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First published on January 11, 2007, doi:10.1177/0363546506295177
This version was published on May 1, 2007
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The American Journal of Sports Medicine 35:840-844 (2007)
© 2007 American Orthopaedic Society for Sports Medicine

Team Physician’s Corner

Ethics in Sports Medicine

Warren R. Dunn, MD, MPH{dagger},{ddagger},*, Michael S. George, MD§, Larry Churchill, PhD|| and Kurt P. Spindler, MD{dagger}

From the {dagger} Vanderbilt Sports Medicine Center, Nashville, Tennessee, {ddagger} Center for Health Services Research, Vanderbilt University Medical Center, Nashville, § KSF Orthopaedic Center, Houston, Texas, and || The Center for Biomedical Ethics and Society, Vanderbilt University Medical Center, Nashville

* Address correspondence to Warren R. Dunn, MD, MPH, Center for Health Services Research, 1215 21st Ave. South, 6007 MCE, Nashville, TN 37232-8300 (e-mail: warren.dunn{at}vanderbilt.edu).

Physicians have struggled with the medical ramifications of athletic competition since ancient Greece, where rational medicine and organized athletics originated. Historically, the relationship between sport and medicine was adversarial because of conflicts between health and sport. However, modern sports medicine has emerged with the goal of improving performance and preventing injury, and the concept of the "team physician" has become an integral part of athletic culture. With this distinction come unique ethical challenges because the customary ethical norms for most forms of clinical practice, such as confidentiality and patient autonomy, cannot be translated easily into sports medicine. The particular areas of medical ethics that present unique challenges in sports medicine are informed consent, third parties, advertising, confidentiality, drug use, and innovative technology. Unfortunately, there is no widely accepted code of sports medicine ethics that adequately addresses these issues.

Key Words: ethics • team physician • informed consent • confidentiality






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Copyright © 2007 by the American Orthopaedic Society for Sports Medicine.