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Ethics in Sports Medicine, An Issue of Clinics in Sports Medicine, E-Book

Ethics in Sports Medicine, An Issue of Clinics in Sports Medicine, E-Book

Stephen R. Thompson

(2016)

Additional Information

Abstract

The world of sports medicine faces unique medical ethics issues. In this issue articles will include: Fundamental Ethical Principles in Sports Medicine, Confidentiality in Sports Medicine, Informed Consent in Sports Medicine, Conflicts of Interest in Sports Medicine, Performance enhancing drugs in sports medicine, Gene doping in sports medicine, Ethical considerations for analgesic use in sports medicine, and many more!

Table of Contents

Section Title Page Action Price
Front Cover Cover
Ethics in Sports Medicine\r i
Copyright\r ii
Contributors iii
CONSULTING EDITOR iii
EDITOR iii
AUTHORS iii
Contents v
Foreword\r v
Preface: Ethics and the Sports Medicine Physician\r v
Fundamental Ethical Principles in Sports Medicine\r v
Confidentiality in Sports Medicine\r v
Conflicts of Interest in Sports Medicine\r v
Ethical Considerations for Analgesic Use in Sports Medicine\r vi
Team Physicians, Sports Medicine, and the Law: An Update\r vi
Concussion Ethics and Sports Medicine\r vi
Rethinking the Standard of Care in Treating Professional Athletes\r vi
Understanding Eating Disorders in Elite Gymnastics: Ethical and Conceptual Challenges\r vii
Ethics of Regulating Competition for Women with Hyperandrogenism\r vii
The Ethics of Sports Medicine Research\r vii
CLINICS IN SPORTS MEDICINE\r viii
FORTHCOMING ISSUES viii
July 2016 viii
October 2016 viii
January 2017 viii
RECENT ISSUES viii
January 2016 viii
October 2015 viii
July 2015 viii
April 2015 viii
Foreword ix
Preface: Ethics and the Sports Medicine Physician \r xi
Fundamental Ethical Principles in Sports Medicine 195
Key points 195
INTRODUCTION 195
SPORT AND THE HISTORY OF ETHICS IN SPORTS MEDICINE 196
DEONTOLOGY (GREEK: DEON = DUTY) 197
Players as Ends Not Means 197
UTILITARIANISM 198
“There is no ‘I’ in team” 198
Consequentialism Versus Non-Consequentialism 198
PRINCIPLES ETHICS 198
Autonomy 199
Beneficence 200
Nonmaleficence: Primum Non Nocere (First, Do No Harm) 200
Beneficence Versus Nonmaleficence 200
Justice 201
VIRTUE ETHICS 201
Discussion 202
“Fail to prepare, prepare to fail” 202
SUMMARY 203
“A fit player is better than an injured star” 203
REFERENCES 203
Confidentiality in Sports Medicine 205
Key points 205
THE PRINCIPLES OF CONFIDENTIALITY AND ETHICOLEGAL VARIATIONS 206
CONTEXTUAL FACTORS INFLUENCING CONFIDENTIALITY IN SPORTS MEDICINE 207
Multiple and Conflicting Obligations 207
Physical Environment 207
Practice Context 208
Policy Context 209
OPERATIONALIZING PATIENT CONFIDENTIALITY IN SPORT 210
Sports Psychologists 211
Athletic Trainers 212
Fitness Professionals 212
RECOMMENDATIONS 212
Roles 212
Clarity 212
Contracts 213
Education 213
Facilities 213
SUMMARY 213
REFERENCES 213
Conflicts of Interest in Sports Medicine 217
Key points 217
HISTORY 218
CONFLICT OF INTEREST CONCEPTS 218
AREAS OF LIKELY CONFLICTS 219
Confidentiality 219
CLINICAL DECISION MAKING 221
A GAME PLAN 223
SUMMARY 225
REFERENCES 225
Ethical Considerations for Analgesic Use in Sports Medicine 227
Key points 227
INTRODUCTION 227
NONSTEROIDAL ANTIINFLAMMATORY MEDICATIONS 228
Side Effects of Nonsteroidal Antiinflammatory Drugs 229
Ketorolac Tromethamine (Toradol) 229
Issues Associated with Sports-Related Nonsteroidal Antiinflammatory Drug Use 230
National Football League Team Physician Society Toradol Task Force Recommendations 232
NARCOTIC ANALGESICS 232
Side Effects of Narcotic Analgesics 233
Regulation of Narcotic Medication 233
Tramadol (Ultram) 233
Increasing Use and Abuse of Narcotic Medication 233
Unintended Consequences of Narcotic Use in Athletes 234
INJECTABLE ANESTHETICS USED IN SPORTS 236
SUMMARY 240
REFERENCES 240
Team Physicians, Sports Medicine, and the Law 245
Key points 245
INTRODUCTION 245
THE LEGAL SIGNIFICANCE OF BEING A TEAM PHYSICIAN AND PRACTICING SPORTS MEDICINE 246
Malpractice Liability 246
Statutes 249
Immunity 249
Team physician travel 250
Required care/injury management 250
EMERGING LEGAL ISSUES 251
Concussions 251
Prescription of Drugs 252
SUMMARY 253
REFERENCES 253
Concussion Ethics and Sports Medicine 257
Key points 257
INTRODUCTION 257
PROBLEMS IN THE IDENTIFICATION AND DIAGNOSIS OF CONCUSSION, UNCERTAINTY ABOUT REPEATED CONCUSSIONS 258
CONFLICTS OF INTEREST AND COERCION 260
SAME-DAY RETURN-TO-PLAY 261
AUDITING, RECORDING, REPORTING, AND CONFIDENTIALITY 263
MATCH DAY DOCTORS: AN INDEPENDENT SOLUTION TO CONFLICTS OF INTEREST AMONG TEAM DOCTORS? 264
SUMMARY 265
ACKNOWLEDGMENTS 265
REFERENCES 266
Rethinking the Standard of Care in Treating Professional Athletes 269
Key points 269
INTRODUCTION 269
ATHLETIC INJURIES AND A POLICY PROPOSAL 270
SUMMARY 273
REFERENCES 273
Understanding Eating Disorders in Elite Gymnastics 275
Key points 275
INTRODUCTION 275
EATING DISORDERS: CLASSIFICATION AND DIAGNOSIS 276
THE HIGH PERFORMANCE GYMNASTICS ENVIRONMENT 279
THE RESEARCH STUDY 280
METHODS 280
RESULTS 281
DISCUSSION 284
SUMMARY 288
ACKNOWLEDGMENTS 288
REFERENCES 288
Ethics of Regulating Competition for Women with Hyperandrogenism 293
Key points 293
INTRODUCTION 293
THE CASE OF CASTER SEMENYA 294
THE INTERNATIONAL ASSOCIATION OF ATHLETICS FEDERATIONS REGULATIONS 294
TESTOSTERONE CONFERS A COMPETITIVE ADVANTAGE: CASE NOT PROVED 295
But Is The Case Proved? 295
INCONSISTENCIES IN THE REGULATIONS 295
VISUAL PERCEPTION AS A TRIGGER FOR TESTING AND THE BURDEN TO PERFORM FEMININITY 296
UNNECESSARY MEDICALIZATION 297
BURDEN OF PROOF AND OF COST ON ATHLETES 297
DUTEE CHAND’S APPEAL TO COURT OF ARBITRATION FOR SPORT AND THE SUSPENSION OF REGULATIONS 298
SUMMARY 299
REFERENCES 299
The Ethics of Sports Medicine Research 303
Key points 303
RESEARCH ETHICS: BACKGROUND 303
DECLARATION OF HELSINKI: BACKGROUND 304
DECLARATION OF HELSINKI: APPLICATION OF PRINCIPLES 305
SUMMARY 311
REFERENCES 311
Index 315