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Sports physicians play a vital role in ensuring the health and well-being of athletes while adhering to WADA regulations. They help athletes navigate Therapeutic Use Exemptions (TUEs) for prohibited substances due to legitimate medical conditions, emphasizing the utmost care in treatment protocols. Additionally, physicians must be aware of potential sanctions and the importance of fault in cases of violations. This article discusses the responsibilities of sports physicians, the application process for TUEs, and strategies for maintaining compliance while prioritizing athlete health.
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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)
