UF Trauma, Concussion, and Sports Neuromedicine (TRACS) Program

Overarching Concept     Key Concepts    Components of the TRACS Program    Additional Information

Overarching Concept

Integrate and build upon foundation to develop world class center of excellence for treatment, research, and education in Concussion and Traumatic Brain Injury.  This would cover spectrum of care and timeline of management in all settings. 

Key Concepts

The TRACS program goes beyond the traditional compartments and silos of clinicians and researchers.  The concept acknowledges that concussion and traumatic brain injury are complicated challenges that require teams to advance our knowledge and care. The program creates synergy and innovation by serving as a hub to facilitate connection and teamwork. 

The hub model links clinicians, researchers, and educators allowing us to “Learn as We Heal.” Pertinent clinical issues guide the research while innovations from research are rapidly disseminated into practice.

Science, Practice and Collaboration for Recovery

Our new tracks can have multiple meanings to include:

  • New brain pathways (plasticity)
  • New clinical pathways for care
  • New paths to recovery
  • New community systems
  • New connections

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Components of the TRACS Program

I.     Clinical Care

Vision:  Covers spectrum of care and timeline of management in all settings, from all mechanisms, and all ages.

A.     Concussion and mild TBI

Acute Care: 

  • ER: collaborative initiatives for acute detection and stabilization and initial management
  • Outpatient Care: coordinated by a specialized triage / care coordination system coordinating care utilizing available resources

Affiliated Clinics:

  • Neurology & Neurosurgery    
  • Family Medicine & Pediatrics
  • Student Health Care Center
  • Clinical Psychology (Neuropsychology)
  • Orthopedic Sports Medicine & Rehabilitation
  • Psychiatry
  • Internal Medicine

Complications and Persistent Symptoms:

Better understand, recognize, and treat long-term complications of concussions to include:

  • Cognitive impairment conditions such as Chronic Traumatic Encephalopathy (CTE)
  • Psychiatric problems

UF is uniquely positioned for opportunity to effectively explore these long-term complications:

  • Unique synergy of aging resources
  • Recent awarding designation as an NIH Alzheimer’s Disease Research Center

B.     Moderate-Severe TBI

Acute Management: ER

Hospital Based: 

  • Poised to evolve with opening of new UF Neuromedicine Hospital
  • Coordination of care with Case Manager
  • Interface with state of Florida Brain Injury and Spinal Cord Injury Program
  • Trauma Surgery
  • Neurosurgery
  • Neuro ICU
  • Neurophysiology

Inpatient Rehabilitation:

Poised to evolve with plans for new Joint Venture Rehabilitation Hospital (UF Health / Select)

Outpatient Rehabilitation: area most in need of further development

                    

II.     Research

Vision: Integrated preclinical and clinical investigations

A. Preclinical program

Area of focus to include:

  • Pathophysiology and Mechanisms of injury and Long-term Complications
  • Advance understanding of neural plasticity and recovery                  

B. Clinical Investigation Program 

Areas of focus to include:

  • Diagnostic techniques
  • Technologies for detection
  • Technologies to assess recovery
  • Innovative treatments
  • Target symptoms
  • Target neural recovery
  • Management strategies to include better guidance for –
    • Return to work
    • Return to Driving
    • Return to learn for students at all educational levels
    • Achieving maximum possible quality of life
  • Prevention Strategies
    • Primary – concussion prevention
    • Secondary – lessen symptom burden and expedite recovery
    • Tertiary – prevention of long term sequelae

III.     Education and Outreach

Vision: Effective communication to all stakeholders

Patients – Accurate, timely, useful information presented in clearly understood formats

Families and Caregivers – Linkage to appropriate resources, empowering education to enable families to reach effective management

Providers – provide updated guidance on evidence- based best practices

  • Provide effective education to next generation of practitioners
  • Develop fellowships for advanced training

Community – increase community awareness of concussions, and coordinate effective prevention efforts. Coordinate efforts with appropriate state and national agencies and policy offices.

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Additional Information

Fellowship Information

TRACS Flow Chart

TRACS Program Powerpoint

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