1. ATHLETIC TRAINER AND THE SPORTS MEDICINE TEAM
CHAPTER 1
ATHLETIC TRAINER AND THE SPORTS MEDICINE TEAM

2. WHAT IS AN ATHLETIC TRAINER?
An athletic trainer is a person who is nationally certified by the NATA (National Athletic Trainers Association)
Athletic Trainers are known by ATC. Athletic Trainer Certified
ATC’s are responsible for the care and prevention of athletic injuries.

5. HISTORY
The field of sports medicine has been in effect since around 800 to 100 B.C. when the uses of therapeutic exercises were described in the Arthava-Veda, a medical booklet from India.
With the popularity of athletics increasing, the demand for those knowledgeable in rehabilitating these athletes also increased.
         

6. HISTORY
   More recently, the field of sports medicine is the largest it has ever been with many organizations now existing that share the interest in treating and preventing athletic injuries.
For example, the Federation of Sports Medicine (FIMS) was established in 1928 in order to assist the athletes of the Winter Games of St. Moritz Olympic Winter Games.
In 1951, the American Medical Association established a committee on Injuries in Sports, which is now a standing committee.

7. HISTORY
The largest of all sports medicine organizations, the American College of Sports Medicine, was created in 1954.
Last, the American Orthopedic Society for Sports Medicine was founded in 1971.
In 1950, the National Athletic Trainers Association was founded for the education of athletic trainers.

8. EVOLUTION OF ATHLETIC TRAINING
1ST “Trainers” carried water and equipment
Eventually, “trainers” were responsible for injuries and taping. (with no real training)
In the 1950’s Cramer established guidelines for being a “trainer”
In 1970’s the NATA moved away from the trainer name and established Athletic trainer. With Domains and reponsiblities

11. Support personnel for athlete’s health and safety
Nurse
School health services
Physicians
Podiatrist PA
Biochemist
Strength and conditioning coach

12. Support continued Sports psychologist *Equipment pers
Physical Therapist (PT) *Refeeres
Exercise physiologist
Nutritionist
Massage Therapist
Social Worker
Sports Chiropractor

13. Sports Medicine Human Performance Management Injury
Exercise Physiology
Practice of Medicine
Biomechanics
Sports Physical Therapy
Sport Psychology
Athletic Training
Sports Nutrition
Sports Massage 13

14. ORGANIZATIONS FOR ATHLETIC TRAINERS
NATA: National Athletic Trainer’s Association
CATS: College Athletic Trainer’s Society
ATSO: Student Athletic Trainers
USATR: liability for ATC’s
Associations on the Regional and State levels: MAATA (Mid Atlantic Athletic Trainers Association) and VATA
Many others: see textbook

15. Roles and Responsibilities: Board of Certification Domains
Prevention
Clinical evaluation and diagnosis
Immediate care
Treatment, rehabilitation and reconditioning
Health care administration
Professional responsibilities 15

16. Prevention Ensure safe environment Conduct pre-participation physicals
Develop training and conditioning programs
Select and fit protective equipment properly
Ensure appropriate medication use while discouraging substance abuse 16

17. Clinical Evaluation & Diagnosis
Recognize nature and extent of injury
Involves both on and off-field evaluation skills and techniques
Referring to supportive services
Immediate Care
Administration of appropriate first aid and emergency medical care (CPR, AED)
Activation of emergency action plans (EAP) 17

18. Treatment, Rehabilitation Reconditioning
Rehabilitation program design
Supervising rehabilitation programs
Incorporation of therapeutic modalities and exercise
Offering psychosocial intervention
Organization & Administration
Record keeping
Ordering supplies and equipment
Establishing policies and procedures
Supervising personnel 18

19. Professional Responsibilities
Athletic trainer as educator
Athletic trainer and continuing education
Athletic trainers as counselor 19

20. Personal Qualities of the Athletic Trainer
Stamina and the ability to adapt
Empathy
Sense of humor
Communication
Intellectual curiosity
Ethical practice
Professional memberships 20

21. AFTER CONSULTING WITH OTHER
DOCS..WE CONCLUDED CHESS
IS NOT A SPORT..
SENSE OF HUMOR

22. Athletic Trainer and the Athlete
Major concern on the part of the ATC should be the injured patient
The injured patient must always be informed
Be made aware of the how, when and why that dictates the course of injury rehabilitation 22

24. 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 24

25. 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 25

26. 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 26

27. -Pre-participation screening (physicals)
Diagnosing injury (only Doctors can diagnose.. ATC’s evaluate)
Deciding on disqualifications
Attending practice and games 27

28. TEAM DOCTOR

29. 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
Directly responsible for injury prevention
Athlete must go through appropriate conditioning program 29

30. Coach must be aware of risks associated with sport
Provide appropriate training and equipment
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
Must be a cooperative relationship 30

32. Athletic Training Education Competencies
Twelve Content Areas
Risk management
Pathology of injuries and illnesses
Assessment and evaluation
Acute care
Pharmacological aspects of injury and illness
Therapeutic modalities 32

33. Athletic Training Education Competencies
Therapeutic exercise
General medical conditions and disabilities
Nutritional aspects of injury and illnesses
Psychosocial intervention and referral
Organization and administration
Professional responsibilities 33

34. Continuing Education Requirements
CEU’s- Continuing Educational Units
Need to obtain 75 every 3 years
* Attend symposiums, seminars, workshops, or conferences.
* Serve as a speaker, panelist or certified exam model.
* Participate in the US Olympic Committee program

35. CEU’s Author- textbooks, articles or journals.
Complete A Journal of Athletic Training Quiz
Complete postgraduate course work.
Obtaining CPR, first aid and EMT certifications.
MUST demonstrate proof every 3 years of CPR certification

37. Future direction of Athletic Training
Every state will regulate the practice of ATC’s
More Secondary Schools have ATC’s
Increase in the amount of clinics owned by ATC’s
Recognition of ATC’s as a physician extender.
Being able to charge for services

38. Forms of state regulation
Certification
Registration
Licensing
Exemption

39. Employment settings for the ATC
Secondary Schools (High Schools)
School Districts
Colleges and Universities
Professional sports
Clinics
Corporate/industrial settings
The Military
Physician extenders
Medical supply/equipment sales

40. Employment continued
College/Univ. educators
Researcher
Administrator