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This presentation introduces the Collegiate Esports Medical Support Model, led by researchers from U.S. higher-education institutions including Seth E. Jenny, Michele Pye (Shenandoah University), Adam Antor (Ferris State University), Joanne DiFrancisco-Donoghue (New York Institute of Technology), David P. Schary (Winthrop University), and Joey Gawrysiak (Syracuse University). As esports expands on campuses while enrollment declines across North America, collegiate gaming programs have become a strategic retention tool—but structured medical and duty-of-care support for esports student-athletes remains critically underdeveloped. Despite evidence that over half of collegiate esports players experience a medical issue, only ~2% seek professional care and just 2% pursue medical attention even when symptoms interfere with performance, focus, and fatigue resistance. This work fills a persistent institutional gap by adapting existing frameworks—such as the eSport Health Team Model, the Integrated Health Management Model, and the Holistic Athletic Career Model—toward a generationally adaptive, campus-specific health support structure designed for esports competitors balancing studies, team leadership, scrimmage pressure, and wellbeing. The proposed model centers eight concrete pillars: lifestyle advocacy and program-level duty of care, medical care access, fitness and exercise resources, injury prevention and rehabilitation pathways, psychological support, nutritional guidance, and wellness promotion across institutional services. Coaching and medical staff are reframed as ecosystem infrastructure—not optional add-ons—creating campus pipelines that protect student health, morale, consistent feedback cultures, and long-term performance integrity. This session provides both conceptual grounding and tactical direction for universities, scholastic ecosystems, team staff, and industry partners aiming to responsibly scale esports without sacrificing student development. Keywords: collegiate esports medicine, duty of care, injury prevention, wellness infrastructure, esports performance health, campus legitimacy About the ERN Conference 2025: The Esports Research Network Conference 2025 took place online from November 12–14, 2025 as a continuous, 72-hour global livestream. Guided by the theme “Future Realities: Esports as a Global Lab,” the event explored how esports serves as a living laboratory for understanding digital transformation across education, media, technology, and society. This innovative digital-first format followed the sun across three regional hubs, Slippery Rock University of Pennsylvania & Michigan State University (Americas), Staffordshire University (EMEA), and UNSW Sydney (Asia-Pacific), creating a nonstop, interconnected academic experience available to participants worldwide. This ambitious production was made possible through the support of Corsair for Business, whose Elgato technology powered high-quality broadcasting and seamless livestreaming across all three hubs. ERNC25 continues the network’s mission to unite scholars, practitioners, and students while fostering open, global collaboration in esports research. Full abstracts for all presentations can be viewed in the official Book of Abstracts at: https://book.esportsresearch.net Website: https://esportsresearch.net