REPORT OF THE

NCAA COMMITTEE ON COMPETITIVE SAFEGUARDS AND

MEDICAL ASPECTS OF SPORTS (CSMAS)

 

 

1.         ACTION ITEMS.

 

Association-wide.

 

a.         2004-05 drug-testing results.

 

(1)        Recommendation.  Approve for publication the results of the NCAA drug-testing program for the period from 2004-05, effective immediately.

 

(2)        Rationale.  The NCAA publishes an aggregate report of its drug-testing results to provide the membership and the public an opportunity to examine this aspect of NCAA drug testing. Individual and institutional results are kept confidential, in accordance with the Family Educational Rights and Privacy Act. The latest drug-testing results, along with a description of trends over the years, are attached. 

 

(3)        Budget impact.  None.

 

b.         University of California, Los Angeles, laboratory training.

 

(1)        Recommendation.  Attend training at the UCLA Sports Analytical Laboratory in the spring 2007.

 

(2)        Rationale. CSMAS provides oversight for the NCAA drug-testing program. This training will educate new members and update the committee regarding the procedures undertaken by the laboratory to assure accountability for the NCAA drug-testing program and to explore current and upcoming drug-testing issues. This request is made every few years to provide new members the confidence they need to rule in the 25-30 annual drug-testing appeal calls, which may result in the loss of student-athlete eligibility, and to maintain a consistent level of understanding of the NCAA drug-testing policies and protocol. Since the last training and prior to spring 2007, the committee will have been joined by 14 new committee members (not including the three student-athlete advisory committee representatives).

 

(3)        Budget impact.  $20,000.

 


c.         Coaches sports safety training.

 

(1)        Recommendation.  Mandate all coaches conducting practice, competition, skill instruction, and strength and conditioning sessions to be certified in first aid and cardiopulmonary resuscitation (CPR) and to have reviewed emergency plan activation policies, effective August 2007.

 

(2)        Rationale.  Survey of the NCAA death claims since 1992 reports 60 percent of all nonvehicle related deaths have been due to heart-related conditions and 83 percent of all deaths occurred during practice or conditioning.  With the number of individual skill sessions, workouts, and the logistics of practices, the committee believes the only way to ensure effective emergency care is to require all coaches to participate. The goal of this initiative is to ensure there is always someone certified in these skills to care for all participating student-athletes.  The proposed legislation applies to all coaches, and the training should be consistent with certification from a nationally recognized organization in first aid, CPR and automatic external defibrillation.  The committee has reviewed this recommendation in consultation with NCAA general counsel. The CSMAS would like to highlight the following points:

 

(a)        The American Heart Association notes that CPR is more effective if multiple certified personnel are present during an incident.  Ambulances and paramedics can have variable response times.  Conducting CPR is very rigorous and can cause significant fatigue with just one rescuer. 

 

(b)        The NCAA enforcement policy and standard for this legislation would be similar to the strength and conditioning coaches mandate as noted in NCAA Bylaw 17.11.6.1.1.

 

(c)        Multiple certifying agencies offer first aid and CPR training across the country (e.g., American Red Cross; American Heart Association; National Safety Council; American CPR Training; National Center for Sports Safety; state and local health organizations; hospitals; fire departments; university medical schools). Notably, institutional staff members can become instructor certified and certify staff at a reduced cost.

 

The committee recommended conferences implement the process and institutions police themselves by self-reporting violations.  Further, the committee suggests that institutional compliance officers keep copies of


emergency care plans for facilities and a list of personnel that have completed each of the requirements.

 

(3)        Budget impact.  None.

 

(4)        Cost implications for institutions.  $0 to $30 per coach.  Institutions can elect from a range of alternatives from outsourcing the training to training their own staff as instructors. It should be noted that this is not an annual cost. First aid certification is often good for three years, while CPR certification can have a one- or two-year length. 

 

d.         Bylaw 31.2.3.5. (Medical Exceptions).

 

(1)       Recommendation.  That the banned drug class (b) Anabolic Agents be added to the list of classes for which a medical exception may be requested, through noncontroversial legislative change, effective August 2006.

 

(2)       Rationale.  The NCAA allows for the use of banned medications that are required to maintain the health of the student-athlete and that support the student-athlete’s academic success.  The NCAA currently provides for the use of medications under the banned drug classes of stimulants, diuretics, peptide hormones and substances banned for specific sports. In the past, anabolic agents were precluded because of the strong prohibition for the use of these substances as performance enhancers.  CSMAS has heard a number of drug-test appeal cases of late that involved the legitimate use of testosterone, an anabolic agent, for the treatment of medical syndromes involving serious hormonal deficits.  The committee has determined that procedures are in place that would allow a thorough advance review for the medical use of these substances without the risk of abuse.

 

An exception for the use of medications requires the student-athlete to provide advance documentation of the medical need for the medication to the athletics department. In the event of a positive drug test, CSMAS conducts a case-by-case review of this documentation.  In the case of peptide hormones, pre-approval of the use of the medication by the medical panel of CSMAS is required.  With this recommendation, medical exceptions for medications containing an anabolic agent will be processed under the same conditions as that for the use of peptide hormones, i.e. will require pre-approval before use of the medication by an NCAA student-athlete.


(3)       Budget Impact.  $0.00

 

(4)       Impact on Time Commitment of Student-Athletes.  None.

 

e.         Committee chair.

 

(1)        Recommendation.  Approve Jerry Koloskie, senior associate director of athletics at the University of Nevada, Las Vegas, as CSMAS chair, effective September 1, 2006.

 

(2)        Rationale.  As an athletic trainer and an athletics administrator, Mr. Koloskie possesses the background and qualifications to chair this committee, which holds the responsibility to provide expertise and leadership to the Association on matters of student-athlete health and safety.

 

(3)        Budget impact.  None.

 

Division III only.

 

f.          Division III year-round drug-testing pilot.

 

(1)        Recommendation.  Institute a two-year year-round drug-testing pilot in Division III, effective August 2006.

 

(2)        Rationale.  Drug testing programs provide health and safety benefits to student-athletes.  Currently, the NCAA tests year round in Divisions I and II but not in Division III. The 2005 Substance Use Study demonstrates that reported Division III student-athlete performance-enhancing drug use is commensurate and slightly higher than Divisions I and II student-athlete use. National government scrutiny regarding sports performance-enhancing drug use highlights this gap in the NCAA drug-testing program, with a major segment of the NCAA student-athlete population not subject to random year-round drug testing.  The NCAA effort to deter sports performance drug use will be enhanced by adding year-round testing of

Division III student-athletes. A two-year pilot program will be conducted with no penalties. Data from this pilot will inform next steps. The 2005 Drug-Education and Testing Survey demonstrates 55 per cent support among administrators in Division III institutions to test Division III student-athletes in the year-round testing program. The Division III SAAC has reported to CSMAS that it supports a Division III pilot program and expressed a strong desire to see more drug testing in championships, especially during preliminary rounds.


If approved, a memorandum will be sent to Division III institutions, under cover of the Division III governance, with information about the program provided by the NCAA’s third-party drug-testing administrator, the National Center for Drug Free Sport. This communication will solicit volunteer institutions to participate in the pilot. Student-athletes will be randomly selected in a variety of sports from a representative sampling of those institutions identified from the volunteer pool. Identifying data will be stripped from the samples collected, and test results will be provided in an aggregate report at the end of each testing cycle.  

 

(3)     Budget impact.  $400,000.

 

 

2.         INFORMATIONAL ITEMS.

 

Association-wide.

 

Ÿ          Year-Round drug testing in summer months.  Pending budget approval, the committee directed National Center for Drug Free Sport to include summer drug testing in the year-round program. The committee felt that this identified gap in year-round drug testing may enable the use of performance-enhancing substances during the summer months without the potential for detection. Bylaws 18.4.1.5.2 and 21.2.2.2 provide authority for this action, and the student-athlete statement provides notice to and consent by student-athletes in the signing of the statement/consent form, in that it shall be in effect from the date the document is signed and shall remain in effect through August 31 of the following year. Additional notice will be provided through communications with the membership in an NCAA article in March, and through a memo in April to enable institutional compliance, with instructions from the National Center for Drug Free Sport on the steps the institution will need to take to identify a summer drug-testing site coordinator and to follow up for student-athlete random selection.  The first year of summer drug testing will focus primarily on Division I football and baseball.  Programs to be tested will be randomly selected from the entire pool of Division I institutions, with site coordinators notifying randomly-selected student-athletes, and advising Drug Free Sport about arranging collections. The current drug-testing protocol will be followed, with strict chain-of-custody, confidentiality, penalty and appeal processes maintained.

 

 

Committee Chair:   Michael Krauss, Purdue University, Big Ten Conference

Staff Liaisons:       David Klossner, Education Services

                              Mary E. Wilfert, Education Services