1. Aspetar–Qatar Orthopaedic and Sports Medicine Hospital
Aspetar; Qatar's Orthopaedic and Sports Medicine Hospital is one of the world's leading sports medicine facilities. Aspetar provides the highest level of medical services to athletes. The hospital meets internationally accredited standards in the treatment of orthopaedic problems and athletic injuries, and uses the latest technology to guide patients through rehabilitation for complete recovery. This center is one of the best sports rehabilitation centers in the world that has acquired the criteria that is necessary for earning higher degrees from FIFA. The presence of experts in fitness, nutrition, psychology and training in the center provides the athletes with an opportunity to gain both the knowledge and the ability to maximize their training and competitive potential.
After attending this center, an introductory session with the director of the sports medicine center was held. Having meetings with the officials and staff at the Aspetar center and getting familiar with the structure of the center in form of an outline can be noted as the advantages of this part of the trip. After the session, based on a regulatory program, the various parts of the sports medicine center were introduced in brief by the representative of the center to the group in two hours. A training program that took over a week and was arranged for the group in this center is explained below in different sections:
Sports and Orthopedic Sports Medicine Clinics:
At these clinics (Clinic of Sport Orthopedics and Medicine Sport Clinic) the doctors, nurses and patients were all involved in the program. The histories of the patients were taken with complete care and the information was entered in a computer. The patients were either professional Qatarian athletes or foreign athletes residing in Qatar.
The sequence of events in the sports and orthopedic sports medicine clinics: We rotated through the various sections of clinic individually along with the professors during the three days of visit. Timing for the patients who had referred for the first time was different from that of those who had referred for the follow-up session. If the patient was referred for the first time, a complete patient visit lasted 30 minutes, and 15 minutes time was considered for the patient's follow-up. The patients were introduced to the physician from the previous day.
We mostly played the role of observers, and sometimes we participated in the examination of the patients (like model 1 in ). This method was standard because the student, the professor, and the patient are all in connection with eachother.
Seating arrangements for teaching in clinic or surgery
It should be noted that the training in clinical centers, is one of the most important and the most effective methods of training medical students with medical education in all institutions throughout the world. In this method of teaching, students learn by a practical manner how to diagnose and treat the patient by the physician who is in role of a clinical professor, and also in some training courses, earn the chance of examination under professor supervision. Scientific resources available in the field of medical education and a variety of different models in relation to clinical training programs have been successfully developed. Successful clinical training education models, despite their diversity, have some factors in common. These factors should be considered in all education models by the planners, and the factors include:
Time and space of education: These factors in fact will determine the limitations and possibilities of the clinical learning environment.
Learner's role: The purpose of this factor is to determine the degree of learner participation in the diagnosis and treatment process that will be different according to the learners’ knowledge, clinical skills and his mastery in clinical skills and giving the relevance and the importance of diseases.
Number of Learners: This factor affects the grouping and arrangement of the learners in different parts of the learning environment, considering the teaching space and determining the ratio of teachers to students.
For example, one of the clinical educational models is the observing model or sitting in model, which I recommended it as a suitable model for future programs. The student views and practices simultaneously and this can be mentioned as one of the advantages of this model. This model has less stress than other models for learners and also provides safety to the learner's patient.
In this clinic, pre-participation examination (PPE) is performed. PPE is performed by the use of a broad range of medical investigations followed by a general medical evaluation, a cardio-vascular evaluation and a musculoskeletal screening. It helps athletes to start their activities with their best power. Unfortunately, it was in the middle of the season when we were present so PPE was not carried out at that time.
Sports rehabilitation center
This center is one of the best sports rehabilitation centers in the world. The rehabilitation of various groups is one of the interesting points among all the points of this center. For example, a particular specialty for injury rehabilitation, ACL, was present. Also, the presence of research groups in the center was impressive, which were working in the studying sectors. It can be pointed to the ACL injury rehabilitation, which fully presented the useful training sessions.
Becoming familiar with the new devices of sport rehabilitation was one of the special benefits in this center. For example, there were anti-gravity treadmills (). These unique treadmills possess technology that allows athletes to run or walk at a fraction of their own body weight. A desirable body weight percentage can be created, via an air current that partially lifts a person off the treadmill surface thereby allowing athletes to recover faster and to train smarter. It is changing both the way athletes recover from injury and the way they train.
Here, it can be suggested that in future programs planning be done in a way that the most common injuries in football be included in the educational programs and both the rehabilitation and the new ways of dealing with these injuries be taught.
Given the importance of rehabilitation, it seems that the increased duration of training in sports rehabilitation center gives better results.
Functional testing center
These tests are done after the rehabilitation of the athlete, and before their reentrance to the competition and practice. Since these tests are so important and the doctors are not familiar enough with the tests, conducting the sessions with the focus on testing in the next periods is recommended.
Aspetar had two hydrotherapy pools with unique facilities for each, such as adjustable water current resistance, that will benefit injured athletes. This pool also has the capability to provide underwater photography and video analysis if required. In addition, the second hydrotherapy pool is a large 100 square meters one with the possibility of changing and adjusting the depth.
A special training program was provided for the group in this part and on these facilities, but the patients were not closely interviewed about their problems.
MRI, CT, Ultrasound and X-Ray are all forms of digital imaging that are available in the radiology department at Aspetar. The obtained images are stored in a digital image archive and are available for instant viewing by medical staff anywhere in the hospital, at any time.
In this part, each member of the group separately visited different parts of the imaging center in 5 hours and eventually discussed with the professors. The presence of specialists in these sections was one of the important features. The center was equipped with advanced machines, CT scan, MRI and Ultrasound of muscle-bone. Also, the increasing use of musculoskeletal ultrasound in sports medicine was very impressive. For the next courses, it is better to prepare the most common forms of injuries in football, so this case would be reviewed if you have enough time.
Attending the morning report
The group attended the morning report for two days and from 8 to 9 am. Every day the patients were introduced in turn and professors discussed the issues after that. One of the attractive features in these morning reports was the presence of experts in various fields of medicine, and the expression of different views in meetings.
Meeting location, good space for lectures, and video projectors were of the main attractions in this place. During the speech, images, stereotypes, radiography, and high quality figures were presented.
Theoretical workshops, CPR practice, and intubation
In this workshop, after a 30-minute theory session, three practical stations were held during two hours including the transportation of the injured person to the stretcher, neck fixing, basic life support (BLS) and endotracheal intubation.
In this workshop, about 22 people participated in three different groups. This workshop was one of the most successful workshops in this period. A highlight of course in this part, was determined teachers and professors who insisted on running the process with individual participants in the workshop.
Implementation of practical workshops, examining the foot
Examination and functional evaluation of the foot were fully discussed in this practical workshop. An interesting point in this session was the development of the diagnostic evaluation of foot in the world.
Giving Lectures by the members of Department of Sports Medicine (sports nutrition, sports physiology and sports psychology)
Each member of the Academic Departments of Sports Medicine lectured for 30 minutes. They unfortunately lectured on the issues that were not related to football. The time limitation in the program caused the shortage of time for the lecture on psychology in sports. So, there was just a 15-minute lecture on the psychology.
Speech of the trio group
The trio group of doctors who were from 3 different countries gave lecture on the related football issues and the fields relevant to football medicine in their countries and informed the Qataris in this way. In this session, each lecturer spoke for 15 minutes and the audience welcomed them. Most of the speakers spoke about the status of sports medicine and football in their countries.
Talking to the center's president
In the last part they talked to the center's president and shared their views with each other. On the final day, meeting with the president of the center for sports medicine, Aspetar was held and important proposals from the group were presented. We suggested they have a journal on the center, medical tourism and more advertising in the Middle East.