MINUTES OF THE

Wednesday January 4

The meeting was called to order at 4:00 p.m. by the chair, Dr. Krauss. All members were present as noted above.

1. Opening Remarks. Dr. Krauss welcomed the returning committee members, new committee members and guests.

2. Committee Staffing Needs. Dr. Krauss noted that six vacancies will need to be filled for committee service commencing in September 2006. The six identified positions are: primary care team physician; male head athletic trainer; at-large; director of athletics; coach; football rules committee.

3. Approval of Previous Minutes.

It was VOTED

"To approve the minutes of the June 2005 committee meeting as distributed."

4. NCAA Governance Actions and Issues. The committee reviewed relevant actions from the NCAA Executive Committee, the NCAA Division I Championships/Competition Cabinet, and the NCAA Divisions II and III Management Councils. The committee requested continued updates on proposals 2005-101 and 102 through the remaining legislative cycle.

5. NCAA Student-Athlete Advisory Committee (SAAC) Report.

a. Division I. Megan McGrane noted the emphasis coming out of Division I to provide the NCAA list of banned drug classes to student-athletes through conference SAAC. Megan also requested committee comment on best practices in travel safety; information was provided by NCAA general counsel, Elsa Cole, to note that the NCAA was working in conjunction with the National Traffic Safety Board, the American Council on Education and United Educators to develop a set of guidelines, to be reviewed by the Division I Championships/Competition Cabinet. Megan also noted that Division I was interested in obtaining additional information regarding safety information for summer conditioning practices.

b. Division II. Colleen McCullough noted that Division II SAAC raised the question about who is permitted to provide the PPE. The committee discussed that the provider must meet state law and institutional policy for qualified providers.

6. Government Affairs Update. Abe Frank, NCAA Managing Director of NCAA Government Relations, provided the committee an update report regarding government activity on steroid use prevention in sports, thanking the committee members for their work to maintain a drug-testing program that is viewed as a model program.

7. NCAA Legal Issues Report. Elsa Cole updated the committee on legal cases involving student-athlete health and safety.

8. The National Center for Drug Free Sport (Drug Free Sport) Update. Ms. Wickerham previewed Drug Free Sport's report to the Drug-Education and Drug-Testing Subcommittee. The committee noted special interest in EPO testing, institutional testing, and expanding NCAA year-round testing.

9. Subcommittee. The committee previewed the agendas for the Drug Education and Drug Testing (DEDT) subcommittee and the Sports Sciences Safety (SSS) subcommittee.

[Note: The meeting recessed at 7:15 p.m.]

Thursday January 5 , 2006

The meeting was called to order at 8:00 a.m. All members were present as noted above.

10. Outreach. The committee accepted the information from members who represent the following societies: American Medical Society of Sports Medicine (AMSSM); American Orthopedic Society for Sports Medicine (AOSSM); National Athletic Trainers? Association (NATA); American College Health Association (ACHA); National Federation of State High School Associations (NFHS); the Joint Commission on Sports Medicine and Science; and the Female Athlete Triad Coalition. Jerry Diehl presented an education kit developed by NFHS on concussion prevention, offering to provide additional copies to committee members. Committee members discussed the relevance of conference sports medicine meetings, and directed staff to draft a memo to conference commissioners, under the chair's signature, defining the need for and supporting the development of these committees at the conference level.

11. Research.

a. Drug Surveys. Denise DeHass presented the preliminary findings from the 2005 Drug Education and Testing Survey, and the final results of the 2005 NCAA Study of the Substance Use Habits of College Student-Athletes. The committee revisited data regarding marijuana testing, and the difference in the two NCAA testing programs (year-round and championship).

Committee Action: The committee recommended a work group from the committee members meet prior to the June 2006 meeting to develop a proposal for committee review regarding whether the two testing programs should be consistent.

b. Homophobia Survey. It was noted that, after receiving support from SAAC, the Committee on Women's Athletics, and the Minorities Opportunities and Interest Committee, staff has submitted this initiative for funding in the 2006-08 budget cycle. Budget requests will be reviewed and provided preliminary approval in April.

c. Life/Work Balance. David Klossner presented the committee the Life/Work Balance Inventory, and described the initiative, which seeks to identify practices that contribute to a healthier balance for those involved in athletics administration, and disseminate these to the membership. The inventory has been developed by a working group composed of NCAA staff and outside experts, with plans to administer it at an NCAA Convention session.

12. Cheerleading and Catastrophic Insurance, and Event Planning. Juanita Sheeley presented the committee with information about NCAA Catastrophic Insurance as it relates to coverage for cheerleading. Guidelines on the mandate for cheerleading coaches safety training and NCAA insurance coverage are available on the NCAA Web site. Juanita also presented information on the NCAA initiative to provide guidelines on athletic event facilities management. The Excellence Management Self-Audit tool will be available for member institutions and conference across all division by the fall of 2006. This system will allow event planners to assess their strengths and weaknesses in seven strategic areas identified to enhance the event's insurability.

13. The committee members divided into their respective subcommittee meetings.

[Note: The meeting recessed at 5:30 p.m.]

Friday January 6, 2006

The meeting was called to order at 8:00 a.m. All members were present as noted above

14. DEDT Subcommittee Report. The committee received a report from the subcommittee, which included recommendations to be acted on by the committee during the course of its meeting and updates on student-athlete well being programming.

a. Drug Research. Denise DeHass presented the preliminary report of the 2005 Drug Education and Testing Survey, and further findings from the 2005 NCAA Study of Substance Use Habits of Collegiate Student-Athletes.

Committee Action: The committee recommended gathering a work group to study the issue of testing marijuana during NCAA year-round testing, and to review the mission of NCAA drug testing.

b. 2004-05 Drug-Testing Results. The subcommittee reviewed the 2004-05 drug testing results presented by the Drug Free Sport.

Committee Action: The committee recommended forwarding the 2004-05 drug testing results, with editorial changes as noted, to the Executive Committee for its review and approval to publish.

c. 2005 Fall Drug-Testing Results. The subcommittee reviewed results from the 2005 fall drug testing sampling, noting with interest the number of synephrine positives. The UCLA lab has been testing for synephrine over the years, but has just started identifying positives in the most recent samples.

d. Banned Drug List. The subcommittee accepted the information that the Executive Committee (1) granted permission to CSMAS to amend examples under the banned drug classes as editorial changes, (2) approved that the named classes of banned drugs be maintained in the NCAA manuals and to remove the list of examples, (3) approved that the NCAA manuals will note that the most current, official list is located on-line, and (4) approved of listing the exceptions to the class at the end of the list of examples on the published list on the Web.

Committee Action: The committee recommended that Drug Free Sport and NCAA staff research whether to eliminate "and related compounds" or make other edits from class (c) Drugs Banned for Specific Sports, and review (g) for edits.

e. Erythropoietin (EPO) Testing. The subcommittee will review the data from Drug Free Sport in June on EPO testing on NCAA samples to determine whether to continue testing samples for EPO.

f. Carbon Isotope Ratio (CIR) Testing. Drug Free Sport reported that NCAA samples testing under the CIR 6:1 threshold have been negative.

Committee Action: The committee requested that Drug Free Sport research the World Anti-Doping Association (WADA) positive tests for elevated testosterone to epitestosterone (T/E) ratio and whether CIR has confirmed those between 4:1 and 6:1 range.

g. Drug-Test Appeals. The subcommittee reported that the appeal information on the Web should be updated, specifically noting that if a drug-testing penalty is reduced by 50% on appeal, the appeal is considered denied with a penalty reduction for no significant fault. The subcommittee recommended that Drug Free Sport expand the "case report" database to include more detailed information to assist the subcommittee in tracking precedent to review in subsequent appeal deliberations.

Committee Action: The committee approved the subcommittee recommendation to revise the appeal information on the Web to better prepare institutions for a drug-test appeal, by the June meeting. The committee also approved the subcommittee recommendation to expand the "case report" database.

h. Medical Exceptions. The subcommittee recommended adding the drug class "anabolic agents" to the list of classes for which a medical exception may be requested. Any use under this class will require prior review and approval by the medical panel in order to be considered for a medical exception.

Committee Action: The committee approved the policy of adding the "anabolic agents" drug class to the medical exception process.

i. Year-Round Expansion in DI- Summer. The subcommittee recommended expanding year round testing in Division I to include testing during the summer. All sports will be included in this plan in Division I, and the current protocol will be maintained, with site coordinator notifying selected student-athletes, and advising Drug Free Sport about arranging collections.

Committee Action: The committee approved the concept of including summer drug testing to the year-round program. The committee recommended funding be sought through inflationary funds or through reallocations from existing year-round testing and an implementation plan be developed with the consultation of Drug Free Sport.

j. Year-Round Testing and Division II Institutional Testing. The subcommittee reviewed a proposed plan to accommodate expanded institutional testing in Division II by having the NCAA crew collect and process institutional tests when they are on campus conducting NCAA year-round testing.

Committee Action: The committee took no action but expressed concerns that student-athletes tested at the same time while under two different policies may experience some confusion, and that the deterrent effect may be reduced at those institutions that already conduct testing, if all testing now occurs at the same time instead of during various times throughout the year. Laure Smith agreed to present the committee's position at the January Division II Management Council Meeting.

k. Division III Year-Round Testing. The subcommittee recommended that Drug Free Sport and NCAA staff develop a proposal for a two-year pilot year-round testing program in Division III to be presented to the Management Council at its April meeting. This pilot program will collect data but provide for no penalties.

Committee Action: The committee approved the subcommittee's recommendation of a two-year drug-testing pilot program in Division III. Charlie Wilson agreed to introduce the issue and the committee's position at the January Division III Management Council Meeting.

l. Baseball Testing. The subcommittee reviewed and reported on a request from the American Baseball Coaches Association and the Atlantic Coast Conference for additional drug testing in baseball.

Committee Action: The committee supported the principles of the request for more testing and will send written correspondence to the organizations, identifying the current increase in baseball testing, the potential for additional year-round testing in baseball through the proposed summer testing, and the recommendations for expanded institutional and conference testing.

m. Championship Testing. The subcommittee requested NCAA staff ensure that the drug-testing procedures at championship events are understood by student-athletes.

n. Lab Issues. The subcommittee recommended a training trip to the UCLA drug testing lab in the 2006-07 year to educate the new committee members on lab procedures. In addition, the committee recommends that the NCAA grant a service award to Dr. Don Catlin of the UCLA drug testing lab for his dedicated service to sports drug-testing of over 20 years.

Committee Action: The committee supported awarding Dr. Don Catlin for his years of service in the drug-testing field and the training trip to the UCLA drug testing lab as noted.

o. Tobacco Use. The subcommittee reviewed the tobacco use results in the 2004-05 drug use survey and indicated declining overall spit tobacco use with pockets of increased use and high level use among certain sports.

Committee Action: The committee recommended sending written communication to all Directors of Athletics, Conference Commissioners, selected sport rules committees and their respective coordinators for officials re-emphasizing the ban on tobacco use during practice or competition for both student-athletes and athletics staff noting the new ruling that will eject head coaches with player ejections.

p. Speakers Grants. In light of the heavy demand and limited funds, the subcommittee recommends that the Speakers Grant program return to allowing only $500 grants per request.

Committee Action: The committee approved the standard grant amount of $500.

15. Sport-Specific Issues.

Field Hockey. The committee reviewed the process for establishing eye protection in the sport of field hockey. The committee will continue to review data from the ISS and catastrophic insurance claims and ask the medical community for specific cases of severe facial injuries in the sport to help determine incidence. It was noted that manufactures have developed field hockey specific goggles that meet the ASTM F803 safety standard established for the sport.

Non-transparent eye shield waivers in football. The committee reviewed the NCAA football waiver process for the eye shield rule and suggesting revising an earlier recommendation from the CSMAS that allowed non-transparent eye shields for medical purposes. In light of new technologies (e.g. polycarbonate goggles, contact lenses), the committee noted alternative eye protection to the tinted shield are available that meet medical needs while enhancing on-field evaluations that the current tinted eye shield hinders. See the following eye shield request table:

	Eye Shield Requests Acted Upon
2005	402
2004	298
2003	288
2002	169
2001	93
2000	63
1999	26

Committee Action: The committee recommended that the NCAA Football Rules Committee allow only clear protective eye shields and eliminate the non-transparent eye shield waiver process.

c. Spearing in football. The committee discussed an uncalled hit that occurred during the national championship game which was a clear example of spearing. The committee also noted that there was a severe head-to-head hit to a quarterback in the Big 12 championship conference game that removed the quarterback from the game and their subsequent bowl game which was six weeks later.

Committee Action: The committee will recommend to the NCAA Football Rules Committee look into these two examples as possible representative teaching points in next year's officials video. The CSMAS suggested distributing the spearing educational poster for display in the football official's locker rooms on campuses.

d. Football summer conditioning period. The committee reviewed a request by the Division Football Issues Committee to examine possible best practices for the summer period.

Committee Action: The committee supported the current summer legislation and institutional autonomy in developing best practices on campus to meet their unique needs. However, the committee recommended that institutions review their policies that govern the football summer conditioning period and consider the following points of emphasis.

1. Institutions should review the guidelines in the NCAA Sports Medicine Handbook (e.g. hydration, emergency care and coverage, medical evaluations, etc.) in developing and updating their policies.

2. Institutions should implement an appropriate rest and recovery plan that includes a hydration strategy.

3. Institutions should consider holding a student-athlete orientation meeting to discuss the summer period logistics and the health and safety concerns that may be associated with participating in strenuous workouts.

4. Coaches are encouraged to consult with medical staff in the development of the conditioning sessions. All personnel should be aware of the potential impact acclimatization, hydration, medications and drugs, existing medical conditions, nutritional supplements, and clothing/equipment have on student-athletes' health while participating in strenuous workouts.

5. All on-field personnel should review, practice and follow their venue emergency plan and be trained in administering first aid and cardiopulmonary resuscitation (CPR).

6. Student-athletes should be encouraged to report illnesses, injuries and the use of medications, nutritional supplements and energy drinks while avoiding the consumption of alcohol.

e. Rowing. The committee, in collaboration with US Rowing, discussed possible weight management policies for the sport of lightweight rowing. There was support for a weight management program similar to the wrestling program but with sport specific alternatives. A pilot program is scheduled to be implemented for the spring season with a voluntary team.

16. Education Resources.

a. Mr. Klossner walked the committee through the new NCAA Web site and personalization functions.

b. Prevention Education. The SSS subcommittee recommended developing educational pieces directed at student-athletes on the topics related to the prevention of health issues. The first identified topic is hygiene practices. The information will be disseminated through the head athletic trainers and team physicians with the goal to have them distribute the information to local student-athlete advisory committee's (SAAC), captain's meetings or other appropriate avenues.

Committee Action: The committee supported the recommendation to develop and disseminate educational pieces directed at student-athletes on the topics related to the prevention of health issues.

c. Topics Identified For Upcoming NCAA News Coverage.

1. Drug Use Survey - Jerry Koloskie and Frank Uryasz

2. Summer Drug Testing - Frank Uryasz

3. CPR Guidelines - Kim Harmon

4. Spit Tobacco - Mike Krauss

5. Pre-Participation Physical Exam Monograph - Margot Putukian

6. Injury Surveillance - Jerry Weber, Kim Harmon

7. Sun Safety - Staff

17. Other Health and Safety Issues.

a. Injury Surveillance System. The revised web based Injury Surveillance System was reviewed and newly developed sport report structure critiqued. The committee emphasized the need to thoroughly evaluate the trends in sports under the new system. The web based system is available for all NCAA sponsored sports however sample sizes still need to be increased. The committee believes the ISS is essential to the committee's ability to make effective decisions and help the rules committee's meet their needs.

Committee Action: The committee will explore ways to enhance participation in order to ensure valid random sampling by communicating with conferences and sport committees, examining additional budget requests, as well as a mandate for membership participation.

b. Sickle Cell Screening. Sickle cell screening practices among member institutions will be further evaluated and presented at the June meeting.

c. Emergency Care. The committee will work on an initiative to develop criteria within the NCAA self study process to ensure institutions have appropriate emergency care plans for student-athletes in place as an alternative to legislating that institutions must have emergency care plans on file with the institution's compliance officer.

d. Coaches Sport Safety Training.

Committee Action: The committee recommended the resubmission of the Coaches Sport Safety training legislative initiative with additional information.

1. Recommendation: To mandate that all coaches conducting practice, competition, skill instruction, and strength and conditioning sessions shall be certified in first aid and cardiopulmonary resuscitation and have training in emergency plan activation.

2. Rationale: The proposed legislation is intended for all coaches and the training should be consistent with certification from a nationally recognized organization in first aid, cardiopulmonary resuscitation (CPR) and automatic external defibrillation (AED). The goal of this initiative is to ensure there is always someone is certified in these skills to care for all student-athletes working out. CPR is more effective if multiple certified personnel are present. The number of individual skill sessions, workouts, and the logistics of practices the committee believes the only way to ensure that emergency care is to require all coaches to participate. The NCAA currently requires that all wrestling coaches including volunteers have first aid and CPR certification, that all strength and condition personnel have CPR certification, and that all cheerleading coaches certify they have completed a safety training program to be insured by the NCAA under the catastrophic plan. Member schools and even some conferences currently mandate similar minimal standards of care. The committee encouraged conferences to implement the process and institutions to police themselves by reporting violations to the conference office and setting their own sanctions. Furthermore, the committee suggests that institution compliance officers keep copies of emergency care plans for facilities and a list of personnel that have completed each of the requirements.

e. Pre-Participation Evaluations (PPE). The committee discussed the roll of the pre-participation and issues related to additional screening (cardiac, sickle cell). The committee also reviewed current recommendations from the American Heart Association, the Pre-participation Monograph published by McGraw Hill, and the 36^th Bethesda Guidelines. Based on this information, there were no changes noted to the current position of the Sports Medicine Handbook Guideline. Pro's and con's were discussed related to mandating a specific PPE form.

f. Mental Health. The licensed sports psychologists' professional development group hosted by the NCAA in 2005 continues to meet, and is working on the depression guideline for the 2006 Sports Medicine Handbook. It was noted by committee members that a Team Physician Consensus Statement "Mental Health Issues and Athletes" will be written; Dr. Putukian will participate.

g. Triad. The coach's handbook on "Managing the Female Athlete Triad" has been disseminated to the membership, and met with positive critique. Next steps will involve impact assessment and follow up directed by the consultants.

h. Hazing. The committee received an update on the initiatives to elevate attention to this issue, which was addressed by NACDA at its June meeting and is slated for targeted