| Clinical Activity/Survey Question | Frequency |
| Promote physical activity | 0.606 |
| Manage non pharmacologic pain strategies | 0.586 |
| Diagnose and manage knee joint disorders | 0.583 |
| Diagnose and manage musculotendinous disorders of the shoulder, including biceps, rotator cuff, pectoralis, and latissimus dorsi | 0.577 |
| Counsel on over-the-counter medications | 0.571 |
| Inject or aspirate a joint or soft tissue | 0.564 |
| Counsel on chronic disease prevention and health promotion | 0.563 |
| Diagnose and manage musculotendinous disorders of the knee | 0.561 |
| Diagnose and manage bursitis of the shoulder and scapula | 0.557 |
| Counsel on weight | 0.554 |
| Diagnose and manage glenohumeral joint disorders | 0.552 |
| Counsel on nutrition | 0.548 |
| Counsel on injury prevention | 0.543 |
| Diagnose and manage musculotendinous disorders of the leg, ankle, and foot | 0.540 |
| Diagnose and manage musculotendinous disorders of the pelvis, hip, and thigh | 0.540 |
| Diagnose and manage hip joint and sacroiliac joint disorders | 0.538 |
| Diagnose and manage knee instability and ligamentous injuries | 0.533 |
| Diagnose and manage ankle and foot joint disorders | 0.531 |
| Counsel on hydration | 0.531 |
| Perform an ultrasound-guided procedure | 0.530 |
| Diagnose and manage musculotendinous disorders of the elbow | 0.529 |
| Diagnose and manage bursitis of the pelvis and hip | 0.529 |
| Prescribe exercise in individuals with known comorbidities | 0.528 |
| Diagnose and manage leg, ankle, and foot instability and ligamentous injuries | 0.527 |
| Prescribe exercise in apparently healthy individuals | 0.525 |
| Diagnose and manage lumbar radiculopathy | 0.523 |
| Diagnose and manage shoulder instability and ligamentous injuries, including acromioclavicular, glenohumeral, and sternoclavicular joints | 0.522 |
| Diagnose and manage musculotendinous disorders of the hand and wrist | 0.520 |
| Diagnose and manage hand and wrist joint disorders | 0.519 |
| Evaluate an athlete’s risk of injury | 0.516 |
| Prescribe pain medications | 0.514 |
| Diagnose and manage obesity | 0.514 |
| Counsel on activity guidelines | 0.514 |
| Diagnose and manage leg, ankle, and foot fractures and bone stress injuries | 0.513 |
| Apply a cast, splint, or brace | 0.512 |
| Diagnose and manage acute sports-related concussion | 0.511 |
| Diagnose radiographic musculoskeletal lesions | 0.505 |
| Diagnose and manage bursitis of the knee | 0.504 |
| Diagnose and manage cervical disc disorders | 0.504 |
| Perform and interpret a diagnostic ultrasound | 0.502 |
| Counsel on sports specific technique (including throwing, running, jumping, swimming mechanics) | 0.501 |
| Diagnose and manage cervical radiculopathy and myelopathy | 0.499 |
| Diagnose radiographic musculoskeletal anatomic variants | 0.499 |
| Diagnose and manage hand and wrist fractures and bone stress injuries | 0.497 |
| Diagnose and manage elbow joint disorders | 0.494 |
| Evaluate athlete for medical clearance for sport | 0.494 |
| Counsel on supplement use | 0.494 |
| Diagnose and manage cervical facet disorders | 0.493 |
| Diagnose and manage ganglion cyst | 0.492 |
| Diagnose and manage thoracolumbar disc disorders | 0.492 |
| Diagnose and treat respiratory infections | 0.489 |
| Diagnose and manage depression/anxiety | 0.489 |
| Diagnose and manage PEDIATRIC apophyseal/epiphyseal conditions | 0.489 |
| Diagnose and manage cervical spondylosis | 0.487 |
| Diagnose and manage neurovascular disorders of the hand and wrist | 0.487 |
| Counsel on coping with injury | 0.487 |
| Interpret family history as a component of the PPE | 0.486 |
| Counsel on sleep hygiene and diagnose and manage impaired sleep | 0.486 |
| Diagnose and manage thoracolumbar facet disorders | 0.485 |
| Diagnose and manage shoulder fractures and bone stress injuries | 0.481 |
| Diagnose and manage bursitis of the elbow | 0.481 |
| Diagnose and manage hand and wrist instability and ligamentous injuries | 0.481 |
| Administer Preparticipation Evaluation (PPE) | 0.481 |
| Screen Athlete for mental health disorders | 0.480 |
| Diagnose and manage elbow and forearm fractures and bone stress injuries | 0.480 |
| Diagnose and manage bursitis of the leg, ankle, and foot | 0.480 |
| Counsel on protective equipment | 0.478 |
| Diagnose and manage skin disease of fungal, bacterial, or viral etiology | 0.478 |
| Diagnose and manage delayed onset muscle soreness | 0.476 |
| Diagnose and manage exercise associated muscle cramps | 0.475 |
| Diagnose and manage fractures unique to PEDIATRICS | 0.474 |
| Evaluate ADULT athlete for sport and exercise participation | 0.474 |
| Diagnose and manage spondylolisthesis | 0.474 |
| Diagnose and manage knee fractures and bone stress injuries | 0.473 |
| Inject a nerve or nerve sheath | 0.473 |
| Diagnose and manage persistent postconcussion symptoms | 0.473 |
| Evaluate PEDIATRIC athlete for sport and exercise participation | 0.473 |
| Counsel on early sport specialization | 0.472 |
| Treat lacerations/abrasions | 0.471 |
| Counsel athletes on head injury and chronic traumatic encephalopathy | 0.470 |
| Diagnose and manage neurovascular disorders of the upper arm and shoulder | 0.469 |
| Diagnose and manage cervical spinal stenosis | 0.468 |
| Diagnose and manage rib and chest wall disorders | 0.468 |
| Diagnose, investigate and manage hypertension, including secondary causes of hypertension | 0.467 |
| Diagnose and manage pelvis, hip, and thigh fractures and bone stress injuries | 0.467 |
| Counsel on and administer immunizations | 0.467 |
| Diagnose and manage elbow instability and ligamentous injuries | 0.466 |
| Diagnose and manage neurovascular disorders of the elbow and forearm | 0.466 |
| Diagnose and manage contact dermatitis | 0.465 |
| Diagnose and manage low bone density (osteoporosis/osteopenia) | 0.464 |
| Diagnose and manage overtraining/overreaching | 0.463 |
| Counsel on skin cancer prevention | 0.462 |
| Diagnose and manage diabetes mellitus | 0.461 |
| Diagnose and manage asthma and exercise-induced bronchospasm | 0.461 |
| Diagnose and manage thoracolumbar spinal stenosis | 0.460 |
| Interpret cardiovascular screening tests | 0.460 |
| Diagnose and manage crystalline arthropathies | 0.459 |
| Diagnose and manage headache in athlete | 0.457 |
| Diagnose and manage neurovascular disorders of the leg, ankle, and foot | 0.457 |
| Diagnose and manage anemia | 0.457 |
| Interpret synovial fluid analysis | 0.456 |
| Evaluate exercise associated cardiopulmonary symptoms chest pain, palpitations, dizziness, or dyspnea with exercise | 0.456 |
| Diagnose and manage fibromyalgia and chronic pain syndromes | 0.455 |
| Manage return-to-play decisions for febrile illness in athletes | 0.451 |
| Evaluate athlete with chronic medical conditions for sport and exercise participation | 0.451 |
| Diagnose and manage inflammatory arthritis, including rheumatoid arthritis, lupus arthropathy, spondyloarthropathies, reactive arthritis, Lyme arthritis, juvenile idiopathic arthritis | 0.451 |
| Diagnose and manage neurovascular disorders of the pelvis, hip, and thigh | 0.449 |
| Counsel on, diagnose, and manage genitourinary infections, including sexually transmitted infections | 0.447 |
| Diagnose and manage thyroid disorders | 0.445 |
| Support performance goals, and diagnose and manage performance anxiety | 0.445 |
| Prevent, diagnose, and treat burnout | 0.445 |
| Diagnose and manage osteochondritis dissecans | 0.444 |
| Diagnose and manage gastrointestinal disorders in athletes | 0.444 |
| Counsel on travelers' health for athletes | 0.443 |
| Diagnose and manage scoliosis | 0.443 |
| Diagnose and manage abdominal wall disorders | 0.442 |
| Diagnose and manage skin, nail, and nailbed emergencies | 0.438 |
| Refer for neuropsychological testing | 0.437 |
| Diagnose and manage thoracic outlet syndrome | 0.436 |
| Diagnose and manage PEDIATRIC spine conditions | 0.436 |
| Diagnose and manage chronic sequela of concussion | 0.435 |
| Evaluate Masters athlete for sport and exercise participation | 0.434 |
| Diagnose and manage relative energy deficiency in sport (REDs/Triad) in ADULT patients | 0.433 |
| Reduce a joint dislocation or fractures | 0.432 |
| Diagnose and manage venous thrombosis | 0.432 |
| Counsel on, diagnose, and manage heat injury and disorders | 0.431 |
| Refer for treadmill or bike exercise stress test | 0.431 |
| Diagnose and manage urticaria | 0.430 |
| Manage return-to-play decisions with infectious gastroenteritis | 0.430 |
| Diagnose and manage acute mental health emergencies | 0.430 |
| Diagnose and manage mononucleosis | 0.430 |
| Diagnose and manage neurovascular disorders of the knee | 0.429 |
| Diagnose and manage acute nasal trauma, including epistaxis | 0.429 |
| Diagnose and manage complex regional pain syndrome | 0.427 |
| Diagnose and manage arteriosclerotic coronary artery disease | 0.427 |
| Manage contraception | 0.427 |
| Diagnose and manage eating disorders/disordered eating | 0.427 |
| Diagnose and manage peripheral vascular disease | 0.426 |
| Diagnose and manage osteoporotic vertebral compression fractures | 0.425 |
| Diagnose and manage brachial plexopathies | 0.425 |
| Diagnose and manage nonemergent facial trauma | 0.423 |
| Engage in shared decision-making on medical retirement from sport due to concussion | 0.420 |
| Diagnose and treat menstrual disorders in athletes | 0.419 |
| Diagnose and prevent myositis ossificans | 0.417 |
| Diagnose and manage acute cervical spine traumas | 0.416 |
| Counsel on and prevent transmission of bloodborne pathogens | 0.416 |
| Diagnose structural lung disease and non-asthma airway disease, including cystic fibrosis and COPD | 0.415 |
| Evaluate abnormal urinary sediment, including hematuria, hemoglobinuria, myoglobinuria, proteinuria | 0.415 |
| Diagnose and manage heterotopic ossification | 0.414 |
| Diagnose and manage pelvic floor dysfunction | 0.413 |
| Manage intravenous fluids | 0.413 |
| Refer for cardiopulmonary exercise testing | 0.413 |
| Diagnose and manage relative energy deficiency in sport (REDs/Triad) in PEDIATRIC patients | 0.411 |
| Diagnose neuropraxia/neurotmesis | 0.410 |
| Diagnose and manage acute abdominal/pelvic/genitourinary trauma/disorders | 0.409 |
| Diagnose and manage acute facial trauma | 0.408 |
| Diagnose and manage thoracolumbar fractures, excluding vertebral compression fractures | 0.406 |
| Diagnose and refer sepsis, septic joint, closed space infections, osteomyelitis, and necrotizing fasciitis | 0.406 |
| Diagnose and manage cardiac arrhythmia | 0.406 |
| Diagnose and manage polymyalgia rheumatica, dermatomyositis, polymyositis, and other inflammatory myopathies | 0.406 |
| Diagnose and manage exertional rhabdomyolysis | 0.405 |
| Diagnose and manage acute metabolic derangements, including exercise associated hyponatremia, diabetic ketoacidosis, hypoglycemia | 0.405 |
| Diagnose and evaluate structural heart disease | 0.405 |
| Diagnose and counsel on sickle cell disease and sickle cell trait | 0.401 |
| Counsel on and manage retirement from sport | 0.400 |
| Counsel on and prevent doping | 0.397 |
| Diagnose and manage acute lumbar spinal cord injuries | 0.396 |
| Diagnose and evaluate valvular heart disease and aortopathies | 0.396 |
| Evaluate and treat a collapsed athlete | 0.395 |
| Diagnose and refer acute ocular trauma and disorders | 0.394 |
| Diagnose and refer dental trauma | 0.393 |
| Diagnose and manage exercise induced laryngeal obstruction (vocal cord dysfunction) and laryngospasm | 0.389 |
| Diagnose and manage acute auricular trauma | 0.389 |
| Diagnose and manage acute chest trauma and disorders | 0.386 |
| Diagnose and manage shoulder disorders in wheelchair ambulators | 0.385 |
| Diagnose and refer nonaccidental trauma | 0.382 |
| Diagnose and manage vision loss or eye pain | 0.381 |
| Diagnose and evaluate electrical heart disease and ion channelopathies | 0.381 |
| Manage and counsel on pregnancy, peripartum, and postpartum athletes | 0.381 |
| Interpret electrodiagnostic (NCS/EMG) testing | 0.379 |
| Evaluate athlete with cancer or cancer survivor for sport and exercise participation | 0.379 |
| Diagnose and manage pulmonary embolism | 0.376 |
| Counsel on, diagnose, and manage cold injury and disorders | 0.373 |
| Diagnose and manage stable cervical fractures | 0.373 |
| Diagnose and manage sternoclavicular fractures and dislocations | 0.372 |
| Diagnose and manage osteonecrosis in PEDIATRIC athletes | 0.371 |
| Diagnose and manage acute lumbar spine emergencies | 0.369 |
| Manage lower extremity limb deficiency | 0.367 |
| Diagnose and manage anaphylaxis | 0.363 |
| Evaluate seizure disorder | 0.363 |
| Diagnose and manage upper extremity limb deficiency | 0.361 |
| Diagnose and treat acute seizure | 0.358 |
| Perform compartment pressure testing | 0.358 |
| Evaluate genitourinary injury, including pudendal nerve and straddle injuries | 0.356 |
| Perform preparticipation evaluation for athlete with disability/parasport | 0.356 |
| Manage posttraumatic brain injury, excluding concussion | 0.356 |
| Diagnose and counsel on coagulopathies (bleeding disorders), including hemophilia | 0.355 |
| Evaluate and treat an open fracture | 0.354 |
| Counsel on, diagnose, and manage altitude injury and disorders | 0.354 |
| Diagnose and refer intracranial hemorrhage and acute cerebrovascular accident | 0.352 |
| Diagnose and manage autonomic dysreflexia | 0.348 |
| Diagnose and manage breast contusion | 0.347 |
| Diagnose and treat acute and chronic overdose | 0.338 |
| Diagnose and manage an acute knee dislocation | 0.337 |
| Diagnose and refer acute compartment syndrome | 0.337 |
| Perform extracorporeal shockwave therapy | 0.336 |
| Diagnose and manage acute thoracic spine emergencies | 0.334 |
| Diagnose and refer blunt and penetrating neck trauma | 0.333 |
| Evaluate central nervous system disorders in athletes, including multiple sclerosis, cerebral palsy, post tumor | 0.325 |
| Diagnose, manage, and prevent dermatologic conditions in parasport athletes | 0.323 |
| Perform a fluoroscopic-guided procedure | 0.319 |
| Diagnose and manage acute cervical spinal cord emergencies | 0.317 |
| Perform preparticipation evaluation for transgender athlete | 0.308 |
| Diagnose and manage skull fractures | 0.301 |
| Manage post spinal cord injury | 0.301 |
| Diagnose and manage cardiac arrest | 0.300 |
| Diagnose and manage exercise associated collapse associated with sickle cell trait (ECAST) and sickle cell disease | 0.292 |
| Diagnose and treat traumatic arthrotomy | 0.288 |
| Manage athlete post cerebrovascular accident | 0.288 |
| Manage compromised airway | 0.286 |
| Diagnose neuromuscular disorders (eg amytrophic lateral sclerosis (ALS), myasthenia gravis, etc) | 0.286 |
| Diagnose and treat acute hemorrhagic vascular injuries | 0.285 |
| Diagnose and manage central nervous system infections | 0.274 |
| Diagnose and treat an acute hip dislocation | 0.272 |
| Diagnose and manage atlantoaxial instability | 0.272 |
| Counsel on, diagnose, and manage undersea injury and disorders | 0.261 |
| Evaluate and manage genitourinary conditions post spinal cord injury | 0.261 |
| Evaluate and treat a traumatic amputation | 0.258 |
| Triage a mass casualty event | 0.252 |
| Counsel on, diagnose, and manage lightning injuries | 0.233 |
| Diagnose and refer fat embolism | 0.081 |
* Rasch modeling used here derives the relative importance of each clinical activity based on frequency. This does not estimate the absolute frequency of the clinical activity.