ATHLETIC TRAINER AND THE SPORTS MEDICINE TEAM CHAPTER 1 ATHLETIC TRAINER AND THE SPORTS MEDICINE TEAM

WHAT IS AN ATHLETIC TRAINER? An athletic trainer is a person who is nationally certified by the NATA (National Athletic Trainers Association) Athletic Trainers are known by ATC. Athletic Trainer Certified ATC’s are responsible for the care and prevention of athletic injuries.

HISTORY The field of sports medicine has been in effect since around 800 to 100 B.C. when the uses of therapeutic exercises were described in the Arthava-Veda, a medical booklet from India. With the popularity of athletics increasing, the demand for those knowledgeable in rehabilitating these athletes also increased.          

HISTORY    More recently, the field of sports medicine is the largest it has ever been with many organizations now existing that share the interest in treating and preventing athletic injuries. For example, the Federation of Sports Medicine (FIMS) was established in 1928 in order to assist the athletes of the Winter Games of St. Moritz Olympic Winter Games. In 1951, the American Medical Association established a committee on Injuries in Sports, which is now a standing committee.

HISTORY The largest of all sports medicine organizations, the American College of Sports Medicine, was created in 1954. Last, the American Orthopedic Society for Sports Medicine was founded in 1971. In 1950, the National Athletic Trainers Association was founded for the education of athletic trainers.

EVOLUTION OF ATHLETIC TRAINING 1ST “Trainers” carried water and equipment Eventually, “trainers” were responsible for injuries and taping. (with no real training) In the 1950’s Cramer established guidelines for being a “trainer” In 1970’s the NATA moved away from the trainer name and established Athletic trainer. With Domains and reponsiblities

Support personnel for athlete’s health and safety Nurse School health services Physicians Podiatrist PA Biochemist Strength and conditioning coach

Support continued Sports psychologist *Equipment pers Physical Therapist (PT) *Refeeres Exercise physiologist Nutritionist Massage Therapist Social Worker Sports Chiropractor

Sports Medicine Human Performance Management Injury Exercise Physiology Practice of Medicine Biomechanics Sports Physical Therapy Sport Psychology Athletic Training Sports Nutrition Sports Massage 13

ORGANIZATIONS FOR ATHLETIC TRAINERS NATA: National Athletic Trainer’s Association CATS: College Athletic Trainer’s Society ATSO: Student Athletic Trainers USATR: liability for ATC’s Associations on the Regional and State levels: MAATA (Mid Atlantic Athletic Trainers Association) and VATA Many others: see textbook

Roles and Responsibilities: Board of Certification Domains Prevention Clinical evaluation and diagnosis Immediate care Treatment, rehabilitation and reconditioning Health care administration Professional responsibilities 15

Prevention Ensure safe environment Conduct pre-participation physicals Develop training and conditioning programs Select and fit protective equipment properly Ensure appropriate medication use while discouraging substance abuse 16

Clinical Evaluation & Diagnosis Recognize nature and extent of injury Involves both on and off-field evaluation skills and techniques Referring to supportive services Immediate Care Administration of appropriate first aid and emergency medical care (CPR, AED) Activation of emergency action plans (EAP) 17

Treatment, Rehabilitation Reconditioning Rehabilitation program design Supervising rehabilitation programs Incorporation of therapeutic modalities and exercise Offering psychosocial intervention Organization & Administration Record keeping Ordering supplies and equipment Establishing policies and procedures Supervising personnel 18

Professional Responsibilities Athletic trainer as educator Athletic trainer and continuing education Athletic trainers as counselor 19

Personal Qualities of the Athletic Trainer Stamina and the ability to adapt Empathy Sense of humor Communication Intellectual curiosity Ethical practice Professional memberships 20

AFTER CONSULTING WITH OTHER DOCS..WE CONCLUDED CHESS IS NOT A SPORT.. SENSE OF HUMOR

Athletic Trainer and the Athlete Major concern on the part of the ATC should be the injured patient The injured patient must always be informed Be made aware of the how, when and why that dictates the course of injury rehabilitation 22

Athletic Trainer and Parents Athletic trainers must keep parents informed, particularly in the secondary school setting Injury management and prevention The parents decision regarding healthcare must be a primary consideration 24

The athletic trainer, physician and coaches must be aware and inform parents of Health Insurance Portability and Accountability Act (HIPAA) Regulates dissemination of health information Protects patient’s privacy and limits the people who could gain access to medical records 25

The Athletic Trainer and the Team Physician Athletic trainer works under direct supervision of physician Physician assumes a number of roles Serves to advise and supervise ATC Physician and the athletic trainer must be able to work together 26

-Pre-participation screening (physicals) Diagnosing injury (only Doctors can diagnose.. ATC’s evaluate) Deciding on disqualifications Attending practice and games 27

TEAM DOCTOR

The Athletic Trainer and the Coach Must understand specific role of all individuals involved with the team Coach must clearly understand the limits of their ability to function as a health care provider Directly responsible for injury prevention Athlete must go through appropriate conditioning program 29

Coach must be aware of risks associated with sport Provide appropriate training and equipment Should be certified in CPR and first aid Must have thorough knowledge of skills, techniques and environmental factors associated with sport Develop good working relationships with staff, including athletic trainers Must be a cooperative relationship 30

Athletic Training Education Competencies Twelve Content Areas Risk management Pathology of injuries and illnesses Assessment and evaluation Acute care Pharmacological aspects of injury and illness Therapeutic modalities 32

Athletic Training Education Competencies Therapeutic exercise General medical conditions and disabilities Nutritional aspects of injury and illnesses Psychosocial intervention and referral Organization and administration Professional responsibilities 33

Continuing Education Requirements CEU’s- Continuing Educational Units Need to obtain 75 every 3 years * Attend symposiums, seminars, workshops, or conferences. * Serve as a speaker, panelist or certified exam model. * Participate in the US Olympic Committee program

CEU’s Author- textbooks, articles or journals. Complete A Journal of Athletic Training Quiz Complete postgraduate course work. Obtaining CPR, first aid and EMT certifications. MUST demonstrate proof every 3 years of CPR certification

Future direction of Athletic Training Every state will regulate the practice of ATC’s More Secondary Schools have ATC’s Increase in the amount of clinics owned by ATC’s Recognition of ATC’s as a physician extender. Being able to charge for services

Forms of state regulation Certification Registration Licensing Exemption

Employment settings for the ATC Secondary Schools (High Schools) School Districts Colleges and Universities Professional sports Clinics Corporate/industrial settings The Military Physician extenders Medical supply/equipment sales

Employment continued College/Univ. educators Researcher Administrator