It's an honor to be on stage with a lot of other very wise sports medicine docs. And I think you'll see a lot of synergies in the advice we are giving here in terms of each of our collective experiences. So Dr. Sethi was just talking about the P's and I think that unbeknownst to each other, I think we have similar thoughts in terms of using the P's of how we think about being a team physician or being successful in our practices. And I really broke it down into the people that you interact with, your partnerships, and then the passion of wanting to be a sports medicine physician. And I'm coming at this talk really as a way of how are you truly a team physician in your practice? And my approach to this is not that it's an add-on that you do all of your orthopedic stuff and you run and duck in and cover games and then go home where it's just an add-on to your practice. For me, it's really, it is my practice of how you really adapt this to your lifestyle, that your team care of practicing medicine with your feet in the grass really flows into you practicing medicine in the operating room and in the OR. And from my experience coming out of fellowship early on, had the opportunity to serve as the head team physician for the Cleveland Browns. So in 2014, I was named their head team physician. I thought this was great. And then you see the wire on ESPN and there's a big sinking feeling in your stomach of this responsibility. Less than 40 years old and responsible for a football team and had to take all of the experience we'd had in the past to try to move that forward. And then now here, nearly 10 years later, have a great relationship with some current Hall of Famers or soon to be inducted Hall of Famer and hopefully future Hall of Famer. So it's been a really nice experience from that standpoint. I think we'll all talk a lot about bringing your personal values to this or bringing your passion to this and my father passed away at a young age when I was in medical school, but was a smart guy and a high school athlete and really had a lot of things that he impressed upon us. And one was good physical fitness, a good mental attitude and high spiritual values, have a wonderful family, have great in-laws, had a really a great support network that we give our support to. But from a medical aspect, it is really one of those of seeking mentors. And this is not a passive process of hoping someone comes to you. It's you really wanna seek out people that you wanna emulate and teach you how to be a sports medicine physician. And for me, it was very fortunate to work with Joe Hannafin at HSS and Ronnie Barnes, the trainer for the Giants and then Russ Warren, who many of us have had a chance to work with, as well as some great partners in practice. And this really is a team sport, no pun intended. It's building a team and surrounding yourself with partners. I think you heard Winston say that as well at UVA of finding people that you can really trust and you're gonna be in very stressful situations with them. And that now includes our trainer, Joe Sheehan with the Cleveland Browns. You really have to initiate those personal relationships with in terms of people that you can trust in stressful situations. So I quickly wanted to hit where I started in a very competitive environment, which many of us live in. Again, Dr. Sethi talked about that as well. A lot of the schools already had docs and the teams already had somebody that was affiliated with them. So we were the Browns doc. I was coming new into town. So instead we went to all the clubs and youth organizations and the ballet and the playhouse. And that was my diving into the community is making myself available to a different group instead of just the schools. We developed a program, did a lot of community events and then ultimately had the opportunity to show what we were made of and jump into the schools. And when we arrived in Cleveland, we had four high schools in our system. We put together a set program where we really addressed the needs of our community. And now we have over 70 schools. And so this really is a part of our practice where on Friday nights, I'm at a high school game, on Saturday nights, I'm at a college game, and on Sunday, I'm with the Browns. And again, it is my practice. This isn't just an add-on. This is a really a part where Dr. Arciero has used the term in the past, you wanna blend into the paint of your organization. And that doesn't mean to be invisible. I mean, you don't wanna be the prominent thing. Nobody wants to see the doc, but blending into the paint means you become part of the fabric of the community. You get to know the team, you get to know the coaches. You go shake the principal's hand at the game. You go say hi to the ambulance guys. You walk in the stands and go say hi to all the parents during the games. And it makes a big difference in terms of growing into those high school programs. So if anybody would like to talk about it offline, we'll be happy to talk to you about our playbook of really how we have integrated into our community and used all of our hospital resources behind us to help each of those teams have all the resources they need in their community in terms of, in addition to connecting them with their pediatricians and cardiologists and mental health professionals. From an academic side, and here at AOSSM it's very important for us to be involved academically, having all of these teams, having 70 high schools, all of these schools, we now have an EMR that we utilize. We use Healthy Roster. So we have all of the data. Every single time a kid walks into the training room that's now created what we've termed a living lab, that now we don't just provide their care. Now we can, if we're doing a new concussion program, if we're using a new helmet, we're gonna use the Guardian helmets at one school and we can assess it with another school that doesn't. We've really been able to advance this academically and produce a lot of papers that have helped our community, not just in pure sports medicine, but also in training room hygiene, infection reduction, assessing emergency action plans, helping teams pick which turf they're going to pick. So you can really be a value add to your community. Again, this isn't just you pop into the game and leave, you really wanna be part of it. That has fortunately led to us having those programs and having that integration into the community, having our donors and healthcare system that are willing to invest in sports medicine facilities that allow you to further advance the level of care and make your lifestyle even easier. And again, we've been able to take this from both the NFL level, all of the resources at the NFL, and translate them down to our schools. And that recognition from the professional aspect has been a megaphone for us to be able to help all of our youth athletes. And again, taking surgical protocols or post-operative protocols that have been successful with our pro athletes and translating them down to our youth sports. I wanted to end here with this really is a people game. And I think you've heard all of the speakers up here say it. Again, you don't just wanna duck in and out of your team care. There's no job too small. This really is a people business. You've got to get to know your athletes. You don't wanna force yourself into this. This is really something you need to love to do. And for me, this is my hobby. My kids come to the game with us. We've got a great support network on Sundays, but one o'clock is every Browns game. At 1245, I text my family every game. I love my home team. You got to have your whole team as part of this year with you. My kids come to the game. My son and daughter come to a lot of the Friday night football games. So make this a team effort here with your family. And then as part of that, ultimately you can inspire medical students and residents to wanna be part of the sports medicine community. And I think you've heard people saying teaching and getting engaged is a huge part to make this very fulfilling. Appreciate it. Thank you for the opportunity to speak with you. Thank you.

team physician

personal values

community integration

sports medicine

academic aspect