KIN 188 – Prevention and Care of Athletic Injuries

Introduction to Athletic Training

Introduction

• Sports medicine team– Members – Roles and responsibilities

• History of athletic training and NATA

• Career opportunities

• SJSU Accredited Undergraduate Athletic Training Education Program

Sports Medicine Team

• Primary team members– Team Physician/Primary Care Physician

• PPE, injury diagnosis, insurance, legal liability

– Certified Athletic Trainer (ATC)• Domains of athletic training (6)

– Athletic Training Student/s (ATS)– Coach

• Teacher, supervisor, safety/rules, first responder

– Athlete• Fitness, nutrition, adherence to rules, report injuries

Sports Medicine Team

• Ancillary team members– Specialist Physicians (Orthopedist, Podiatrist,

Radiologist, Dentist, etc.)– Physical Therapists– Emergency Medical Services (EMT,

Paramedic, etc.)– Exercise Physiologists– Sport Psychologists– Administrators

History of Athletic Training

• Key dates for profession– 1950 – NATA formed in Kansas City– 1957 – NATA Code of Ethics adopted– 1959 – First undergrad curriculums approved– 1972 – First grad curriculums approved– 1970 – First certification examination– 1986 – NATA Standards of Practice adopted– 1990 – Recognized as allied health profession by

AMA– 2004 – Elimination of internship route to certification

from www.nata.org (8/05)

Certified Athletic Trainer (ATC)

• “The ATC credential and Board of Certification, Inc. requirements are currently recognized by 43 states for eligibility and regulation of the practice of athletic trainers.”

• “The credibility of the BOC and the ATC credential it awards are supported by three pillars:– The BOC Certification Examination– The BOC Standards of Practice and Disciplinary

Process– Continuing competence requirements (CEUs).”

from www.nata.org (8/05)

Certified Athletic Trainer (ATC)

• “BOC Certification is recognized by the National Commission for Certifying Agencies and is the only accredited certification program for athletic trainers, who are allied health care professionals.”

• “To be certified, an individual must demonstrate that s/he is an athletic trainer capable of performing the required duties without threat of harm to the public.”

Certified Athletic Trainer (ATC)

• In order to attain credential, one must– Complete an entry-level (undergraduate or graduate)

athletic training education program accredited by CAAHEP

– Pass BOC certification exam• BOC certification examination based upon Role

Delineation Study– Identifies current entry-level knowledge, skills and

abilities required for practice as an athletic trainer– Currently has 3 components (written, written

simulation and oral practical)– Movement to computer based exam in February,

2006

Athletic Training

• Domains of athletic training– Prevention– Clinical evaluation and diagnosis– Immediate care– Treatment, rehabilitation and reconditioning– Organization and administration– Professional responsibility

Prevention

• Provide education about risk associated with participation in activities

• Review pre-participation screening information by applying accepted guidelines

• Instruct individuals about required standard protective equipment

• Apply appropriate prophylactic and protective measures using commercial or custom made devices

Prevention• Identify safety hazards in equipment and facilities and recommend

intervention

• Monitor participants and environment following accepted guidelines regarding safe participation

• Facilitate physical conditioning by designing and implementing programs

• Maintain clinical and treatment areas in compliance with safety and sanitation standards

• Promote sound nutritional practices by encouraging adherence to accepted guidelines

Clinical Evaluation and Diagnosis

• Obtain medical history via interview and/or review of records

• Inspect involved area/s to assess condition

• Palpate involved area/s to assess condition

• Perform specific tests to area/s to assess condition

Clinical Evaluation and Diagnosis

• Formulate clinical impression of condition by interpreting signs/symptoms to determine appropriate course of action

• Educate appropriate individuals about assessment to encourage compliance with care

• Communicate with other members of sports medicine team regarding assessment to facilitate appropriate care

Immediate Care

• Initiate/execute techniques and procedures to address life-threatening and other emergency conditions

• Initiate care of medical or musculoskeletal conditions to stabilize and/or prevent worsening of conditions

• Facilitate referral for psychosocial crises by implementing established intervention strategies to address needs

• Education of appropriate individuals regarding emergency care to facilitate immediate care

Treatment, Rehabilitation and Reconditioning

• Administer therapeutic exercises and modalities to facilitate recovery/function

• Administer treatment for general illnesses and conditions to facilitate recovery

• Educate affected individuals regarding use of treatment, rehabilitation and reconditioning to facilitate recovery/function

• Provide guidance for individuals during treatment, rehabilitation and reconditioning

Organization and Administration

• Establish plan/s for routine and emergency provision of care for individuals/facilities/events

• Establish policies/procedures for individuals and facilities to promote safety, and legal compliance

• Manage resources via annual budget and time/personnel management to provide appropriate health care services

• Maintain records to document services rendered and provide continuity of care

Professional Responsibility

• Compliance with standards of practice and care to apply quality athletic training services

• Maintain competence via continuing education

• Education of public about athletic training

• Adherence to legal elements related to practice of athletic training services

Professional Organizations

• National Athletic Trainers’ Association (NATA)– Website – www.nata.org– Headquartered in Dallas, Texas– Establishment of 10 districts

• District 8 – Far West Athletic Trainers’ Association (California, Nevada, Hawaii)

• Board of Certification (BOC)– Website – www.bocatc.org– Independent organization responsible for national

certification of athletic trainers and continuing education

NATA Member Statistics (7/05)

• National– 21,616 certified members + 3878 certified

student members– 4805 student members (grad/undrgrad)

• District 8 (FWATA)– 1817 certified members + 364 certified

student members– 342 student members– 4th largest district in nation

NATA Member Benefits

• Monthly NATA News• Journal of Athletic

Training quarterly• Salary survey info• Free access to on-line

career center• Access to brochures

about profession• Recording of CEU activity

by BOC

• Discounted regist for national/district mtgs

• Discounted member benefit services– Insurance, credit card,

legal services, financial planning, travel

• Governmental affairs efforts

• Public relations efforts• Scholarships/grants

through REF

Career Opportunities

• Traditional Settings– Colleges, universities, community colleges– Professional sports– High schools (often teacher/athletic trainer)

• Non-traditional Settings– Sports medicine clinics, outreach– “Fringe” sports – auto racing/rodeo/X-games– Industrial and corporate settings– Military– Other?

Job Setting Statistics (7/05)

• 16% work in Clinic setting• 16% work in College/University setting• 15% work in High School setting• 19% are college students

• 0.59% (191) work in professional football• 0.31% (99) work in professional basketball• 1.04% (336) work in professional baseball

Job Market Projections

• In 2005, 2675 gross increase in new jobs = 12% net gain in jobs

• In 2010, 7090 gross increase in new jobs = 31% net gain in jobs

• Based upon market penetration theory projections – as athletic training expands into more settings, market potential goes up

• Numbers likely a little optimistic in short term due to relatively low current market penetration

SJSU Accredited Undergraduate Athletic Training Education Program

• KIN 188/189 is foundation course

• Application process

• Observation hours

• Program admission

• Course sequencing

• Internship experiences