597 MEP120 – Medical notekeeping in sport. The good, the bad and the athlete medical passport app. Own your past for a healthier future

AbstractBackground+Objectives Medics are under increasing scrutiny but what you don't know you can't help. A groundbreaking legal case involving missing crucial information led to evaluating current notekeeping and handover standards. Can better systems improve athlete availability and be applicable across sports?Design+Setting In 2021 a comparative study assessed electronic medical record (EMR) systems in use. An anonymous questionnaire using the Delphi method was completed by English Premier and Football League (EPL and EFL), and Rugby Football League (RFL) doctors. The named team doctor on chat groups was selected.Participants+Results 77 of 92 football clubs with 80% head first team doctors and 28 RFL doctors participated. The only current standardised guideline is follow General Medical Council recommendations. Between clubs: 14 systems are in use. 49% football doctors are not passing information on player exit compared to 90% in RFL. When performed, 39% just call on the phone.Across sectors: 50% football and 25% RFL respondents were unaware if a player was GP registered. Within clubs: In football 18% use paper records and 2.6% use verbal alone, compared to 28.6% and 14.3% in RFL respectively. 22% in both do not document medication. Conclusions Data is fragmented across multiple silos. Poor transferability between teams, countries and healthcare sectors leaves a poorly summarised record over a career. The outcome is duplication, increased cost, and diagnosis and treatment delays. Recommendations 'A To E:'A) Standardisation B) InteroperabilityC) Accessibility and portabilityD) A template for medicalsE) Transition into retirementSolution An integrated athlete passport app follows the 'A to E' approach. Athletes across sports are empowered with 24/7 fingertip access. This crosses current barriers so any clinician globally can make well informed decisions and provide instant handover, which benefits all stakeholders. Current use in taekwondo, football, rugby, motorsport and private clinics provide evidence of its success. View this table:View inline View popup Download powerpoint Abstract 597 Table 1 Download figure Open in new tab Download powerpoint Abstract 597 Figure 1