The initial visibility of updated recommendations on preseason heat safety in high school athletics among United States athletic trainers.

Updated recommendations on preseason heat safety in high school (HS) athletics ("2021 Consensus Statements") were published in April 2021. This cross-sectional survey study explored the initial roll-out of the 2021 Consensus Statements, including their visibility among United States HS athletic trainers (ATs) and perceived levels of confidence in implementing them. Recruitment occurred first, from a random selection of ATs from the Board of Certification, Inc., and second, an open invitation via social media. An online cross-sectional questionnaire had participating ATs note whether they had seen the 2021 Consensus Statements. If yes, ATs reported their perceived level of confidence in implementing them (5-point-ordinal scale from "not at all confident" to "very confident); if no, ATs disclosed (open-ended) why they had not yet seen them. Descriptive statistics were calculated for quantitative variables; template analysis identified codes related to visibility of and confidence in implementing 2021 Consensus Statements. Nearly half (45.7%) of 116 responding HS ATs reported having seen at least one 2021 Consensus Statements; 23.3% had reviewed all three. Common reasons among the 63 that had not seen them included: not aware they were published (n = 22), have yet to read them (n = 19), and believed they could not access the journal (n = 10). Of the 53 ATs having seen at least one of the 2021 Consensus Statements, 67.9% (n = 36) were very/fairly confident in implementing them at their HS. Reasons for confidence included their schools ensuring up-to-date EHI prevention and management practices (n = 18) and athletics constituent support (n = 8). This exploratory study observed proportions of surveyed HS ATs that had not seen the 2021 Consensus Statements and were not confident in implementing them. Findings highlight the need to continue improving messaging about access to best-practice recommendations. Further, continued efforts inclusive of active and passive dissemination strategies across all athletics constituents are needed to aid proper implementation.

The Application of Sports Mental Health Education in the Exploration of Party Construction and Ideological and Political Education in Higher Vocational Colleges / La aplicación de la educación en salud mental deportiva en la exploración de la construcción de partidos y la educación ideológica y política en las escuelas superiores de formación profesional

In the new circumstances, the reform and innovative practice of ideological and political education (PE) in colleges and universities have intensified, and various unique techniques and pathways have been created. This study examines sports mental health education (MHE) in investigating party building (PB), ideology, and physical education in higher vocational institutions. Using a questionnaire, the author surveyed 43 university shooting and archery team members. The results indicate that sports MHE considerably impacts party building, ideological education, and physical education. The findings of this study are innovative and have important theoretical and practical ramifications. The future directions of this research are crucial for researchers conducting additional research.(AU)

Gender Disparities Among Professional Team Sports Medicine Physicians.

OBJECTIVE: Although recent trends from the Accreditation Council for Graduate Medical Education (ACGME) present encouraging growth of female representation in sports medicine, the field is still lagging behind other specialties. This study investigates gender disparities among physicians providing care for professional sports teams in male and female sports leagues. DESIGN: Information regarding physicians providing sports medicine care to professional teams obtained by database queries (May 2021). Chi-square analysis compared gender data of orthopaedic team physicians with American Orthopaedic Society for Sports Medicine (AOSSM) and American Academy of Orthopaedic Surgeons (AAOS) membership, residency, and fellowship census data. Primary care sports medicine physicians were compared with American Medical Society for Sports Medicine (AMSSM) and primary-care sports medicine fellowship census data. SETTING: Professional sports health care. STUDY POPULATION: Professional league physicians. INTERVENTIONS: None. MAIN OUTCOME MEASURES: Gender, residency, and fellowship training of professional league physicians. RESULTS: Among a total of 608 team physicians, 572 (93.5%) were male and 40 (6.5%) were female. Orthopedic surgeons comprised 64.7% of the physicians. Fourteen (3.6%) team orthopedic surgeons were female. Thirty-five percent of team physicians were primary care sports medicine physicians. Twenty-six primary care sports medicine physicians (11.6%) were female. Orthopaedic female team physician representation overall was comparable with AOSSM and AAOS membership but significantly less than orthopaedic surgery residents and sports medicine fellows ( P < 0.01). Women's National Basketball Association orthopaedic team physicians were more represented than female membership among AOSSM, AAOS, and orthopaedic sports medicine fellows ( P < 0.01). Except for the WNBA, Premiere Hockey Federation, National Women's Soccer League, and United States Football League, female primary care sports medicine physicians were underrepresented in professional sports compared with AMSSM membership and primary care sports fellows ( P < 0.01). CONCLUSION: Overall, female representation is poor among orthopaedic surgeons and primary care physicians providing sports medicine care to professional teams. Leagues encompassing female athletes tend to have better representation of female physicians. LEVEL OF EVIDENCE: IV.

Two decades of research in human movement science in Costa Rica: future growth and development / Dos décadas de investigación en ciencias del movimiento humano en Costa Rica: crecimiento y desarrollo futuro

Rojas-Valverde, D. (2023). Two decades of research in human movement science in Costa Rica: future growth and development. PENSAR EN MOVIMIENTO: Revista de Ciencias del Ejercicio y la Salud, 21(1), 1-20. This manuscript provides a thorough analysis of the two-decade study of human movement science in Costa Rica, emphasizing the noteworthy expansion and advancement of the field. To enhance athletic performance, avoid injuries, treat diseases, and encourage physical exercise, researchers in Costa Rica have developed in-depth analyses, from the basic mechanics of human movement to the development of novel methods and technologies to do so. This article also looks at the potential for Costa Rica to become a leader in the field of human movement science research in the region, as well as its future growth and development. To spur innovation and enhance the outcomes of this research, the author discusses the significance of collaboration with specialists from across the world as well as the requirement for ongoing investment in research and development. The future challenges section provides keys to maintaining the exponential growth of recent years to foster development in issues such as the participation of women in the area, the permanent renewal of study plans, and the incorporation of cross-cutting axes of systematization and research in academic and labour processes. Finally, this study offers a path for the development of human movement science research in Costa Rica, with the potential to significantly move forward in the worldwide endeavour to enhance human movement, performance, and health.

Rojas-Valverde, D. (2023). Dos décadas de investigación en ciencias del movimiento humano en Costa Rica: crecimiento y desarrollo futuro. PENSAR EN MOVIMIENTO: Revista de Ciencias del Ejercicio y la Salud, 21(1), 1-20. Este manuscrito proporciona un análisis completo del estudio de dos décadas de la ciencia del movimiento humano en Costa Rica, enfatizando la notable expansión y avance del campo. Con el fin de mejorar el rendimiento deportivo, evitar lesiones, tratar enfermedades y fomentar el ejercicio físico, investigadores en Costa Rica han desarrollado análisis profundos, desde la mecánica básica del movimiento humano hasta la creación de métodos y tecnología novedosos para hacerlo. El artículo también analiza el potencial de Costa Rica para convertirse en un líder en el campo de la investigación de la ciencia del movimiento humano en la región, así como su futuro crecimiento y desarrollo. Con el fin de estimular la innovación y mejorar los resultados de esta investigación, el autor analiza la importancia de la colaboración con especialistas de todo el mundo, así como el requisito de una inversión continua en investigación y desarrollo. La sección de retos futuros entrega claves para mantener el crecimiento exponencial de los últimos años y evolucionar en temas como la participación de la mujer en el área, la renovación permanente de los planes de estudio y la incorporación de ejes transversales de sistematización e investigación en los procesos universitarios y laborales. Al final, esta investigación ofrece un camino para el desarrollo de la ciencia del movimiento humano en Costa Rica, con el potencial de avanzar significativamente en el esfuerzo mundial para mejorar el movimiento, el rendimiento y la salud humanos.

Rojas-Valverde, D. (2023). Duas décadas de pesquisa em ciência do movimento humano na Costa Rica: crescimento e desenvolvimento futuros. PENSAR EN MOVIMIENTO: Revista de Ciencias del Ejercicio y la Salud, 21(1),1-20. Este manuscrito fornece uma análise abrangente do estudo de duas décadas da ciência do movimento humano na Costa Rica, enfatizando a notável expansão e o avanço do campo. Para melhorar o desempenho esportivo, prevenir lesões, tratar doenças e promover o exercício físico, os pesquisadores da Costa Rica desenvolveram análises aprofundadas, desde a mecânica básica do movimento humano até a criação de novos métodos e tecnologias para isso. O artigo também analisa o potencial da Costa Rica para se tornar líder no campo da pesquisa da ciência do movimento humano na região, bem como seu crescimento e desenvolvimento futuros. Com a finalidade de estimular a inovação e melhorar os resultados desta pesquisa, o autor discute a importância da colaboração com especialistas de todo o mundo, bem como a necessidade de investimento contínuo em pesquisa e desenvolvimento. A seção sobre desafios futuros fornece as chaves para manter o crescimento exponencial dos últimos anos e evoluir em áreas como a participação das mulheres no campo, a renovação permanente dos planos de estudo e a incorporação de temas transversais de sistematização e pesquisa nos processos universitários e de trabalho. Por fim, esta pesquisa oferece um caminho para o desenvolvimento da ciência do movimento humano na Costa Rica, com o potencial de avançar significativamente o esforço global para melhorar a saúde, o movimento e o desempenho humanos.

Sports Medicine Curricular Recommendations for Undergraduate Medical Education.

ABSTRACT: Sports medicine is a unique field encompassing many specialties and aspects of medicine. While musculoskeletal medicine is a significant aspect of sports medicine, the breadth of sports medicine extends beyond the musculoskeletal system and includes the spectrum of care for the patient who is or desires to be physically active. This article provides recommendations for sports medicine education in undergraduate medical education. The framework highlighting these recommendations uses domains of competence. Entrustable professional activities, measures that are endorsed by the Association of American Medical Colleges, were matched to domains of competence to provide objective markers of achievement. In addition to recommended sports medicine educational content, there should be consideration of both methods of assessment and implementation catered to each individual institution's needs and resources. These recommendations may serve as a guide for medical educators and institutions pursing optimization of sports medicine education.

The Integration of Patient-Centered Care and the Biopsychosocial Model by Athletic Trainers in the Secondary School Setting.

Our purpose was to explore the degree to which secondary school athletic trainers (SSATs) perceive they are integrating the principles of patient-centered care (PCC) and the biopsychosocial (BPS) model in their practice. We used a cross-sectional design to explore the primary research question. We used the Global Perceptions of Athletic Trainer Patient-Centered Care (GPATPCC) tool and the Biopsychosocial Model of Health (BPSMH) tool, both measured on a 4-point Likert scale (1 = strongly disagree, 2 = disagree, 3 = agree, 4 = strongly agree, with an unscored "unsure" option). We sent the survey to 5665 SSATs through the National Athletic Trainers' Association. Results indicate participants expressed strong agreement (mode = 4) with 7 of the 14 statements and agreement (mode = 3) with the remaining 7 statements of the GPATPCC tool (grand mean = 3.4 ± 0.8). Overall, participants rated their level of agreement on the BPSMH as agreeing (mode = 3) for each item (grand mean = 3.0 ± 1.0). SSATs perceive they are integrating the principles of PCC and the BPS model in clinical practice. These findings align with two previous studies concluding that patients, parents, and providers believe athletic trainers provide care that is focused on whole-person healthcare.

Training and Practice Settings of Physicians Dual-Certified in Emergency and Sports Medicine.

ABSTRACT: Survey study of training and practice paradigms and job satisfaction of dual-boarded emergency medicine (EM) and sports medicine (SM) physicians. The REDCap survey was sent to 193 American Board of EM members who hold a Certificate of Added Qualification in SM. A total of 124 EM/SM physicians responded (67.5% male). More than 70% completed three-year residencies while only 28.5% had an EM/SM residency faculty. One-quarter delayed fellowship after residency 6.45 years on average. Regarding their first job after fellowship, 27.6% practiced only EM, 54.5% practiced both EM and SM, and 12.2% practiced only SM. Regarding their current job, 29.1% practice only EM. 47.3% practice both EM and SM, and 20.9% practice only SM. Only 13.9% and 9.9% indicated they are unhappy with their first job and current job, respectively. There is significant variability in practice settings for EM/SM physicians with the overwhelming majority being happy with their career choices.

Online Sports Medicine Fellowship Education: The Genesis of a National Program and Year-1 Analysis.

ABSTRACT: The COVID-19 pandemic has created numerous challenges in all walks of life. One such challenge was the strain and subsequent effects on medical education, including the elimination of in-person learning opportunities. Consequently, in March of 2020, a nationwide Sports Medicine fellowship online education series was developed. Presentations were available for live and recorded viewing. Over the course of the 2020-2021 academic year, 38 presentations were offered, covering 45 topics. Live viewership totaled nearly 1600 through the year, while views of recorded lecture reached nearly 34,000. There was no statistical difference in the number of viewers for musculoskeletal versus nonmusculoskeletal topics in either the live (46.50 ± 35.37 vs. 43.38 ± 27.28 viewers, respectively; P = 0.77) or recorded formats (843.60 ± 337.66 vs 876.67 ± 624.70 viewers, respectively; P = 0.85). This article presents the novel approach to sports medicine education by the American Medical Society for Sports Medicine in the 2020-2021 academic year through the genesis the National Online Fellowship Education Program along with analyses of viewership data.

Secondary School Athletic Coaches' Perceptions and Knowledge of the Athletic Training Profession.

CONTEXT: Coaches play a role in streamlining care, especially by directing student-athletes in need of further medical attention to the athletic trainer (AT). The AT-coach relationship holds great potential for incorporating collaborative care, and yet, little is known about coaches' perceptions and knowledge of ATs. OBJECTIVE: To investigate coaches' perceptions of athletic training and their knowledge regarding the roles and responsibilities of ATs in secondary schools. DESIGN: Concurrent mixed-methods study. SETTING: Cross-sectional online questionnaire. PATIENTS OR OTHER PARTICIPANTS: Secondary school athletic coaches from 10 sports with the highest participation rates during the 2017-2018 season (n = 1097). Most respondents were male (n = 795, 72.4%), and their average age was 44.7 ± 11.4 years. MAIN OUTCOME MEASURE(S): Participants completed a web-based questionnaire containing demographics and quantitative measures assessing their perceived value and knowledge of ATs, as well as open-ended questions. Descriptive statistics summarized the demographic data. Counts and percentage responses for quantitative measures were reported. Open-ended responses were analyzed using the general inductive approach. RESULTS: Approximately 93% of respondents considered an AT a trusted source of medical information and a key member of the sports medicine team. Most respondents selected injury prevention (98.9%), first aid and wound care (97%), therapeutic interventions (89.9%), and emergency care (85.8%) as skills ATs are qualified to perform. Forty-six percent of respondents were willing to coach without an AT employed. Coaches trusted ATs as part of the "athletic team" and as gatekeepers, referring student-athletes for advanced care when warranted. Regarding the AT role, coaches emphasized the treatment of minor injuries and the idea of "coverage versus care." CONCLUSIONS: Secondary school coaches valued the athletic training profession and were knowledgeable regarding various roles and responsibilities ATs frequently perform. However, they may view ATs as luxuries instead of necessities, as evidenced by the fact that just under half of responding coaches were willing to coach without an AT employed at the school.

Content Validation of the Athletic Training Milestones: A Report from the Association for Athletic Training Education Research Network.

The Athletic Training Milestones were developed as a comprehensive framework to assess athletic trainers' knowledge, skill, and behavior acquisition across the continuum of athletic training practice. However, without established content validity, it is unclear whether the Athletic Training Milestones can be used effectively as a clinical evaluation and research tool to evaluate competence and performance across multiple users and sites. We conducted a highly conservative content validity index (CVI) with data from 12 content experts. Our findings revealed an extremely high overall scale CVI of 0.99, and CVI scores of the 28 individual subcompetency items assessed ranged from 0.83 to 1.00. For the athletic training profession to truly embrace competency-based evaluation and performance assessments, we need a highly valid and comprehensive instrument, such as the Athletic Training Milestones.

Relación del ritmo de repetición del CrossFit WOD Karen con la frecuencia cardíaca y el esfuerzo percibido / Relationship of Crossfit wod Karen repetition rate to heart rate and perceived exertion

Introducción: El CrossFit representa un paradigma interesante del fitness para los profesionales del ejercicio y la medicina deportiva. No obstante, aún se desconoce si el ritmo de repetición influye en las respuestas cardiovasculares y la percepción del esfuerzo en este tipo de entrenamiento físico. Objetivo: Relacionar el ritmo de repetición del CrossFit WOD Karen con la frecuencia cardíaca y el esfuerzo percibido en sujetos físicamente activos. Métodos: Se realizó un estudio descriptivo-correlacional de enfoque cuantitativo a una muestra no probabilística de 20 sujetos. Durante la aplicación de la prueba WOD Karen y el test Course-Navette, la frecuencia cardíaca se monitoreó a través de pulsómetros Polar H7; el esfuerzo percibido se valoró con la escala de Borg CR-10 y el ritmo de repetición se calculó mediante una ecuación matemática. Los datos se analizaron con el paquete estadístico PSPP y se empleó el coeficiente de correlación de Spearman. Resultados: La intensidad relativa del entrenamiento (r = -0,67) y la percepción subjetiva del esfuerzo (r = -0,68) se relacionan negativamente en las mujeres. En ambos sexos no existió significación (p < 0,05). Conclusión: Las mujeres con un ritmo de repetición más rápido presentaron una frecuencia cardíaca y un esfuerzo percibido más bajo(AU)

Introduction: CrossFit represents an interesting fitness paradigm for exercise and sports medicine professionals. However, it is still unknown whether the repetition rate of this type of physical training influences cardiovascular responses and perceived exertion. Objective: To find the relation between the repetition rate of the CrossFit WOD Karen to heart rate and the perceived exertion in physically active subjects. Methods: A descriptive-correlational study with a quantitative approach was performed with a non-probabilistic sample of 20 subjects. During the application of the WOD Karen test and the Course-Navette test, heart rate was monitored with pulsometers; perceived exertion was assessed through the Borg CR-10 scale and repetition rate was calculated using a mathematical equation. Data were analyzed with the PSPP statistical package and the Spearman's correlation coefficient was used. Results: Relative training intensity (r = -0.67) and subjective perception of effort (r = -0.68) were negatively related in women. In both genders there was no significance (p < 0.05). Conclusion: Women with a faster repetition rate had a lower heart rate and lower perceived exertion(AU)

An Exploratory Study in Non-Professional Football on the Perception of Stakeholders about the New Working Professional Profile of Sports Kinesiologist.

In Italy, recent amendments to Legislative Decree n. 36 of 28 February 2021, on sports work, may have made the application of the reform by stakeholders unclear, with the risk of generating further confusion among them. One of the most critical points concerns the possible equivalencies to the professional profile of the kinesiologist, which would be illegitimately recognized even for a different level of education, contrary to the requirements of the European qualification framework. The aim of the study was to understand the perceptions of stakeholders in the world of non-professional football regarding recent legislative provisions. A survey, divided into two sections, was administered to 112 presidents and 112 trainers of non-professional football associations of the province of Salerno. The first section presents five items common for both presidents and trainers, which seek to probe stakeholders' perceptions of the enjoyment, appropriateness, usefulness, and scientificity of kinesiologists. The second section presents five differentiated items. Validity and reliability were calculated. A chi-square analysis (χ2) was performed to test the independence within and between-subjects (trainers and presidents) on their perceptions about the new working professional profile of sports kinesiologist. From the results, it was possible to appreciate a discordance of opinion among stakeholders. Although the majority of presidents and trainers are in favour of introducing such a professional profile (p < 0.05), contradictions emerge concerning the contribution the new professional profile can make in practice (p > 0.05). The perceptual contradictions found among stakeholders' responses demonstrate how the complexity of recent regulatory provisions regarding possible equivalencies to the title of kinesiologist have inevitably generated further confusion among stakeholders.

Early-Career Sports Medicine Surgeons Perform a Large Volume of Non-Sports Medicine Procedures: American Board of Orthopaedic Surgery (ABOS) Part-II Data Regarding Orthopaedic Surgeons Specializing in Sports Medicine.

BACKGROUND: The purpose of this study was to utilize the American Board of Orthopaedic Surgery (ABOS) Part-II Case List database to (1) define the practice patterns of sports medicine-trained ABOS Part- II Oral Examination Candidates and (2) describe the frequency and practice patterns of individuals who are dual fellowship-trained sports medicine candidates. METHODS: The ABOS Part-II Case List database was utilized to define all cases submitted by 3,298 applicants indicating completion of a sports medicine fellowship between January 1, 2003, and January 1, 2020. Cases were classified by subspecialty category and case type. The frequency and practice patterns of candidates pursuing additional fellowship training (i.e., "dual fellowship-trained") were recorded. Descriptive statistical methods were used to describe the annual and overall procedure volume and candidate case mix. Trends in the relative frequency of cases performed and fellowship training patterns were determined using linear regression analysis. RESULTS: On average, sports medicine-trained candidates submitted 100.6 cases for review during the 6-month case collection period: 59.0 (58.6%) sports medicine/arthroscopy cases, 29.3 (29.1%) trauma/general cases, 4.5 (4.5%) adult reconstruction cases, and 7.8 (7.8%) "other" cases per candidate. Although candidates performed fewer total (r 2 = 0.84, p < 0.001) and sports medicine/arthroscopy (r 2 = 0.85, p < 0.001) cases over the study period, the proportion of sports medicine/arthroscopy cases did not change over the study period (p = 0.18). Dual fellowship training was indicated by 333 individuals (10.1%). The number of dual fellowship-trained candidates pursuing additional fellowship training in pediatrics and adult reconstruction increased over the study period, and the number of dual fellowship-trained candidates pursuing additional fellowship training in trauma decreased over the study period. CONCLUSIONS: Early-career sports medicine candidates are likely to perform >40% of cases outside of the sports medicine subspecialty. Sports medicine trainees are increasingly likely to pursue a second fellowship in pediatrics or adult reconstruction. LEVEL OF EVIDENCE: Therapeutic Level III . See Instructions for Authors for a complete description of levels of evidence.

Homeopatia e Medicina do Esporte

A importância da homeopatia dentro de outra especialidade, que tem um nicho de mercado crescente. O uso da homeopatia para melhorar o desempenho e as vantagens trazidas aos atletas. Uma aula baseada em pesquisa e que também apresenta um pouco de matéria médica, além da importância de saber prescrever. Palestrante: Dra. Mirela Andrea Rosenberg Ward

Arthroscopic Case Volumes Among Orthopaedic Surgery Residents and Orthopaedic Sports Medicine Fellows: An Analysis of ACGME Case Log Data.

Arthroscopic procedures are used to treat a multitude of disorders, but they can be technically demanding. These procedures are a fundamental aspect of orthopaedic surgery residency and surgical sports medicine fellowship. The goal of this study was to analyze the variability in arthroscopic case experience to better understand the disparities between various training programs and the opportunity for increased surgical case volume of an orthopaedic sports medicine fellowship. Resident and fellow case log reports were gathered from the Accreditation Council for Graduate Medical Education. Fellows reported 286% more arthroscopic cases in one year of fellowship than residents reported in five years of residency (554 cases vs. 193 cases, p < 0.0001). Fellows also performed 770% more arthroscopic hip procedures than residents (57 cases vs. 7 cases, p < 0.0001). There is a significant difference in arthroscopic case volume between residents and fellows. An orthopaedic sports medicine fellowship dramatically increases the arthroscopic experience of trainees. (Journal of Surgical Orthopaedic Advances 31(1):022-025, 2022).

The Three-Level Curriculum Sports Psychiatry and an Evaluation of the First Course "Basic Health Care in Sports Psychiatry".

Due to scientific progress and diversification in medicine and psychiatry, there is a need for specialization in sports psychiatry. Therefore, the SSSPP has been developing a curriculum on sports psychiatry. Different backgrounds and approaches within the above-mentioned areas are presented here since they have influenced the development of the three-level curriculum. The structure of the three-level curriculum, which contains theory, practical experience, and supervision, encompassing 80 hours of additional training, will also be explained. Within this curriculum, basic knowledge in sports medicine, sports psychology, sports science, and applied sports theory will also be taught. Other subjects include sports and exercise on mental disorders, mental disorders in competitive sports, sports as a coping strategy, and other contents. Moreover, different contents and key topics of the curriculum's three levels will be presented.

Exercise medicine and physical activity promotion: core curricula for US medical schools, residencies and sports medicine fellowships: developed by the American Medical Society for Sports Medicine and endorsed by the Canadian Academy of Sport and Exercise Medicine.

Regular physical activity provides a variety of health benefits and is proven to treat and prevent several non-communicable diseases. Specifically, physical activity enhances muscular and osseous strength, improves cardiorespiratory fitness, and reduces the risk of hypertension, coronary heart disease, stroke, type 2 diabetes, mental health disorders, cognitive decline and several cancers. Despite these well-known benefits, physical activity promotion in clinical practice is underused due to insufficient training during medical education. Medical trainees in the USA receive relatively few hours of instruction in sports and exercise medicine (SEM). One reason for this shortage of instruction is a lack of curricular resources at each level of medical education. To address this need, the American Medical Society for Sports Medicine (AMSSM) assembled a group of SEM experts to develop curricular guidance for exercise medicine and physical activity promotion at the medical school, residency and sports medicine fellowship levels of training. After an evidence review of existing curricular examples, we performed a modified Delphi process to create curricula for medical students, residents and sports medicine fellows. Three training level-specific curricula emerged, each containing Domains, General Learning Areas, and Specific Learning Areas; options for additional training and suggestions for assessment and evaluation were also provided. Review and comment on the initial curricula were conducted by three groups: a second set of experts in exercise medicine and physical activity promotion, sports medicine fellowship directors representing a variety of fellowship settings and the AMSSM Board of Directors. The final curricula for each training level were prepared based on input from the review groups. We believe enhanced medical education will enable clinicians to better integrate exercise medicine and physical activity promotion in their clinical practice and result in healthier, more physically active patients.