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"Sport Medicine Journal" No.5 - 2006

Sport Medicine – European Speciality

Maria Mirela Vasilescu
Vicepresident of Romanian Society for Sports Medicine

Everybody agrees that in medicine it’s easier to prevent then to treat and the present preoccupations, on a global scale, of the factors who decide the health politics in the civilized countries amplifies the sense of this syntagma. Occidental states , confronted with an alarming growth of mortality induced by a wrong lifestyle, offers an consistent support to programs who promote a correct alimentation, physical exercise, the elimination of drug abuse, alcohol, smoking etc.
Starting from multiple aspects of the lifestyle and the implications that the high degree of civilization induces, we must accept the negative relationship that is created between a high socio economic state and the individuals degree of sedentary.
From this perspective, the preventing of a sedentary life through physical exercise represents, one of the major ways that society has to conserve the state of heath of its individuals, to prevent and treat there diseases.
Unfortunately, in Romania, the ones who conceive the health politics still don’t understand the importance of promoting an active lifestyle, they don’t understand or don’t want to understand the obvious proofs offered by the scientific world regarding the role that the regular physical exercise has in decreasing the rate of sickness and prolonging the average life duration.
This last observation is strengthened also by the way sports medicine is seen and treated in Romania. If the US and the other civilized countries of Europe, and not only these, offer a great attention to the development of medics in the specialty of sportive medicine, in our country the Ministry of Health, under the pretext of the concern regarding the fate of the medics that operate in this sector and who would choose to undertake there activity in a country that does not recognize this specialty, dismisses the learning curricula for sport medicine.
The decision, criticized by those who have knowledge of the wide implications that the physical effort, and sportive effort particularly, has on the state of health on human organism, comes in a complete contradiction with the preoccupations of the specialists in the sport medicine and the officials of the European Union of Medical Specialities that take action to promote the acceptance of this medical specialty in all of the European Union countries.
In this context, I think its imperative to say its necessary the presenting of the efforts undertaken on the European scale, in the European Union, to generalize the sport medicine specialty.

The process of recognizing the specialty of sports medicine in the UE has been presented by the professor Norbert Bachl, president of EFSMA, at the EFSMA Congress in Cyprus, 2005.
We’re presenting, in the following, some of the necessary steps for the recognizing of the sport medicine specialty in UE, as it has been presented by professor Bachl.
With regard to cooperation with the EOC-Medical Commision, of which he is one of the members, he reported on the common work done for collecting data on Sports Medicine specialization and sub-specialization Courses in the European Countryes. Curentlly, 19 European Countryes run sports medicine specialization courses and 15 sub- specilization ones. He carryed on giving important information on the state of the sports medicine in Europe and ont he work done so far to reach the objective on the recognition of Sport Medicine at EU level. He reported on the meeting EFSMA – UEMS, held in Brussels on the 26th July 2005, to which he participated together with prof. Pigozzi, Dr. Debruyne and the UEMS Secretary General, Dr. Bernard Maillet.
During the discussion it resulted that at present 52 specialities are recognized in the EU. Nowadays, for having a specialty recognized in the EU (at present 25 countryes) it is necessary to have 2/5 og the member countryes recognizing the specialty, in this case Sport Medicine, which means at least 10 countryes. The procedure is quite complex but the 2/5 is considered a pre- requisite. Once the procedure of recognition is opened by the European Commision, the request is looked after by the Senior Officiers of Public Health of the EU Countries. It was suggested to create a MJC, a Multidisciplinary Joint Committee, as a proposal by one of the existing Sections of the UEMS if a specialty is recognised by at least 1/3 of the UEMS Member Countries and that it is mentioned in the list of the European Comission. The main aim of a MJC is to imrove the relationship between differant Sections and also to propose harmonized training programmes. In the Sections., each country has two Delegates endorsed by the National Medical Organization, representing the country at the Management Council. The Councils has the decision power, is formed by Full Member Countries and Associated Member Countries; only Full Member Countries have voting rights.
By proposing a clear harmonised training programme, Sports Medicine can enhance its position in Europe. That would be the aim of the newly formed MJC.
To this regards, Prof. Donner, President of the Section of Pneumology, wrote to the UEMS on 18th August 2005 a letter proposing the creation of this MJC, in order to be inclded as item of the agenda for the Meeting of the Management Council which will take place in Munich, on 20-22 October , 2005. Should this project be realized in duecourse as planned, the MJC first Meeting in Brussels could be held on 17th Decmber 2005.
The MJC would be composed by two delegates of each Section interested in plying a role in this matter, and by an equal number of representatives of the EFSMA to be a Board that could also play a role in the evaluation of requests for accredtations of events. This board would be responsible for the promotion of Sports Medicine within the UEMS. Furthermore, this Board should develope a harmonised curiculum should be accepted by the National Authorities from the UEMS countries which already have Sports Medicine as a specialization or are willing to install. If the member of 2/5 of the European member countries is reached, a process of recognition by the European Commission could be started.

Its worth to mention, that starting from the moment of the meeting between the EFSMA and UEMS authorities, on July 2005, the plan of action proposed has been executed step by step. In present, there is a Multidisciplinary Joint Committee on Sport Medicine whose commission takes action to harmonize the learning curriculum in sportive medicine and the recognizing of this specialty in all of the EU countries. The next meeting of the MJC is programmed on the 30th September 2006, at Brussels.
Through the integration of Romania and Bulgaria at the 1st January 2007 in EU, the prerequisites of the recognition of the sport medicine specialty will be totally accomplished.

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