The role of the sports and exercise medicine physician in the National Health Service: a questionnaire-based survey

OBJECTIVES

To investigate the opinions of general practitioners, orthopaedic surgeons, rheumatologists, sport and exercise medicine (SEM) registrars and public health consultants on training, caseload, the most appropriate setting and the position of SEM within the National Health Service (NHS) in the UK.

METHOD

A cross-sectional questionnaire-based survey investigated the opinions of the above professionals from three primary care trusts and associated hospitals in London and Birmingham.

RESULTS

With a 50% response rate (n = 226), 93% (208/224) of participants felt that there was a role for SEM in the NHS. 56% (124/223) agreed that this role should be in both primary and secondary care. 64% (136/212) of participants felt that their practice would benefit from the input of a SEM physician and 95% (191/202) would consider referring patients to SEM services. 74% (165/222) agreed that SEM should have a public health role, and 63% (140/222) believed that these responsibilities should be evenly balanced with the treatment of sports injuries. Despite the emphasis on public health work from SEM policy makers, none of the SEM registrars selected public health as an important training area. 31% (44/140) of participants felt that a lack of education in the medical profession regarding SEM represented the greatest hindrance to its development in the NHS.

CONCLUSION

Several areas of agreement were demonstrated across the specialties, many of which matched the views of policy makers. This study involved participants from a range of cognate disciplines and was the first to investigate this issue since SEM was recognised as a specialty in 2005.

Evidence for a change in the nuclear mass surface with the discovery of the most neutron-rich nuclei with 17<or=Z<or=25

The results of measurements of the production of neutron-rich nuclei by the fragmentation of a 76Ge beam are presented. The cross sections were measured for a large range of nuclei including 15 new isotopes that are the most neutron-rich nuclides of the elements chlorine to manganese (50Cl, 53Ar, ;{55,56}K, ;{57,58}Ca, ;{59,60,61}Sc, ;{62,63}Ti, ;{65,66}V, 68Cr, 70Mn). The enhanced cross sections of several new nuclei relative to a simple thermal evaporation framework, previously shown to describe similar production cross sections, indicates that nuclei in the region around 62Ti might be more stable than predicted by current mass models and could be an indication of a new island of inversion similar to that centered on 31Na.

rp process and masses of N approximately Z approximately 34 nuclides

High-precision Penning-trap mass measurements of the N approximately Z approximately 34 nuclides 68Se, 70Se, (70m)Br, and 71Br were performed, reaching experimental uncertainties of 0.5-15 keV. The new and improved mass data together with theoretical Coulomb displacement energies were used as input for rp process network calculations. An increase in the effective lifetime of the waiting point nucleus 68Se was found, and more precise information was obtained on the luminosity during a type I x-ray burst along with the final elemental abundances after the burst.

Discovery of a nuclear isomer in 65Fe with penning trap mass spectrometry

A new long-lived isomeric state in (65)Fe has been discovered with Penning trap mass spectrometry and high-precision mass measurements of the neutron-rich isotopes (63-65)Fe and (64-66)Co have been performed with the Low-Energy Beam and Ion Trap Facility at the NSCL. For the new isomer in (65)Fe an excitation energy of 402(5) keV has been determined from the measured mass difference between the isomeric and ground states. The mass uncertainties of all isotopes have been reduced by a factor of 10-100 compared to previous results. In the case of (64)Co the previous mass value was found to deviate by about 5 standard deviations from the new measurement.