The University of Toledo

Professional Athletic Training Program

Policy & Procedure Manual 2016-2017

The contents of this manual may be modified and/or changed at any time by the faculty of the Athletic Training Program, with final approval by the Program Director. Athletic Training Students will be notified in writing

concerning any and all changes.

Updated 2/2017

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Table of Contents University of Toledo Professional Athletic Training Program Mission Statement, Vision Statement, Program Goals and Objectives 3 Program Outline 4 Assessment Procedures 4 Application and Acceptance into the ATP Application Requirements 5 Evaluation of Applicants 6

Acceptance of Transfer Students 6 Formal Acceptance into ATP 6

Retention and Adequate Progression in the ATP Consequences for Failure to Maintain Academic Standards 8 Maintenance of Required Trainings, Certifications 9 Athletic Training Student Conduct Guidelines Professional Skills and Expectations 10

Student Code of Conduct 10 Disciplinary Board 12 Clinical Education Clinical Education Guidelines 13

Safety Standards 13 Expectations of the Student 14

Clinical Proficiencies 14 Timecards 15

Pre-Professional Clinical Observations 16 General Medical Experience 16 Goals of Clinical Education 16

Additional Resources 17 Appendices:

A. ATP Professional-Phase Application 18 B. UT ATP Technical Standards 19 C. UT ATP Medical History Form 21 D. UT ATP Vaccination/Immunization Record Form 22 E. UT ATP Physical Examination Form 23 F. UT Athletic Department Confidentiality Statement 25 G. UT Bloodborne Pathogens Exposure Control Plan 26 H. UT Exposure Management and Work Restrictions for Personnel 35

Exposed to Potentially Communicable Diseases Policy K. Suggested Course of Study 44 J. UT ATP Policy & Procedure Manual Acknowledgement Form 45

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The purpose of this manual is to provide relevant information about the program’s course of study, clinical education components and expectations of all athletic training students in the program. This handbook is designed to act as a guide and a framework to provide athletic training students with the tools necessary to successfully complete the University of Toledo Athletic Training Program. UNIVERSITY OF TOLEDO PROFESSIONAL ATHLETIC TRAINING PROGRAM The Athletic Training Program’s main objective is to educate and build model athletic trainers through a balance of support and challenges in classroom and clinical experiences. The University of Toledo Professional Athletic Training Program (ATP) is accredited by the Commission on the Accreditation of Athletic Training Education (CAATE). The UT ATP was first accredited in 1996 and remains in good standing with the next comprehensive review is due in the 2016-2017 academic year. Mission Statement The mission of the CAATE-accredited Professional Athletic Training Program at The University of Toledo is to provide students with the knowledge, skills and abilities necessary to become a competent entry-level athletic trainer while also instilling the mindset of a scholarly clinician. The athletic training program promotes cultural pluralism, racial diversity, gender representation and respect for divergent views in its quest to improve the education of athletic trainers at all levels. Vision Statement The University of Toledo Athletic Training Program strives to be a model for advancement and promotion of the athletic training field. The program seeks to develop professionals who make an impactful contribution to the field of athletic training through service and scholarship while conducting themselves in a manner consistent with utmost professionalism and ability. Program Goals and Objectives Goal #1: To prepare students for entry-level practice in the field of athletic training

Objective 1: Provide students with the knowledge, skills and abilities to successfully challenge the Board of Certification Examination Objective 2: Provide students with the knowledge, skills and abilities to demonstrate competency in each of the five practice domains as defined by the 6th Role Delineation Study/Practice Analysis (Board of Certification 2012)

Domain 1: Injury/Illness Prevention and Wellness Protection Domain 2: Clinical Evaluation and Diagnosis Domain 3: Immediate and Emergency Care Domain 4: Treatment and Rehabilitation Domain 5: Organizational and Professional Health and Well-Being

Objective 3: Provide students with the opportunity to translate knowledge from theoretical to hands-on through a series of progressive courses and clinical education rotations

Goal #2: To instill in students the mindset of a scholarly clinician Objective 1: Provide students with information, techniques and methods best aligned with the evidence-based practice model

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Objective 2: Provide students with the knowledge, skills and abilities to evaluate, consume and apply research evidence Objective 3: Provide students with the opportunity to translate research evidence to clinical practice through a series of progressive courses and clinical education rotations

Goal #3: To provide students with the skills necessary to operate successfully as a member of a healthcare team Objective 1: Provide students with the knowledge, skills and abilities to communicate in an effective and professional manner Objective 2: Provide students with hands-on opportunity to observe and engage as a member of a sports medicine healthcare team in a variety of settings Objective 3: Provide students with opportunities for inter-professional education with other healthcare profession programs

Program Outline The ATP is divided into 2 portions: a pre-professional and a professional phase. The first year in the ATP in considered the pre-professional phase. Course work consists of introductory and foundation courses upon which the remaining ATP curriculum is built. Students are also required to completed clinical observation rotations as part of these introductory courses. Performance during this initial year is the primary method of evaluation for evaluation of ATP applicants. Following formal acceptance to the professional phase of the program, students are enrolled in courses which focus on the knowledge and skills required for clinical practice. In addition to these courses, students are engaged in progressive clinical education rotations which provide the opportunity to reinforce and build upon classroom material and concepts. Students are evaluated by a variety of means in both the classroom and clinical education settings. Assessment Procedures The following is a summary of the methods and procedures used to evaluate program effectiveness and quality of instruction. Assessment Procedure Metric Frequency of

Assessment Analysis of Results

Institutional Programmatic Assessment Review

Program Assessment Plan Program Assessment Report

Annually (Fall semester)

Reviewed annually by CHS Assessment Committee, University Assessment Committee. Feedback provided to PD.

CAATE Annual Report

CAATE Standards

Annually (October)

Reviewed annually by CAATE. Feedback provided to PD.

CAATE Comprehensive Review

CAATE Standards 7 years, next due in AY 2016-2017

CAATE Self Study CAATE Standards 7 years, next due July 1, 2016

BOC Examination- Overall Pass Rate

Computer-based examination with variety of item types

Annually, typically in Spring semester

PD is provided with programmatic report as well as report of national trends. Report provides

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data on pass rates. BOC Examination- Performance on 5 Domains of Practice

Computer-based examination with variety of item types

Annually, typically in Spring semester

PD is provided with programmatic report as well as report of national trends. Report is itemized into 5 Domains of Practice.

Senior Exit Interview Likert-scale questions, Open-ended questions via written survey. PD conducts face to face debriefing.

Annually (Spring semester)

Reviewed annually by PD.

Recent Graduate Survey Likert-scale questions, Open-ended questions via online survey.

Annually (approximately 6 months post-graduation)

Reviewed annually by PD.

Clinical Preceptor Evaluation

Likert-scale questions, Opportunity for open-ended feedback

2 times per semester (midterm, final)

Review annually by PD. Collated on a bi-annual basis and provided to CPs in a blinded, confidential manner

Instructor/Course Evaluations

Standardized form provided by Department of Kinesiology

1 time per semester (end of semester)

Collated annually, reviewed by Course instructor in a blinded, confidential manner

The following is a summary of the methods and procedures used to evaluate adequate student progression in the program. Assessment Procedure Metric Frequency of

Assessment Analysis of Results

Athletic Training Student Evaluation

Likert-scale questions, Opportunity for open-ended feedback

2 times per semester (midterm, final)

Used in the calculation of Clinical Skills course grade.

Course Assessments/ Evaluations (Exams, quizzes, projects, etc)

Varies per course At the discretion of course instructor

Used in the calculation of course grade.

APPLICATION AND ACCEPTANCE TO THE ATP Requirements for Application:

1. Complete the following ATP Courses with a minimum grade of C+: KINE 1110 (Introduction to Athletic Training) KINE 1650 (Care and Prevention of Athletic Injuries)

2. Complete the following Kinesiology Department Courses: (A minimum grade of B- is required to avoid probationary status and requirement to retake the class)

HEAL 1500 (First Aid)

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KINE 2520 (Human Anatomy Lab) KINE 2520 (Human Anatomy) (minimum grade of C+) KINE 1660 (Athletic Training Taping Techniques)

3. Obtain a minimum 2.500 grade point average for all required Pre-Professional ATP Courses (KINE 1110, 1650, 1660, 2510, 2520 and HEAL 1500)

4. Complete at least 12 observation hours as part of the KINE 1110 course and at least 12 observation hours as part of the KINE 1650 course. Student observation evaluations completed by supervising Athletic Training Student are considered part of this requirement.

5. Complete and submit to the Program Director the Application for Acceptance into the Professional Program (Appendix A)

6. Complete a professional interview with a panel made up of ATP faculty, clinical preceptors and senior level athletic training students.

Evaluation of Applicants Applicants’ scores are calculated according to the following formula:

1) Cumulative GPA 25 pts. possible 2) Pre-Professional ATP Core GPA 25 pts. possible 3) Scores on student observation evaluations (averaged) 20 pts. possible 4) Professional Interview Scores (averaged) 20 pts. possible 5) Completed clinical observation hours 10 pts. (no partial points given)

Total points = 100 The Program Director is responsible for calculation of student scores. The scores are rank ordered and used as a guide. A specific number score does not guarantee admittance. All applications are reviewed on an individual basis and students are accepted into the professional program based on availability of quality clinical sites, maintenance of adequate student to faculty ratios and the perceived ability for the student to be successfully in the ATP. Acceptance of Transfer Students into the ATP Students starting the ATP after the beginning of their freshman year, whether transferring into the program from within the university or from outside the university, must first take KINE 1110. This course explains the UT academic program, the clinical education component, and exposes students to the profession of athletic training. Transfer students are considered pre-professional students while completing this course. Upon formal acceptance to the ATP, a student may begin the sequence of Clinical Skills Development classes. Due to this sequencing, transfer students may not complete the ATP in less than three and one half academic years (7 semesters) from date of first contact with the program.

Students transferring into the athletic training program from another accredited-AT program may, on a case by case determination, transfer credit for KINE 1110, 1650, 1660, 2610, 2620, 3610, 3630, 3660, 3680 and/or 4650. The student is responsible for providing all necessary paperwork/syllabi to the Program Director and/or Clinical Education Coordinator for review. Formal Acceptance to the ATP In order to be formally accepted into the professional phase of the ATP, accepted students must complete the following requirements:

1. Sign/consent to ATP Technical Standards for Admission (Appendix B).

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2. Complete the health history questionnaire (Appendix C) 3. Complete the vaccination/communicable disease record (Appendix D). Students in the ATP must

demonstrate protection against communicable diseases before being allowed to participate in patient care. This includes completion of a comprehensive vaccination/communicable disease record. It is the responsibility of the student that all portions of this record must be maintained and kept up to date throughout the student’s time in the ATP. Any lapse in coverage is cause for possible temporary suspension or removal from a clinical site until the student has resolved the offense. These records are maintained by the UT Health Information Management Department.

4. Complete a physical examination performed by an ATP sponsored Physician. This physical examination is to ensure the student is capable of meeting the technical standards for admission. (Appendix E)

5. Consent to the ATP Policies and Procedures (Appendix J). Signing of this document demonstrates awareness and understanding of all program policies and procedures including student expectations, student code of conduct and retention standards/requirements.

6. Consent to the UT Athletic Department Confidentiality Statement (Appendix F). Signing of this document demonstrates awareness and understanding of the policy.

7. Secure appropriate CPR/AED Certification. This requirement is likely fulfilled through HEAL 1500 course, however should an accepted student not obtain the certification through that course, he or she is responsible for obtaining the certification on their own prior to the start of the first clinical rotation. Appropriate certifications are outlined by the BOC and include:

American Heart Association- Advanced Cardiac Life Support American Heart Association- Basic Life Support for the Healthcare Provider American Heart Association- Heartcode Basic Life Support (must include skills portion) American Red Cross- CPR/AED for the Professional Rescuer American Red Cross- Basic Life Support for Healthcare Providers American Safety and Health Institute- CPR for Professionals Emergency Care and Safety Institute- Health Care Provider CPR National Safety Council- Basic Life Support for Health Care and Professional Rescuers

PROGRAM OF STUDY Students are provided a suggested program of study (Appendix I) to follow in order to ensure graduation from the ATP three academic years (6 semesters) following admittance into the program. It is important for students to pay attention to this guideline as some courses are only offered in a specific semester. Failure to register for the courses denoted as required for each semester will affect the sequencing of classroom and clinical knowledge, ultimately jeopardizing the student’s ability to graduate in a timely manner. Students unsure of requirements are encouraged to seek advising at Office of Student Services for the College of Health Sciences and/or consult the Program Director for assistance. Failure to complete all program requirements will subject the student to the denial of the Program Director's authorization for the student to attempt the BOC examination until the deficiency has been addressed. Required Sequencing At the end of the pre-professional phase, students must have: *Completed KINE 1110, 1650, 1660 with a minimum grade of B- in each

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*Attempted KINE 2510 and 2520 At the end of your second year, students must have:

*Completed KINE 2710 and 2720 with a minimum grade of B- in each *Completed KINE 2610, 2620, 2630 and 2640 with a minimum grade of C+ in each course

At the end of your third year, students must have: *Completed KINE 3710 and 3720 with a minimum grade of B- in each *Completed KINE 3610, 3630, 3660 and KINE 3680 with a minimum grade of C+ in each course

At the end of your fourth year, students must have: *Completed KINE 4710 and 4720 with a minimum grade of B- in each *Completed KINE 4650 with a minimum grade of C+

RETENTION AND ADEQUATE PROGRESSION IN THE ATP Retention and adequate progression in the Athletic Training Program is based on 4 standards. To remain in the ATP you must adhere to the following standards:

1. Maintain a 2.500 cumulative Grade Point Average for courses taken at the University of Toledo. 2. Maintain a 2.500 Grade Point Average in core ATP courses at all times. 3. Complete Clinical Skills Development classes (KINE 2710, 2720, 3710, 3720, 4710, 4720) with a minimum

grade of B- 4. Complete classroom/laboratory classes (KINE 2610, 2620, 2630, 2640, 3610, 3630, 3660, 3680, 4650) with

a minimum grade of C+ Failure to Maintain Academic Standard A failure to maintain a minimum ATP standard shall result in probation, suspension and/or dismissal from the ATP. Probationary Status: Probationary status is defined as a “warning period” given to any student who fails to maintain specific standards. While on probation, the student may continue with ATP courses and clinical education assignments. The probation period is defined as 1 semester should the student be in violation of the minimum GPA (overall or ATP courses) standard; the probation period is defined as 2 semesters should the student fail to obtain the minimum C+ in any athletic training classroom/laboratory course. Should the offense be resolved within the probationary period, the student will be reinstated with full rights and privileges. If the student should commit a second probationary offense while already on probation, suspension from the ATP will result.

A student will be placed on probationary status for any of the following reasons: 1. Failure to maintain 2.500 Grade Point Average overall for all courses taken at the University of Toledo 2. Failure to maintain a 2.500 Grade Point Average for all core ATP courses 3. Failure to obtain a minimum grade of C+ in athletic training classroom/laboratory classes

Suspension Suspension status is defined as an indefinite period of interruption in a student’s progress. While on suspension, a student may not continue with ATP courses and clinical education assignments. Due to the sequencing of Clinical Skills Development, the minimum suspension time is one academic year due to course sequencing and CAATE requirements. Students on suspension are not permitted to attend or participate in any AT Program Events or sponsored activities, including AT Student Organization activities.

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Suspension from the ATP may result from: 1. Failure to resolve a previous probationary offense within the given time period 2. Failure to obtain a minimum B- in any Clinical Skills Course.

Dismissal Dismissal is defined as the immediate expulsion of a student from the ATP. Should a student be dismissed from the ATP, he or she will be referred to the College of Health Sciences Office of Student Services for advising on another major of study.

Dismissal from the ATP may result from: 1. Failure to maintain a 2.500 grade point average overall for all courses taken at the University of Toledo after a suspension period 2. Disciplinary Board ruling

Appeal of Probation, Suspension or Dismissal Initial appeal of any of these sanctions should be made to the ATP Program Director. Any further appeal should be made through the normal university grievance procedures. Maintenance of Required Training, Certifications

In addition to adherence with academic standards, professional ATP students are required to maintain various trainings and certifications while enrolled in the ATP. Any lapse in coverage is cause for possible temporary suspension or removal from a clinical site until the student has resolved the offense. Requirements include:

1. Training on proper maintenance of patient confidentiality in compliance with the Health Insurance Portability and Accountability Act (HIPAA) and UT Institutional Policy. The training and post-test is available through the office of Environmental Health and Radiation Safety and is administered during KINE 1110. Completion of this training must be documented and kept as part of the student’s record per University of Toledo Department of Risk Management requirements and CAATE standards.

2. Annual training in the handling of blood-borne pathogens and infectious agents as specified by the Occupational Safety and Health Administration (OSHA). The training and post-test is available through the office of Environmental Health and Radiation Safety and is administered during the Clinical Skills Development courses. Completion of this training must be documented and kept as part of the student’s record per University of Toledo Department of Risk Management and requirements and CAATE Standards. The Institutional post-exposure plan (Appendix G) is reviewed with students on an annual basis during the Clinical Skills Development courses.

3. Maintenance of appropriate CPR/AED certification (see Formal Acceptance requirements) 4. Maintenance of required vaccinations/immunizations, including yearly PPD testing (see Formal Acceptance

requirements) 5. Driver Safety Training (one time training). The training and post-test is available through the office of

Environmental Health and Radiation Safety and is administered during KINE 2710. Completion of this training must be documented and kept as part of the student’s record per University of Toledo Department of Risk Management requirements.

6. Golf Cart Safety Training and Driving Test (one time training). The training and post-test is available through the office of Environmental Health and Radiation Safety and is administered during KINE 2710. Completion of this training must be documented and kept as part of the student’s record per University of Toledo Department of Risk Management requirements.

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ATHLETIC TRAINING STUDENT CONDUCT GUIDELINES As an athletic training student at The University of Toledo it is important that you represent the ATP in the most professional manner at all times (see Professional Skills and Expectations). At all times during both classroom and clinical education, ATP students must adhere to the expectations of the ATP faculty, CPs and ATP Student Code of Conduct. Should a student be suspected of a violation of the ATP Student Code of Conduct, they will be subject to review by the ATP Disciplinary Board. If the alleged violation takes place during an event sponsored/sanctioned by the Clinical Education site (travel for games, etc), the student is subject to dismissal from the AT Program as this type of violation is considered substantial and unprofessional. Professional Skills and Expectations Professionalism is defined as a state of mind, a way of being, knowing and doing that sets you apart from others. It gives direction to the manners in which you look, behave, think and act. It brings together who you are as a person, what you value, how you treat other people, what you contribute and how seriously you take your work. At all times, pre-professional and professional ATP students are required to demonstrate professionalism and maintain a positive representation of themselves, the ATP, the University of Toledo and the athletic training profession. Professionalism encompasses being dependable and reliable, holding oneself accountable for actions, being cooperative with fellow athletic training students, ATP faculty and ATP Clinical Preceptors (CP), demonstrating leadership qualities and initiative, and displaying good judgment. Athletic training students should demonstrate professionalism through appropriate communication and time management, general appearance and use of language, and attitude toward both academic and clinical portions of the program. Should a student fail to demonstrate professionalism, he or she may be subject to consequences ranging from verbal warning to dismissal from the program. Athletic training students should be held to this standard by themselves, their peers, the ATP faculty as well as ATP Clinical Preceptors. It is expected that students conduct themselves in a professional manner at all times during both classroom and clinical education as well as outside of the program during their day to day activities. Student Code of Conduct Dress Code It is necessary to maintain a professional image while performing all associated duties and tasks. The importance of professional dress in the athletic training room is paramount as an athletic training student is a representative of not only The University of Toledo, but also the ATP and the athletic training profession. In addition to professionalism, appropriate dress allows athletes, coaches, and other teams to locate you easily during a time of need.

1. The following items are allowed to be worn in the athletic training room and at all home and away events for all clinical rotation hours:

a. Any shirt with The University of Toledo logo or the Athletic Training logo. b. Solid color chino (khaki) style pants or shorts.

i. Appropriate length of shorts is at the discretion of the Clinical Preceptor c. Warm-up suits from a given sport, or with the University of Toledo logo. d. Athletic shoes in good condition e. Dress shoes f. Sweatshirts and/or jackets with The University of Toledo logo or plain sweatshirts and/or jackets for

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outdoor practices and games. 2. The following items are not allowed to be worn in the athletic training room or at home and away events:

a. Jeans b. Shirts with other school or professional team logos. c. Tank tops d. Sandals e. Sweatpants f. Tight-fitting athletic pants (ex: yoga pants, leggings) g. Tight-fitting and/or low cut tops (at the discretion of the Clinical Preceptor) h. Inappropriate personal hygiene/grooming and/or jewelry (at the discretion of the Clinical Preceptor)

3. When traveling, the athletic training student should dress and behave as a staff member and follow the dress code of the Clinical Preceptor that the student is traveling with.

4. Pre-professional ATP students are required to wear a white, gray, yellow, navy or black shirt with the University of Toledo logo when present within the athletic training rooms, indoor or outdoor sites while shadowing an ATP student.

Should a student choose not to follow the dress code, the student will be suspended from the clinical rotation until appropriate dress is demonstrated. Those athletic training students who consistently choose not to abide to the dress code may be subject to Disciplinary Board hearing. Cell Phone Policy

The use of cell phones for personal needs during an AT student’s clinical education experience indicates the student is not fully engaged in learning and is considered unprofessional. Students are permitted to use their phone in an emergency situation to call 9-1-1 or as deemed necessary by their CP for communication purposes. Students who are unable to abide by these guidelines may be asked to leave the athletic training room and/or be subject to disciplinary board action.

1. Pre-Professional students are not permitted to have their cellphone at any time during clinical observation. 2. ATP students are permitted to have a cell phone with them during their clinical education experience

(including time at a practice, game or during designated treatment time). However, students are not permitted to use their cell phone for personal use to:

a. Make and receive phone calls, unless they inform their CP of a valid reason for which this would be necessary

b. Initiate or receive text messages c. Participate in social networking websites d. Take pictures or video footage

Relationships As an AT student at The University of Toledo, you will spend considerable time with others including fellow athletic training students, AT Faculty, CPs, Physicians, coaches present at a clinical site, and patients (student-athletes). As an AT student, you are at all times to maintain a professional relationship with those listed above as well as those involved in any capacity with the AT Program. Should a student encounter a conflict with one of the above mentioned individuals, it is the responsibility of the student to exercise good judgment and seek out appropriate resources to resolve the situation.

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Should a student fail to maintain a professional relationship with an individual, the student may be may be subject to consequences ranging from verbal warning to dismissal from the program. Athletic training students should be held to this standard by themselves, their peers, the ATP faculty as well as ATP Clinical Preceptors. Confidentiality Confidentiality regarding healthcare information is of the utmost importance in a healthcare setting. As AT students, you are required to follow all HIPAA and UT ATP Confidentiality Policies at all clinical sites. In addition, any and all information disseminated by a member of the coaching staff or a student-athlete must be kept confidential. Failure to do some may be cause for review by the Disciplinary Board and potential temporary or permanent removal from a clinical rotation. In addition, the student is afforded no protection from legal action should his/her actions violate University of Toledo institutional policy related to patient confidentiality. Social Media ATP students are all times representative of both themselves, the ATP and the University of Toledo. All content shared on social networking sites or via public social networking venues is considered part of a student’s self-representation and is subject to evaluation by faculty/administrators of the both ATP and University of Toledo. Academic Dishonesty ATP students are expected to represent all work as their own. As such, misrepresentation of work is outlined by the University of Toledo’s academic dishonesty policy. While the handling of the academic dishonesty is outside the purview of the ATP, students found guilty of such offenses will be subject to disciplinary action including, at minimum, a probationary period determined by the Program Director. This expectation applies to all courses, not just those in the AT core curriculum. Disciplinary Board

The disciplinary board exists to evaluate conduct of students in the AT Program. The board is made up of a total of 5 members and is chaired by the Clinical Education Coordinator (CEC). At least 3 members will be from the AT Program Faculty and Clinical Preceptors with the additional 2 members to include at least one Graduate Assistant Athletic Trainer and one Professional AT student (class rank of third or fourth year). The board will have equal gender representation across all members. Members shall be not be predetermined to avoid potential conflict of interest in a particular case. Meetings will be held in the location, time and date determined by the Chair. A quorum consists of the chair and three other members. If a tie vote occurs, a second meeting must be held with all board members present.

Grievances against a student must be submitted in writing to the Chair. Verbal hearsay is not admissible. A student in good standing may submit a complaint against another student. However, an oral warning to the athletic training student should precede filing a written complaint. Penalties include, but are not limited to:

1. Deduction of clinical hours accumulated during a clinical education rotation 2. Forfeit any grade earned during a clinical education rotation 3. Probation while working under the Board's supervision for a stated period of time 4. Suspension from the clinical portion of the AT program for a stated period of time. Including,

a. Immediate discontinuation of the clinical education assignment b. Prohibited from involvement with the AT student organization c. Prohibited from attendance at AT Program events and activities

5. Dismissal from the Athletic Training Program

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Athletic Training Students will be informed of penalties in writing by the board with an explanation of the appeals process. Failure to comply with assessed penalties will warrant dismissal from the ATP. Appeals must be submitted in writing to the Chair. The board will examine the appeal and issue a response, with the option to refuse further appeals. Should the AT student wish further consideration he/she must utilize the university appeals process. CLINICAL EDUCATION

In order to fully develop the knowledge, skills and abilities necessary for entry-level practice, athletic training students are required to complete a series of progressive clinical education rotations. Students should be exposed to a variety of settings and patient populations in order to gain a well-rounded understanding of athletic training and the team approach to healthcare. All students are required to experience an equipment intensive sport (defined as sports with helmets and shoulder pads), an upper extremity sport, a lower extremity sport, a female sport, and a male sport. In addition to semester long clinical education rotations, students in their final year will complete a general medical rotation with a physician in the Toledo area. Clinical Education Guidelines

All AT students will receive six formal experiences at various clinical settings based on their professional goals. Assignments will be in the best interest of the student each semester as determined by the Clinical Education Coordinator and/or Program Director. Students are expected to spend between 10-20 hours per week (150-300 hours per semester) with their assigned Clinical Preceptor each semester. During this time students are to have 1 day off per every 7-day period.

AT students are forbidden to accept any monetary remuneration during clinical education rotations. Given that the students are enrolled in a professional healthcare program and granted course credit for the clinical education rotation, any payment in the form of monetary exchange is not permitted.

Clinical education rotation assignments will be non-discriminatory with respect to based on race, color, creed, religion, ethnic origin, age, sex, disability, or other unlawful basis. Safety Standards for Clinical Education

The following standards have been established in order to ensure a safe environment for the AT student, CPs and patients at a clinical site. Failure to adhere to the following standards will result in immediate removal of the student from the clinical site.

1. Students must comply with the University of Toledo Bloodborne Pathogens Exposure Control Plan (Appendix G) Should an occupational exposure occur, the student is to follow the provided post-exposure plan and notify the CEC immediately.

2. Students must comply with the University of Toledo Exposure Management and Work Restrictions for Personnel Exposed to Potentially Communicable Disease Policy (Appendix H). Should a student be diagnosed with a communicable disease, the resulting absence from clinical education rotations will be considered excused. The student will work with the CEC and CP to ensure appropriate return to the clinical site according to policy.

3. Students must receive formal instruction on a skill prior to performing the skill on a patient (see Clinical Skills and Learning over Time)

4. Students must be under both direct auditory and visual supervision of the CP at all times so that the CP is able to intervene on behalf of the patient and AT student should a dangerous or unexpected situation arise that may comprise the health and safety of those involved.

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Expectations of the Student A critical part of clinical education is to participate fully in the demands of the assigned rotation to maximize opportunities for learning and development of the skills required of an athletic trainer. During all clinical education assignments, AT students are required to adhere to the standards and regulations set forth in the Professional Skills and Expectations section of this document as well as the Student Code of Conduct. It is the expectation of the athletic training student to be prepared to comply with the demands of a clinical education rotation. Due to the unique nature of the field of athletic training, clinical rotations are not confined to traditional academic terms. As a result of this, all athletic training students enrolled in the ATP are required to be available from the 1st week of August through Winter Break, Spring break and through the completion of their assignment, which may require additional clinical participation after the end of spring semester as required by a particular clinical education rotation. Exceptions will be evaluated on a case by case basis by the Clinical Coordinator and Program Director in conjunction with the Clinical Preceptor for the assigned rotation. Throughout their time in the ATP, a student will be assigned to off campus rotations. Therefore, students are responsible for securing transportation to and from off campus clinical education sites. The ATP strives to maintain clinical sites within a reasonable distance from campus, usually not exceeding 20 minutes driving time. However from time to time, additional distance may be required and is considered on a case by case basis by the Clinical Education Coordinator and Clinical Preceptor for the rotation.

It is the student’s responsibility to request accommodations for a disability as soon as the need is apparent to the student. Students may ask for accommodations in the admissions process by contacting the Program Director of the Athletic Training Program. Students in the Athletic Training Program must register with Student Disability Services (SDS) to be eligible for utilizing accommodations due to a disability while enrolled in the program. Academic programs cannot assess medical documentation to determine reasonable accommodations so please do not provide any medical documentation directly to Athletic Training faculty or administrators. For more information on how to register or what accommodations are available, please contact Student Disability Services by phone at (419) 530-4981 or by email at studentdisabilitysvs@utoledo.edu or visit the SDS office in 1820 Rocket Hall. More information is also available at the SDS website at http://www.utoledo.edu/offices/student-disability-services/. The University of Toledo Student Disability Services will evaluate a student who states he/she could meet the program’s technical standards with accommodation and confirm that the stated condition qualifies as a disability under applicable laws. If a student states he/she can meet the technical standards with accommodation, then the University will determine whether it agrees that the student can meet the technical standards with reasonable accommodation; this includes a review a whether the accommodations requested are reasonable, taking into account whether accommodation would jeopardize clinician/patient safety, or the educational process of the student or the institution, including all coursework, clinical experiences and internships deemed essential to graduation. Clinical Proficiencies

Students are responsible to maintain clinical proficiency checklists as they progress through the ATEP. The goal of the checklist is to establish an inventory of the student’s skills and ensure proper progression and building of concepts. The checklists are administered through the Clinical Skills Development courses and are specific to a particular level in the ATEP. It is strongly preferred that proficiencies are completed as part of a clinical rotation, however given the variety in nature of clinical education rotations and the resources available at each, reasonable accommodations will be made by ATEP faculty to allow student to demonstrate proficiency in a classroom laboratory setting.

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In order to ensure adequate and timely completion of clinical proficiencies during clinical rotations, the following guidelines will be used:

1. Students will be subject to “check points” at various times throughout the semester. These check points are at the discretion of ATP Faculty and Clinical Skills course Instructors.

2. Students may complete no more than 10% of clinical proficiencies in a given week unless given specific permission by a Clinical Preceptor

3. Students are given two attempts to demonstrate proficiency on a particular item. Should the student fail to demonstrate proficiency, he/she should be referred to the ATP Program Director for remediation unless given specific permission by a Clinical Preceptor

Failure to achieve proficiency in a skill will result in counseling by the Program Director and may affect the student’s progress in the ATP. A student may not progress to the next clinical skills course until all proficiencies are completed, as such all proficiencies for a particular course must be completed in order for a student to achieve the minimum grade of B+ in a clinical skills course. Clinical Education Time Cards AT students are required to maintain a time card in order to monitor the days and number of hours obtained during clinical education rotations. It is the responsibility of the student to maintain accurate records. By signing off on a time card, the CP is acknowledging the information is accurate.

Time cards will be checked on a bi-weekly basis by the CEC as part of all Clinical Skills courses. Should any student time cards demonstrate violation UT ATP Policy regarding number of days and/or hours, the CEC will contact the student and CP to investigate the reason for the noncompliance as well as work to resolve the issue in time for the next time card check. No flexibility will be granted regarding the requirement that a student be granted 1 day off per every 7-day period however some flexibility in the exact number of hours per week will be allowed given the variability in activity at each clinical site. The guideline of 10-20 hours per week is given in order to help students and CPs monitor progress and plan. It will not be considered a violation should a student exceed 20 hours per week provided that the average number of hours completed per week falls in the 10-20 range and the total number of hours for the semester falls between 150 and 300. Clinical Skills and Learning over Time

All students are instructed that they are not permitted to practice any clinical skill during a clinical education rotation for which they have not received formal instruction. The first introduction to a clinical skill typically occurs during an AT course, either lecture or laboratory format. This skill is evaluated then evaluated by the course instructor throughout that semester. During a subsequent semester, the skills learned the previous semester are reviewed and refined in the appropriate Clinical Skills Development course. Should a student not receive instruction in the classroom on a skill (skill is more advanced, student has not yet had the associated AT course), the CP may provide instruction and demonstration and the student will be permitted to perform that skill in the clinical setting. The skills are to be performed under direct supervision of the CP until the student has demonstrated proficiency. After the skill has been deemed acceptable by the Clinical Preceptor, he/she will continue providing appropriate visual and auditory supervision of the athletic training student when performing the skill. Pre-Professional Clinical Observation Assignments Pre-professional students will complete clinical observation rotations as part of KINE 1110 and 1650. These observation assignments are made by the CEC in conjunction with the course instructor and are intended to provide

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an introduction to the athletic training profession and education and provide the pre-professional student an opportunity to observe the expectations and requirements of professional ATP students. General Medical Experience

In addition to clinical education assignments, all students are required to complete a general medical rotation with an ATP sponsored physician’s office observing patient evaluation, treatment and office dynamics. This will be scheduled after the student has successfully passed KINE 3610. The purpose of this additional experience is to provide students with exposure to a team approach the healthcare as well as another healthcare profession that cares for physically active individuals. These rotations are considered excused absences from the primary clinical education rotation assignment. It is the responsibility of the AT Student to determine with the CP the most appropriate time to complete the rotation as to avoid disruptions in learning at the primary clinical site. Goals of Clinical Education The goals of clinical education parallel those of the AT Program in that students should be provided the opportunity to gain hands-on experience to gain competency in the knowledge, skills and abilities required of certified athletic trainers. Clinical education provides an immersive, real-life world in which a student can learn and be engaged in patient care. Due to the ATP structure, expectations and goals of AT students vary depending on their level in the program. The following are guidelines for AT students, CPs and Faculty. Pre-Professional: Clinical observation for pre-professional students are completed within the KINE 1110 and KINE 1650 classes. The goal of this observation is to provide students the opportunity to observe a variety of sports and have a mentoring relationship with an upper-class AT student. Pre-professional students are encouraged to use this opportunity as a means to gauge his/her interest in the profession of athletic training and in becoming a Professional ATP student. Second year: This is the first year for students who have been formally admitted into the ATP. Their goal is to begin integrating classroom knowledge and clinical skills. Their CP usually supervises more advanced students as well which fosters a mentoring situation in which all students gain clinical proficiency skills in a closely supervised environment. These students are taking clinically oriented anatomy in conjunction with lower and upper extremity musculoskeletal injury evaluation courses and should be willing and able to implement this classroom knowledge into their clinical skill set. Third year: The primary goal is to continue to build clinical proficiency and begin to gain the ability to function independently as an AT student. These students are taking therapeutic modality, therapeutic rehabilitation, general medical and pharmacology courses and should demonstrate willingness and basic ability to implement this classroom knowledge into their clinical skill set. Fourth year: The primary goal is to ready students to successfully attempt the BOC examination. These students have completed all evaluation, rehabilitation and modality courses and should be challenged to utilize these skills daily. These students should be given additional autonomy and independence to help refine their skills. Fourth Year students may also be given additional administrative responsibilities such as supervision/mentoring of observation students.

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ADDITIONAL RESOURCES Websites:

UT ATP: http://www.utoledo.edu/hhs/athletictraining/undergraduate/ National Athletic Trainers’ Association: www.nata.org Board of Certification: www.bocatc.org Commission on Accreditation of Athletic Training Education: www.caate.net/ Great Lakes Athletic Trainers’ Association: www.glata.org Ohio Athletic Trainers’ Association: www.oata.org Ohio OT, PT, and AT Board: otptat.ohio.gov

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APPENDIX A

THE UNIVERSITY OF TOLEDO ATHLETIC TRAINING PROGRAM

FORMAL APPLICATION FOR ADMISSION

_________________________________________ _____________________________ _______ ______________________ (Last Name) (First Name) (M.I.) (Student ID)

____________________________________________________________________________________________________________ (Local Address) ____________________________________________________________________________________________________________ (City, State, Zip) ____________________________________________________________________________________________________________ (Local Phone) ____________________________________________________________________________________________________________ (Home Address) ____________________________________________________________________________________________________________ (Home City, State, Zip) ____________________________________________________________________________________________________________ (Home Phone)

Please read the following and sign at the bottom: I hereby make written application to be accepted into the CAATE-accredited Athletic Training Program of The University of Toledo. I certify that I have (or will have) completed KINE 1110, Introduction to Athletic Training; KINE 1650 Care and Prevention; KINE 1660 Athletic Taping; KINE 2510, Human Anatomy; KINE 2520, Human Anatomy Laboratory; and HEAL 1500, First Aid. I understand that I must be formally accepted to accumulate clinical experience toward the BOC requirement of clinical proficiencies and competencies. I further understand that to remain in the program I am subject to all standards and requirements as explained in the ATP Policy and Procedures Manual. ____________________________________________ _____________________ (Signature) (Date)

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APPENDIX B

THE UNIVERSITY OF TOLEDO ATHLETIC TRAINING PROGRAM

TECHNICAL STANDARDS FOR ADMISSION

The Athletic Training Program at the University of Toledo is a rigorous and intense program that places specific requirements and demands on the students enrolled in the program. An objective of this program is to prepare graduates to enter a variety of employment settings and to render care to a wide spectrum of individuals engaged in physical activity. The technical standards set forth by the Athletic Training Program establish the essential qualities considered necessary for students admitted to this program to achieve the knowledge, skills, and competencies of an entry-level athletic trainer, as well as meet the expectations of the program's accrediting agency (Commission on Accreditation of Athletic Training Education [CAATE]). The following abilities and expectations must be met by all students admitted to the Athletic Training Program. In the event a student is unable to fulfill these technical standards, the student will not be admitted into the program. Compliance with the program’s technical standards does not guarantee a student’s eligibility for the BOC certification exam. Candidates for selection to the Athletic Training Program must demonstrate: 1. the capacity to assimilate, analyze, synthesize, integrate concepts and problem solve to formulate assessment and therapeutic judgments and to be able to distinguish deviations from the norm. 2. the ability to perform appropriate physical examinations using accepted techniques; and accurately, safely and efficiently use equipment and materials during the assessment and treatment of patients. 3. the ability to communicate effectively and sensitively with patients and colleagues, including individuals from different cultural and social backgrounds; this includes, but is not limited to, the ability to establish rapport with patients and communicate judgments and treatment information effectively. 4. the ability to record the physical examination results and a treatment plan clearly and accurately. 5. the capacity to maintain composure and continue to function well during periods of high stress. 6. the perseverance, diligence and commitment to complete the athletic training program as outlined and

sequenced. 7. flexibility and the ability to adjust to changing situations and uncertainty in clinical situations. 8. affective skills and appropriate demeanor and rapport that relate to professional education and quality patient

care.

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Candidates for selection to the athletic training program will be required to verify they understand and meet these technical standards. I certify that I have read and understand the technical standards for selection listed above, and I believe to the best of my knowledge that I meet each of these standards. I understand that if I am unable to meet these standards I will not be admitted into the program. ________________________________ ____________ Signature of Applicant Date

This document has been approved by the University of Toledo Department of Internal Audit and Compliance, specifically the ADA Compliance Officer (June 2016).

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APPENDIX C THE UNIVERSITY OF TOLEDO

ATHLETIC TRAINING PROGRAM MEDICAL HISTORY FORM

Date: ________________ Name: _____________________________ Year in School: ___________________________ Birthdate: __________________________ R#: ____________________________________ Home Address: _______________________________________________________________ Home Phone #: _______________________________________________________________ School Address: ______________________________________________________________ School Phone #: ______________________________________________________________ Emergency Contact: __________________ Relationship: _____________________ Emergency Phone #: __________________ Have you suffered from any of the following conditions? (check all that apply) Asthma ________ Heat exhaustion/stroke _______ Mononucleosis ______ Bleeding Disorders _______ Hearing Problems ________ Seizures _______ Concussions ________ Heart Conditions _________ Ulcers ________ Diabetes ________ Hernia ________ Vision Problems ________ Epilepsy ________ High Blood Pressure _______ Do you wear: glasses or contacts? Head/Neck Injury _______ Infectious Disease _________ (please circle) Allergies: Present Medications: Please explain any of the checked conditions above: Please list any significant injuries/illnesses and dates: Please list any medical problems you feel the medical staff should check:

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APPENDIX D

THE UNIVERSITY OF TOLEDO ATHLETIC TRAINING PROGRAM

VACCINATION/IMMUNIZATION RECORD FORM

Student Name: _______________________ Date of Birth: ___________R#: __________________ Hepatitis B Completed 3 dose immunization series – dates: ___________ ___________ ___________ Rubella Vaccination date: ___________ or photocopy of positive blood titer. Rubeola 2 immunizations (after one year of age) – dates: ___________ or photocopy of positive blood titer. Mumps Vaccination date: ___________ or blood titer: date: ___________ result: ___________ Tetanus/Diphtheria- TDap/DTap Must be updated within the past ten years – date: ___________ Varicella (chicken pox) Vaccination dates: ___________ or photocopy of blood titer indicating immunity.

OR Physician signature verifying disease _________________________________ Date: ___________ Tuberculosis – PPD

Initial 2 step TB skin test – date #1 mm: ___________ #2 mm: ___________ AND

Annual TB skin test (Mantoux intradermal test) – date: ___________ **Known positive reactors must send copy of normal chest x-ray and documentation of any treatment.

Signature of Authorized Medical Professional (MD, DO) ________________________________________

Date: _____________________

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APPENDIX E THE UNIVERSITY OF TOLEDO

ATHLETIC TRAINING PROGRAM PHYSICAL EXAMINATION FORM

Date: ______________________________ Name: _____________________________ R#: _____________________________ BP: _______ Pulse: _______ Height: _______ Weight: _______

Ears, Nose, and Throat Eyes

Skin Nodes

Heart & Lungs Abdomen – Genitalia - Hernia

Orthopedic Neurological

Dental Psychiatric

Recommendation: ________________________________________________ __________________________________________________________ __________________________________________________________

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Physical Requirements: An athletic training student must be able to perform the following functions: 1. Utilize sufficient postural and neuromuscular control, sensory function, and coordination to perform appropriate physical examinations using accepted techniques; and accurately, safely and efficiently use equipment and materials during the assessment and treatment of patients. 2. Possess the mental capacity to assimilate, analyze, synthesize, integrate concepts and problem solve to formulate assessment and therapeutic judgments and to be able to distinguish deviations from the norm. Physician’s Name: _____________________________ Physician’s Signature: __________________________ Date: ________________________

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APPENDIX F

THE UNIVERSITY OF TOLEDO ATHLETIC DEPARTMENT

CONFIDENTIALITY STATEMENT

I, ________________________________________________ understand that information I acquire in the offices of the Athletic Training Room and the Athletic Department of The University of Toledo is confidential and may not be divulged to anyone except the person who owns the information, those faculty, staff, or administrators who have need to know and those individuals or agencies who fulfill the requirements under the Federal Educational Rights and Privacy Act of 1974, as amended (FERPA) and the Health Insurance Portability and Accountability Act (HIPAA). If I release confidential information or discuss confidential information outside of the office, I understand that I will be immediately discharged from the Athletic Training Program and that I am not protected from future legal consequences. I have read the above statement and agree to maintain the confidentiality of all information that I have access to through this office. ________________________________________ _________________________________ Signature Date ________________________________________ _________________________________ Witness Signature Date

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APPENDIX G

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APPENDIX H

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APPENDIX I

1ST YEAR/PRE-PROFESSIONAL *+KINE 1110 Introduction to Athletic Training (2) ENGL 1110 English Composition I (3) HHS 1000 College Orientation (1) BIOL 2150 Biology I (4) BIOL 2160 Biology I Lab (1) MATH 1340 Algebra & Trigonometry (4) Total: 15 hours

*+KINE 1650 Care and Prevention of Athletic Injuries (3) *+KINE 1660 Athletic Training Taping Techniques (1) *HEAL 1500 First Aid (2) *KINE 2510 Human Anatomy (3) *KINE 2520 Anatomy Lab (1) KINE 1700 Introduction to Exercise Science (2) BIOL 2170 Biology II (4) BIOL 2180 Biology Lab (1) Total: 17 hours

2ND YEAR +KINE 2610 Lower Extremity Evaluation (3) +KINE 2630 Clinical Anatomy for Athletic Training I (1) +KINE 2710 Clinical Skill Development I (2) ENGL 2950 Scientific/Technical Report Writing (3) CHEM 1230 General Chemistry I (4) CHEM 1280 General Chemistry I Lab (1) Total: 14 hours

+KINE 2620 Upper Extremity Evaluation (3) +KINE 2640 Clinical Anatomy for Athletic Training II (1) +KINE 2720 Clinical Skill Development II (2) KINE 2530 Human Physiology (3) KINE 2540 Human Physiology Lab (1) PSY 1010 Principles of Psychology (3) COMM 1010 Communications Principles (3) Total: 16 hours

3RD YEAR +KINE 3630 Therapeutic Modalities (3) +KINE 3710 Clinical Skill Development III (2) +KINE 3830 Strength Training (3) KINE 3520 Applied Exercise Physiology (3) KINE 3530 Applied Exercise Physiology Lab (1) PHYS 2070 Physics I (5) Total: 17 hours

+KINE 3660 Rehabilitation of Athletic Injuries (3) +KINE 3610 General Medical Conditions for AT (2) +KINE 3680 Sport and Exercise Pharmacology (3) +KINE 3720 Clinical Skill Development IV (2) xxxx Humanities/Fine Arts Elective (3) xxxx Multicultural Elective (3) Total: 15 hours

4TH YEAR +KINE 4650 Admin Athletic Training Programs (3) +KINE 4710 Clinical Skill Development V (2) HEAL 2500 Personal Health (3) KINE 4540 Applied Biomechanics (3) KINE 4550 Applied Biomechanics Lab (1) MATH 2600 Introduction to Statistics (3) Total: 15 hours * Indicates AT Prerequisite + Indicates required sequencing

+KINE 4720 Clinical Skill Development VI (2) HEAL 4700 Nutrition Science (3) xxxx Multicultural Elective (3) xxxx Social Science Core Elective (3) xxxx KINE Elective (3) Total: 15 hours

PROGRAM TOTAL = 124 hours

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APPENDIX J

THE UNIVERSITY OF TOLEDO ATHLETIC TRAINING PROGRAM

POLICY & PROCEDURE MANUAL ACKNOWLEDGEMENT FORM

I, __________________________ have read and understand The University of Toledo Athletic Training Program Policy and Procedure Manual. Furthermore, I agree to abide by all policies and procedures outlined in the manual. I understand that if at any time during my association with the Athletic Training Program, I fail to comply with these policies and procedures of this manual, I am subject to disciplinary actions outlined in the manual, including but not limited to dismissal from the Athletic Training Program. _______________________________ ________________ Signature Date