What are the ropes? Don Muzzi MD ◦ Commissions & Governance ◦ Education ◦ Why a Ringside Physician ◦ What is a Ringside Physician ◦ Boxing, MMA, Kickboxing, Muay Thai ◦ Professional ◦ Amateur ◦ Sanctioned vs Non-Sanctioned ◦ State Commissions: Function Under State and Federal Law ◦ Tribal Commissions: Tribal and Federal Law Boxing ● AIBA(world wide governing body, olympics) ● USA Boxing ● European Boxing Confederation (e.g. Amateur Boxing Association of England,Boxing Federation of Russia,Irish Amateur Boxing Association, etc) ● Asia Boxing Confederation (e.g.China, Phillipines) ● Oceanic Boxing Confederation (e.g.Australia, New Zealand) MMA…. be careful ● No National Commission ● Boxer must have a physical examination attesting that the fighter is physically fit to safely compete ● A physician must be continuously present at ringside (ambulance and medical personnel on site) ● Unified MMA Rules: Adopted by ABC 2009 ◦ Review, grant & administer licenses ◦ Establish maintain & standards, procedures and protocols in consultation with a Medical Advisory Board ◦ Promote integrity, fairness, & honest competition in combative sports ◦ Evaluate & enhance role of commission by reviewing rules & activities Governor Commissioner (Advisory Board) Executive Director Assistant Executive Directors Referees Inspectors Judges Time Keeper Physicians Universal ● Annual Physical Exam ● Annual Dilated Eye Exam ● Hep B Surface Ag, Hep C Ab, HIV ● Pre & Post Bout Physical Commission Specific ● MRI,EKG,MRA ● CBC, INR ● Neuro-cognitive, MRA, ● State: Active Medical License in the State ● Tribal: Active License in any State ● Ringside Physician (RP) License with State or Tribal Commission ● Criteria for RP License (vary by commission) ● Who Hires the Ringside Physician? ● Voluntary & Advisory ● Recommends Standards & Rules ● Provide Training (judges, referees, inspectors, etc) ● Medical Subcommittee ● Facilitates Communication BOXING ● BoxRec boxrec.com ● FightFax www.fightfax.com Mixed MartialArts ● MMA www.mixedmartialarts.com ● Holds updated of professional boxers ● Objective: document every professional fighter and boxing match ● Publishes ratings for all active boxers ● Events ● Accuracy ? www.fightfax.com ● Official record keeper for ABC (2005) ● Fight Fax 100% accurate ● Keeps records of Medical Suspensions ● Access to all commissions (cross talk) www.mixedmartialarts.com/ ● Events ● Commission submit medical suspensions ● Records ● News ● Protecting Fighters Around the World ● Accountability & Risk Avoidance (excellence in medical care & injury reporting) ● Fellowship as a Result of Integrity (bond between athlete, coach, physician critical to correct medical decisions, care & guidance) ● Education (evolving science technology, medical protocols & guidelines) ● Advisory ● Education (CME) ● Mentoring ● Certification (ACSM) ● Maintenance of Certification ● Contact the Commission ● The Association of Ringside Physicians (Get Involved) ● Attend ARP Conferences ● Shadow Experienced Ringside Physicians (ARP mentoring program) ● Certification as a Ringside Physician ● Don’t Forget the Amateur Events ● Amalgamation of Specialties ● Sports Medicine, Neurology, ER,Surgery,Anesthesiology, Psychiatry, Internal Medicine,Psychiatry etc. ● Knowledge of combat Arts ● We See the Mechanism of Injury BEFORE YOU THISDO YOU WILL DO MANY OF THESE They are all important Team Building ● Referee ● Physician ● Sanctioning Body ● Trainer ● Inspectors ● Paramedics ● Judges ● Relationships ● Combatants Get Hurt ● Competent Physicians are Needed ● All Parties Invoved Want to be There •Relationships…Family •Fun •Satisfaction (Thanks Doc) w w w . r i n g s i d e a r p . o r g ● You Do Get The Best Seat in the House! w w w . r i n g s i d e a r p . o r g .