Critical Points

* School and team physicians must resist pressures to compromise the care of individual patients for the good of the institution.

* Appropriate practice in sports medicine differs dramatically between professional and recreational athletes.

* Team physicians must resist parental demands for performance-enhancing treatments and drugs for minors.

* The physician-prisoner relationship is a more limited relationship than the usual physician-patient relationship.

* Unlike the team and school physicians, physicians treating prisoners must often put the institution's needs above those of the prisoner.