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82 Abstracts / Journal of Science an

ractitioner. That is, confidentiality must be maintained sohat private information gained is used for health purposes,nd is not used in other, potentially prejudicial ways againsthe athlete. In the course of dealing with sport doctors, ther-pists, psychologists and other allied health professionals,thletes may willingly or accidentally disclose informationbout performance enhancing or illicit drug use. How shouldhese sport science and medical practitioners respond? Theurpose of this pa per is to explore the issue of confiden-iality and disclosure in doctor–patient relationships and themplications this has for sport science and medicine per-onnel when dealing with suspected or actual drug use bythletes under their care. In particular, this paper will exam-ne in what circumstance it is acceptable and unacceptable toisclose otherwise confidential information about drug usey athletes.

oi:10.1016/j.jsams.2008.12.198

98

actors influencing Australian elite athletes’ decisions tose performance enhancing drugs—Qualitative evidence

. Mazanov ∗, T. Huybers

School of Business, University of NSW, Australian Defenceorce Academy, Australia

Introduction: Despite limited theoretical postulates abouthe factors that underlie elite athletes’ decisions to use per-ormance enhancing substances or methods (PESM), theres little empirical evidence. This paper reports the qualita-ive phase of research designed to address this gap. Method:thletes, coaches, sports nutritionists, sports physiothera-ists and sports administrators were interviewed (n = 20)o develop a list of factors thought to influence athletes’ecisions to use PESM. This is the first phase towards devel-pment of an empirical choice model of athlete PESM use.esults and Conclusions: The qualitative research identified1 factors as influences on athlete PESM use. “Winning” wassignificant influence; deconstruction of “winning” identi-ed athletes’ concerns over money, the contingencies put on

hat money (e.g. prize, sponsorship, salary), expected perfor-ance outcomes and their stage of career. Deterrence was

roadly captured by perceived likelihood of detection, like-ihood of successful prosecution, the health effects of usend consequences of being caught (e.g. public humiliation).he remaining factors were timing of injury before an eventnd source of information (e.g. senior athlete). While it wasnsurprising that winning was important, what that meant tothletes and their PESM behaviour could be characteriseds economically rational. Major Findings: Even though it is

nsurprising that winning was a significant influence in ath-etes’ decisions to use PESM, the factors that define winningre characteristically economically rational in the contextf specific circumstances (e.g. injury). These results form p

ine in Sport 12S (2009) S1–S83

he basis for subsequent quantitative study into the relativemportance of these factors in their decision making.

oi:10.1016/j.jsams.2008.12.199

NVITED

99

evelopment, integration and technologies of a high per-ormance unit

. Robinson

Geelong Football Club, Australia

During this presentation, Dean will review the High Per-ormance Unit at the Geelong Football Club. The importancef strategic planning in assembling a quality high per-ormance team, along with management practices used tonalyse these areas within the organisation. Specific exam-les of the strategic planning will be discussed in regardso identifying the roles needed through to understanding ofhe requirements within each role in developing a High Per-ormance Unit in elite sport. Essentially, Mr. Robinson willalk the audience through his world as the High Performanceanager of a professional football team. Additionally, the

se of project management strategies to integrate the spe-ialties of sports medicine, sports physiotherapy, osteopathy,trength and conditioning, nutrition, podiatry, biomechanics,hysiology, and athletic training into a cohesive team environ-ent to optimize the output of the unit will be demonstrated.long with these management practices, the sports science

echnologies that enable Geelong Football Clubs High Per-ormance Unit to monitor and develop the athletes to theirull potential will be discussed. The areas covered will includedentification of fatigue, power outputs, recovery status, nutri-ion practices of the athlete, and conditioning status. Deanill also identify where he can see future developmentsithin sport science research impacting on elite sport, specif-

cally with respect to his current area of research and the usef proteomics to identify optimal training strategies.

oi:10.1016/j.jsams.2008.12.200

EYNOTE

00

hort cuts, potholes and dead-ends: The race againstature in injury management

. Purdam

Australian Institute of Sport, Australia

In sport, clinicians face an ongoing challenge in returninglayers to train and compete following injury in the short-