Sports Medicine I Southern Lee High School 3rd & 4th Period Justin “Doc” Cobb, MS, LAT, ATC Head Athletic Trainer

Education Bachelor of Science in Kinesiology - Concentration in Sports Medicine Master of Science in Athletic Training NC A&T Division 1 Football Program UNCG Men’s and Women’s Tennis Greensboro Orthopedics Rehabilitation Clinic North Forsyth High School Logged over 1400 hours in 2 years

Chapter 1: The Athletic Trainer as a Health Care Provider

Sports Medicine Broad field of medical practices related to physical activity and sport Involves a number of specialties involving active populations Typically classified as relating to performance enhancement or injury care and management

Sports Medicine Human Performance Management Injury Exercise Physiology Practice of Medicine/Nursing Athletic Training Biomechanics Sport Psychology Physical Therapy Strength & Conditioning Sports Massage/Massage Therapist Personal Fitness Trainers Sports Podiatry/ Orthotists Sports Dentistry

Career Opportunities Nurses Physical therapists Physicians primary care, orthopedic surgeons, podiatrists, neurologists, nutritionists . . . Physician Assistant Nurses Physical therapists Physical therapy assistants Athletic trainers Fitness instructors X-ray techs Radiologists

Employment Settings Physician offices Hospitals Clinical settings rehab or pt clinics Industrial, Disney, GMC, NASA Professional sports Colleges High Schools Wellness Centers Military

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Support Health Services & Personnel Physicians Dentist Podiatrist Nurse Physicians Assistant Physical Therapist Occupational Therapist Massage Therapist Ophthalmologist Dermatologist Gynecologist Exercise Physiologist Biomechanist Nutritionist Sport Psychologist Coaches Strength & Conditioning Specialist Social Worker Neurologist Emergency Medical Technician

Career Project Due Friday, September 15th Open textbooks to pg. 26. Pick 5 careers you would be interested in pursuing and learning more about and briefly write down a summary of each profession.

Growth of Professional Sports Medicine Organizations International Federation of Sports Medicine (1928) American Academy of Family Physicians (1947) National Athletic Trainers Association (1950) American College of Sports Medicine (1954) American Orthopaedic Society for Sports Medicine (1972) National Strength and Conditioning Association (1978) American Academy of Pediatrics, Sports Committee (1979) Sports Physical Therapy Section of APTA (1981) NCAA Committee on Competitive Safeguards and Medical Aspects of Sports (1985) National Academy of Sports Medicine (1987)

National Athletic Trainers’ Association To enhance the quality of health care for athletes and those engaged in physical activity, and to advance the profession of athletic training through education and research in the prevention, evaluation, management and rehabilitation of injuries The NATA now has 32,000 members

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Sports Medicine Journals A variety of publications exist, providing excellent resources to the sports medicine community Journal of Athletic Training Journal of Sports Rehabilitation International Journal of Sports Medicine Physician and Sports Medicine Clinics in Sports Medicine American Journal of Sports Medicine Sports Health Athletic Therapy Today Training & Conditioning Athletic Training & Sports Health Care

Treating Physically Active Populations Consists of athletic, recreational or competitive activities Requires physical skills and utilizes strength, power, endurance, speed, flexibility, range of motion and agility

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

HIPAA 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

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

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 Insurance plans may dictate care Selection of physician

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 Have similar philosophical opinions regarding injury management Helps to minimize discrepancies and inconsistencies

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 in their respective state Directly responsible for injury prevention Athlete must go through appropriate conditioning program

Physical Therapy- https://www.youtube.com/watch?v=0Ka4_uxLLh4\ Strength and Conditioning Coach - https://www.youtube.com/watch?v=Ynt6UCzkdcc Surgeons- https://www.youtube.com/watch?v=x0I9u7eXVrE

Accredited Athletic Training Education Programs Entry-level athletic training education programs In 2009, 357 undergraduate programs, 19 entry-level master’s programs https://kin.uncg.edu/academic-programs/graduate/areas-of-study/athletic-training/application-process/ graduate athletic training education programs Designed for individuals that are already certified

Athletic Training Education Competencies Twelve Content Areas Risk management Pathology of injuries and illnesses Orthopedic clinical examination & diagnosis Acute care Pharmacological aspects of injury and illness Therapeutic modalities

Athletic Training Education Competencies Conditioning & rehabilitative exercise General medical conditions and disabilities Nutritional aspects of injury and illnesses Psychosocial intervention and referral Health care administration Professional development & responsibilities

Foundational Behaviors of Professional Practice “People” components of the profession Recognizing the primary focus of practice should be the patient Understanding that competent health care requires a team approach Being aware of legal elements of practice Practicing ethically Advancing the knowledge base in athletic training Appreciate cultural diversity Being an advocate and model for the AT profession

Specialty Certifications NATA is in the process of developing specialty certifications Further enhance professional development Aid in expanding scope of practice Specialty certifications build on entry level knowledge

Purpose To provide the athletic trainer with advanced clinical practice credential that demonstrates attainment of knowledge and skills that will enhance patient care, enhance health-related patient quality of life, and optimize clinical outcomes in specialized areas of athletic training practice

Requirements for Certification as an Athletic Trainer Must have extensive background in formal academic preparation and supervised practical experience Guidelines are set by the Board of Certification (BOC)

Examination is computer based Exam assesses the 6 domains Upon meeting the educational guidelines applicants are eligible to sit for the examination Examination is computer based Exam assesses the 6 domains Prevention Evaluation and diagnosis Immediate care Treatment, rehabilitation & reconditioning Organization and administration Professional responsibility

BOC certification is a prerequisite for licensure in most states Upon passing the certification examination = BOC certified as an athletic trainer Credential of ATC BOC certification is a prerequisite for licensure in most states Justin Cobb, MS, LAT, ATC

State Regulation of the Athletic Trainer During the early-1970s NATA realized the necessity of obtaining some type of official recognition by other medical allied health organizations of the athletic trainer as a health care professional Laws and statutes specifically governing the practice of athletic training were nonexistent in virtually every state

Athletic trainers in many individual states organized efforts to secure recognition by seeking some type of regulation of the athletic trainer by state licensing agencies To date 47 of the 50 states have enacted some type of regulatory statute governing the practice of athletic training Rules and regulations governing the practice of athletic training vary tremendously from state to state

Regulation may be in the form of: Licensure Limits practice of athletic training to those who have met minimal requirements established by a state licensing board Limits the number of individuals who can perform functions related to athletic training as dictated by the practice act Most restrictive of all forms of regulation

Certification Registration Does not restrict using the title of athletic trainer to those certified by the state Can restrict performance of athletic training functions to only those individuals who are certified Registration Before an individual can practice athletic training he or she must register in that state Individual has paid a fee for being placed on an existing list of practitioners but says nothing about competency

Exemption State recognizes that an athletic trainer performs similar functions to other licensed professions (e.g. physical therapy), yet still allows them to practice athletic training despite the fact that they do not comply with the practice acts of other regulated professions Legislation regulating the practice of athletic training has been positive and to some extent protects the athletic trainer from litigation

Future Directions for the Athletic Trainer Will be determined by the efforts of the NATA and its membership Ongoing re-evaluation, revision and reform of athletic training education Further recognition of CAATE by CHEA will further enhance credibility Athletic trainers must continue to actively seek third party reimbursement for athletic training services College programs transitioning to Master programs in 7 years (~2022)