Another View of the Crawford Report 2 the Issue of Volunteers in Sport and Recreation Continues to Be Overlooked Nello Marino Th
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VOLUME 27 ISSUE 4 SUMMER 2009 Opinions expressed throughout this journal are the Another View of the Crawford Report 2 contributors own and do not necessarily reflect the views or policy of Sports Medicine Australia (SMA). The issue of volunteers in sport and recreation continues to be overlooked Members and readers are advised that SMA cannot Nello Marino be held responsible for the accuracy of statements made in advertisments nor the quality or the goods or services advertised. All materials copyright. The cost of Medicare’s obsession with surgery 5 On acceptance of an article for publication, copyright For the surgeons who haven’t yet choked fully on their cornflakes reading passes to the publisher. Dr J articles, the ante has risen Publisher Dr J Sports Medicine Australia PO Box 78 Mitchell ACT 2911 T (02) 6241 9344 “be active ‘09” Conference Highlights 14 F (02) 6241 1611 E [email protected] Conference research award winners www.sma.org.au Davina Sanders Circulation: 4000 ISSN No. 1032-5662 Sport and Exercise Medicine – A new medical specialty in Australia 17 Editors John Orchard & Cristina Caperchione At last, Sport and Exercise medicine has moved beyond something seen Managing Editor as a hobby, to a real status within medicine Lesley Crompton Andrew Garnham Chief Executive Officer Nello Marino ‘Bowling Prehab’: an innovative approach to injury prevention 23 Subscription Manager Ken Warwick and rehabilitation for fast bowlers Advertising Manager Bridging the gap between the physio room and the playing field Lesley Crompton Kym Hartwich Design/Typesetting Papercut Developing an understanding of ‘disciplines’, multidisciplinary 28 SMA State BrAnChES and inter-disciplinary ACT ACT Sports House A literature review of characteristics defining ‘disciplines’, 100 Maitland St Hackett ACT 2602 multidisciplinary and inter-disciplinary T (02) 6247 5115 Robert Gurney new South Wales PO Box 3176 Rhodes NSW 2138 T (02) 8116 9815 Calendar of upcoming events 31 northern Territory What is happening near you? PO Box 2331 Darwin NT 0801 T (08) 8981 5362 Amanda Wilson Queensland Sports House 150 Caxton St Milton QLD 4064 Journal of Science and Medicine in Sport 33 T (07) 3367 2700 Top 20 and podcast details South Australia PO Box 219 Brooklyn Park SA 5025 T (08) 8234 6369 Victoria & Tasmania Sports House 375 Albert Road South Melbourne VIC 3205 T (03) 9674 8777 Western Australia PO Box 57 Clarement WA 6010 T (08) 9285 8033 SuBSCriPTiOn Rates Australia A$35 Overseas A$50 SMA members receive Sport Health as part of their membership fee Single copies and back copies A$15 (includes postage) PP No. 226480/00028 For subscriptions contact Ken Warwick T (02) 6241 9344 E [email protected] Cover photograph – Photos.com Content photographs – Photos.com VOLUME 27 ISSUE 4 SUMMER 2009 1 FRoM the ceo Another View of the Crawford Report Much has been written recently about ‘The Future of recommendation to redistribute government funding and Australian Sport’ report known to most as ‘The Crawford support from the peak to the apex. No doubt many of us report’ named after its author David Crawford who amongst have come to expect that it would be this sort of controversy other things, previously headed the Australian Government’s that dominates the headlines and as a consequence the review of soccer in Australia. Released in November 2009 the perception of the report’s content. Crawford Report has resulted in numerous media articles, a However there are a number of less controversial aspects number of which highlighting the impassioned and sometimes of the report that appear to have drifted under the media hostile response to the recommendations, from some National radar despite their likely unanimous support from all sport sporting organisations and peak agencies, and in particular and recreation communities. It’s perfectly understandable those with a heavy stake in Olympic sport. that mainstream media are less likely to run with items that The media reports have tended to focus predominantly don’t raise controversy, however many would no doubt agree on the apparent threat to Olympic sports funding and the that the issue of volunteers in sport and recreation continues 2 SPORT HEALTH FRoM the CEo to be overlooked at a number of levels. As pointed out by Aligning this is the continued pressure on sporting Crawford, ‘The infrastructure of community sport, made up organisations to operate as a business with increased of both people and facilities, is under threat. The supply of accountability which has seen many move off the volunteers, often the lifeblood of any club or association is ‘kitchen table’ and onto the ‘board table’. As noted by under pressure’. Crawford, risk mitigation and management, as in business It is estimated that over 1.5 volunteers are associated with are becoming much more relevant to sporting, however sport and recreation clubs and associations across the the cost of training and accreditation usually comes at country and as is well known and highlighted in the report, a cost. Crawford suggests ‘The Australian Government volunteers are becoming more and more scarce due to a should explore a national scheme where volunteers would number of factors including modern lifestyles, flexible working be reimbursed for mandatory accreditation courses such hours that no longer fit into the schedules for community as coaching and first aid. Volunteers contribute their sport, compliance obligations and increasingly onerous duties time and social capital and it is not unreasonable that of care commitments. they be compensated by government for undertaking mandated training’. Most SMA members, regardless of their role and position would be very familiar with the importance and value of SMA invests hundreds of thousands of dollars annually on the volunteers in ensuring the continued operation and viability delivery, development and support of the Safer Sport Training of many sporting clubs, associations. Many organisations and accreditation program. Most of the direct cost for these like SMA were founded on a sense of volunteerism and have programs is borne by the consumer (who in all almost all for many years relied heavily on numerous very supportive cases are club volunteers) and supported by sponsors such volunteers to support the activities it delivers at both a as BDF and Asics. However, if it weren’t for a great amount of community and professional level. Whilst the volunteer aspects volunteer time and effort the costs of such programs would be of SMA have changed over the years, there continues to much, much higher. be a strong reliance on people who freely give up their time As such SMA is supportive of the Crawford recommendation and often potential earnings, to support the activities of the of reimbursement for training and accreditation of mandatory organisation. This is highly valued and cannot be overstated. courses such as coaching and first aid as a means of ensuring Crawford also notes that volunteers face increasing costs for continued involvement of many volunteers at all levels of required courses such as coaching, police checks or other sporting organisations. Whilst this is only a very small part of out of pocket expenses including telephone calls, travel cost the report any initiative of this kind has the potential to have an and sporting equipment, in addition to costs of courses and emormous impact to many sport and recreation organisations accreditation associated with qualifications such as first aid. and provide further recognition to the invaluable done by many of our volunteers. Again this is a very pertinent issue to SMA with over 5000 sports trainers and sports first aiders trained annually Further reinforcement of Our Multidisciplinary by SMA across the country to provide invaluable prevention, nature treatment and ongoing management of sporting injuries. Tens of thousands of volunteers have been trained to various Whilst on the topic of people freely giving their time and as levels of proficiency by SMA since the early 1990’s through the we again come off another hugely successful “Be Active” Safer Sport program. Like all volunteers, almost all participants Conference in Brisbane in October 2009 we are once again of the program go on to provide honorary service to their clubs provided the opportunity to reflect on the multidisciplinary and associations as highlighted by the Crawford Report. nature of Sports Medicine Australia and its numerous partnerships in action. With almost 1000 delegates in Research conducted by the University of Ballarat for SMA attendance, Be Active again forged new partnerships and in 2001 indicated that many of the volunteers working in strengthened existing relationships between the numerous the capacity of sports trainers or first aiders are, like many different disciplines and professions represented at this volunteers in community sport, often paying for the wonderful event. privilege of providing injury support services through out of pocket expenses such as fuel, sports tape and other As previous, Be Active combined three successful th medical supplies. conferences, the 7 National Physical Activity Conference, VOLUME 27 ISSUE 4 SUMMER 2009 3 froM the CEo Government. Gary has steered SMA over the past ten years and was instrumental in the initial and continued collaboration of the three conferences which in Brisbane delivered what many regular attendees regard as the best conference they had attended. Mentioning Gary’s departure also provides an opportunity for me to introduce myself to many of the members and SMA friends and partners who receive Sport Health. Having had over 10 years experience as an SMA employee and several more years of involvement with SMA in my previous roles in the sport, fitness and recreation industries, it is a great honour to take up the role of CEO of Sports Medicine Australia. To provide some background my previous roles with SMA include Smartplay Program Manager and later Executive Officer of the Victorian Branch, and more recently as National General Manager working alongside Gary and the National Board.