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Research ArticleOriginal Research

Factors Associated with Time Spent Practicing Sports Medicine by Those with a Certificate of Added Qualification

Srikanth Nithyanandam, Lars E. Peterson and James C. Puffer
The Journal of the American Board of Family Medicine January 2021, 34 (1) 189-195; DOI: https://doi.org/10.3122/jabfm.2021.01.200303
Srikanth Nithyanandam
From the Department of Family and Community Medicine, University of Kentucky, Lexington, KY (SN, LEP); American Board of Family Medicine, Lexington, KY (LEP, JCP); Division of Sports Medicine, Department of Family Medicine, David Geffen School of Medicine at University of California–Los Angeles, Los Angeles, CA (JCP).
MBBS, MS
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Lars E. Peterson
From the Department of Family and Community Medicine, University of Kentucky, Lexington, KY (SN, LEP); American Board of Family Medicine, Lexington, KY (LEP, JCP); Division of Sports Medicine, Department of Family Medicine, David Geffen School of Medicine at University of California–Los Angeles, Los Angeles, CA (JCP).
MD, PhD
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James C. Puffer
From the Department of Family and Community Medicine, University of Kentucky, Lexington, KY (SN, LEP); American Board of Family Medicine, Lexington, KY (LEP, JCP); Division of Sports Medicine, Department of Family Medicine, David Geffen School of Medicine at University of California–Los Angeles, Los Angeles, CA (JCP).
MD
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  • Article
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Article Figures & Data

Tables

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    Table 1.

    Characteristics of American Board of Family Medicine Sports Medicine Certificate of Added Qualification (CAQ) Diplomates When Registering for the Sports CAQ Examination, 2003–2017 (n = 1112)

    VariableN (%)
    Median (IQR) age at time of most recent exam47.3 (42.1–54.2)
    MD1020 (91.7)
    Male gender948 (85.2)
    Most recent exam year
     200339 (3.5)
     200415 (1.4)
     200524 (2.2)
     20068 (0.7)
     200742 (3.8)
     200816 (1.4)
     2009138 (12.4)
     201010 (0.9)
     2011104 (9.4)
     201277 (6.9)
     2013176 (15.8)
     2014109 (9.8)
     2015106 (9.5)
     201699 (8.9)
     2017149 (13.4)
    Certified with ABFM in February 2018968 (87.1)
    Faculty (n = 1109)
     Yes674 (60.8)
     No435 (39.2)
    Practice size
     Solo112 (10.1)
     Small425 (38.3)
     Large246 (22.2)
     Other326 (29.4)
    Professional time devoted to sports medicine, median (IQR)50 (25–80)
    Greater than 75% of their professional time devoted to sports medicine356 (32.0)
    Most time in sports medicine devoted to (n = 1108)
     Administration31 (2.8)
     Direct patient care1001 (90.3)
     Research4 (0.4)
     Teaching72 (6.5)
    Participates in an organized sports clinic662 (62.5)
    Team physician level (n = 856)
     Adolescent341 (39.8)
     Child34 (4.0)
     Collegiate380 (44.4)
     International/amateur68 (8.0)
     Professional124 (14.5)
    • IQR, interquartile range; ABFM, American Board of Family Medicine.

    • View popup
    Table 2.

    Characteristics of American Board of Family Medicine Sports Medicine Certificate of Added Qualification Diplomates, 2003–2017 by Time Spent in Sports Medicine (n = 1112)

    CharacteristicSpends Greater than 75%Time in Sports Medicine (n = 356)75% or Less Time in Sports Medicine (n =756)P-Value
    Median age (IQR) at Time of most recent exam44.1 (41.5–51.3)48.0 (42.3–54.9)< .001
    MD316 (88.8)704 (93.1).014
    Male gender301 (84.6)647 (85.6).65
    Most recent exam year< .001
     20030 (0.0)39 (100.0)
     20041 (6.7)14 (93.3)
     20052 (8.3)22 (91.7)
     20060 (0.0)8 (100.0)
     20075 (11.9)37 (88.1)
     20086 (37.5)10 (62.5)
     200926 (18.8)112 (81.2)
     20100 (0.0)10 (100.0)
     201143 (41.4)61 (58.7)
     201227 (35.1)50 (64.9)
     201367 (38.1)109 (61.9)
     201441 (37.6)68 (62.4)
     201533 (31.1)73 (68.9)
     201642 (42.4)57 (57.6)
     201763 (42.3)86 (57.7)
    Certified with ABFM in February 2018338 (94.9)630 (83.3)< .0001
    Faculty (n = 1109).59
     Yes227 (63.8)447 (59.4)
     No129 (36.2)306 (40.6)
    Practice size.31
     Solo36 (10.6)76 (10.1)
     Small130 (36.5)295 (39.2)
     Large91 (25.6)155 (20.6)
     Other99 (27.8)227 (30.2)
    Most time in sports medicine devoted to (n = 1108).035
     Administration7 (2.0)24 (3.2)
     Direct patient care334 (94.1)667 (88.6)
     Research1 (0.3)3 (0.4)
     Teaching13 (3.7)59 (7.8)
    Participates in an organized sports clinic317 (89.0)345 (49.0)< .0001
    Team physician level (n = 856)
     Adolescent111 (34.1)230 (43.4).0067
     Child18 (5.5)16 (3.0).069
     Collegiate178 (54.6)202 (38.1)< .0001
     International/amateur27 (8.3)41 (7.7).77
     Professional57 (17.5)67 (12.6).051
    • IQR, interquartile range; ABFM, American Board of Family Medicine.

    • View popup
    Table 3.

    Characteristics Associated with Spending More than 75% of Professional Activities in Sports Medicine by American Board of Family Medicine Sports Medicine Certificate of Added Qualification Diplomats, 2003–2017

    CharacteristicOdds Ratio (95% CI)
    Age less than median (47.3 years)1.53 (1.12-2.08)
    MD0.65 (0.38-1.09)
    Most recent exam year 2011 to 2017 compared to earlier exam2.47 (1.62-3.78)
    Faculty
     Yes0.79 (0.57-1.11)
     NoREF
    Participates in an organized sports clinic6.43 (4.15-9.95)
    Team physician level
     Professional1.48 (0.92-2.37)
     Adolescent0.98 (0.65-1.48)
     Child1.10 (0.46-2.66)
     International/amateur0.98 (0.54-1.76)
     Collegiate1.66 (1.10-2.50)
    • CI, confidence interval.

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The Journal of the American Board of Family     Medicine: 34 (1)
The Journal of the American Board of Family Medicine
Vol. 34, Issue 1
January/February 2021
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Factors Associated with Time Spent Practicing Sports Medicine by Those with a Certificate of Added Qualification
Srikanth Nithyanandam, Lars E. Peterson, James C. Puffer
The Journal of the American Board of Family Medicine Jan 2021, 34 (1) 189-195; DOI: 10.3122/jabfm.2021.01.200303

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Factors Associated with Time Spent Practicing Sports Medicine by Those with a Certificate of Added Qualification
Srikanth Nithyanandam, Lars E. Peterson, James C. Puffer
The Journal of the American Board of Family Medicine Jan 2021, 34 (1) 189-195; DOI: 10.3122/jabfm.2021.01.200303
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