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运动医学医师、伦理学与反兴奋剂治理:在援助与失职之间。

Sports physicians, ethics and antidoping governance: between assistance and negligence.

机构信息

Antidoping Agency of Serbia, Belgrade, Serbia.

出版信息

Br J Sports Med. 2013 Jul;47(11):701-4. doi: 10.1136/bjsports-2012-091838. Epub 2013 Jan 15.

DOI:10.1136/bjsports-2012-091838
PMID:23322892
Abstract

Recent positive doping cases and a series of mistakes of medical doctors of the International Federation of Basketball have reopened the debate about the role of medical doctor in elite sport. This study shows that some sports physicians involved in recent positive doping cases are insufficiently aware of the nuances of doping regulations and, most importantly, of the list of prohibited substances. Moreover, several team doctors are shown to have exercised poor judgement in relation to these matters with the consequence that athletes are punished for doping offences on the basis of doctors' negligence. In such circumstances, athletes' rights are jeopardised by a failure of the duty of care that (sports) physicians owe their athlete patients. We argue that, with respect to the World Anti Doping Code, antidoping governance fails to define, with sufficient clarity, the role of medical doctors. There is a need for a new approach emphasising urgent educational and training of medical doctors in this domain, which should be considered prior to the revision of the next World Anti Doping Code in 2013 in order to better regulate doctor's conduct especially in relation to professional errors, whether negligent or intentional.

摘要

最近的阳性兴奋剂案例和国际篮球联合会(International Federation of Basketball)的一系列医生失误,重新引发了关于医生在精英运动中的角色的争论。这项研究表明,一些涉及最近阳性兴奋剂案例的运动医生对兴奋剂规定的细微差别认识不足,最重要的是对禁用物质清单认识不足。此外,一些队医在这些问题上的判断能力较差,结果运动员因医生的疏忽而被判兴奋剂违规。在这种情况下,运动员的权利因(运动)医生对其运动员患者的护理责任的疏忽而受到威胁。我们认为,就世界反兴奋剂条例而言,反兴奋剂治理未能明确界定医生的角色。有必要采取一种新的方法,强调在该领域对医生进行紧急教育和培训,这应在 2013 年修订下一个世界反兴奋剂条例之前进行,以便更好地规范医生的行为,特别是在与专业错误(无论是疏忽还是故意)有关的方面。

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