews, MD: History of Sports Medicine and Success in Your Careers
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Good evening, and welcome to the Sports Medicine Fellows webinar series. My name is Dr. Jeff Dugas. I am the fellowship director at ASMI in Birmingham, and it is my honor and privilege to introduce not only my mentor, but my partner, Dr. James Andrews, for the leadership lecture. When we put this together, we wanted to do a few clinical lectures from leaders in the field, but we also wanted to do some leadership lectures, and I can think of no one better to invite than Dr. Andrews. As you can see, Dr. Andrews has been involved in lots of things. He hails from Homer, Louisiana, did his undergraduate degree at LSU, where he was a pole vaulter in the SEC, after which he did his residency at Tulane, and then fellowships in hand surgery with Dr. Frank McHugh, sports medicine and hand at Frank McHugh at UVA, and then in Lyon, did another hand fellowship before joining Jack Houston at the Houston Clinic. Many consider Dr. Andrews one of the fathers of sports medicine in this country and around the world, and certainly one of the pioneers of arthroscopy and techniques that we continue to use today, both arthroscopic and non-arthroscopic. He also has a heart for research and doing the right thing and finding answers. Dr. Andrews pioneers things like the STOP program, which is still a big part of AOSSM, as well as being president and chairman of multiple boards, including ASMI. So with that, I will say it is my honor and privilege to introduce my mentor and partner, Dr. James Andrews. Thanks for doing this, Dr. Andrews. Thank you, Jeff. It's indeed a pleasure to be able to speak to the current sports medicine fellows, and I thought that there would be nothing more important at this stage of your career and of the development in your fellowship programs to talk to you a little bit about the history of sports medicine and success in your careers. So the goals of this address is, as I discussed, the history of sports medicine. I want to stimulate you related to succession in your new sports medicine careers. And I want to also talk to you a little bit about why so many of our young athletes are getting hurt. What about the importance of sports medicine history? Well, it goes without saying as history dictates, if you don't know where you've been, you certainly don't know where you're going. So let's look back in time at the development of sports medicine and the team physician. Herodakis was the first team physician and the original father of sports medicine. He was a Thracian physician of the 5th century BC who rendered his fundamental theories on the use of therapeutic exercises for maintenance of health and treatment of disease. Reportedly, Hippocrates' father sent him to the Isle of Crete to study sports medicine from Herodakis. The big thing about Herodakis was that he was both a physician and an athletic trainer. There have been an abundance of sports medicine theories and practices since then, some good, some bad, with lots of inconsistencies. The one fact that has been consistent through history is that athletic competition does produce injuries, some of which are severe, career-ending, and even deadly. Modern medicine or modern sports medicine really began in 1890 at Harvard Medical School. At Harvard, significant injuries were recognized, and because of this, a program was instituted to educate players of the need for personal fitness, the use of proper gear, the need for treatment of all injuries, and most important probably was the importance of rehabilitation. Also at Harvard, team athletic trainers and therapists were provided and escalated in importance along with the team physician. Also at Harvard in 1957, their team physician, Dr. Quigley, was the real first team physician and who at the same time produced the Athletes' Bill of Rights. There's a Quigley Sports Medicine Society today of his former pupils. From the early 1940s and 50s, many scientific articles were published in the U.S. which began the scientific basis for sports medicine as we know it today. After World War II, a whole new arena of sports medicine arose with the coverage of athletic events on the sidelines. The leader in that coverage explosion was one Jack C. Houston, as you see on your right, who with his group of physicians, fortunately I was one of them, covered high school games on Friday night in Auburn University and other colleges on Saturday. In the 1950s, Don O'Donoghue became the father of modern sports medicine. He was the team physician for the University of Oklahoma, and his book entitled Treatment of Injuries to Athletes was and still considered the Bible for sports medicine physicians. He taught me one thing that I'll never forget when he said to me quite frequently when I would come off the podium as a young kid, quite frequently when I would come off the podium as a young sports medicine doctor, don't be the maker of the big statement. I hope you know what I mean by that. Also through the work of Jack C. Houston as chairman of the American Medical Association's Sports Medicine Committee, and later as chairman of the Academy Sports Medicine Committee, postgraduate education courses and research peer review articles became the standard. The development of the following establishment was a milestone in the formal development of sports medicine as an orthopedic subspecialty. That is the American Orthopedic Society of Sports Medicine, and it was born in 1972 at a meeting of the Academy in Washington, D.C. That means the inaugural was held in conjunction with the annual meeting of the Academy, and Don O'Donohue became its first president. Along with the establishment of the AOSSM in 1972 was a very important journal. It was called the Journal of Sports Medicine with Jack C. Houston, MD, as his initial editor. It later became the American Journal of Sports Medicine as you know it today. From the 1970s to present, there was an explosion in the academics of sports medicine. The arthroscope was the most important technical advancement in the last 40 years, thanks to the late, great Robert Jackson, MD, in 1964 when he brought the Watanabe arthroscope from Japan to North America. Because of this, modern ACL surgery and other acute and Because of this, modern ACL surgery and other acute and chronic ligamental surgeries were developed. Subsequent to this, another milestone was the establishment of the Arthroscopy Association of North America in 1981. In addition, the first sports medicine fellowships were established in the early 1970s. These fellowships were really apprenticeships, individually organized, had various lengths of training, and usually a one-on-one experience. By the way, still a one-on-one experience is not a bad way to learn. The leadership roles were also taken by other sports societies and their leaders to include the American College of Sports Medicine, the NATA, the sports section of the American Physical Therapy Association, the American Medical Society of Sports Medicine, and the Association of Strength and Conditioning Coaches. Noteworthy with leadership from all of these collaborative sports medicine groups, the modern sports medicine team was born. From there, the rest is modern sports medicine history. What about orthopedic sports medicine? Well, for a long time, it was hard to define it, so what is it? It's the care of the muscles, bones, and joints of athletically active individuals, and by the way, at any age. Whatever it is, though, it's a team effort, and sports medicine encompasses a number of medical disciplines, as you all will find out during your fellowship. It's just a short list of the modern sports medicine team. It starts with the sports doctor, the sports orthopedist, the athletic trainer is the glue, the sports therapist on down the list, including the sports dentist, sports chiropractor, massage therapist, podiatrist, nutritionist, sports psychologist, EMTs, bioengineers and biomechanists, and again, other paramedical personnel, so you can see how complicated it's become to be an orthopedic surgeon in charge of a sports medicine team. What about the priorities related to responsibilities of that team? Well, you got to remember the number one responsibility is to the player. Don't forget the parents, then to the team, the coaches, to management, ownership, agents, etc. This is probably one of the most important slides I can show y'all, the one that's coming up next. Remember, if mother ain't happy, nobody's happy. For most, sports medicine will become a passionate hobby, almost a full-time hobby if you do it right. Why do we do it? Because of community involvement and interest, because we enjoy it, and it's the right thing to do, and by the way, you're expected to do it voluntarily. What about the hallmarks of a good sports medicine physician? And I can certainly talk about Dr. Houston, who I did a year of my residency with and then spent 13 years with him, and here's what I learned. The hallmarks are number one is availability, number two is compassion, number three is gentleness, number four honesty, then communication, and a true love of being helpful to those who show good sportsmanship. This is what I called my Andrews patient philosophy. On your right there is a young Jim Andrews and my mentor Jack Houston, and believe me, if you wanted to operate with him, you had to get a second knife and elbow in there, but here's what we learned through the years. Actually, one of my former fellows sent this to me. It's called the Andrews patient philosophy, and number one is always be open-minded. Number two, do not be the first person to make the big statement. That I learned from Donna Donahue and Jack Nicklaus. The patient is always right, surrounded here by Charles Barkley and Bruce Smith, but sometimes you have to take control of the patient. That gentleman on your right is the world's strongest man, WWE Mark Henry, also known as Sexy Chocolate. Believe me, I wasn't about to hit him. And then make the patient feel he's treated properly by his previous physician, and I learned that from the great Lanny Johnson, who was really my mentor in arthroscopy. By the way, do not say anything bad about another physician, or for that matter, another person. The epitome of that was the great baseball catcher Gary Carter, and by the way, I learned this from And by the way, I learned this from Bo Jackson. Listen to the patient. Nobody would argue with Bo, I promise you. And one must always be able to read the patient. In today's electronic world, you've got to figure that out real quick. And you've got to figure out the personality and the motivation to be able to take care of them. This thing's not moving properly, by the way. And then the physician must be confident with his diagnosis and surgical skills. His confidence is reflected back and perceived by the patient. That's Cornelius Bennett, who played for the University of Alabama and was a linebacker for many years with the Buffalo Bills. Try to make every patient feel as though they're special. And on your right is Johnny Unitas and Pat Sullivan, who was the Heisman Trophy winner at Auburn, and his young son, Pat Jr., in our biomechanics lab. But don't compromise what you do best as a routine for an elite athlete or try to do something extra special beyond your norm. In other words, don't get fancy. What about some of the unique challenges that you'll face as a sports medicine physician when you have conflicting health care goals? I'll give you a case presentation to bring home that point. The star running back player is hurt, whether it's high school, college or pro. It's playoff time. Rapid rehabilitation may do it. Getting back at all costs. Pressure, pressure. New healing enhancement miracle drugs are exciting and hopefully spectacular. They're usually not scientifically proven to be helpful, though, and may even be harmful. Sensationalism for the player and to the public is a big problem nowadays. If severe enough, this urgent injury may require a surgical decision. That decision is complicated by what's best for the long haul and career versus what gets the player back quickest for the playoffs. For example, if he has a bucket handle tear of his medial meniscus. And you do him a week before the big championship series. Do you take out the bucket handle, tear the meniscus or do you repair it? Obviously, if you repair it, he's going to miss three or four months. So what do you do? That's a big and that decision is thrust upon you. The lesson to be learned in this case presentation, though, is the sports medicine team must inform the patient of his options and at all times inform him of what is best for his career over the long haul. The bottom line, though, is doing what's best for the player in the long run is usually also what's best for the team. In dealing with these challenging issues, the team physician and athletic trainer gets caught in the middle. The art is keeping both the player and the team happy. It's like playing both ends from the middle. Fortunately, in my career, my career doesn't depend on always winning, but but depends on what is best for the athlete orthopedically over the course of his career. Let's next go to. What drives our success, I want to talk to you a little bit about success in your careers. The big thing today and tomorrow, unfortunately, is that sports medicine has become a big business. And you have to understand that and be careful with that aspect of it. You should ask yourself, how do I judge success? For sure, your success should not be based on fame and fortune. Remember, fame is a fickle friend. I want to first point out from this book came from Germany right after World War Two, and it's called The Road to Serfdom. And it says a man does not and cannot know everything. And if he acts like he does, this disaster ultimately follows. So with that, I do speak with some authority and I feel qualified having grown up as a small town southern boy from Homer, Louisiana, to give you some advice on success based on down to earth common sense. So take a lesson. Success can be defined as a quest for excellence in your sports medicine careers. Webster's Dictionary defines excellent as a noun, extremely high quality. Perfection is not attainable, but if we chase perfection, we can catch excellence, according to Vince Lombardi. In other words, you control your own destiny. Excellence starts with getting a very clean picture of the end result you wish to achieve and relentlessly driving toward that goal every day. What about motivation and goal setting? As we further discuss success, you fellows must understand the basic ingredients of motivation and goal setting. By the way, motivate motivation is the inner desire that drives us to achieve. People who work without motivation, by the way, work in only about 50 percent of their capacity, 50 percent. Goal setting and motivation obviously go hand in hand. One of my own faults early on was not having my goals and priorities in order. It took me some time, and fortunately, with the help of my wife, Janelle, I finally got my priorities in order, which number one is my faith. Number two is my family. Believe it or not, number three is my profession. Think about that. What about your mentors? Well, I talked to you about several of mine. Don't forget the role your mentors have in your success. For example, if you look in the mirror and all you see is yourself and not the multiple mentors that made you who you are, then you're headed for failure. But believe me, you can't do it by yourself. Dealing with those about you, availability is number one and communication is the other key factor. In orthopedics, I've often suggested that the lack of availability and communication are the two major reasons for career failure. What does that mean? Number one, it means answer the telephone. What about positivity? That's also important. Living a positive life is powerful. Positive thoughts should have a five to one ratio, preferably a ten to one ratio over negative thoughts. As an orthopedic surgeon or as a doctor in general, it's easy to spend the whole day with negative thoughts. And you can't function with negative thoughts. Overriding all of your positive thoughts. What about humility? Humility is equally as important as positivity for a successful career. Humility allows you to be a listener and not a talker. It is the first step for greatness. This comes from General George Marshall, World War Two Army chief of staff and Nobel Peace Prize winner. And it's a very important message when he said a person is destined to do great things if he doesn't care who gets the credit. Now, I'm going to show you all next coming up the next slide, I'm going to show you what I've learned by listening to country and Western music. And there are a lot of good things to learn from country and Western music. And this one is one of the ones that I cherish and I'm going to play it for you. So y'all be ready here in a second. Don't forget the keys under the man. Childhood star shine. Always stay humble. Go to church. Mom says to visit grandpa every chance that you can. Won't be a waste of time. Always stay humble. Says don't forget to turn back around and help the next one in line. Always be humble and kind. Tim McGraw. Some great words there. What about a burning desire? Next on my list and the development of is a burning desire. In other words, don't be content. When I select fellows for our orthopedic sports medicine fellowship, one of the key ingredients I look for in our candidates is a burning desire, which overshadows all of their previous accomplishments. I would also recommend to you that you keep a journal or diary of all your successes. Be sure to write down your goals. Don't just thank them. You can't dream them either. You got to do them. What about compassion? Compassion is a necessary attribute to develop, particularly in the medical field is something we often forget about. Compassion is something you need to work on. I would recommend to you that in your practice, you develop the habit of giving something away free every work day. Something I learned from Lanny Johnson. By the way, let me tell you one other piece of advice. When you see a new patient, they're not interested in all of your accolades and your degrees on the wall and how many fellowships you've you've done and how smart you are. You'll turn them off if you try to impress them that way. But what do they want to know? They want to know. Do you show compassion for their problem? So compassion is something you need to work on. Something you need to convey to your patients. And they love that. What about appreciation? Appreciation is also extremely important in your career development and success. Appreciation for others that for what others do is the best motivator for those that work around you from the lowest to the highest levels. So remember to show appreciation on a daily daily basis at all levels. What about persistence? Persistence has its own legacy in your success. It can absolutely be the key that unlocks the door and defines your future. That means never give up. That's one of my favorite sayings. By the way, as I said earlier, there is no substitute for maximum effort. What about honesty? The next category that is so essential in the medical field is to be honest with high ethical standards. The Academy has published its principles of medical ethics and professionalism. It's pretty simple. The orthopedic profession exists for the primary purpose of caring for the patient. The physician patient relationship is the central focus of all ethical concerns. The orthopedic surgeon should be dedicated to providing competent medical service. And as I said earlier, with compassion and respect. What about medical economics? That's even more important in today's in today's environment. To be successful in orthopedics, you must also be successful in medical economics. But never let economics interfere with doing what's best in the medical care for the patient or the athlete. What about failure? Well, we all are going to experience failure almost on a daily basis. How do you handle failure if you're going to live a truly productive life? You have to forgive yourself and quit beating yourself up with the thoughts. I should have done that. I could have done better. Life is full of memories, some good, some bad. Remember the ones that made you happy and learn from the ones that made you sad. I have a saying that I've learned from Professor Triat, who I was with in France. He told me, Jimmy, the only results I ever remember are my bad ones. What about ego? The definition of ego is a person's sense of self-esteem or esteem or self-confidence. By the way, ego is ego is OK to have and also necessary to be successful. However, you have to be humble and honest and don't develop a false or elated ego. You certainly don't want to develop into an egomaniac. What about personal health? To conclude my list of key recommendations for your success. Last, but certainly not least, is a healthy lifestyle. As you know, the body is the most fascinating machine ever created. And you're not too young to begin to think about developing a healthy lifestyle and how it will affect you down the road. Remember, you're not bulletproof. It took me a long time to figure that one out. Believe me. Other keys to success along the way, I've learned to live by a few mottos and include be patient, but do it in a hurry. I had that on the front of my operating room doors for a number of years. Then I'm still listening and learning. Always be open minded. We makes us stronger. This is this is not an I world, but a we world. And Dr. Houston used to tell me, if you're green, you're growing. And if you're right, you're next to you know what? My advice to you is go to bed early and get up early. Make your orthopedic career your hobby. Remember that economics are important, but don't let it overwhelm your objectives to provide the best patient care possible. I would be remiss about our future unless I mentioned the importance of spirituality. Remember, there's a supreme being up there that has a guiding hand on us. We should honor him, give credit to him and thank him for our success as we move forward with hopefully a purpose driven life. Remember this. You never have to walk alone. As I wrap up this presentation on success, I want each of you fellows to consider incorporating into your future practices injury prevention, particularly in regards to youth sports. That's been one of my passions. Dr. Douglas mentioned that earlier in the introduction. So you sports injuries, why are young athletes getting hurt at an increased rate? Children have become more and more vulnerable in a five. It's actually a 15 billion dollar youth sports industry nowadays. There are some 30 to 45 million youth athletes in the US. Statistics show that sports is a leading cause of adolescent injury, adolescent injury, according to the CDC. What about the youth sports injury phenomenon with young athletes are specializing in sports and positions at an earlier and earlier age, with more than three point five million children under the age of 14 training annually for sports injuries. Immature bones and insufficient rest after injury for training and conditioning contribute to these overuse injuries. Overuse injuries account for at least half of all sports injuries in middle school and high school. Youth are particularly at risk. And this I'll demonstrate here. How this is happening and why this is happening in epidemic proportions. Number one is still improper technique, ill fitting equipment, training errors, coach, parental pressure. That's a bad one. They have early injury recognition. That means not having an athletic trainer in all public high schools. Shift to single sport specialization. And inherit musculoskeletal imbalance in the very young. These problems are magnified because, by the way, the younger the athlete, the more vulnerable they are to overuse injuries. Further about this injury phenomenon, too much, too fast, too soon is a problem. Previously uncommon youth sports injuries are now common. I call them adult sports injuries that we're seeing in 14 and 15 year old kids. At least 50 percent and maybe greater than 50 percent of all youth sports are secondary to overuse. There's been a five, by the way, there's been a five to tenfold increase in youth sports injuries since the year 2000. We've been tracking that in our institute at American Sports Medicine Institute. By the way, the two major causes of injury still are specialization and professionalism. You might ask me, what do I mean by professionalism? That means training young kids, adolescent kids as a professional athlete. That's too much training and can't tolerate that type of training at an early age. Parents and athletes feel the pressure to compete at all costs, by the way, and that's another problem. All these kids should experience what we call sports sampling. Let me just show you here about multi sports stars who became athletes first. Two hundred twenty two of the two hundred fifty three players selected in the 2017 NFL draft. That's the 2017 NFL draft played more than one sport in high school. In other words, they were sports samplers and they were athletes first. Here's another statistics. More than 90 percent of Super Bowl fifty three players were multi sport athletes. In other words, 90 percent of the one hundred six players in the Super Bowl were multi sports athletes. By the way, a big example of that was Tom Brady, who played football, basketball and baseball in high school. What about some of the prevention studies in baseball, both at ASMI in Birmingham and at the Injuries Research and Education Foundation in Pensacola? We have worked closely with USA Baseball and the International Little League Association to help prevent injuries in youth baseball, along with a number of other foundations and individuals. These are just a few of the ASMI studies that we published in Peer Review Journal, the American Journal of Sports Medicine. I won't go into these in detail, but what they tried to do was to discuss the risk factors of shoulder and elbow injuries in adolescent baseball pitchers. And the take home message in that and those ASMI studies show that if a young pitcher throw with fatigue, he has a thirty six to one times risk of injury. In other words, if he throws with fatigue, he's got a three thousand six hundred percent increase chance of injuring his throwing shoulder or elbow. We thought surely that would get the attention of parents and coaches. From these studies, though, USA Medical Baseball Medical and Safety Advisory Committee made the following recommendations and position statements in regards to youth baseball pitching injuries. And here are the guidelines that started way back in 2004. Number one, pitch count chart, pitches per game, season and year should be kept, particularly for ages nine to 14. Discourage breaking pitches, multiple league showcases, by the way, showcases are terrible. I call them show out cases. And then the other big thing is year round baseball. Encourage good mechanics and good conditioning. And from these studies and recommendations, the Little League International adopted the first youth baseball pitch count rules. Since then, many other youth baseball organizations and the National High School Athletic Association have followed suit. By the way, Jeff Douglas did a lot to get the laws passed nationally and High School Athletic Association for pitch counts. Jeff, I appreciate the work you've done on that. In addition, Major League Baseball, by the way, has also developed a comprehensive preventative youth baseball program entitled the Pitch Smart Program. That's in conjunction with USA Baseball. Y'all can look that up on www.mlb.com slash pitch smart and get more information about it. The Pitch Smart Program through Major League Baseball and USA Baseball have recognized the amateur professional organizations that have fully adopted the Pitch Smart compliance program guidelines for the year 2019 and now 2020. This group includes 28 national and regional organizations that have recognized the Pitch Smart Program and have followed through with full compliance because of Major League Baseball's investment in this particular program. This involves incorporation of Pitch Smart guidelines pertaining to pitch counts, rest periods and other Pitch Smart educational efforts. Here's the opposite problem, by the way. I bet you don't know this. 70% of kids participating in sports drop out by the age of 13. 70% associated with specialization and professionalism and pressure from coaches and parents. These children lose the benefits of exercise, teamwork and healthy competition. That's a shame. What about the prevention of youth sports injury? Well, we all agree the time is right to make a major impact in prevention. And I hope I've emphasized that enough to you young sports medicine fellows. By the way, it's our responsibility to get involved, all of us. Not an easy task. How do we move forward? Well, here's one way we've done it. It's one of my latest projects, not latest, but it's been about 10 years now, which is related to prevention. It's called the STOP Program, and you can look that up on www.stopsportsinjuries.org. It stands for Sports Trauma and Overuse Prevention, the STOP Program. In 2010, when I was president of the American Orthopedic Society of Sports Medicine, we initiated this STOP Program to prevent injuries in youth sports. That STOP is an acronym that stands for Sports Trauma and Overuse Prevention in Youth Sports. And under the leadership of the Sports Medicine Society, this program has been developed as a comprehensive public outreach program, focusing on the importance of sports safety, specifically as it relates to overuse and trauma injuries. It focuses on injury reduction, highlighting how playing safe and without overuse can increase a young athlete's career, improve teamwork, increase fitness, reduce obesity, and create a lifelong love of exercise and healthy activity. For the implementation of this program, we lean heavily on the sports medicine orthopedic sports medicine specialists, including physical therapists and athletic trainers and you young fellows. In other words, this initiative will not be successful as an I situation, but as a WE program to include the cooperation of all the major organizations involved in youth sports. These are some of our collaborative partners and AOSSM welcomes the collaboration and support of other organizations. And we've established a common set of parameters and expectations to ensure consistency in the recognition and contributions of its partners. Today, the collaborative partners now number over 1100, 1100, 1100. These are just some of the collaborative partners early on. The Academy, Academy of Pediatrics, NATA, APTA, American Medical, Safe Kids USA. One of the big clinics initially to join us was the Cleveland Clinic. Now we have, as I said, over 1100 collaborative partners. What about the summary of the stop campaign? Yes, there's a tremendous need for prevention of injuries in youth sports. Our country's socioeconomic structure in some ways is dependent on it. And education and research and prevention is the key to these goals. By the way, our goal is to keep our young athletes out of the operating room and on the playing field. There's one other problem out there that I wanted to just mention briefly, and that's. Accreditation for youth coaches. There's a need for accreditation for all youth coaches on prevention and recognition. What can be done? Well, we started the Coach Safely Act in the state of Alabama, and we've been successful in mandating this accreditation for youth coaches. The state legislature passed a law in April of 2018 mandating that all paid and unpaid youth coaches. By the way, they're mostly volunteers and mostly daddies, uncles or whoever. But they have to pass a two hour free Internet course on prevention and recognition before they can coach. They have to take a yearly new new exam to coach the next year. By the way, this curriculum for this course was provided by our Andrew Sports Foundation. What about the joy of sports medicine, as I conclude? Well, don't let anybody tell you that winning is not important. Jeff Douglas can tell you as well as me. Winning cures everything. And by the way, I've had the privilege of developing a relationship with my patients and I and I've enjoyed their continued says way after their professional or college or high school careers. So keep up with your with your patients. Follow them throughout your career and their careers and enjoy their success. That's really the joy of sports medicine. By the way, I've often been asked about the best advice I've ever been given for my sports medicine career. Believe it or not, it came from my wife, Janelle. When she said, remember. This is I hear this almost daily, by the way, if you're still talking about what you did yesterday, you're not doing much today. Thank you for reminding. I'm sure I'll hear about that when I get home tonight. Most important, by the way, never underestimate the value of the supportive role that your spouse makes in your life and in your career. Believe me, it's a journey for both of you. In conclusion, as you establish your sports medicine careers, you self analysis and self criticism to guide you. You don't need to have somebody else telling you what you did wrong or what you should do. You should be able to figure that out yourself. In other words, be tempered by nature, nature and be patient. Remember that the hardest thing to accomplish after success is what? Maintaining success. Think about some of the most successful people in all the different professions that you can imagine and how they fell off the end of the of the of the earth, made mistakes that run their careers after they were very successful. That's happened to professional athletes. It's happened to all walks of life. So the hardest thing to accomplish after success is maintaining success. I'll close with something from a movie that I've seen a bunch of times in regards to achieving success in your careers. Remember what Captain John Miller said in Saving Private Ryan. When he said, earn it. In other words, to be successful, you've got to earn it yourself. Also, remember what Yogi Berra said. And I put this in there, particularly for you young fellows. It says, if you get to a fork in the road, take it. In other words, have fun along the way. You'll find out in some surgical procedures, you get halfway into the surgical procedure and you sort of sitting there at the fork of the road. You don't know which way to go. You can't just sit there. Even in surgery, sometimes you just have to take it and hope you took it the right way. So, by the way, as I finish this, thank you for allowing me to present this information to you. And good luck in your future careers. Thank you all very much for this opportunity tonight. And with that, I'll turn it back over to you, Jeff. Thank you, Dr. Andrews, and thank you for a great talk. I chose you for a leadership lecture for a reason. You're one of the best leaders I've ever encountered. And I've encountered some good ones. So, as always, I appreciate your leadership and your guidance. If there are questions from the fellows, please ask them through this portal. I'll start off with what next? What's next for you? What's next for the leadership of AOSSM? And where do we go from here as a society? We're in this COVID time. We're doing virtual meetings. How do we move on from here and keep getting better amid all that's going on? What's your plan, and how do we keep getting better? Well, number one, understand where you've come from, like I said in the first part of this lecture. Number two, don't forget your mentors. If you think you're doing it by yourself, you're not going to be very successful. And number three, it's time for us old farts, and I'm sorry to use that terminology, to get out of your way and turn it over to you younger guys, to turn it over to the youth like you, Jeff, to turn it over to these young fellows, and for us maybe just to give you some guidance and direction, but to not dominate the sports medicine society. It's your deal now, and so we anticipate that it will be in the best hands ever, and all I see is good things coming to the sports medicine society and to the sports medicine in general, particularly in regards to education and research. So again, good luck. It's all yours. Yeah. Tracy would disagree with you on the youthful part of that. I was being good to you. Yeah, I know. I appreciate that. They didn't tell the fellows. Once a fellow, always a fellow, okay? That's right. I know how important you think this is because you instilled it in me, but how important is it for these guys to get involved? I know people think when they're young and they're just finishing up that there's not really an opportunity to get involved in something as big as the sports medicine society, but I've said it when we talk to our fellows, and I know you've said it, how important do you think it is to get involved early and just make yourself available to the society? When I discussed the importance of the American Orthopedic Society of Sports Medicine, I really wanted to tell them how important it was for them to become fellow applicants. They can join right now as a fellow, and they have a straight line course in getting into the sports medicine society while they're fellows. If they wait until they get into practice two or three years, get their feet on the ground, decide they want to be a member of the Orthopedic Society of Sports Medicine, it's much harder to get in. So now's the time for all of you fellows. I think we've got close to 200 of them out there listening tonight. Now's the time for you to apply online and become a, I don't know what they call it, a junior fellowship or whatever. But you can join and then you'll be brought along all the way up to senior status and you can get involved with the sports medicine society. You need to start off getting involved at low, low levels and work your way up. And who knows, one of you out there tonight could very well become, at some point in time in your career, the president of this society. But start early on, start building your CV along with the society while you're fellows. Jeff, maybe you could tell them a little bit more about how they do that. Well, you know, all of you out there have a free membership to AOSSM that's provided by one of the braids companies. OSER provides the funding for you all to be members right now. So you all get a candidate membership with all the benefits that comes with. All you have to do is ask for it. If you'll call the office and request it, it'll be funded for you. You don't have to pay for it. But I would say that as Dr. Andrews instilled in me, you know, being involved with AOSSM has been one of the most rewarding parts of my career, one of the most fulfilling parts of my career. And like Dr. Andrews said, you have to pass it on. He instilled that in us and Lyle and I, and we continue to do that. And it's important for us to do that to you. You need to pass it on. And you only get to do that if you get involved early. So I would say get involved now. Absolutely. Dr. Andrews, we've talked a lot about biologics over the last few years. I know that's something that you've been very involved in. You were pioneering that when we set up, you know, all the biologic stuff we do and down in Pensacola. It continues to be kind of the frontier of what we're doing in sports medicine. I think my career will come and go before we solve a lot of those things. But it's pretty impressive what we've done already and the stuff that comes out. Where do you think we are? If you had to say on a football field, there's 100 yards on the football field. What yard line are we on in the biologics world? We're still on our end of the field somewhere. Let me let me just say that. I mentioned this in my presentation that the arthroscope was the number one advancement we've had in the last 50 years. The biggest revelation in sports medicine. And I've said many times that the new and the next revelation in sports medicine is going to be the biologics. I'm no expert in biologics. I'm just somebody that an advocate for the biologics. But we're at the if you take an iceberg, you know what? What percentage of an iceberg is above the water level? What, 10 percent? That's about where we are right now. We've got another 90 percent probably below surface that we're trying to learn about. But it's the next and is right now the newest, biggest revelation in sports medicine. And I would that's a big statement, by the way. But I'll stand by that one big statement. I told the fellows, don't be the maker of the big statement. They can come back and haunt you, but I'll take that one and I'll make that one for you. And if it comes back to haunt me, so be it. If you think I don't remember all of the rules of the House of Andrews, you're wrong. I remember them all. Don't be the one to make the big statement. I remember Dr. Andrews. I can't thank you enough for doing this. As always, I appreciate you. And I know all these guys do, too. Your leadership and what you mean to this society and all of us in sports medicine. You're a great example for all of us. And I appreciate you. So please tell Janelle, I thank you for giving us an hour. And with that, I think we'll sign it off. Meredith, do you have anything else for us? The only thing to add is Dr. Andrews, thank you so much for your time and preparation. I know that the fellows really enjoyed your presentation and also just the kickoff to our webinar series for this year. Our next one will take place on Tuesday, October 13th, same time, 830 Eastern Time. And thank you all for participating. And we'll see you next month. Can I listen in? Yes, I'll sign you up, Dr. Andrews. We're still listening and learning. That's my last statement. Thank you all. Thank you.
Video Summary
Dr. James Andrews, a pioneer in the field of sports medicine, delivered a lecture on the history of sports medicine and the importance of leadership in the field. He emphasized the need for sports medicine practitioners to have a strong understanding of the history of the field in order to guide its future development. Dr. Andrews highlighted the role of mentors and the importance of collaboration in achieving success in sports medicine. He also discussed the increasing rate of youth sports injuries and shared his work in injury prevention, including the creation of the STOP Program. Dr. Andrews emphasized the importance of youth sports injury prevention and called for accreditation of youth coaches to improve safety. He also discussed the advancements and potential of biologics in sports medicine. Dr. Andrews encouraged the fellows to get involved in the American Orthopedic Society for Sports Medicine (AOSSM) and to start building their CVs early in their careers. He concluded by highlighting the importance of perseverance, humility, compassion, and honesty in achieving success in sports medicine.
Asset Subtitle
September 8, 2020
Keywords
Dr. James Andrews
sports medicine
history of sports medicine
leadership in sports medicine
youth sports injuries
injury prevention
STOP Program
biologics in sports medicine
American Orthopedic Society for Sports Medicine
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