Chapter 1 Flashcards
Main goal of athletic training
Traumatic injury( long term rehab, possibly able to return to play) and catastrophic injury (loss of limb, head and neck injuries,unable to return to play) prevention Safety number one priority
Sports medicine and sports medicine umbrella
-typically classified as relating to performance enhancement or injury care and management
-broad field of medical practices
2 types under sports medicine umbrella:
Performance: EXS physiology, biomechanics, sport psychology, sports nutrition, strength and conditioning, coaching, personal fitness training.
Injury care and management: practice of medicine, athletic training, sports physical therapy, sports massage therapy, sports dentistry, osteopathic medicine, orthotics/prosthetics, sports chiropractic, sports podiatry
NATA
National athletic trainers association
.NATA was officially formed in 1950
the establishment of the certification exam has been a great accomplishement
How is athletic training changing?
recognition of athletic trainers as health care providers
many work under a physician
Requires terminology change.
Refer to patients and clients not athlete
Athletic clinic or facility versus training room
-some work in NASCAR, schools, clinics
CAATE
The Committee for Accreditation of Athletic Training Education
Accrediting organization for athletic trainers
Once accredited is eligible to be certified as an athletic trainer
Who has the authority in determining the health of an athlete who wants to participate in a sports program?
Physician
ATC
Certified athletic trainer. Specialist
Provides health care to physically active individuals
Athletic trainer
Not trainers
Concerned with athletes health and safety
Draws on the disciplines of exercise, medicine, physical therapy, physical education, and sports
-goes between coach, athlete; team doctor, athlete)
Athletic training clinic
Treating patients and clients in athletic clinic (Health care facility for treating individuals who have an illness or injury)
Vs
Treating Athlete in training room
Patient and clients
Versus athletes
An individual who is ill or injured who is being treated by an athletic trainer is referred to as a patient
An athlete who sustains an injury is a patient or client
Stems from a desire to align AT more closely with other allied health professionals
Athlete
Used to refer to a physically active individual ho participates in recreational or organized sport activities who is not currently injured
Evidence based practice/medicine
Making clinical care decisions based on supporting evidence available in the literature
Failure to engage in evidenced based care could jeopardize patient care
•EVB Steps
–Develop clinical question (PICO: patient, intervention, comparison, outcome)
–Search literature
–Appraise evidence
–Apply evidence (integrate it with patient needs and values)
–Assess outcomes
Specialty Certification
- Entry level programs provide a general educational foundation
- specialty certifications build on this foundation
- provides 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
Certification for AT
-Must have extensive background in formal academic preparation and supervised practical experience
•Guidelines are set by the Board of Certification (BOC)
-Upon meeting the educational guidelines applicants are eligible to sit for the examination
•Examination is computer based
Upon passing the certification examination = BOC certified as an athletic trainer and Credential of ATC
•BOC certification is a prerequisite for licensure in most states
5 domains assessed by certification exam (also the roles and responsibilities of the athletic trainer)
.Exam assesses 5 domains
–Injury/illness prevention and wellness protection
–Clinical evaluation and diagnosis
–Immediate & emergency care
–Treatment and rehabilitation
–Organizational and professional health and well-being
Forms of state regulation of athletic trainer
Varies state to state, Legislation regulating the practice of athletic training has been positive and to some extent protects the athletic trainer from litigation Licensure Certification Registration exemption
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
-requirements vary from state to state
•Most restrictive of all forms of regulation, individuals cannot call themselves AT in a particular state unless have met its requirements for licensure
Certification
- differs from certification by BOC, once pass BOC exam do not automatically obtain state certification
- Does not restrict using the title of athletic trainer to those certified by the state, but can restrict performance of athletic training functions to only those individuals who are state certified
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
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
Team physician (part of sports med team)
Athletic trainer works under direct supervision of physician
•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
-responsible for compiling medical histories and conducting physical exams
–Pre-participation screening
•Diagnosing injury
•Deciding on disqualifications
–Decisions regarding athlete’s ability to participate based on medical knowledge and psychophysiological demands of sport
-ultimate authority on return to play
•Attending practice and games
•Commitment to sports and athlete
-Potentially serve as the academic program medical director
–Coordinates and guides medical aspects of program
–Provides input into educational content and provides programmatic instruction
Team coach (part of sports med team)
-Must understand specific role of all individuals involved with the team
-limits on 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
-proper fit of equipment
•Coach must be aware of risks associated with sport
•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
-Involved with AT and team doc in decision making
What are the goals of professional organizations?
.Establish professional standards & code of ethics
•Networking
•Teamwork
•Disseminate info to public
Some professional sm organizations
-NATA (journal of athletic training)
-ACSM American college of sports medicine (medicine and science in sports and exercise)
-national strength and conditioning association (journal of strength and conditioning research)
Sports medicine team
.Athletic Trainer (AT)
•Certified Athletic Trainer (ATC) is professional credential
•Team Doctor
•MD, DO
•Coach
•Parent/Guardian
