RESUMEN
BACKGROUND: Sport-related concussion (SRC) remains an injury of concern in sport, including football(soccer). There has been little investigation into SRC knowledge and attitudes of support staff working in the professional setting. METHODS: An amended version of the Rosenbaum Concussion Knowledge and Attitudes Survey(RoCKAS) was distributed online to coaching staff, and medical and performance staff, working at clubs in the English Football Association Women's SuperLeague (WSL) and Championship. Completion of the survey generated two scores: concussion knowledge index (CKI) and concussion attitudes index (CAI). RESULTS: Sixty-three completed surveys were returned. Eighteen respondents were coaching staff, and 45 were medical and performance staff. The median CKI in medical and performance staff was significantly greater than in coaching staff. There was no significant difference in CAIbetween coaching staff and medical and performance staff. There was no correlation between CKI and CAI across all staff. CONCLUSION: Medical and performance staff working in elite women's football have greater knowledge of SRC than coaching staff. However, this does not always translate into safe behaviours on the field. Education should continue to be mandated across the professional game amongst support staff in order to maximise player welfare and enhance injury outcomes, whilst also reinforcing present SRC guidance.
RESUMEN
BACKGROUND: Central to the work of medical and pharmacy practitioners is the provision of pharmaceutical support for patients, who may also be competitive athletes. This study aimed to assess the knowledge gaps of medical and pharmacy students at the University of Malta regarding World Anti-Doping Code and the Prohibited List. METHODS: All medical and pharmacy students studying at the University of Malta were invited to participate in an online questionnaire devised by the research team. This questionnaire assessed knowledge regarding the prohibited status of 19 substances, as well as knowledge regarding therapeutic use exemptions. The questionnaire was prepiloted with local experts in the sports doping field to test face validity, and then tested for content clarity and easy of use by 20 medical and pharmacy students. Total scores were used to compare medical student vs. pharmacy student and athlete vs. non-athlete using the Mann-Whitney U Test. RESULTS: A total of 242 students answered the questionnaire, 58% of which were female. 86% of respondents were medical students. From of the cohort of respondents, 22% identified themselves as athletes as per definition provided in the questionnaire. A number of substances, such as diuretics, morphine, cocaine and ecstasy, were incorrectly classified by the majority of participants. Paracetamol, caffeine, vitamins, NSAIDs, and antihistamines were mostly correctly classified. Pharmacy students had better knowledge when compared to medical students (U value =2734.5, P value =0.034). Student athletes did not have more knowledge than non-athletes (U value =4810.5, P value =0.659). CONCLUSIONS: Medical and Pharmacy students have significant knowledge gaps when it comes to performance enhancing drugs in sport. Sports pharmacy should be included as part of the undergraduate curriculum for both medicine and pharmacy, but especially for medical students who will be future prescribers.