The elective that I've offered students, residents and fellows since 1998 is officially over. The last students from the end of this ski season are leaving, and I am not going to be running the slope-side medical clinic next ski season.
I decided to sell my private practice to our local hospital. I apologize to those students in the class of 2019 that have had their hopes of coming to Big Sky, as well as the residents and fellowship programs that have contacted me about an elective, but this decision was a hard one for me and was just finalized.
Good luck to all of you in your careers in medicine.
Hey….check this out:
WILDERNESS & ENVIRONMENTAL MEDICINE, 24, 417–421 (2013)
Injury Patterns in Recreational Alpine Skiing and Snowboarding at a Mountainside Clinic
Tim Coury, MD; Anthony M. Napoli, MD; Matthew Wilson, MD; Jeff Daniels, MD; Ryan Murray, MD; Dave Milzman, MD
From the Central Maine Medical Center, Lewiston, ME (Dr Coury); Brown University Department of Emergency Medicine, Providence, RI (Dr Napoli); Georgetown/WHC Department of Emergency Medicine, Washington, DC (Drs Wilson and Milzman); Emergency Medicine Research Division, Providence Hospital, Washington, DC (Dr Milzman); Georgetown University School of Medicine, Washington, DC (Drs Wilson, Murray, and Milzman); and the Big Sky Medical Clinic, Big Sky, MT (Dr Daniels).
Objective.—The purpose of this study was to examine the demographic and injury characteristics of skiing and snowboarding at a mountainside clinic.
Methods.—Prospectively collected data of all acutely injured patients at the Big Sky Medical Clinic at the base of Big Sky Ski Area in the Northern Rocky Mountains were reviewed. A total of 1593 patients filled out the study questionnaire during the 1995–2000 and 2009–2010 ski seasons. Injury patterns by sport, demographics, and skill level were analyzed and compared over time.
Results.—The mean overall age was 32.9 14.9 years, 35.4 15.2 for skiers and 23.6 9.5 for snowboarders (P o .01). The knee accounted for 43% of all skiing injuries, the shoulder 12%, and the thumb 8%. The wrist accounted for 18% of all snowboarding injuries, the shoulders 14%, and the ankle and knee each 13%. Beginner snowboarders were more likely to present with wrist injuries compared with intermediate (P 1⁄4 .04) and advanced snowboarders (P o .01). Demographic and injury patterns did not significantly change over time.
Conclusions.—At this mountainside clinic, the most frequent ski injuries are to the knee and shoulder, regardless of skill level. Beginning snowboarders most frequently injure their wrists whereas shoulder injuries remain frequent at all skill levels. Knowledge of these injury patterns may help manage patients who present for medical care in the prehospital setting as well as help in designing targeted educational tools for injury prevention.