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  • 1. Athletic Trainer as a Health Care Provider. Chapter 1 Athletic Trainer Coach Physician Athlete
  • 2. 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
  • 3. 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 19 th century
      • Early ATCs no technical knowledge
  • 4. 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?
  • 5. 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
  • 6. 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
  • 7. 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
  • 8. 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)
  • 9. 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
  • 10. 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
  • 11. 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)
  • 12. 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
  • 13. 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
  • 14. 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
  • 15. 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