Athletic training

1. Athletic training Chapter 2

2. What is an Athletic Trainer? • Highly educated and skilled professional specializing in athletic health care for the physically active • Prevention & care of athletes, physically active • History: • Greek and Roman civilizations • Established in late 19th century in the United States (intercollegiate athletics) • Lacked professional training/knowledge

3. Why “athletic trainer”? • There has been much controversy over the title

4. Growth of the Profession • Evolution of the Athletic Trainer: • 1st appearance in intercollegiate athletics after WWI • 1st text, The Trainer’s Bible, in 1917 • Written by S.E. Bilik • Support from the Cramer family • The NATA • Formed between 1947-1950 by university athletic trainers • 1st Meeting in 1950 w/101 attendees in Kansas City, MO • Membership: from 100 to 30,000+ today (32,280 as of 8/07) • Employment Growth • Education Reform

5. Recognition and Accreditation as an Allied Health Professional • June 1991 – AMA officially recognized athletic training as an allied health profession • Primary purpose was for accrediting educational programs • June 1994 – CAHEA dissolved and replaced by Commission on Accreditation of Allied Health Education Programs (CAAHEP) • Now CAATE- Commission on accreditation of Athletic Training Education

6. Certification Requirements • Candidates for certification must meet NATA-BOC established requirements: • Graduation from an accredited program (CAATE) • Pass the BOC examination • Meet CEU requirements • Successful completion of the certification exam will earn the credential of ATC • Certified Athletic Trainer • Must complete 50 CEUs every 2 years • Continuing education, new research & techniques

7. Accredited programs • 341 undergraduate programs • 4-year programs • Graduate with BA or BS degree • Eligible to sit for BOC exam • Closest is Cal State Fullerton • 26 entry-level master’s programs • 2-year programs • Must already have BA or BS degree • Graduate with MS degree • Closest is California Baptist University • Post-professional degree • Master’s and Doctoral degrees

8. NATA Board of Certification (NATA-BOC) • Role Delineation Study (1999) • Redefined the profession of athletic training • Primary tasks of entry-level ATC’s • Knowledge and skills required to perform each task • Roles could be divided into six major areas or performance domains • Now five major areas

9. Roles and Responsibilities of the Athletic trainer • Performance Domains • Injury/illness Prevention and Wellness Protection • Clinical Evaluation and Diagnosis • Immediate and Emergency Care • Treatment and Rehabilitation • Organizational and Professional Health and Well-being • What ATs do • Education Council Competencies & Clinical Proficiencies • Risk management • Pathology of injuries & illnesses • Orthopedic assessment/eval. • Acute care • Pharmacology • Therapeutic modalities • Therapeutic exercise • General medical conditions • Nutrition • Psychosocial Intervention • Health Care Administration • Professional Development • What ATs learn

10. Performance Domain: injury/illness prevention and wellness protection • Develop training & conditioning programs • Ensure a safe playing environment • Select, fit, & maintain protective equipment • Explain the importance of nutrition • Use medications appropriately

11. Performance Domain:Clinical Evaluation & Diagnosis • Conduct physical examinations • Understand the pathology of injury and illness • Referring to medical care • Referring to support services

12. Performance Domain:Immediate and emergency care • Initial on-field evaluation • Administer appropriate First Aid Care • Establish emergency care procedures ahead of time • EAP

13. Performance Domain:Treatment & Rehabilitation • Designing rehab programs • Supervising rehab programs • Incorporating therapeutic modalities • Offering psychosocial intervention

14. Performance Domain:organization and professional health and well-being • Organization/Administration • Record keeping • Order equipment & supplies • Supervise personnel • Establish policies & procedures • Professional Responsibilities • Continuing education • Promote the profession • Research • Professional health • Physical, emotional, spiritual health • Stress management

15. Secondary Schools College or Universities Professional Teams Sports Medicine Clinics Corporate/Industrial Settings The Military Physician Extender Treating the Physically Active Adolescent athlete Aging athlete Employment Settings

16. Stamina & ability to adapt Burnout Empathy Sense of humor Communication Intellectual Curiosity Ethical Practice Professional Memberships Ability to relate to athletes Ability to deal with parents Personal Qualities ofan Athletic trainer

17. Certified Athletic Trainer Meets the qualifications set by state licensure andthe Board of Certification, Inc. and practices athletic training under the direction of a physician. Personal Trainer Prescribes, monitors and changes an individual’s specific exercise program in a fitness or sports setting. Certified Athletic Trainer vs. Personal Trainer

18. Certified Athletic Trainer Provide physical medicine and rehabilitation services Prevent, diagnose, treat and rehabilitate injuries (acute and chronic) Coordinate care with physicians and other allied health professionals Work in schools, colleges, professional sports, clinics, hospitals, corporations, industry, military, performing arts Personal Trainer Assess fitness needs and design appropriate exercise regimens Work with clients to achieve fitness goals Help educate the public about the importance of physical activity Work in health clubs, wellness centers and various other locations where fitness activities take place Certified Athletic Trainer vs. Personal Trainer

19. State Regulation • Licensure • Must meet minimal standards of state licensing board; state limits individuals who can perform AT functions through practice acts • Most restrictive form of regulation and varies from state to state • Usually gain licensure by passing BOC exam or state licensing exam & paying fee • Certification • Does not protect term “athletic trainer”; can restrict performance of AT functions to those certified by the state • Many of these states recognize BOC exam in gaining state certification

20. State Regulation • Registration • Pay state registration fee; state may not assess qualifications; protects term “athletic trainer” from being used • Exemption • State recognition allowing for performance of functions similar to those of other licensed professionals. • Usually not enough practitioners to warrant formation of a state regulatory board

21. State Regulation

22. Future Directionsfor Athletic training • On-going evaluation and reform of ATEPs • Third-party reimbursement • (Medicare/Medicaid) • State regulation • Licensure in CA • Increase/improve secondary school employment • Further expansion of profession in other employment settings • Emerging practices • Research • Global professional growth

23. Future Employmentfor athletic trainers • Employment • 2006: 17,000 • 2016: 22,000 • Growth: Much faster than average, except with professional sports teams • Largest Employment Settings • College/universities, amusement/recreation industries, general medical and surgical hospitals, elementary and secondary schools • Salary (includes wage earners) • Median for May 2006 was $36,200 • Middle 50% earned between $28,920 and $45,600 • Highest 10%: More than $57,580 • Lowest 10%: Less than $21,940

24. Internet Research: • NATA website • www.nata.org • 25 facts, names, job openings, or interesting topics • BOC website • www.bocatc.org • 10 facts about the exam process • CAATE website • www.caate.net • List of 10 accredited programs homework Due Fri 8/24 @ beginning of class. 10 points