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Professional Football Chiropractors Society

Scott R. Sailor, EdD, ATCPresident, National Athletic Trainers’

Association

DISCLOSURESI wish I had some

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FOURTEEN ATHLETES HAVE DIED THIS YEAR

NON-TRAUMATIC:

1) Collin Kelly, Pike High School,

Indianapolis IN - EHS

2) Josh Warren, Pine Tree High,

Longview TX, ECAST

3) Toney Graham, Granite City IL,

Idiopathic Concentric Left Ventricle

Hypertrophy

4) Omari Chambers, "anomalous

origin left coronary artery"

5) Tekarian Maclin, Brownsville TN,

EHS

6) Rod Williams, Burke County High,

GA. Cardiac?

TRAUMATIC:

1) Kenny Bui, 17, Seattle, TBI

2) Evan Murray, 17, New Jersey,

Splenic Rupture

3) Tyrell Cameron, 16, Louisiana,

Cervical Fx

4) Ben Hamm, 16, Oklahoma, TBI

5) Cam'Ron Matthews, Texas, Brain

aneurysm [I count this as traumatic

though I fear it will be classified

‘indirect’]

6) Andre Smith, Bogan High School,

IL, Cervical fx?

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3-5 Minutes Matter

The Plan

• It’s All About Me• Roles and duties of an AT• Co-management with DC; how and when?• Scope of practice overlaps • Current trends in sports medicine

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It’s All About Me

• The Start

– Darn mouth guards

• The College Days

– Road Trips

– Service

– The Mentor

• The Opportunities

– Hitting the Big Time

– Getting Called Up

• The Transitions

– Everything grows

– Positioning for progress

ROLES AND DUTIES OF THE ATHLETIC TRAINER

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• https://vimeo.com/nata1950/unsung-heroes-of-sports-medicine

What is an athletic trainer?

• Athletic Trainers (ATs) are health care professionals who collaborate with physicians. The services provided by ATs comprise– prevention

– emergency care

– clinical diagnosis, therapeutic intervention and rehabilitation of injuries and medical conditions.*

• Athletic training is recognized by the American Medical Association (AMA) as a health care profession.

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Professional Preparation

• Students must complete an accredited professional program (bachelors or masters)*

• Students engage in rigorous classroom study and clinical education in a variety of practice settings such as – high schools– colleges/universities– hospitals– emergency rooms– physician offices– healthcare clinics

• Students enrolled in their final semester are eligible to apply for the BOC exam.

State Regulation• Athletic trainers are licensed or otherwise regulated in 49 states, and the District

of Columbia; efforts continue to add licensure in and California.• NATA has ongoing efforts to update obsolete state practice acts that do not

reflect current qualifications and practice of ATs under health care reform. • Athletic trainers practice under the direction of physicians.• ATs work under different job titles (wellness/occupational health manager,

physician extender, rehab specialist, etc.). • Athletic trainers relieve widespread and future workforce shortages in primary

care support and outpatient rehab professions. • Academic curriculum and clinical training follow the medical model. Athletic

trainers must graduate from an accredited baccalaureate or master’s program; 70 percent of ATs have a master’s degree.

• 48 states and the District of Columbia require ATs to hold the Board of Certification credential of “Athletic Trainer, Certified” (ATC).

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ATs improve patient functional and physical outcomes

• Physicians, hospitals, clinics and other employers demand ATs for their versatile wellness services, and injury and illness prevention skills.

• Employers demand ATs for their knowledge and skills in manual therapy and similar treatments for musculoskeletal conditions, including back pain.

• ATs commonly supervise obese clients and patients to safely improve their health and fitness.

• ATs commonly work with patients with asthma, diabetes, heart disease and other health conditions.

ATs specialize in patient education to prevent injury and re-injury, which reduces rehabilitative and other health

care costs• In a patient-centered delivery system, adding ATs to the team

does not cost the health care system money.

• Studies demonstrate that the services of ATs save money for employers and improve quality of life for patients.

• For each $1 invested in preventive care, employers gain up to a $7 return on investment, according to two independent studies.

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Many athletic trainers work outside of athletic settings; they provide PMR and other services to people of all ages. ATs work

in:• Physician offices as physician extenders, similar to nurses, physician assistants,

physical therapists and other professional clinical personnel.• Rural and urban hospitals, hospital emergency rooms, urgent and ambulatory

care centers.• Clinics with specialties in sports medicine, cardiac rehab, medical fitness,

wellness and physical therapy.• Occupational health departments in commercial settings, which include

manufacturing, distribution and offices to assist with ergonomics.• Police and fire departments and academies, municipal departments, branches of

the military.• Public and private secondary schools, colleges and universities, professional and

Olympic sports.• Youth leagues, municipal and independently owned youth sports facilities.

Athletic trainers have designated CPT/UB codes

• Athletic training evaluation (97005)

• Athletic training re-evaluation (97006)

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Professional Journals

• Journal of Athletic Training

– Indexed in MEDLINE

• Journal of Athletic Training Education

Let’s examine our AT strengths

Old Paradigm

• Everything to everyone

• Jack of all trades

• First to arrive and last to leave

• Team member

• Knee taper

New Paradigm?

• Primary care provider

• A valuable health care resource

• Member of an interprofessional health care team

• An advocate for the patient

• An expert in prevention

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CO-MANAGEMENT WITH DC; HOW AND WHEN?

Primary Care Provider for the Athlete

• Collaborative

• Consultative

• Communicative

• Supportive

• Respectful

• Professional

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SCOPE OF PRACTICE OVERLAPS

• Physical medicine

– Injury evaluation

• Rehabilitation

– Manual therapy

• Functional movement

• Patient management

• Radiology

• Team approach

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CURRENT TRENDS IN SPORTS MEDICINE

Regulation

• Regulation

– State’s threatening deregulation

– H.R. 921: The Sports Medicine Licensure Clarity Act, has 95 co-sponsors, and the Senate version, S. 689, has seven co-sponsors.

– H.R. 829: The SAFE PLAY Act, has 42 co-sponsors, and the Senate version, S. 436, has one co-sponsor.

– H.Res. 112: The Secondary School Student Athletes’ Bill of Rights, has 31co-sponsors, and S. Res. 83 has one co-sponsor.

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Educational Reform

– Professional Degree at the Masters Level

– Post-professional Pathway being charted

• Internships

• Residencies

• Doctorate in Athletic Training

Youth Sports Safety Initiatives

• Collaborative Solutions in Sports Safety

– State High School Athletic Associations

• Sports Governing Bodies Meeting

– Development of minimal guidelines for youth sports

• Youth Sports Safety Summit

– Sports medicine groups

– Parent Advocacy groups

• Support for state regulatory efforts

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Partnerships

• NFL AT Initiative

– NFL Markets

• Gatorade Grant Project

– Not restricted to NFL Markets

• Stop the Bleed

– Bystander First Responder Awareness Program

– Department of Homeland Security

The Future

• A growing number of sports medicine settings are seeing a demand for more data collection, analytics and individualized performance planning.

• Evidence-based practice

• Unquestionable authority in medical decisions

• Medical model of supervision

• Inter-association Pre-hospital Spine Care (in revision)

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