1. Sports Medicine Coverage for College Club Athletics
Justin Mullner, MD

2. Introduction
Georgetown University
Marymount University

3. Introduction

4. Marymount University 3,633 students Division III 2,373 undergraduate
Capital Athletic Conference
see a few patients and stay out of catie’s way

5. Georgetown University
17,849 students
7,636 undergraduate
750 varsity athletes (11m, 12w)
4 physicians
12 athletic trainers

6. Club Sports 1,050 total participants 18 men’s teams 16 women’s teams
1 physician
1 athletic trainer

7. Logistics Concussion Protocol Club Sports Manual Emergency Action Plan
impact
sway
Club Sports Manual
Emergency Action Plan
Athletic Trainer
CPR training
Pre-participation Physical Exams
Hoyalink
SportsWare
reign in some of the teams
Hoyalink for waivers and forms, impact and now sway for concussion

8. Athletic Trainer Certified Athletic Trainer (ATC)
4 years undergraduate degree
2 years full-time master’s degree
post-professional graduate assistant
around 1000 hours of supervised clinical hours
pre-requisites
anatomy
kinesiology
exercise physiology
nutrition

9. Club Sports Advisory Council
6 undergraduate students
supervise the administration of club sports
Program Coordinator
Athletic Trainer
DEMOC
department of emergency management and operational continuity
lawyer and one other shared staff member

10. Funding 1st two years, paid for through club sports general fund
fund from club athlete dues + funding from school
trial period
As of summer 2016, ATC salary picked up by Center for Student Engagement

11. Services Provided injury prevention concussion awareness
safety captains
website / blog
strength training
access to student health
health education services
health education services

12. Club Sports Tier System
developed after the first year
tiers 1, 2, 3
Teams may apply for access to the athletic trainer at the beginning of the spring semester
move between tier 2 and 3
after the first year, due to sheer numbers, a tier system was introduced

13. Tier System Tier 1: 145 total athletes ATC at home games
Men’s Rugby (65)
Women’s Rugby (30)
Ice Hockey (25)
Boxing (25)
145 total athletes
ATC at home games
ATC around for practices
ATC available for rehab and treatments

15. Tier System Tier 2: 180 total athletes M Soccer W Soccer M Ultimate
W Ultimate
W Basketball
Triathlon
180 total athletes
These teams could request the Athletic Trainer at home games and would have access to treatment and referrals to the Sports Medicine physician, as well as other physicians. However, the Athletic Trainer would not attend practices. They can attend educational seminars. Teams would need to “opt-in” to the second tier by filling out a “responsibilities agreement” and providing practice/injury data.

16. Tier System Tier 3: Badminton M Squash Fencing W Squash Swimming Golf
Running
Tennis
Polo
Equestrian
Water Polo
Rock Climbing
Badminton
Fencing
Swimming
M Basketball
M Volleyball
W Volleyball
Baseball
Softball
W Lacrosse
Field Hockey
Figure Skating

17. Injury Prevention FIFA 11+ Women’s sports 50% reduction in injury
drop vertical jump
ACL Injury-Prevention Programs – JBJS 2013
ACL Injury-Prevention Training in Female Athletes – AJSM 2012
Impellizzeri FM, Bizzini M, Dvorak J, et al. Physiological and performance responses to the FIFA 11+ (part 2): a randomised controlled trial on the training effects. J Sports Sci 2013;31:1491–502.
Physiological and performance responses to the FIFA 11+ (part 2)... J Sports Sci 2013;31:1491–502.

18. Concussion Preseason Talk Computerized Neurocognitive Testing
Sway vs Impact vs Other
centralized database
athletes can run from their phones (apple or android)
SCAT5 + BESS
adding VOMS testing
cost per athlete rather than per test

20. Athletic Trainer Increased productivity in sports medicine clinic
3-4 additional patients per 8 hour clinic day
$200 – 1200 per day increase in collections
15-30% decrease in productivity when ATC removed
ATC - $44,000 – 52,000
MA - $30,000 – 36,000
RN - $60,000 – 76,000
LPN - $40,000 – 50,000
conservative estimate ~ 36 weeks per year where student health clinic is busy – if you increase collections by $200 per day, you would make $36,000 extra.
AJSM Comparison of the Effect of Medical Assistants Versus Certified Athletic Trainers on Patient Volumes and Revenue Generation in a Sports Medicine Practice

21. Athletic Trainer Certified Athletic Trainer (ATC)
4 years undergraduate degree
2 years full-time master’s degree
post-professional graduate assistant
around 1000 hours of supervised clinical hours
pre-requisites
anatomy
kinesiology
exercise physiology
nutrition

22. Challenges Bureaucracy Staff / Athlete ratio Budget
Georgetown University and MedStar Health - both very large and very separate organizations
Staff / Athlete ratio
Budget
Balance of competitiveness vs fun
Buy-in (enforcement of policies)
no authoritative coaches
impressed with what Katharine has put together and what we have accomplished with this in a relatively short period of time. the hard work was done early on and it has been about smoothing out the wrinkles since then

23. Challenges

24. Goals development of the lecture series
improved training room – in the works
more robust injury prevention program
FIFA 11+
research
concussion
injury prevention

25. Questions??