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Athletic Trainer as a Health Care Provider.
Chapter 1
Athletic Trainer
Coach Physician
Athlete
Introduction
Millions of individuals participate in sports Both organized and recreational Injuries do occur, but most aren’t serious
Who’s responsible for an athlete’s health? Ideally an ATC (athletic trainer, certified) $$ limits access ATC’s in most situations Coaches have responsibility to be first aid and
CPR certified ATC can’t be everywhere at all times
Early History
Sports were means to compete peacefully Roles in Greek and Roman
civilizations
Lack of interest in centuries after fall of Roman empire
Small resurgence in Renaissance
Sports begin in 19th century Early ATCs no technical
knowledge
Evolution of ATCs
Trainer vs. Athletic Trainer The Trainers’ Bible (1917) Cramer family influence
1932: First Aider First NATA 1938-1944 Regional districts reorganize 1947-1950 Current NATA formed in 1950
4,500 members in 1974 32,000+ members in 2008 Milestones?
National Athletic Trainers’ Association
1950: NATA formed 1991: recognized as allied health profession by AMA
Purpose was to accredit educational programs (Committee on Allied Health Education and Accreditation)
1993: all entry level ATEP’s subject to CAHEA accreditation via JRC-AT recommendation
1994: CAHEA replaced by Commission on Accreditation of Allied Health Education Programs (CAAHEP)
2005: Last internship candidates take the BOC exam 2006: CAAHEP and JRC-AT replaced by CAATE
(Commission on Accreditation of Athletic Training Education Programs)
2007: NATABOC exam becomes computer based
What is sports medicine??
Term encompasses many different fields All relate to activity and
sport
Athletic training Biomechanics Exercise Physiology Medicine Physical therapy Nutrition Sport Psychology
Most fields have professional organizations Professional care
standards Educational standards Code of ethics Exchange ideas Stimulate research Collective purpose
Examples of organizations:
FIMS: International Federation of Sports Medicine
AAFP: American Academy of Family Physicians
ACSM: American College of Sports Medicine
AOSSM: American Orthopaedic Society for Sports Medicine
NSCA: National Strength and Conditioning Association
APTA: American Physical Therapy Association, Sports Physical Therapy Section
NASM: National Academy of Sports Medicine
Athletic Trainers in the field
Qualifications: Knowledge of variety of
medical specialties Graduate from a CAAHEP-
accredited ATEP program Pass 3-part certification
exam Maintain 75 CEU’s every 3
years Maintain CPR-PR/AED
certification Maintain state licensure
(some states)
Employment settings
Traditional setting Secondary schools Colleges/universities
School districts
Professional organizations Sports NASCAR, Rodeo Dance and theater
Clinics/Hospitals/Industrial Largest employment setting
Others Fitness centers Military NASA Law enforcement Government agencies
The sports medicine team
Athlete health care is a group effort Coach, ATC, MD Each member has a
specific function Coach should defer all
medical decisions to ATC or MD
Physician has the final word on treatment and return to play
Athlete is the first concern Good communication
is essential Quick & safe return Goal to have athlete
participate to his/her fullest potential
Trust and confidence must develop between team members
The sports medicine team continued
Injury prevention and management are educational goals Both the coach and ATC
responsible Technique and training
Athlete must be kept informed and educated What is an injury Injury status
Role of parents: Minor athletes Must respect family MD
decisions
Coach responsibilities: Conditioning, proper
equipment, skill technique Awareness of common
injuries and their prevention
First aid & CPR certification
ATC responsibilities: All phases of care Keep athlete’s well-being
as primary objective Make all decisions from a
medical perspective (not a coaching perspective)
ATC responsibilities:
Injury prevention and risk management
Recognition, evaluation, and assessment of injuries
Immediate care of injuries and illnesses
Treatment, rehabilitation, and reconditioning
Health care organization and administration
Professional development and responsibility
Physician responsibilities:
Ultimately responsible for total health care Conducting PPE, diagnosing injuries, be aware of
rehab programs Return-to-play decisions usually made on ATC
recommendation Supervise and advise ATC
ATC must have flexibility to function independently in decision-making process
Communication imperative Should make the effort to attend as many events
as possible Be available for consultation outside of the office
Professional behaviors
Stamina Adaptability Empathy Sense of humor Communication skills
Oral and written
Intellectual curiosity Ethical practice Professional
memberships
State Regulations: Licensure Certification Registration Exemption
Other members of the sports medicine team:
Nurse Orthopedist Neurologist Internist / GP Dentist Ophthalmologist Pediatrician Psychiatrist Sport psychologist
Podiatrist Physician assistant CSCS Biomechanist Physical therapist Exercise physiologist Nutritionist Equipment personnel Referees