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Sports physicians play a vital role in ensuring athletes comply with WADA regulations while maintaining their health. Understanding the nuances of the WADA code, including therapeutic use exemptions (TUEs), is essential for sports physicians. They must navigate cases where athletes need prohibited substances for legitimate medical conditions. This involves a careful application process, adhering to strict criteria, and being aware of potential sanctions. Physicians must also ensure they act with the utmost caution to avoid any professional liability. Staying informed on regulations and best practices is crucial for the well-being of athletes and the integrity of sports.
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Primary source - WADA regulations THE RELEVANT RULES • Secondary sources – international federations; national federations; national anti-doping organisations
THERAPEUTIC USE EXEMPTIONS (TUEs) • WADA Code permits athletes to apply for Therapeutic Use Exemptions, ie permission to use prohibited substances or methods where documented medical conditions require such use • Criteria: - Significant impairment to health if substance or method was withheld - No additional performance enhancement effect other than by returning athlete to normal state of health following treatment of legitimate medial condition - No reasonable therapeutic alternative to use of prohibited substance or method - Necessity for use cannot be a consequence of the prior use without a TUE • Cancellation / expiry • Retroactivity where emergency or exceptional circumstances • Application process
DEGREE OF FAULT What about fault on the part of the physician? (See Edwards v IAAF and USATF – athletics)
