An emerging setting is the non traditional roles, athletics, an Athletic Trainer is employed in.
The Physician Practice Setting only makes up around 2% of Athletic Trainers currently.
About Max:
He played football and graduated from Louisiana CollegeWorked in Alexandria, Louisianna for 2 years with an independent minor league team and as a physician extenderWent back to Lousianna college to work as an AT
Went back to school and got his masters at the University of HoustonWorked as the Baseball AT after graduatingGot hired by Memorial Hermann to work with the Sugarland Skeeters
What do you need to work in the PPS?
DME - Durable Medical Equipment - need to be able to communicate how and why to use these devices
Casting and splinting - both removal and application.
Communicating the goals and expected outcomes.
Physician Practice Value Model
Manual for what ATs do in this role
What does max do in this emerging practice setting?
HPIExamInitial assessment / DDxAnswer questionsConfer with DoctorPlanImagingHEP vs PTRTP protocolOrthos referralsIn-office procedures
Pros and Cons of Physicians Practice Setting
Pros
Work closely with doctorsSet schedule vs athleticsHad freedom to pick “regular AT” per diemWide variety of patientsPediatricYouthGeriatricA lot of concussions
Cons
Public’s lack of knowledge of an ATDifficult/ rude patientsThey are not there to see MaxA lot of concussionsA lot of the same stuffneck/back
CPT Codes
ICD vs CPT97110 Therapeutic Exercise for 15 minutesCodes are not profession-specific
Financial Impact
Worth and ValueWorth - the monetary cost of the serviceValue - is the perceived worthATs can increase efficiency by performing the non-billable tasks and freeing up the Doc for the billable tasks.Pecha et al studyIncrease of $200-$1200 per day increaseIn Max’s clinic study over 6 months, this value would have been about $16,000Patient satisfaction survey
Sugarland Skeeters experience:
He has been there since the inaugural seasonMostly veteran players trying to get back to affiliated ball
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