This appears to be an editorial or commentary piece from the British Journal of Sports Medicine that uses a bicycle riding metaphor to discuss the field of sports medicine. The excerpt suggests the article focuses on the dedication and persistence required to excel in sports medicine practice, comparing it to learning to ride a bike where initial talent and passion must be supplemented by sustained effort and resilience through challenging periods. However, the brief excerpt provided does not contain specific research findings, clinical data, treatment protocols, or actionable health information that would be substantive enough for a health science publication focused on evidence-based content.