Dan Exeter

Sport & Exercise Physician, @AxisSportsMed | Medical Director Athletics NZ | Chair Education Committee @ACSEP_ | Opinions are all my own.

[Dan Exeter @dan_exeter]

@Hamish_Osborne @BJSM_BMJ @ACSEP_ @DrLarissaTrease @Kimbers_Wells @DrDavid_Hughes @WLSolutionsLtd Agreed. A real honour to be involved. Cheers @ACSEP_ @BJSM_BMJ

[Dan Exeter @dan_exeter]

@drmatthislop @ACastricum @opsmc @ACSEP_ Congrats Pete enjoy some free weekends. Gave me a gig @HawthornFC and I’ve been forever grateful. Enormous compassion for those he cared for and worked with.

[Dan Exeter @dan_exeter]

@LinearProbe @CraigRDoctor @Dr_Hatz @wilkesy49 I suspect like most things Twitter the nuance in this is being lost but all I’ll say is that having some of my training in elite sport has helped me be a better SEM doctor for the everyday person and v/v. Also makes for a fun varied training programme. Interesting debate cheers

[Dan Exeter @dan_exeter]

@LinearProbe @CraigRDoctor @Dr_Hatz I get that the NHS doesn’t want to fund private and we all understand the shift to more ex med but surely having a curriculum that incl some top level sport will give docs competencies that will ultimately benefit public patients? Are you going to end up with 2 diff paths?

[Dan Exeter @dan_exeter]

@LinearProbe @CraigRDoctor @Dr_Hatz Thx Richard. So what about working in ‘teams,’ load management, maintaining activity levels while injured and S&C principles plus managing all the same injuries (e.g concussion) and med issues (eg RED-S). Does the NHS not see these as ‘needs’ for a popn it wants to be active?

[Dan Exeter @dan_exeter]

@LinearProbe @CraigRDoctor @Dr_Hatz Im clearly don’t understand this deeply (so excuse the ignorance from the other side of the world) but why can’t one curriculum have the breadth to score elite sport and community SEM / MSK competencies? Elite sport teaches us so much that is relevant in community SEM settings.

[Dan Exeter @dan_exeter]

@UCUltrasound Hi Kelvin can you please follow me so I can DM as I’d like to message you about your petition. I have signed it. Cheers.

[Dan Exeter @dan_exeter]

@KenQuarrie Some interesting data coming out of this cohort. Shame that @ACCNZ has decided to cease progressing with the pilot despite good outcomes and a novel model of active treatment stratification based on predominant symptoms.

[Dan Exeter @dan_exeter]

@BJSMPlus Hey @ACCNZ @ACCSportSmart here’s the work done already. Straight outta Straya. Scandinavian data similar too. No need for pilot studies - this is the ‘Pandora’s box’ you could open...

[Dan Exeter @dan_exeter]

@ACSEPpresident @ACSEP_ Great fit out and logo!

[Dan Exeter @dan_exeter]

@Hamish_Osborne There is some evidence for efficacy and combined with my own experience of the efficacy of each method (having done both) this led me to change well before any ‘incentives.’ Isn’t that what EBM is about?

[Dan Exeter @dan_exeter]

@LinearProbe @basem_uk @CRY_UK This is essentially the updated version of that module. Free to all https://t.co/VfQ9fHO8PG

[Athletics NZ @AthleticsNZ]

Alana Barber crosses in 1:40:59 (27th) in the 20km race walk at the IAAF World Champs in Doha - a gutsy effort to finish in tough conditions 🌿👊

[Dan Exeter @dan_exeter]

@AthleticsNZ I wish more people were able to appreciate how physiologically and psychologically brutal this was. 30 degrees, up to 95% humidity and racing from midnight till 4am doing loops of the same course. Quentin and Alana are two of NZ’s toughest and gutsiest athletes. Respect.

[Dan Exeter @dan_exeter]

@Sportsmednz Yep nice piece in the ODT. But again more people just saying that ‘soaring’ ACC injury rates are just down to over training.... we cannot prove this - training loads and / or specialisation will not explain many of these injuries. We need to nip this misinformation in the bud.

[Dan Exeter @dan_exeter]

@DrMarkFulcher @ACCSportSmart @ACCNZ @ACSEP_ We need more research like this to help us make good decisions around prevention priorities for kids in NZ. Shot Fulch (and co-authors)! @DrMarkFulcher

[Dan Exeter @dan_exeter]

@DrMarkFulcher Bottom line. We don’t really know why or even to what extent more NZ kids appear to be getting injured. But with our resources we should know a lot more. While we don’t know it’s ok to have theories but not ok for us to just make it up or just blame what’s trendy.

[Dan Exeter @dan_exeter]

We can’t attribute the increased ACL incidence to early specialisation. Evidence does not clearly support an increased risk of acute injury with specialisation. We need be cautious with respect to the harms we attribute to sport specialisation

[Dan Exeter @dan_exeter]

@DrMarkFulcher We just have to have more data and not overstate the impact of data we currently have. Just getting sick of ‘specialisation’ being bandied around as if every kid in NZ is being broken to bits as part of some Cold War era sporting machine.