This publication marks the debut of the Clinical Supplement of Medicine & Science in Sports & Exercise®. It has always been the goal of the College to meet the needs of its membership. Over the past decade, there has been a significant and steady increase in the number of clinicians and other health care providers and their involvement with the College. Thus, the needs of the Journal have also changed.
In response to these changing times, we have created a biannualClinical Supplement. The purpose of this supplement is to provide the practitioner with timely and practical information that can be applied to the care of athletes and others engaged in exercise and physical activity. The emphasis will be on an evidence-based approach to clinical practice. Although it may be overly ambitious to presume that the supplement and its contents will change how we do things overnight, it will nevertheless attempt to present a scientific basis for clinical decision making. In addition, where appropriate, opinions from acknowledged experts in their field will be featured and more often than not will attempt to provide alternative viewpoints on patient care.
A large number of our members are located domestically and yet as I travel abroad, I am frequently reminded and humbled by the fact that there is more than one way to manage most clinical problems. This is true, of course, in most areas of clinical medicine. Accordingly, one of the goals of the supplement will be to “expand our horizons” and challenge our thinking and conventional wisdom. We will encourage our international colleagues to share their experiences and expertise and hopefully facilitate a forum for critical and creative thinking.
As practitioners, we continue to be faced with the challenge of integrating clinical pathways and guidelines into our daily practices. This comes in the face of a rapidly changing climate and delivery system for health care. I believe that in order for sports medicine to continue to develop as a unique discipline, we need to be thinking about developing our own guidelines and standards of care. After all, we as providers who see these problems most often should be best qualified to develop these guidelines.
The first issue will focus on cervical spine injury. All manuscripts were subject to peer review. I would like to thank the reviewers and authors for their time and efforts. I welcome your feedback as we travel down this new road together. As Robert Lewis Stevenson once said, “Success is not the end, it is the journey.”
Thomas M. Best