IntroductionBurnout, depression, and suicidality among residents of all specialties have become a critical focus of attention for the medical education community.MethodsAs part of the 2017 Resident Wellness Consensus Summit in Las Vegas, Nevada, resident participants from 31 programs collaborated in the Educator Toolkit workgroup. Over a seven-month period leading up to the summit, this workgroup convened virtually in the Wellness Think Tank, an online resident community, to perform a literature review and draft curricular plans on three core wellness topics. These topics were second victim syndrome, mindfulness and meditation, and positive psychology. At the live summit event, the workgroup expanded to include residents outside the Wellness Think Tank to obtain a broader consensus of the evidence-based toolkits for these three topics.ResultsThree educator toolkits were developed. The second victim syndrome toolkit has four modules, each with a pre-reading material and a leader (educator) guide. In the mindfulness and meditation toolkit, there are three modules with a leader guide in addition to a longitudinal, guided meditation plan. The positive psychology toolkit has two modules, each with a leader guide and a PowerPoint slide set. These toolkits provide educators the necessary resources, reading materials, and lesson plans to implement didactic sessions in their residency curriculum.ConclusionResidents from across the world collaborated and convened to reach a consensus on high-yield—and potentially high-impact—lesson plans that programs can use to promote and improve resident wellness. These lesson plans may stand alone or be incorporated into a larger wellness curriculum.

Objective To quantify the occurrence rate of abnormal ECG findings and symptoms following COVID-19 infection. Patients Adult patients (>18 years old) who were participating in collegiate athletics and previously tested positive for COVID-19 between August 2020 to November 2020. Methods In this retrospective study, we report findings of electrocardiogram (ECG) testing to screen athletes for cardiac abnormalities following COVID-19. Athletes underwent general examinations and ECG screening prior to being medically cleared for a return to sport following COVID-19. Predetermined predictors were grouped into categorical variables including: 1) Sex; 2) Symptom severity; and 3) BMI (normal vs. overweight = > 24 kg∙m -2 ). These were used to examine differences of abnormal rates occurred between different predictor categories. Results Of the 170 athletes screened, 6 (3.5%) presented with abnormal ECG criteria and were referred to cardiology. We found no evidence that symptom severity, sex and BMI category were associated with a higher rate of abnormal ECG ( p > 0.05). Greater severity of COVID-19 symptoms were associated with higher percentage of ST depression, T-wave inversion, ST-T changes and presence of fQRS. Loss of smell, loss of taste, headache and sore throat were the most prevalent symptoms with 32.9%, 38.8%, 36.5% and 25.3% of athletes reporting each symptom, respectively. Conclusions Preliminary findings indicate a low risk of myocardial injury secondary to COVID-19 infection with less than4% of patients presenting with abnormal ECG and 10% requiring referral to a cardiologist. While viral myocarditis was not demonstrated in any athlete referred for cardiology assessment, two patients developed effusative viral pericarditis.

The utility of ultrasound in sports medicine is improving the sports medicine physician's ability to rapidly diagnose and treat a multitude of sports related pathologies. In this article, we clearly outline the current status of the evidence in support of using sports ultrasound in the setting of acute ocular injury, evaluation of elevated intracranial pressures, deep venous thrombosis, and soft tissue complaints.

Pelvic stress fractures are rare and present unique challenges for medical personnel. Delayed healing can lead to increased physical, psychological, and social stress for athletes. Recent literature suggests effective use of a synthetic derivative of parathyroid hormone, teriparatide, to augment healing of delayed-union stress fractures. We present a case of a female National Collegiate Athletic Association Division I gymnast successfully returned to play after a 12-week course of teriparatide injections for an ischioacetabular stress fracture.

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