Massachusetts Medical Society: Concussion Treatment, Management and Prevention: In School and on the Field

Concussion Treatment, Management and Prevention: In School and on the Field

Concussion Treatment, Management and Prevention

Course Overview

Physicians need to know how to identify concussions and fully understand the cognitive limitations that follow a concussion. Difficulty concentrating, vestibular disturbance, decline in school performance and sensitivity to light or noise can all be related to concussion. This CME course will help physicians comply with all MA regulations regarding concussions and returning those students to play. This program is designed to comply with 105 CMR 201.000, Head Injuries and Concussions in Extracurricular Activities, which implements the law and provides standardized procedures for those involved in the prevention, training, and management of students who incur head injuries while involved in any extracurricular athletic activity at public middle and high schools serving grade 6 through high school graduation and other schools subject to the official rules of the Massachusetts Interscholastic Athletic Association (MIAA). This course also addresses a graduated return to learn program for students.



This course was developed by the MMS and its Committee on Student Health & Sports Medicine, the Massachusetts Department of Public Health, and the Brain Injury Association of Massachusetts and includes recorded videos and slide presentations on the following topics.

  • Introduction
  • Concussion Management
  • Return to Play Guidelines Following Concussion
  • Concussion: Helping the Child Return to Learning
  • MA Regulations - Head Injuries and Concussions in Extracurricular Athletic Activities

Intended Audience

Primary care physicians; also applicable for school nurses, athletic trainers, and coaches

Course Objectives

  • Describe the signs and symptoms of concussion/head injury as well as recognize a serious alternative or accompanying diagnosis (i.e., intracranial hemorrhage, lesion, increased intracranial pressure, accompanying spinal injury).
  • Relate the short and long-term sequelae of concussions, including the cumulative effects of repeated concussions over a lifetime.
  • Discuss the risks of recurrent concussion and injury prior to complete recovery, including second impact syndrome and post-concussive syndrome.
  • Recognize the importance of low threshold for removing students with suspected concussion from play for further evaluation.
  • Identify the key elements of and the importance of return to play guidelines and return to academic learning plans.
  • Review the current MA state regulations, including relevant requirements for health care professionals including when to remove the student athlete from play, steps for graduated re-entry to athletics and academics, and the need for medical clearance before returning to play.  


James Gessner, MD
President, MMS

Concussion Management
Michael Beasley, MD
Staff Physician, Boston Children's Sports Medicine
Instructor of Orthopedics, Harvard Medical School
Team Physician, Northeastern University
Head Team Physician, UMass Boston

Return to Play Guidelines Following Concussion
Kathleen Thornton, MS LAT
Southcoast Health

Concussion: Helping the Child Return to Learning
Alan G. Kulberg, MD
Berkshire Medical Center Concussion Clinic

MA Regulations - Head Injuries and Concussions in Extracurricular Athletic Activities
Linda Brown, MBA
Program Coordinator, Division of Violence and Injury Prevention
Massachusetts Department of Public Health

Course Fees

The course fees are as follows:

MMS Member Physician: $30.00
MMS Resident/Student/Alliance Member: Free
Non-MMS Resident/Student: $15.00 
Non-MMS Member Physician: $67.50
Allied Health Professional: $24.00


Slides & Video

CME Credit

1.50 AMA PRA Category 1 Credit™

Accreditation Statement
The Massachusetts Medical Society is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

AMA Credit Designation Statement
The Massachusetts Medical Society designates this enduring material for a maximum of 1.50 AMA PRA Category 1 Credit™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

MOC Approval Statement 
Through the American Board of Medical Specialties ("ABMS") ongoing commitment to increase access to practice relevant Maintenance of Certification ("MOC") Activities through the ABMS Continuing Certification Directory , this activity has met the requirements as an MOC Part II CME Activity (apply toward general CME requirement) for the following ABMS Member Boards: 

Allergy and Immunology
Family Medicine
Physical Medicine and Rehabilitation
Preventive Medicine
Psychiatry & Neurology

National Commission on Certification of Physician Assistants (NCCPA).

Physician Assistants may claim a maximum of 1.50 Category 1 credits for completing this activity. NCCPA accepts AMA PRA Category 1 Credit™ from organizations accredited by ACCME or a recognized state medical society.

A score of 70% or higher is required to receive AMA PRA Category 1 Credit™.

Activity Term

Original Release Date: June 7, 2017
Review Date: July 20, 2020
Termination Date: June 7, 2023

System Requirements

Windows 10
Mac OSX 10.6 higher

Most modern browsers including:  
IE 11+
Firefox 18.0+
Chrome latest version
Safari 12+

iOS devices beginning with OS version 10 or higher (includes, iPhone, ipad and iTouch devices)

PLEASE NOTE: If you are not seeking CME credit for this activity, the video recordings are available FREE at the  Conference Proceeding Archive page

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