A call for interprofessional collaboration and education in sport and exercise medicine
The field of SEM should be integrated within IPC and IPE projects. In an international survey, a high level of SEM professionals indicated a readiness and willingness to embrace IPC and IPE. However, their perception of practice reflects a different reality, where healthcare systems do not fully support IPC.13 In Switzerland specifically, there is only a limited number of ongoing IPC projects, and SEM is not often included in national frameworks or strategies to implement IPC/IPE.
Therefore, we wanted to draw attention to this topic and question how to promote IPC and IPE in the Swiss SEM community. To achieve this, we conducted a webinar titled ‘Is Healthcare a Team Sport? Widening our Lens on Interprofessional Collaboration and Education in Sports Science and Exercise Medicine’, which received support from the Swiss Society of Sports Science.19 To dovetail experiences from other countries with framing conditions and structures in Switzerland, we integrated American and Australian perspectives in this webinar. The authors of this paper jointly planned, implemented and provided input to the webinar. This viewpoint presents key aspects from these inputs and the subsequent discussion with the webinar participants. To provide insights and recommendations for action to the whole SEM community, we complemented these key aspects by recent literature.
Fostering interprofessional approaches in SEM
Generally, it is recommended to include interprofessional activities both in practice and in education. Professions should have opportunities to learn with, from and about other professions involved in healthcare with a focus on SEM. There are several learning experiences described for IPE20 that could be transferred to interprofessional learnings in SEM, such as simulations, patient-centred case studies, problem-based approaches, topic-led workshops or health promotion activities.13 21–23 As a prerequisite, various educational institutions (eg, medical faculties, sports science institutes, schools for health professions) need to collaborate and provide time, space and resources to plan and conduct IPE projects. The overarching goals are to generate mutual respect, an understanding of each profession’s roles and responsibilities, and eventually to recognise that IPC is a significant means for optimising patient care and advancing physical activity promotion.21–24 These experiences and perceptions promoted by IPE should increase students’ awareness of IPC once they are professionally active. More concisely, in the practice of SEM healthcare, IPC could be supported by initiating and building relationships with other professions, regular interprofessional communications, interprofessional case reports or shared medical records.21–23 Here, as a prerequisite, institutions, especially leadership and management levels, need to commit to IPC and provide time and space for interprofessional meetings and exchange possibilities.5 25
Strengthening roles and responsibilities of exercise science professionals
Another point addressed in the webinar was that the work done by exercise science professionals should be better acknowledged. Various professions (eg, physicians, physiotherapists, nurses, dietitians, biomedical scientists) are involved in SEM, and besides these, exercise sciences professionals play a vital role in this community (eg, physical activity promotion, prevention, therapy or rehabilitation). Thus, exercise science professionals should be recognised as part of the interprofessional SEM healthcare team.11 13 26 To achieve this, policy and health insurances should recognise and support exercise professionals as healthcare providers. In contrast to Switzerland, more accredited exercise physiologists (AEPs) are professionally involved in the Australian healthcare system.27 These AEPs often work in collaboration with physicians, physiotherapists and other allied health professionals, are recognised as healthcare providers, a professional organisation represents their interests and the services they deliver are covered by health insurance.28 This leads to more than half of the trained exercise scientists (58%) work in the Australian healthcare system. In comparison, less than 5% of their Swiss counterparts are involved in the Swiss healthcare system.27 Interestingly, AEPs’ practice has a clear and positive financial impact on the Australian healthcare system.29 It therefore makes sense to transfer existing knowledge from already established AEP programmes (Australia, USA, South Africa, Canada, UK) to further countries.28 Similarly, in the USA, athletic trainers (AT) as allied health professionals (sport and exercise professionals) are seen as a vital part of the SEM healthcare team. ATs are involved in various roles and responsibilities, such as prevention, emergency care, clinical diagnosis, therapeutic interventions and rehabilitation of injuries and medical conditions.30 IPE is a mandatory part of AT Master’s Degree programme, and there is a high level of attention on IPC in ATs in practice.22–24 26 30 Including exercise science students, trainees or practitioners in IPE and IPC will help introduce their roles and responsibilities to other healthcare professions and raising the value of their work in healthcare. It is recommended that national sports science organisations and boards reflect on how to implement IPE in their respective curricula. In this regard, it may be beneficial for national sports science organisations to collaborate with existing national boards already focusing on IPE to gain awareness in the interprofessional community and on political-strategic levels. Here, insights and proceedings from Australia and the USA could be helpful to better implement IPE and IPC in countries like Switzerland.
Interprofessional approaches under the umbrella of public health
Finally, we encourage stakeholders to widen our lens beyond healthcare when discussing IPC and IPE. When providing optimal conditions for achieving healthier lifestyles in all population groups, we should consider the collaboration of various additional professions.31 Promoting physical activity under the umbrella of public health is a multifaceted approach including medical, personal, psychological, social, cultural and environmental factors.32 33 Consequently, there are many more opportunities to work and learn with, from and about all the other professions involved in public health and physical activity promotion. From the interprofessional perspectives outlined above, it is recommended to complement IPC and IPE for sport and exercise professions with other professions integrated into public health, for example, psychologists, urban and landscape architects, ergonomists, social scientists, teachers and educators, sports coaches, politicians and various other professions working in the community. Interprofessional approaches could be facilitators bringing together multiple professions’ knowledge, skills and perspectives to create healthier lifestyles for all population groups across settings.