Dr. Meghan Bishop: The Biology of Performance - 05/20/2020
Dr. Meghan Bishop - The Biology of Performance What is it
like running in NYC right now during the pandemic? Why is there a
performance gap between male and female athletes? How do running
injuries differ between men and women? What are some of...
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Dr. Meghan Bishop - The Biology of Performance
What is it like running in NYC right now during the pandemic? Why
is there a performance gap between male and female athletes? How
do running injuries differ between men and women? What are some
of the issues facing intersex athletes?
Dr. Meghan Bishop is an orthopaedic surgeon specializing in
sports-related injuries of the knee, shoulder, and elbow at the
Rothman Orthopaedic Institute in NYC and Westchester, NY. She
graduated at the top of her class at George Washington
University Medical School, and completed her residency in
Orthopaedic Surgery at Thomas Jefferson University Hospital in
Philadelphia, PA. She also completed a fellowship in Sports
Medicine and Shoulder Surgery at the Hospital for Special Surgery
in New York, NY. During her fellowship, Dr. Bishop served as one
of the team physicians for the New York Knicks and Iona
College.
Dr. Bishop has served as head orthopaedic medical director of the
2019 Philadelphia Marathon as well as volunteer physician at the
2019 USATF outdoor track and field championship meet. She is a
former Division I collegiate track and field athlete at the
College of William and Mary, and qualified for the 2020 US
Olympic Marathon Trials in February, placing 50th and scoring a
PR.
As an avid marathon runner, Dr. Bishop has a special interest in
the sports-related injuries of runners and female athletes. In
this episode, Coach Claire and Dr. Bishop talk about an article
she recently coauthored that was published in The Journal of Bone
and Joint Surgery on the biology of sex and sport. This article
discusses the effects that sex and biology have on performance,
why there’s a gap between male and female performance, if that
gap can be narrowed or closed, and advantages of female athletes.
Questions Dr. Bishop is asked:
3:02 You are an orthopedic surgeon in NYC. How are things
in the city right now? How is running?
4:18 What does an orthopedic surgeon do and how does that relate
to running?
6:27 What’s the difference between a general sports-medicine
doctor, what you do, and a physical therapist?
8:07 Can you talk a little bit about training at such a high
level when you clearly also have a pretty high-level job as well?
9:46 When people ask, “Which specialist should I go to?” the
first question should be, “Are you a runner?” Can you talk a
little bit about the differences between men and women in
performance?
12:00 Why do women do well in long distance events?
13:19 If you took a man who is the exact same size as a woman,
the same height, the same weight, they still would perform
differently. Is that what you’re saying?
13:51 So it’s not just testosterone. If it’s not just
testosterone, it’s more complicated than that. Is that correct?
15:39 Do we know why women are more susceptible to those types of
injuries?
16:15 You mentioned the shoulder injuries, that they’re more
likely in women because you said their ligaments are stretchier.
Can you explain that a little bit?
16:59 I’ve definitely seen some studies where you look at the
marathon and women seem to slow less in the marathon than men. Is
that due to the fatigue resistance or we’re just better
strategists?
19:36 On the one hand you want everybody to be able to compete no
matter who they are and what their genetic makeup is, but on the
other hand, if you’re a female runner and competing against
someone who is genetically more male, that gets very challenging
if males are 10% faster, better, stronger than us, it’s tough on
all sides. I don’t think there is an easy answer for this one.
20:55 It seems like forcing her to take any kind of drugs, that
just doesn’t feel right either, so hopefully it’s going to evolve
as we go forward as more intersex athletes rise to the high
level, I would assume?
21:35 What things could we as women work on to close that gap? Do
you think that it’s a possibility that the 10% could shrink in
the future, or is this just, this is our biology, this is what
we’re stuck with?
22:27 World records seem to be dropping all the time, so you kind
of hope the gap would drop too, but maybe not.
22:47 You wore the Nike shoes for the trials, right? How did they
work out for you?
23:25 What I’m hearing a lot is that recovery is so much better
because they are so cushioned, you don’t pound your legs quite as
much and you’re able to walk normally a little quicker after the
marathon. Did you find that as well?
24:15 What advice would you give yourself back when you started
running?
25:15 What are your favorite strength training exercises for
runners?
25:42 What is the best gift running has given you?
26:50 Are you getting in some socially distant running?
27:09 How can people connect with you?
28:00 How do telehealth visits work?
Quotes by Dr. Bishop:
“Taking care of a runner really is a multidisciplinary thing.
It’s a big group involved with it.”
“Females, I think, in general, are just really tough, but that’s
not the biological reason.”
“If you look at the trials this year, over 500 women qualified
versus 260 men. I don’t know if that has anything to do with
differences in biology, but it’s definitely a big factor that you
can see there.”
“Recently, we’ve done a lot more sex-specific reporting and we’ve
learned that females and males get injured differently too.”
“That’s one of the reasons I wanted to look into writing the
paper recently, because I wanted to look at why performance was
different between males and females, and you can see there’s a
number of reasons why males have this consistent 10% performance
gap over females.”
“Definitely for the fairness of sport, I think that we need to
have a fair solution really for everyone, and especially for the
female athletes that just don’t have that advantage over other
people.”
Want more awesome interviews and advice? Subscribe to our iTunes
channel
Mentioned in this podcast:
Run To The Top Winners Circle Facebook Community
RunnersConnect Facebook page
claire@runnersconnect.net
The Biology of Sex and Sport
Rothman Orthopaedics, Meghan E. Bishop MD
Manhattan - Gramercy Office
Manhattan - Murray Hill Office
Tarrytown, NY Office
Westchester/Harrison Office
Zocdoc
We really hope you’ve enjoyed this episode of Run to the Top.
The best way you can show your support of the show is to share
this podcast with your family and friends and share it on your
Facebook, Twitter, or any other social media channel you use.
The more people who know about the podcast and download the
episodes, the more I can reach out to and get top running
influencers, to bring them on and share their advice, which
hopefully makes the show even more enjoyable for you!
What is it like running in NYC right now during the pandemic? Why
is there a performance gap between male and female athletes? How
do running injuries differ between men and women? What are some
of the issues facing intersex athletes?
Dr. Meghan Bishop is an orthopaedic surgeon specializing in
sports-related injuries of the knee, shoulder, and elbow at the
Rothman Orthopaedic Institute in NYC and Westchester, NY. She
graduated at the top of her class at George Washington
University Medical School, and completed her residency in
Orthopaedic Surgery at Thomas Jefferson University Hospital in
Philadelphia, PA. She also completed a fellowship in Sports
Medicine and Shoulder Surgery at the Hospital for Special Surgery
in New York, NY. During her fellowship, Dr. Bishop served as one
of the team physicians for the New York Knicks and Iona
College.
Dr. Bishop has served as head orthopaedic medical director of the
2019 Philadelphia Marathon as well as volunteer physician at the
2019 USATF outdoor track and field championship meet. She is a
former Division I collegiate track and field athlete at the
College of William and Mary, and qualified for the 2020 US
Olympic Marathon Trials in February, placing 50th and scoring a
PR.
As an avid marathon runner, Dr. Bishop has a special interest in
the sports-related injuries of runners and female athletes. In
this episode, Coach Claire and Dr. Bishop talk about an article
she recently coauthored that was published in The Journal of Bone
and Joint Surgery on the biology of sex and sport. This article
discusses the effects that sex and biology have on performance,
why there’s a gap between male and female performance, if that
gap can be narrowed or closed, and advantages of female athletes.
Questions Dr. Bishop is asked:
3:02 You are an orthopedic surgeon in NYC. How are things
in the city right now? How is running?
4:18 What does an orthopedic surgeon do and how does that relate
to running?
6:27 What’s the difference between a general sports-medicine
doctor, what you do, and a physical therapist?
8:07 Can you talk a little bit about training at such a high
level when you clearly also have a pretty high-level job as well?
9:46 When people ask, “Which specialist should I go to?” the
first question should be, “Are you a runner?” Can you talk a
little bit about the differences between men and women in
performance?
12:00 Why do women do well in long distance events?
13:19 If you took a man who is the exact same size as a woman,
the same height, the same weight, they still would perform
differently. Is that what you’re saying?
13:51 So it’s not just testosterone. If it’s not just
testosterone, it’s more complicated than that. Is that correct?
15:39 Do we know why women are more susceptible to those types of
injuries?
16:15 You mentioned the shoulder injuries, that they’re more
likely in women because you said their ligaments are stretchier.
Can you explain that a little bit?
16:59 I’ve definitely seen some studies where you look at the
marathon and women seem to slow less in the marathon than men. Is
that due to the fatigue resistance or we’re just better
strategists?
19:36 On the one hand you want everybody to be able to compete no
matter who they are and what their genetic makeup is, but on the
other hand, if you’re a female runner and competing against
someone who is genetically more male, that gets very challenging
if males are 10% faster, better, stronger than us, it’s tough on
all sides. I don’t think there is an easy answer for this one.
20:55 It seems like forcing her to take any kind of drugs, that
just doesn’t feel right either, so hopefully it’s going to evolve
as we go forward as more intersex athletes rise to the high
level, I would assume?
21:35 What things could we as women work on to close that gap? Do
you think that it’s a possibility that the 10% could shrink in
the future, or is this just, this is our biology, this is what
we’re stuck with?
22:27 World records seem to be dropping all the time, so you kind
of hope the gap would drop too, but maybe not.
22:47 You wore the Nike shoes for the trials, right? How did they
work out for you?
23:25 What I’m hearing a lot is that recovery is so much better
because they are so cushioned, you don’t pound your legs quite as
much and you’re able to walk normally a little quicker after the
marathon. Did you find that as well?
24:15 What advice would you give yourself back when you started
running?
25:15 What are your favorite strength training exercises for
runners?
25:42 What is the best gift running has given you?
26:50 Are you getting in some socially distant running?
27:09 How can people connect with you?
28:00 How do telehealth visits work?
Quotes by Dr. Bishop:
“Taking care of a runner really is a multidisciplinary thing.
It’s a big group involved with it.”
“Females, I think, in general, are just really tough, but that’s
not the biological reason.”
“If you look at the trials this year, over 500 women qualified
versus 260 men. I don’t know if that has anything to do with
differences in biology, but it’s definitely a big factor that you
can see there.”
“Recently, we’ve done a lot more sex-specific reporting and we’ve
learned that females and males get injured differently too.”
“That’s one of the reasons I wanted to look into writing the
paper recently, because I wanted to look at why performance was
different between males and females, and you can see there’s a
number of reasons why males have this consistent 10% performance
gap over females.”
“Definitely for the fairness of sport, I think that we need to
have a fair solution really for everyone, and especially for the
female athletes that just don’t have that advantage over other
people.”
Want more awesome interviews and advice? Subscribe to our iTunes
channel
Mentioned in this podcast:
Run To The Top Winners Circle Facebook Community
RunnersConnect Facebook page
claire@runnersconnect.net
The Biology of Sex and Sport
Rothman Orthopaedics, Meghan E. Bishop MD
Manhattan - Gramercy Office
Manhattan - Murray Hill Office
Tarrytown, NY Office
Westchester/Harrison Office
Zocdoc
We really hope you’ve enjoyed this episode of Run to the Top.
The best way you can show your support of the show is to share
this podcast with your family and friends and share it on your
Facebook, Twitter, or any other social media channel you use.
The more people who know about the podcast and download the
episodes, the more I can reach out to and get top running
influencers, to bring them on and share their advice, which
hopefully makes the show even more enjoyable for you!
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