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

4. 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

5. Chapter 1: The Athletic Trainer as a Health Care Provider

6. 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

7. 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

8. 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

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

10. Figure 1-3

11. 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

12. 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.

13. 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)

14. 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

15. Figure 1-1

16. 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

17. 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

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

19. 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

20. 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

21. 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

22. 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

23. 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

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

25. Accredited Athletic Training Education Programs
Entry-level athletic training education programs
In 2009, 357 undergraduate programs, 19 entry-level master’s programs
graduate athletic training education programs
Designed for individuals that are already certified

26. 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

27. 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

28. 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

29. 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

30. 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

31. 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)

32. 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

33. 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

34. 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

35. 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

36. 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

37. 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

38. 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

39. 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)