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2019-11-19
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Copyright (c) 2019 Curtis Bashore BS, Eric Nagarajan BS, Nicholas Dick BS, Michael Berken BS, Rahul Kapur MD, William Roberts MD, MS
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Provider Attitudes Towards Return to Sport for Youth Athletes with Concussions
Curtis Bashore BS
University of Minnesota Medical School
Eric Nagarajan BS
University of Minnesota Medical School, Minneapolis, MN
Nicholas Dick BS
University of Minnesota Medical School, Minneapolis, MN
Michael Berken BS
University of Minnesota Medical School, Minneapolis, MN
Rahul Kapur MD
University of Minnesota Department of Family Medicine and Community Health, Minneapolis, MN
William Roberts MD, MS
University of Minnesota Department of Family Medicine and Community Health, Minneapolis, MN
Abstract
The diagnosis and management of concussion relies upon clinical assessment tools with no proven objective means for diagnosis. With the current assessment tools available, the variability in provider competency for diagnosis and management of concussion is a concern. To determine whether or not discrepancies among providers exist, we conducted a multi-site survey of primary care providers with questions regarding assessment tools, recent consensus guidelines, return-to-sport (RTS) clearance after concussion, and familiarity with state RTS guidelines for youth athletes. We found that familiarity with consensus guidelines and Minnesota State High School League (MSHSL) guidelines fall on a spectrum from complete unfamiliarity to regular, consistent use. Additionally, a lack of communication from the sideline staff to health providers exists. There are potential interventions to improve the quality of concussion management and RTS clearance in youth athletes.
Author Biographies
Curtis Bashore BS, University of Minnesota Medical School
Medical Student
Eric Nagarajan BS, University of Minnesota Medical School, Minneapolis, MN
Medical Student
Nicholas Dick BS, University of Minnesota Medical School, Minneapolis, MN
Medical Student
Michael Berken BS, University of Minnesota Medical School, Minneapolis, MN
Medical Student
Rahul Kapur MD, University of Minnesota Department of Family Medicine and Community Health, Minneapolis, MN
Resident Physician
William Roberts MD, MS, University of Minnesota Department of Family Medicine and Community Health, Minneapolis, MN
Professor, Department of Family Medicine and Community Health
