Interview conducted by German Clénin, member of Health4Sport group, and SEMS past president
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All members of the panel introduced their organization and activities in short presentations, which were followed by a 75-minute discussion moderated by Joëlle Flück (Swiss Sports Nutrition Society president, and Health4Sport Board member) and Boris Gojanovic (Sport & Exercise Medicine Switzerland president, and Health4Sport Board member).
This article is a transcription of the debate, and all statements have been revised and approved by the participants.
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Sports physiotherapists work in very close contact with athletes, both on and off the field of play. In this challenging sporting context, they often have to find a balance between pushing the limits in rehabilitation/training and staying within the limits of a safe and ethical proper management of the athletes. Sports physiotherapists have also access to a unique perspective of behaviours not only of the athlete, but of all other individuals interacting with the athlete.
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A sport that uncompromisingly places the well-being of people in sport at its heart is based on three strong pillars: well-coordinated prevention, mindful support structures and an independent reporting system. Swiss Sport Integrity is the reporting and investigative body for ethical violations and abuse in sport. Swiss Olympic and its members, the Federal Office of Sport FOSPO and the Swiss cantons ensure optimal support structures and implement targeted prevention measures.
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Within a clinical sports medical setting the discussion about doping is insufficient. In elite-sports use of pharmaceutical agents is daily business in order to maintain the expected top-level performance. Unfortunately, a similar development could be observed in the general population of leisure athletes where medical supervision is absent. As a sports physician you are facing imminent ethical questions when standing in between. Therefore, we propose the application of a standardised risk score as a tool to promote doping-prevention and launch the debate within athlete-physician-relationship.
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