The Physician and Sportsmedicine
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[ANNIVERSARY COMMENTARY]

Will Your Practice Skills Be Fit for the 21st Century?

Richard H. Strauss, MD, Editor-in-Chief

THE PHYSICIAN AND SPORTSMEDICINE - VOL 26 - NO. 1 - JANUARY 2021


The year is 2021—just 3 years from now and the true beginning of the new millennium. It turns out that computers do not practice medicine, physicians still do. Primary care physicians are no longer called "gatekeepers" (which made it sound as if they fixed rusty hinges). They are both numerous and popular because they see the big picture, the whole patient—and they don't restrict the flow of patients to specialists. Many take care of entire families.

A typical family walks into your office. Mom has two sore wrists from correcting transcription errors generated by a computerized voice-recognition program used in the emergency department of the managed care organization for which you work. Dad realizes his virtual golf swing is not lowering his blood pressure and wants to start exercising more (you have been advising this since 192021), but he feels an occasional heart palpitation and wonders how to get going safely.

Daughter, age 12, has been competing in a gymnastics club since the 20th century and now has had increasing low-back pain for the past month. Son, who plays high school football, has been exhausted even before practice and has been worrying about lumps on both sides of his neck for the past week. And grandmother's tennis elbow is acting up.

In medicine, the questions don't change much from year to year, but the answers do. In 3 years, will you be up to date in your treatment of this family? Probably—due in part to the fact that you read The Physician and Sportsmedicine. You may or may not have spent much time in your training dealing with activity-related medicine or musculoskeletal medicine. But continuing medical education helps you both fill gaps in your knowledge and stay current in familiar areas. Grand rounds, courses, journals, and online learning all help.

This year, The Physician and Sportsmedicine, a peer-reviewed journal with a circulation of 115,000, celebrates its 25th anniversary. I have had the privilege of being its editor-in-chief for half of that time, succeeding Allan J. Ryan, MD. It has been my goal that The Physician and Sportsmedicine would help you, the physician-reader, by consistently offering practical, how-to articles covering a realistic spectrum of patients and their medical problems.

Within this framework, the content of The Physician and Sportsmedicine evolves as medicine and society progress. In 192021, we'll cover care of patients from skateboarders to masters athletes, from gradually mobilizing couch potatoes to college soccer players, from ankle sprains to thyroid disease—male and female, young and old, elite and post-sedentary. Both the American Medical Society for Sports Medicine (Overland, Kansas) and the American Orthopaedic Society for Sports Medicine (Rosemount, Illinois) will soon begin series of authoritative articles in these pages. Other new article series discuss internal medicine topics and the proposition that "Exercise Is Medicine" for a variety of diseases. And a new, hands-on department, "Clinical Techniques," debuts this month.

The Physician and Sportsmedicine will continue to bring you the latest practical information about sports and activity medicine. Stay tuned (or linked) for the next 25 years.


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