Objectives To assess the clinical competence of sports medicine physicians to recognise and report harassment and abuse in sports, and to identify barriers to reporting and the need for safeguarding education. Methods We implemented a cross-sectional cohort study design recruiting through social media and international sports medicine networks in 2023. The survey captured participant perceptions related to the harmfulness of harassment and abuse. The survey incorporated the reasoned action approach as a theoretical framework to design survey questions to identify attitudes and self-efficacy to detect and report suspicions of harassment and abuse and to identify barriers to reporting. Results Sports medicine physicians (n=406) from 115 countries completed the survey. The situations of harassment and abuse presented in the survey were described by sports medicine physicians as having occurred in the 12 months before participating in the survey. Despite recognising the situations as harmful, sports medicine physicians were somewhat uncomfortable being vigilant for the signs and symptoms and reporting suspicions and disclosures of harassment and abuse (M=2.13, SD=0.67). In addition, just over one-quarter (n = 101, 26.9%) was unaware of where to report harassment and abuse, and over half did not know (n = 114, 28.1%), or were uncertain (n = 95, 23.4%) of who the safeguarding officer was in their sports organisation. Participants identified many barriers to reporting harassment and abuse, including concerns regarding confidentiality, misdiagnosis, fear of reprisals, time constraints and lack of knowledge. Over half felt insufficiently trained (n = 223, 57.6%), and most respondents (n=324, 84.6%) desired more education in the field. Conclusions Educational programmes to better recognise and report harassment and abuse in sports are needed for sports medicine trainees and practising clinicians. An international safeguarding code for sports medicine physicians should be developed. Data are available upon reasonable request. Data available upon reasonable request.

中文翻译：

---

#WhatWouldYouDo？一项针对运动医学医生评估其管理体育骚扰和虐待能力的横断面研究


目的 评估运动医学医生识别和报告体育运动中的骚扰和虐待的临床能力，并确定报告的障碍和保障教育的必要性。方法 我们在 2023 年实施了一项横断面队列研究设计，通过社交媒体和国际运动医学网络进行招募。该调查捕捉了参与者对骚扰和虐待的危害性的看法。该调查将合理行动方法作为理论框架来设计调查问题，以确定态度和自我效能感，以发现和报告对骚扰和虐待的怀疑，并确定报告的障碍。结果 来自 406 个国家的运动医学医生 （n=115） 完成了调查。运动医学医师将调查中提出的骚扰和虐待情况描述为发生在参与调查之前的 12 个月内。尽管认识到这些情况是有害的，但运动医学医生对体征和症状保持警惕，并报告可疑和披露骚扰和虐待的情况，这在某种程度上感到不舒服（M=2.13，SD=0.67）。此外，略多于四分之一（n = 101,26.9%）的人不知道在哪里报告骚扰和虐待行为，超过一半的人不知道（n = 114,28.1%），或不确定（n = 95,23.4%）他们的体育组织中的保护官员是谁。参与者发现了报告骚扰和虐待行为的许多障碍，包括对保密性的担忧、误诊、害怕报复、时间限制和缺乏知识。超过一半的人认为培训不足 （n = 223， 57.6%），大多数受访者 （n=324， 84.6%） 希望在该领域接受更多教育。 结论 运动医学实习生和执业临床医生需要教育计划以更好地识别和报告体育运动中的骚扰和虐待。应制定运动医学医师的国际保护守则。数据可根据合理要求提供。根据合理要求提供数据。