Sports Medicine Broadcast: Recent Episodes
Jeremy Jackson
Being an AT in Georgia is a lot like being an AT in Texas. Rob Dicks knew he wanted to become an AT by the time he started high school. He is now leading the Georgia Athletic Trainers Association.
Podcast SummaryThis episode features Jeremy Jackson and Rob Dix, the current President of the Georgia Athletic Trainers Association (GATA). Rob shares his journey from a 14-year-old aspiring ‘sports doctor’ to a seasoned Athletic Trainer, driven by an early interaction with an AT after an MCL sprain. He recounts his experience balancing a high-achieving student life and a career that included internships with the Buccaneers and the Falcons. Rob eventually prioritized family, leading him to a 22-year career at Lagrange College, where he transitioned through several administrative and leadership roles, culminating as an Associate AD before returning to high school athletics at Callaway High School.
Rob discusses his leadership philosophy, ‘We are better together,’ and his role as a servant leader for GATA members. He highlights his commitment to mentorship, including co-founding a large support group/think tank for brown and black athletic trainers. On the legislative front, Rob addresses current challenges facing AT in Georgia, such as opposition to updating the Practice Act and the exclusion of athletic trainers from a dry needling bill that could make the practice illegal for ATs in the state. Despite the challenges, Rob notes Georgia’s leadership in the profession: the state is now number one nationally for heat illness policies and is a top contender for secondary school AT hiring and salary data. The ultimate goal is to place an AT in every school system with athletics.
Show Notes: The State of AT in Georgia with Rob Dix Host: Jeremy Jackson * Guest: Rob Dix, President of the Georgia Athletic Trainers Association (GATA) * Website Link:* sportsmedicinepodcast.com/ATinGeorgia
Episode HighlightsRob Dix discusses his passion for athletic training, his pivot from an NFL career path to collegiate and high school settings, and his dedication to leadership and mentorship within the profession.
Key Takeaways for AT in Georgia: The Journey to AT: Rob’s interest began at 14, influenced by his high school coach and solidified by his first AT, Jenny, after an MCL sprain in 10th grade. * A Career Pivot: After working with the Falcons, Rob chose a career path at Lagrange College (22 years) to better prioritize his family life. * Leadership Philosophy: Rob leads with the motto, ‘We are better together,’ viewing his role as serving the needs of GATA members. * Mentorship & Community: Rob is a dedicated preceptor and helped start a support group/think tank for brown and black ATs, which has grown to over 1,600 members. * Practice Act Challenges: A major focus for GATA is navigating legislative challenges, including opposition to the Practice Act update and the exclusion of AT in Georgia from a dry needling bill. * Georgia as a Leader: Georgia is ranked number one in the nation for heat illness policies and is a leader in secondary school AT hiring and compensation, making it an attractive state for practicing AT in Georgia*.
Connect with Rob Dicks: Email: rob.dicks.sr@gmail * Instagram: Rob_dsr * Facebook:* Rob Dicks
Group: The Brown and Black AT Think Tank (contact Rob for involvement)
These people LOVE Athletic Trainers and help support the podcast:Frio Hydration – Superior Hydration products.
Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast
Donate and get some swag (like Patreon but for the school)
HOIST – No matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Athletic Dry Needling – Save up to $100 when registering through our link.
Being an AT in Florida offers many opportunities. Dr. Pradeep Vanguri joins Ben Stephenson and Jeremy Jackson to share what being an AT in Florida is like.
Leadership in the Sunshine State: Dr. Pradeep Vanguri on the Future of Athletic Training in Florida
Jeremy Jackson and Ben Stevenson welcome Dr. Pradeep Vanguri, President of the Athletic Trainers Association of Florida (ATAF), to the Sports Medicine broadcast podcast to discuss the professional landscape in Florida. Dr. Vanguri shares his personal journey and outlines the crucial initiatives shaping athletic training across the 67 counties of Florida.
Dr. Vanguri’s interest in sports medicine began in high school in North Carolina, but his decision to become an athletic trainer was cemented in college at East Carolina University after realizing he preferred being on the sideline with teams over working in a clinic or hospital setting. He eventually moved to the state of Florida, where his focus on service led him to the ATAF.
His leadership journey within the Athletic Trainers Association of Florida includes: Serving as the Education Committee Chair for approximately six years. * Serving as Secretary for three years. * Serving as Vice President and then President-Elect. * Currently, he is in his third year of a three-year term as ATAF President, guiding the profession in Florida*.
The Athletic Trainer Landscape in FloridaDr. Vanguri emphasizes that the core strength of athletic training in Florida is its people—the dedicated clinicians and the close-knit professional community. The state offers numerous settings for athletic trainers, including industrial, college/university, secondary school, and professional teams like the Miami Dolphins, Panthers, and Inter Miami. The state also provides excellent opportunities for new and seasoned athletic trainers to continue their practice through collaboration, mentorship, and access to research from academic programs.
A common issue is the lack of full-time coverage and a high rate of turnover for athletic trainers across the 67 counties. The ATAF’s goal is to recruit talent to Florida and work to ensure they stay by focusing on appropriate coverage, quality of life, and compensatory salary and benefits. Medical systems across major regions of Florida, including Miami, Fort Lauderdale, Orlando, Tampa, Jacksonville, and the Panhandle, are supporting these efforts.
Dr. Vanguri detailed three major initiatives he is championing during his tenure as President in Florida:1. Loan Reimbursement Inclusion: Working to include athletic trainers in an existing state loan reimbursement program for rural assistance, which is centered within the Florida Department of Health, without asking for an increase in overall program funding. 2. Third-Party Reimbursement: A critical effort to quantify the value of athletic trainers and establish them as licensed medical professionals who deserve a “seat at the table” in the broader medical community. The ATAF is focused on supporting entities with a strong medical system infrastructure in Florida that can handle the billing. 3. CPR and AED Initiative: Working to help the general public understand the importance of layperson CPR and addressing the lack of interest in helping a victim due to the fear of legal retribution.
Why Athletic Trainers Should Choose FloridaDr. Vanguri’s sales pitch for the state of Florida centers on its people. He urges athletic trainers to move to Florida for the opportunity to connect with individuals making a difference, as well as for the mentorship, research opportunities, and clinical growth provided by the state’s top-notch athletic trainers and supportive medical systems. While the sunshine and alligators are a perk, the central reason to come and stay in Florida is the robust professional community and the emphasis on work-life balance.
The Athletic Trainers Association of Florida annual meeting is scheduled for July 10th to 12th in Orlando, Florida.
To connect with Dr. Vanguri or the ATAF:
- Email: president@ataf.org
Website and Social Media: ataf.org
These people LOVE Athletic Trainers and help support the podcast:Frio Hydration – Superior Hydration products.
Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast
Donate and get some swag (like Patreon but for the school)
HOIST – No matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Athletic Dry Needling – Save up to $100 when registering through our link.
Dr. Robert Fullick joins Ben Stephenson and Amari Mercadel at the Sports Medicine Update to discuss shoulder evaluations in the athletic shoulder.
Run down of extra tests, such as bear hug.You learn more as time goes on, good training and fine-tuning over the years. A bear hug assesses a specific part of the subscapular tendon. Other testing may be normal with an upper subscapular tendon injury.
How can I do all the tests? Do I skip some? We go from doing all the tests to gaining the confidence to know what the athlete is telling me to help figure out what tests to use. I would recommend doing all the tests until you gain enough knowledge to be able to skip around. You’re gonna get better as you go. I used to have doubts about the shoulder early in my career but look at me now. I see every MRI of every patient that I see, and I see every surgical evaluation that might need it. So I would say I’m pretty good at what I do. I’ve gotta be the best I can so that I’m not the guy saying that we’re gonna do physical therapy because I don’t know exactly what’s wrong, they’re gonna go see another guy.
Tell us more about your background, especially with the shoulder.My sports background put me in a unique situation where I was comfortable in the locker room. My mentor in Boston worked for pro teams and I got into being on pro sidelines and sitting with different people. Being a young resident covering high-level sports on my own. Foster relationships when I moved to Baltimore got my sports fellowship.
I don’t wanna be wrong, I hate being wrong. When you see someone do an eval, is there something that you are like “Oh, I wouldn’t do that”?I would say the biggest thing that I see missed is not disrobing the shoulder to see the skin, posterior shoulder, etc. Then you’re looking at the testing and trying to discern between a cuff strain versus labral. Thats not your fault. Based on the findings, timing, MOI, you can determine whether the patient needs imaging or do they just need physical therapy and some rehab. I would not be hard on yourself. Everyone is going to be in a different spot.
What are your recs for prehab?Complex scenario but I tell everyone the stronger the rotator cuff and the more motion going into surgery the better the recovery is going to be. Pre-op motion strongly indicates early post-op motion in my opinion.
Reducing shoulder injuries; how do we know if the humeral head is fractured?It’s an impossibility; I might have the luxury to know what a fractured arm looks like, but you might not. If a bone looks crooked, if a shoulder is out of palace then you try to make it look normal. If you go to reduce and you feel movement of the patient feels pain or a clunk or the humeral head doesn’t feel 100% out, then maybe you might think a fracture. You’ll never be able to know in that split second. I still see in the ER that they miss posterior dislocations. If you don’t get an axillary view, you don’t get the full workup. You gotta find a way to get that view, if not, get a CT scan. If you miss a posterior dislocation on the field, that’s okay, you’re doing the best that you can do with what you have.
Relocations on the sideline: tips and tricksMilch maneuver? For the anterior, the external rotation and abduction should be able to relocate. I had a patient just walk his fingers up his head, didn’t even have to touch the patient to relocate the shoulder (patient had hsitory of numerous dislocations), just know the basics and principles. You can prevent labral damage by getting the head in quickerWhat about those with repeated dislocations?If you encounter those with dislocations with sneezing and sleeping, typically they need intervention and surgery for the labrum and bone loss. Patients have more motion post-surgery because trust is restored within the joint.
Contact UsJeremy Jackson
Benjamin Stephenson
Layci Harrison
Mark Knoblauch
Ashlyne Elliott
Leslie Bennett
Sponsor ListFrio Hydration – Superior Hydration products.
Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast.
Donate and get some swag (like Patreon but for the school)
HOIST – No matter your reason for dehydration, DRINK HOIST
MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Athletic Dry Needling – Save up to $100 when registering through our link.
Explore Matthew Hutton’s insights on bridging rehab & reconditioning, chronic vs. acute loads, strength, FMS, and preventing reinjury.
Q: What inspired your journey to become an Athletic Trainer (AT) and specifically led you to work with soccer, particularly the Dynamo?A: My interest began in high school, where I excelled in science and math. After unsatisfying experiences shadowing a dentist and a physical therapist (who didn’t involve athletics), tearing my MCL introduced me to my high school AT, who became my inspiration. My path to soccer and the Dynamo was less direct, stemming from an Iowa soccer team connection that led to the Dynamo academy and eventually the main team.
Q: What was the inspiration behind the topic “Bridging the Gap Between Rehab & Reconditioning”?A: The topic was inspired by a lifelong focus on performance and experience in various competitive athletic gym settings. It emphasizes the crucial collaboration among professionals for optimal return to play, especially evident at the professional soccer level, and highlights a passion for continuous learning in this field.
Q: Can you explain chronic versus acute load ratios in athletic training?A: Chronic vs. acute load ratios involve monitoring an athlete’s training load over the past 3-5 weeks and comparing its average to the current training week. While there’s no single “gold standard,” a ratio of 1.4-1.6 is considered ideal, whereas anything above 2.0 suggests an increased risk of injury. Without GPS, metrics like mileage and manual counting of accelerations and decelerations are important. For example, high-speed running is typically above 5.5 m/s, and a sprint is above 7 m/s.
Q: Between strength and power, which is more critical for injury prevention and performance?A: Research indicates that strength is more crucial for injury prevention, particularly focusing on strength and fascial length. While power is often overlooked, incorporating speed variables is essential. There’s a significant gap between heavy Nordic hamstring exercises and sprinting, underscoring the importance of bridging this divide.
Q: Are you Functional Movement Screen (FMS) certified, and how has this influenced your approach?A: Yes, I am FMS certified, though I rarely use the actual testing. Instead, I heavily utilize the FMS framework and its progression principles. This framework proved highly beneficial, especially when working with large groups of 35-40 athletes at the JUCO level without dedicated strength staff. It allowed me to create reproducible corrective exercise PDFs for efficient widespread application.
Q: How do you address the decrease in confidence experienced by athletes with recurrent injuries?A: While not an expert in this specific area, my approach involves understanding the athlete as an individual. I engage with them to comprehend their personal experiences and struggles, believing that this empathy is key to providing effective support and boosting their morale during challenging recovery periods.
Q: What is the most significant complication you’ve observed with hamstring strains?A: The most significant complication with hamstring strains is the lack of a clear understanding of all the risk variables involved. For instance, an athlete might demonstrate exceptional hamstring strength on a NordBord, yet still experience recurrent injuries. This suggests that factors beyond isolated strength, such as the nervous system and fatigue, play a substantial role, making the absence of definitive risk factor evidence the primary challenge.
Q: What is your foremost tip for preventing reinjury?A: My biggest tip for preventing reinjury is to employ a “smooth approach,” akin to art shading. This means gradually and consistently progressing exercises without sudden spikes in any variables. The key is to manipulate training variables appropriately and avoid abrupt changes to ensure a smooth and safe rehabilitation journey.
Q: Where did the concept of “working backward” when creating a rehab plan originate for you?A: The concept of working backward in rehab planning originated from my experience with the Dynamo. Early on, I made the mistake of progressing athletes day by day based on their immediate feeling, which led to an expedited progression and a subsequent contralateral injury setback. This experience highlighted the importance of understanding the overall timeline and setting larger goals in advance to prevent moving too quickly through the rehabilitation process.
Q: What is curvilinear running?A: Curvilinear running involves having athletes run along a uniform curve, like a half-circle, often marked by the edge of a box. This practice helps identify that the fastest linear sprinters may not necessarily be the fastest curvilinear sprinters, emphasizing the distinct biomechanical demands of curved running.
Contact UsJeremy Jackson
Benjamin Stephenson
Layci Harrison
Mark Knoblauch
Ashlyne Elliott
Leslie Bennett
Sponsor ListFrio Hydration – Superior Hydration products.
Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast.
Donate and get some swag (like Patreon but for the school)
HOIST – No matter your reason for dehydration, DRINK HOIST
MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Athletic Dry Needling – Save up to $100 when registering through our link.
Understand asthma in athletes, including environmental triggers, gender disparities, and symptom differentiation.
Q: Is there a correlation between working in an area with chemical plants and developing asthma?A: Living near chemical plants, such as Pasadena High School, can lead to a higher incidence of asthma due to pollutants. These pollutants can damage tissues and cause respiratory issues, mimicking asthma symptoms. It’s not typically an age-related development but rather an environmental factor.
Q: Why do boys seem to have a higher incidence of asthma and injuries in athletics compared to girls?A: It is possible that the higher incidence of asthma and injuries in boys is due to a greater number of boys participating in athletics. We often diagnose asthma in children who are going to be athletes, and this demographic tends to be more boys than girls. A true genetic cause for this difference is not currently known.
Q: Is there a reason why Black individuals have a higher incidence of asthma?A: A 2008 study indicated that Black individuals have higher incidences of asthma, followed by White individuals, and then Hispanic individuals. The specific reason for this disparity is not fully understood at this point.
Q: Among triggers like exercise, allergens, and pollution, does one impact asthma more significantly than others?A: The impact of asthma triggers varies by individual. All of these factors can trigger asthma. For example, some individuals with allergic asthma may experience more severe reactions in rural areas due to pollen, while others may be more affected by industrial air quality problems in urban settings. Allergen tests can help determine an individual’s specific triggers.
Q: How often are upper respiratory infections (URIs) confused with asthma?A: URIs are likely to be confused with asthma, especially in younger patients who have not been tested for asthma. In emergency room settings, albuterol is often administered due to its low risk and typical effectiveness. If a patient improves with albuterol, it can lead to a presumption of asthma or bronchial hyper-responsiveness.
Q: How would you encourage an athletic trainer (AT) if they are unsure whether an athlete truly has asthma or is just out of shape?A: It is challenging to differentiate between an athlete being out of shape and having asthma, as the symptoms can be very similar. Increased access to medical professionals for diagnosis is encouraged. Athletic trainers should promote education about asthma. It can be a difficult situation, particularly if a coach suggests a student is feigning asthma to avoid participation.
Q: How much does an asthmatic baseline cost, and how beneficial is it for an athletic trainer?A: An asthmatic baseline device can be beneficial, especially for younger athletic populations, and can be purchased from retailers like Amazon. These devices can be reused if properly cleaned between athletes. Establishing a baseline helps athletic trainers objectively assess an athlete’s lung function, determining if intervention or rest is needed before play.
Q: When establishing a baseline for an athlete, should it be tested daily, or only when the athlete feels slowed down?A: An asthmatic baseline should be established out of season, before the season starts when the athlete is having a normal day and not experiencing symptoms. It should be retested approximately once a year to account for changes in fitness levels and lung capacity as the athlete grows and develops. It is not necessary to test daily, only at the beginning of the season to gauge their baseline.
Q: How does acid reflux mimic asthma symptoms?A: Acid reflux can mimic asthma, especially in younger individuals who may not be able to articulate their symptoms precisely. They might point to their chest, similar to how they would for cardiac issues, instead of explaining the burning sensation associated with acid reflux. This can lead to a misinterpretation of their discomfort as asthma.
Contact UsJeremy Jackson
Benjamin Stephenson
Layci Harrison
Mark Knoblauch
Ashlyne Elliott
Leslie Bennett
Sponsor ListFrio Hydration – Superior Hydration products.
Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast.
Donate and get some swag (like Patreon but for the school)
HOIST – No matter your reason for dehydration, DRINK HOIST
MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Athletic Dry Needling – Save up to $100 when registering through our link.
Contact UsJeremy Jackson
Benjamin Stephenson
Layci Harrison
Mark Knoblauch
Ashlyne Elliott
Leslie Bennett
Sponsor ListFrio Hydration – Superior Hydration products.
Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast.
Donate and get some swag (like Patreon but for the school)
HOIST – No matter your reason for dehydration, DRINK HOIST
MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Athletic Dry Needling – Save up to $100 when registering through our link.
Contact UsJeremy Jackson
Benjamin Stephenson
Layci Harrison
Mark Knoblauch
Ashlyne Elliott
Leslie Bennett
Sponsor ListFrio Hydration – Superior Hydration products.
Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast.
Donate and get some swag (like Patreon but for the school)
HOIST – No matter your reason for dehydration, DRINK HOIST
MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Athletic Dry Needling – Save up to $100 when registering through our link.
Contact UsJeremy Jackson
Benjamin Stephenson
Layci Harrison
Mark Knoblauch
Ashlyne Elliott
Leslie Bennett
Sponsor ListFrio Hydration – Superior Hydration products.
Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast.
Donate and get some swag (like Patreon but for the school)
HOIST – No matter your reason for dehydration, DRINK HOIST
MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Athletic Dry Needling – Save up to $100 when registering through our link.
Discover Leslie Bennett’s insights on being an exceptional athletic training preceptor, her passion for the profession, and advice for aspiring ATCs.
Q: What makes you an exceptional preceptor, and why do students consistently choose to learn from you?A: I’ve been practicing since 2009, having graduated from TXST and then joining MHH. I became a preceptor in 2016 when I joined UST, where I now serve as the Director of Sports Medicine and Senior Woman Administrator. This allows students to experience both the hospital and university aspects of my work. I aim to teach them how to advocate for the athletic training profession.
Q: What is your favorite aspect of being a preceptor?A: My favorite part is the daily interaction with students. I enjoy watching them grow throughout their athletic training careers, from start to finish. It keeps me active and engaged, always moving and lifting equipment alongside them.
Q: What inspired you to become an athletic trainer (AT)?A: My journey began in high school; I was a student seeking an activity before basketball season. I’ve always wanted to work in healthcare as a “giver at heart,” specifically with an active and motivated population. What truly drives me is the opportunity to inspire athletes to become their best selves. I also focus on imparting life lessons and common sense, helping them mature into adults.
Q: Amanii, what made Leslie a good preceptor for you?A: Amanii stated that my personality made me a good preceptor. I am very welcoming and provide a safe space for students to be hands-on and make mistakes. I added that I aim to give students ample opportunities to practice and learn before they are on their own, without overwhelming them.
Q: Amanii, is there anything Leslie could have done better to help you?A: Amanii reflected that she is quiet and reserved and needs more one-on-one discussions to talk through things. She also acknowledged that she needs to be more verbal and proactive in asking for help when she needs it.
Q: What is the most valuable lesson you’ve learned as a preceptor from students?A: Teaching and conducting skills checks with students is the best thing I’ve learned as a preceptor. This process keeps me fresh, on my toes, and ensures I stay current with the latest practices and information in the field.
Q: Jackson, what are the differences in expectations between your first and second-year students?A: As Jackson, I believes in a hands-on approach from the start, as students might not get such opportunities at other sites. First-year students receive more guided practice; for example, I’d bring them along for a concussion evaluation to observe and ask questions. By their second year, I expect them to lead first-year students and attempt any evaluation, acting as mentors.
Q: What are your general expectations for first-year and second-year students?A: For first-year students, my main expectation is willingness to work. If you’re comfortable with ankle evaluations, I’ll provide those opportunities, and we’ll build from there. For second-year students, I expect them to mentor first-years and be ready to attempt any evaluation. I added three expectations: be ready for anything, be a sponge, and be flexible. I also stressed not to complain about menial tasks, as students are paying to be prepared.
Q: How do you balance your professional and personal life as an athletic trainer?A: As a single AT, my life is simpler, though my lifestyle might be a reason I’m single. Initially, it was challenging to advocate for myself, but now I set strict boundaries with athletes and coaches. My Athletic Director is supportive and helps enforce these boundaries. Jackson emphasizes communication with all parties, especially his wife, using a shared calendar to manage busier seasons and ensure understanding.
Q: What are the unique aspects of navigating the athletic training profession as a Black woman?A: As a female AT, I must be prepared to stand my ground against those who doubt my capabilities. It’s important to demonstrate competence in all aspects of the job. Being a Black female AT also means representing diversity and understanding the unique challenges some athletes face, allowing me to advocate for those who cannot. A downside is that my directness can sometimes be perceived as abrasive. It was tougher initially, and challenging moments still occur, but it’s crucial to document incidents as perception is key.
Q: What advice would you give to aspiring athletic trainers starting their first year as ATCs?A: I advise networking extensively, as your current professional pool is small. Seek out mentors and build relationships with people at different levels and settings. Attend medical timeouts and district meetings to connect with others. Never assume you know everything; it’s okay to say, “I don’t know, but I will find out.”
Contact UsJeremy Jackson
Benjamin Stephenson
Layci Harrison
Mark Knoblauch
Ashlyne Elliott
Leslie Bennett
Sponsor ListFrio Hydration – Superior Hydration products.
Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast.
Donate and get some swag (like Patreon but for the school)
HOIST – No matter your reason for dehydration, DRINK HOIST
MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Athletic Dry Needling – Save up to $100 when registering through our link.
Care You Can Count On is the theme for National Athletic Training Month (NATM). AJ Duffy joins my UH MAT students to discuss the future of Athletic Training.
This episode of the Sports Medicine Broadcast, hosted by Jeremy Jackson and joined by student medics Ben Stephenson, Caroline Hayes, and Katie Gibson, features NATA President AJ Duffy discussing the future of the Athletic Trainer profession and leadership.
AJ Duffy‘s treasured memories from his Athletic Trainer career are not specific injury recoveries, but rather the lasting relationships built over 42 years with student-athletes, coaches, and colleagues. He stresses that these connections enhance the medical care provided, especially in embedded settings like military, performing arts, and athletic environments, where professionals may work with individuals for long periods.
The Path to Leadership and NATA MembershipCareer Start: AJ Duffy‘s interest in becoming an Athletic Trainer began in high school and was cemented on a recruiting trip to the University of Michigan, where he was mentored by figures like Lindsey McLean, the “father of the certification exam”.First Leadership Role: His leadership journey started as a state liaison officer, where he initiated the creation of the first national directory of leaders in the profession due to the lack of an easy way to connect before the internet. He describes volunteerism and leadership in the NATA as a “vortex” that moves the profession forward.Value of NATA: Duffy explains that NATA membership is crucial for continuing education and, more importantly, professional advocacy. As an example of advocacy, he cited the NATA’s successful federal effort to prevent the suspension and eventually expand the Army’s holistic health program, which utilizes embedded Athletic Trainers. Additionally, the NATA establishes guidelines to enhance compensation and positions across all career sectors.Advice for Future Athletic TrainersInternational Career Pathways: For those seeking international opportunities, AJ Duffy noted that international athletic therapy is a growing field. Opportunities exist in places like Britain, Ireland, and Spain (which has two CAATE-approved programs). He advises new professionals to put in the “legwork” to find openings in various international sports and secondary schools.Focus and Communication: Duffy’s primary advice for young Athletic Trainers is to be a sponge, be unafraid, and put the phone down to stay focused on the conversation or the injured individual. He emphasized the critical nature of communication and having “conversations that matter,” noting two quotes: “Are you prepared to have a conversation that matters?” and “Buried feelings Never Die”. He encourages students to ask questions, but only at appropriate times, not during a critical moment like an injury evaluation.Contact UsAJ Duffy – President@NATA.org
Jeremy Jackson – SportsMedicineBroadcast.com
Benjamin Stephenson
Carolin Hayes
Katie Gibson
These people LOVE Athletic Trainers and help support the podcast:Frio Hydration – Superior Hydration products.
Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast
Donate and get some swag (like Patreon but for the school)
HOIST – No matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Athletic Dry Needling – Save up to $100 when registering through our link.
Stephanie Kuzydym shares some of the background before becoming known as Safer Sidelines on Twitter (X).
Stephanie, where did the Safer Sidelines journey start? I was a high school tennis player and visited the AT often.
My mom spotted the signs of overheating.
I started to train for marathons and learned more about heat illness.
I took a storytelling class in college and heard the story about a Louisville kid who died from heat exhaustion.
It was always a topic at the back of my mind.
When I moved to Houston and learned about the heat and humidity.
A baseball player with commotio cordis really was the tipping point.
Damar Hamlin was a huge catalyst for the improvement of the database.
We were working on SaferSidelines before he collapsed.
Scott Anderson and Dr. Steve Horwitz had their own databases, and together we created the Deadly Games Database.
What is one of the most eye-opening things regarding athletics?Why is nobody seeing this thing???
Why are we so bad at reporting this?
Is anyone asking for the details?
Was there an AT, an AED?
Matthew Mangine collapses June 16.
Mike Quinn tells his daughters’ girls’ soccer league that they need to learn CPR.
A short time later he was running during their practice and collapsed.
Had Damar Hamlin not collapsed, they would not have been trained in CPR.
The Damar Hamlin incident activated a major push for CPR/AED training
Contact:Stephanie Kuzydym
Bubba Wilson
Benjamin Stephenson
Jeremy
These people LOVE Athletic Trainers and help support the podcast:Frio Hydration – Superior Hydration products.
Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast
Donate and get some swag (like Patreon but for the school)
HOIST – No matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Athletic Dry Needling – Save up to $100 when registering through our link.
Chronic Back Pain is probably the least favorite for most clinicians, but it is one of the most reported reasons for office visits. Brent Ness joins the Sports Medicine Broadcast to discuss how Aclarion is helping provide imaging that can identify biomarkers and find where the pain is actually coming from.
Brent, recall your earliest interaction with Athletic Trainers.My kids played sports in high school and had injuries that the AT Staff took care of.
Give us the highlights of NOCIScanTaking info from an MRI, measures the quantity of different biomarkers within the spine and disc.
- Compares the biomarkers to other discs within the patient’s spine. Structural integrity and acid levels
- Disc material can be filled with acids, which can cause pain
- MRI can look normal if these acids are present.
- Nerves can grow into the disc with a herniated disc or degeneration.
- Disc degeneration is not just in “old” people, but also in people in their 20s, 30s, early 40s, and volleyball players
- Gives the treating physician more information
- Spectroscopy: same machine as MRI, different sequence that the tech would use. 1.5 or 3 T works
- Proteoglycans levels
- Result reports usually take just a few minutes
- Currently in 23 markets in the US, still a cash pay service at the moment or done through clinical trials. Working on coming to Houston
How does this apply to the currently active athletic population?Football, hockey, pole vault, volleyball
Ben likes to look at all of the options for Athletic Trainers. Are there any Athletic Trainers currently employed by Aclarion?* Always looking for motivated people. Yes
Lower-income high school Athletic Trainer – How do you feel I can best help my patients with back pain? * Start with the traditional treatments, rest, ice, NSAIDs. If very painful for a long period of time, if they move on to get an MRI, ask for MRSpectroscopy or NOCIScan to see more. They get with the imaging center to ensure the tech can get a single voxel spectroscopy setup on the machine.
What is keeping more surgeons from adopting this type of MRI?* Still new, working on moving into more hospitals. Cash pay vs. insurance is a big roadblock that many surgeons face. * Hopefully, one day we can work toward also being used on the knee
$1450 list price (usually discounted as well) – patient pay model on the website, acquire through info@aclarion.com first
Contact Us:Aclarion – aclarion.com
Brent: info@aclarion.com
Ben –
Shelby – Shelbyngaytan@gmail.com
Jeremy – info@sportsmedicinebroadcast.com
These people LOVE Athletic Trainers and help support the podcast:Frio Hydration – Superior Hydration products.
Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast
Donate and get some swag (like Patreon but for the school)
HOIST – No matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Athletic Dry Needling – Save up to $100 when registering through our link.
Learn about scoliosis rehab with Lauren Ferrante, PT, DPT, OCS. Explore home exercises, manual therapies, and AT tools for scoliosis.
Q: What are the most important home exercises for scoliosis?A: Key home exercises focus on spinal mobility, especially for those who sit frequently. Cat-cows and thoracic rotation are crucial. Depending on comfort level, core activation exercises like supine marches or dead-bug isometrics are beneficial. When supine, tactile cues help maintain spinal symmetry. Bridges or modified side planks are good starting points, with progression as needed.
Q: Which scoliosis treatment method is best for high school age, considering the Schroth Method helps the 10-15 age group?A: The Schroth Method can be used for older populations, but it is generally less effective for high school age individuals compared to younger ones. For this age group, focusing on functional core strengthening can also be beneficial.
Q: Are Pilates or yoga safe and recommended for young athletes with scoliosis?A: Yes, Pilates and yoga are highly recommended for individuals with scoliosis, including young athletes. These activities promote continued mobility and strength, which are vital for managing scoliosis. The most important aspect is to find an activity they enjoy and consistently engage in it.
Q: What manual therapies are effective for scoliosis, and is dry needling helpful?A: Effective manual therapies include thoracic gapping and rib mobilizations, particularly in a side-lying position to encourage rib expansion. The specific therapy depends on the patient’s individual needs and curve patterns. Dry needling is not frequently utilized for scoliosis treatment according to the provided information.
Q: How often are lordotic curves seen in individuals with thoracic scoliosis?A: Lordotic curves are quite common in individuals with thoracic scoliosis. If a person has a mid-thoracic curve, their body often adjusts by developing a compensatory lordotic curve. Therefore, this presentation is observed frequently.
Q: How do current trends, such as phone and gaming use, contribute to setbacks or overcorrection in scoliosis?A: The impact of phone and gaming trends on scoliosis setbacks depends on individual patient motivation and activity levels. For athletes, it’s often less of an issue, as it’s unrealistic to maintain one position for extended periods. For minimally active individuals, parental encouragement to move around every hour, regardless of the activity, is important.
Q: How often are active populations braced for scoliosis?A: Braces for scoliosis are typically prescribed by pediatric orthopedic specialists. For junior high and high school-aged children, as they mature, the need for braces often decreases, and they may not be in them very much.
Q: What are the three most important practical tools for Athletic Trainers (ATs) regarding scoliosis?A: The three most important practical tools for Athletic Trainers when addressing scoliosis are observation for signs of scoliosis, implementing exercises on a mat or table, and utilizing a wall for exercises with minimal equipment.
Contact UsJeremy Jackson
Benjamin Stephenson
Layci Harrison
Mark Knoblauch
Ashlyne Elliott
Leslie Bennett
Sponsor ListFrio Hydration – Superior Hydration products.
Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast.
Donate and get some swag (like Patreon but for the school)
HOIST – No matter your reason for dehydration, DRINK HOIST
MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Athletic Dry Needling – Save up to $100 when registering through our link.
ACL Reconstruction, Repair or Regrowth…which is right for you? Chris Antonelli has worked with a lot of BEAR implant patients for several years. Thank you, Miach Orthopedics, for pushing progress.
Chris Share your AT Story? Purdue for undergrad
Baseball injuries led me to discover sports medicine
Worked with a bunch of sports in college
During undergrad
Offer outreach AT services
Bare bones:
What is BEAR, and why should an athlete choose it?It is not a reconstruction; it is a repair technique.
Decreased pain
Less swelling
Earlier function
Feel better earlier
The Ben version:
Is skeletal maturity a strict requirement? How does it look in adolescents?It is now approved for skeletally immature
Exercises? Any differences in 0-6weeks?First 4 weeks, they are partially weight-bearing instead of full weight-bearing
The ligament is weaker at first
Limit the flexion range of motion
They will be braced for 6 weeks, and then a functional brace
Does it affect quad inhibition?They feel really good, really early.
Quads are fantastic, really on.
What does the evidence say about timelines and re-tear compared to autografts?After the first 12 weeks, it is pretty much the same as others, with a 9-12 month full return to participation.
Slower, more conservative.
BFR and NMES for the first 8 weeks
Once they have a good ROM, load them with an open kinetic chain.
LAQ with BFR.
12 weeks, I do some isometric testing
Patient education –
Educate and measure swelling
Unable to get to full TKE
It looks like meet boiled spaghetti, but we want it to become unboiled
What about 5-10 years out?We still need more cases and research,h but it looks good with what we have
What research is lacking that we should keep an eye on?Specific ACL autograft techniques vs BEAR
Is BEAR becoming more accessible? Does insurance affect who can get it?No insurance issues with BEAR implants
It is being sought out by a lot of people, and until recently, it was not available for high school students.
More surgeons are learning the technique and process.
Contact:Chris Antonelli cantonelli42@gmail.com
Miach Ortho –
Ben Stephenson
Jeremy
These people LOVE Athletic Trainers and help support the podcast:Frio Hydration – Superior Hydration products.
Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast
Donate and get some swag (like Patreon but for the school)
HOIST – No matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Athletic Dry Needling – Save up to $100 when registering through our link.
Contact UsJeremy Jackson
Benjamin Stephenson
Layci Harrison
Mark Knoblauch
Ashlyne Elliott
Leslie Bennett
Sponsor ListFrio Hydration – Superior Hydration products.
Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast.
Donate and get some swag (like Patreon but for the school)
HOIST – No matter your reason for dehydration, DRINK HOIST
MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Athletic Dry Needling – Save up to $100 when registering through our link.
We would love to hear your stories of Dr. Josh Yellen’s impact on your life and career.
Help support the future of Athletic Training.
Contact Amari – Ammercad@cougarnet.uh.edu
AT the end of the Bench by Dr. Robert Bradley is a good read for prospective and new Athletic Trainers to the profession. With 32 years of experience as an AT, Dr. Bradley has some advice and wisdom for those who are not so new to the profession as well.
Robert, what is one of your favorite stories to share from your AT career?When I was a student, the sidelines were muddy, and it was pouring rain. SE Missouri University
Assisting a softball player after recovering from a stroke at the age of 19. She was able return to play eventually.
Take us back to the very beginning. What is your first memory of an Athletic Trainer?I was cut from the basketball team as a junior in high school. I went to a cramer first aider camp and the rest is history.
What made you become an Athletic Trainer?My father was a coach, and I understood that side of the game.
I did not enjoy the competition part.
This was the best of both worlds for me.
How long until the “honeymoon” period was over for you?Worked at a high school in Saint Louis
Then went to college athletics
When I stepped into the administrative role, things changed for me.
How do we stay in the “honeymoon phase”?Depends on your desires
If you just want to be in the traditional role and avoid the admin work, then you may stay in that phase forever.
Why did you switch? I had a talent for organization and administration.
I still cover sporting events at the local college.
What do you wish you knew going into AT?The chapters that were most fun to write
Coaches – I want ATs to understand the coach’s perspective
Contact:Robert Bradley – rlbatc@gmail.com
Benjamin Stephenson – @_benstephenson on IG
These people LOVE Athletic Trainers and help support the podcast:Frio Hydration – Superior Hydration products.
Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast
Donate and get some swag (like Patreon but for the school)
HOIST – No matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Athletic Dry Needling – Save up to $100 when registering through our link.
Learn about sudden cardiac death in athletes, including screening, return-to-play, misconceptions, and insights for athletic trainers.
Q: What is one key takeaway for athletic trainers regarding sudden cardiac death?A: It is crucial for athletic trainers to utilize available screening tools. When an athlete provides positive answers during screening, it’s essential to follow up thoroughly to ensure appropriate medical evaluation occurs. This approach helps identify potential cardiac issues early.
Q: What are the clearance and return-to-play criteria for athletes diagnosed with or being treated for a heart condition?A: Clearance and return-to-play criteria vary based on the individual patient and the specific cardiomyopathy and its severity. While many athletes may face sport restrictions, some cases allow for participation if evaluations are thorough. Each situation requires careful consideration, as there is no universal “cookbook” approach.
Q: What are the most common misconceptions about sudden cardiac death in athletes?A: A common misconception stems from fear regarding athletes collapsing on the court. It’s important to understand that it’s impossible to guarantee 100% prevention. Comprehensive workups are necessary to identify rare factors contributing to sudden cardiac death, as some issues might not always be immediately apparent.
Q: What are the updated incidence values and trends in male and Black athletes regarding sudden cardiac death, and what explains these patterns?A: Multiple factors contribute to these patterns, including genetics and predisposing health conditions. Socioeconomic status, affecting access to healthcare providers and cardiologists, also plays a significant role. Often, primary care physicians manage a large population due to limited access to specialists, and missed family screenings for cardiomyopathy can impact these variables.
Q: What are the barriers when younger athletes are unable to explain what is happening to them?A: Effective communication with younger athletes is key. Teenagers, for instance, may be reluctant to express their symptoms clearly in a clinic setting, especially if they fear being told they cannot play. Instead of general questions like “Have you experienced chest pain?”, ask specific questions about the type of pain (e.g., sharp, moving). It is also the healthcare provider’s responsibility to perform thorough exams and order proper tests, such as EKGs or ultrasounds, to avoid missing critical information.
Q: Is there a commonly overlooked response when screening athletes?A: A significant red flag is when athletes, for various reasons, fill out screening forms themselves and then change their answers, or when forms are left blank or show erasures. Following up with specific questions about why they changed or erased an answer, and providing education, is crucial.
Q: What inspired you to focus on sudden cardiac death in athletes?A: My personal experience as an athlete growing up in a small Texas town, where sports were integral, profoundly shaped my life, teaching me multitasking, leadership, and competitiveness. As a mother with multiple children involved in competitive sports, I understand the physical and mental benefits. My inspiration stems from wanting to ensure their safe participation.
Q: What ethical dilemmas arise when individuals refuse genetic testing?A: When requesting genetic testing, it’s vital to explain to families why the test is necessary and how it can help. Many are more receptive when they understand it’s a narrow test, not a full genetic profile, and how it can benefit their children. Ultimately, respect their decision and use available information to provide the best care without undue pressure.
Q: Is there anything else athletic trainers should know about sudden cardiac death?A: I am highly impressed by the athletic training field, particularly athletic trainers’ knowledge, dedication to children, and proficiency in CPR and AED use. While physicians have the support of nurses and other healthcare professionals, athletic trainers often perform life-saving interventions on the field independently, which is truly commendable.
Q: What management or monitoring strategies are suggested for children removed from sports due to cardiac conditions?A: Be mindful of athletes who are removed from sports, as they may feel a sense of loss after being part of a team. If time permits, maintain contact and explore new ways to keep them involved, possibly in a different role within the team or organization. Collaborate with other team members to help the athlete transition and remain connected.
Contact UsJeremy Jackson
Benjamin Stephenson
Layci Harrison
Mark Knoblauch
Ashlyne Elliott
Leslie Bennett
Sponsor ListFrio Hydration – Superior Hydration products.
Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast.
Donate and get some swag (like Patreon but for the school)
HOIST – No matter your reason for dehydration, DRINK HOIST
MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Athletic Dry Needling – Save up to $100 when registering through our link.
Explore a complex case of Thoracic Outlet Syndrome, double crush, & triple crush injuries. Learn about diagnosis, treatment, & patient support.
Q: Overview of Neck, Nerve, or Both?
A: My wife experienced numbness in her upper extremities. As an athletic trainer (AT), I initially suspected Thoracic Outlet Syndrome (TOS). She eventually sought medical attention and was diagnosed with TOS. Conservative treatment, including medication and a home exercise program, was recommended. However, therapy seemed to worsen her symptoms. An MRI of the vascular system came back normal, except for a benign thyroid mass. A cervical MRI revealed stenosis in C5, C6, and C7, which, when combined with her other symptoms, provided clarity.
I consulted a spine surgeon, who advised exhausting conservative options before considering surgery for insurance coverage. My wife, who has a fear of anesthesia, opted for pain management and received injections. An EMG to rule out carpal tunnel syndrome indicated 70% carpal tunnel involvement. An upper extremity specialist diagnosed a double crush injury, meaning nerve compression at two sites. She underwent left-side carpal and cubital tunnel release, followed by a two-level cervical fusion. Post-surgery, she regained sensation in her pinkies. The right side was subsequently treated.
She experienced relief for about a year before numbness recurred. Another round of CT, MRI, and EMG scans returned normal. Pain management suggested a shoulder issue, leading to an MRI of the shoulder. While the report mentioned a slight rotator cuff tear, a physician who reviewed the scans deemed her shoulder pristine. This doctor’s examination of her neck, however, exacerbated her symptoms, leading to a diagnosis of lower brachial plexus TOS.
Despite my initial concern about the previous treatments, the doctor affirmed that the cervical fusion was necessary. A C8 nerve block did not provide relief but offered further diagnostic information. We were then referred to a specialist in Dallas, where a diagnostic nerve block in the scalenes provided immediate relief. Months later, Botox injections were administered for extended relief. The doctor’s words, “How does it feel to not be crazy?” significantly validated her experience.
She then underwent a first rib removal on the left side, which resulted in an 11-day hospital stay with complications including two chest tubes, a needle aspiration, and 100cc of fluid in the pleural cavity. Upon returning home, she began physical therapy but developed shortness of breath with deep breaths due to a costochondral fracture, likely from the chest tube or aspiration. She is currently awaiting a consultation for ultrasound injections to address this. The journey continues.
Q: What inspired you to share this story?
A: The primary motivation was to share the complex journey and its takeaways. This case involved a “triple crush” — compression at the first rib, cubital tunnel, and carpal tunnel. A key takeaway is the importance of acknowledging when you “don’t know, but know the next step.” In healthcare, we often focus on obvious issues, but a broader perspective is often needed before returning to specific concerns. It’s also crucial to acknowledge the psychological toll on patients without answers, highlighting the profound impact of chronic pain.
Q: You mentioned how emotionally draining the journey was. What advice do you have for clinicians to support patients?
A: Remind patients that recovery is an “ultramarathon, not a sprint.” Reinforce this message, as other healthcare professionals will likely echo it. Sometimes, when my wife is in pain, she doesn’t want to discuss it, and that’s acceptable as long as I am there to support her. The doctor’s validation, “How’s it feel to not be crazy?” significantly improved her emotional well-being. Supporting patients in seeking further opinions is also vital.
Q: Overlapping issue on a personal level, how did you navigate the multiple diagnoses?
A: My ability to navigate this well stems from my access to top medical professionals through my profession. My connections as an athletic trainer allowed me to consult doctors and seek referrals. While they may not know specific TOS treatments, they can guide us to the appropriate specialists.
Q: Any difficulties separating the Athletic Trainer (AT) role from the husband role?
A: There were no difficulties in separating the AT from the husband role. My wife knew me as both from the beginning of our relationship, so there was no separation or conflict.
Contact UsJeremy Jackson
Benjamin Stephenson
Layci Harrison
Mark Knoblauch
Ashlyne Elliott
Leslie Bennett
Sponsor ListFrio Hydration – Superior Hydration products.
Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast.
Donate and get some swag (like Patreon but for the school)
HOIST – No matter your reason for dehydration, DRINK HOIST
MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Athletic Dry Needling – Save up to $100 when registering through our link.
Expert insights on athlete nutrition timing: GI issues, RED-S, PCOS, and fueling strategies. Learn about tailored snack recommendations.
Q: What recommendations do you have for athletes experiencing amenorrhea or relative energy deficiency in sport (RED-S)?A (Dr. Curtis): While not a typical GI condition, amenorrhea and RED-S require a multidisciplinary approach. Often, medication is prescribed to induce a period, but this does not resolve underlying hormone imbalances or decreased bone density. These conditions frequently arise from an athlete’s energy deficiency, such as a marathon runner not increasing fuel intake to match activity, leading the body to prioritize survival over non-essential functions like menstruation.
Q: How can athletes add more fuel to help resolve amenorrhea?A (Poole): It’s a myth that athletes should not get their period; it is not normal. Addressing overall energy intake is crucial. In severe cases, decreasing activity while increasing fuel might be necessary. We often work with athletes who are injured or returning to sport, which provides an opportune time to address their fueling needs.
Q: How do you address athletes dealing with PCOS and stress fractures?A (Dr. Curtis): The culture of sports often pressures athletes toward specific body images or weight classes, which is unhealthy. We must educate athletes that a balanced diet is acceptable and that restrictive diets are not always necessary. Coaches also play a role in fostering a healthier environment.
Q: How do you approach discussing sensitive topics like nutrition and body image with athletes?A (Dr. Curtis): As a former pediatric sports medicine doctor, I learned the importance of creating a trusting and safe environment. While it’s harder to have parents leave the room now in full sports medicine, fostering trust is key.
A (Poole): We focus on the athlete’s performance goals, as health often isn’t the primary motivator for adolescents. We seek out what truly motivates them to achieve their best performance through proper nutrition.
Q: What are the best snack recommendations for athletes?A (Bri Poole): Snack recommendations are highly individualized based on what works and what an athlete enjoys. Simple, easily digestible options like GoGo Squeez are generally safe choices.
Q: Are there specific snacks you recommend for gastrointestinal (GI) comfort during exercise?A (Dr. Curtis): I don’t have specific go-to snacks; the focus is on what an individual athlete likes and what doesn’t cause GI distress. Suggesting foods they are unwilling to eat can lead to non-compliance.
A (Poole): Simple carbohydrates are typically easy on the GI system around exercise. It’s best to stick with foods the athlete has consumed before. Liquid carbohydrates can be a good option as they may sit better for some. While many believe “sugar is bad,” simple sugars are the body’s preferred fuel source during exercise.
Q: Should athletes track their food intake?A (Poole): Some athletes have higher or different energy needs, even if they aren’t playing intensely. Athletes generally have elevated caloric demands. It’s perfectly fine for them to eat snacks, especially when readily available, such as on the sidelines.
Q: How do you approach nutrition planning for athletes from diverse cultural backgrounds or those who observe religious practices like Ramadan?A (Poole): Always approach with an open and curious mindset. Ask questions to understand cultural practices better, especially regarding fuel timing within non-fasting windows. Work closely with the athlete to create a tailored plan.
A (Dr. Curtis): Meet athletes where they are; you cannot simply forbid them from fasting. I am willing to write letters to coaches if training times need to be adjusted to accommodate an athlete’s practices, ensuring they can continue to play safely.
Q: How does pre-exercise nutrition differ for a morning lift versus a morning run?A (Poole): Many runners prefer not to eat before a run. For shorter runs (e.g., 5 miles or 3k), it can be acceptable if the athlete had sufficient fuel the day prior and will refuel adequately post-run. However, for exercise lasting 50-90 minutes or longer, pre-exercise fuel is essential, particularly for running due to its impact on bone resorption. The specific goals of the runner (e.g., marathon training) also influence recommendations.
Contact UsJeremy Jackson
Benjamin Stephenson
Layci Harrison
Mark Knoblauch
Ashlyne Elliott
Leslie Bennett
Sponsor ListFrio Hydration – Superior Hydration products.
Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast.
Donate and get some swag (like Patreon but for the school)
HOIST – No matter your reason for dehydration, DRINK HOIST
MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Athletic Dry Needling – Save up to $100 when registering through our link.
Learn about emergency preparedness in youth sports, focusing on cardiac safety, the Project Adam initiative, and the status of the “Heartsafe” program with Tom Woods.
Q: What is the 10-second version of focusing on cardiac emergency preparedness?A: Review statistics on sudden death in young athletes. Sudden cardiac arrest is the leading cause of death. Target the most likely areas where incidents occur and prioritize time and equipment-sensitive responses.
Q: How did the Damar Hamlin incident negatively impact perceptions of youth sports safety?A: Some may falsely believe youth athletes are inherently safe because a highly prepared incident was effectively managed in the NFL. However, youth settings lack the extensive resources and numerous providers available in professional sports. This incident highlights the need to increase effective response capabilities and empower more individuals to provide care.
Q: Is youth sports a bigger industry or does it bring in more money?A: When including grassroots sports, the financial investment in youth sports is substantial. It is crucial to make reasonable investments in equipment, procedures, and policies that maximize safety and efficient use of time to ensure overall safety.
Q: Do club sports typically have athletic trainers (ATs) or automated external defibrillators (AEDs)?A: This is a critical point; clubs should invest more in youth safety. Efforts like Bob Marley’s network aim to bring ATs to these settings. More needs to be done beyond large tournaments, extending to daily operations, especially given that larger clubs may have many teams practicing simultaneously.
Q: What steps are needed for club sports to align on safety protocols?A: Project Adam and recent legislation offer programs specifically designed to make youth sports cardiac safe. These initiatives provide a framework for clubs to enhance their emergency preparedness.
Q: What are the specifics of Project Adam?A: Our school became involved with Project Adam after recognizing areas needing attention in our setting. It offers a systematic approach to achieving cardiac safety. Texas Children’s Hospital (TCH) is an affiliate site for Project Adam, providing numerous resources.
Q: Why might Project Adam not be widely known?A: The exact reason is unclear. However, presentations like this provide an opportunity to spread the message. Discussions with directors at TCH and Cook Children’s indicate that some areas, like Dallas-Fort Worth (DFW), are more involved. We need to disseminate this information, especially with increased requirements for cardiac responsiveness.
Q: How do schools or districts achieve “Heartsafe” program status?A: Achieving “Heartsafe” status involves a step-by-step process through Project Adam. Organizations register, complete a checklist, and consult with directors and affiliate contacts for questions. Upon completion, they receive “Heartsafe school/program/district” designation.
Q: Is the “Heartsafe” program similar to SafeSport and currently in process?A: Yes, it is similar to SafeSport and is an ongoing process.
Q: What legislative action is impacting emergency preparedness?A: House bills have been passed and are expected to take effect on September 1st, following the governor’s signature. This legislation aims to enhance cardiac responsiveness.
Contact UsJeremy Jackson
Benjamin Stephenson
Layci Harrison
Mark Knoblauch
Ashlyne Elliott
Leslie Bennett
Sponsor ListFrio Hydration – Superior Hydration products.
Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast.
Donate and get some swag (like Patreon but for the school)
HOIST – No matter your reason for dehydration, DRINK HOIST
MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Athletic Dry Needling – Save up to $100 when registering through our link.
Explore expert tips for post-operative ACL rehab, including avoiding pitfalls like lacking extension & recommended biofeedback units.
Q: What is your favorite phase of post-operative care for ACL repair?A: Phase 2 is a favorite because the athlete is getting off the table, which is exciting both mentally and physically. During this phase, significant gains are made, and progress continues toward returning to running.
Q: What is your biggest tip to avoid pitfalls, such as lacking extension, in post-operative care?A: Consistently checking and actively feeling for extension daily is crucial. Make it a habit and an integrated part of the treatment flow to catch any issues early. Even a little bit of load when athletes start doing more of their daily activities can affect extension, so early detection is key.
Q: Is lacking extension from one treatment to the next a red flag?A: It is not necessarily a red flag, but it should definitely be noted. This observation prompts consideration of what might have changed between sessions that could have caused the lack of extension. For example, it might indicate that too much activity was introduced.
Q: Should fibular head mobilizations be immediately used for lacking extension?A: No, one should not immediately jump to using fibular head mobilizations. However, they can be a successful intervention in certain cases.
Q: Can this ACL rehabilitation program be used for other surgeries?A: The framework of this ACL rehabilitation program can definitely serve as a guide for other knee surgeries. However, modifications are necessary based on the specific structures that have been surgically altered. For example, a meniscus repair would require avoiding weight-bearing, unlike an isolated ACL reconstruction.
Q: What biofeedback units do you recommend?A: I recommend Mtrigger. It’s an app-based unit with an easy setup, and it can be used more functionally beyond just table exercises. Additionally, it is versatile and can be applied in various other post-operative cases.
Contact UsJeremy Jackson
Benjamin Stephenson
Layci Harrison
Mark Knoblauch
Ashlyne Elliott
Leslie Bennett
Sponsor ListFrio Hydration – Superior Hydration products.
Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast.
Donate and get some swag (like Patreon but for the school)
HOIST – No matter your reason for dehydration, DRINK HOIST
MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Athletic Dry Needling – Save up to $100 when registering through our link.
Get insights on chest injuries & emergencies from ER physician Dr. Dacia Ticas. Learn about red flags and vital info for athletic trainers.
Q: What drew you to emergency medicine, particularly regarding chest injuries and emergencies?A: I liked everything and wasn’t sure what to commit to. Emergency medicine allowed me to experience a bit of everything, including a wide range of chest injuries.
Q: As an ER physician, what makes you nervous, especially concerning severe chest injuries in children?A: Pulseless children are concerning. Severe cases with children, such as swelling or edema of the airway where a cricothyrotomy might be necessary, are also very serious.
Q: For athletic training, what are red flags indicating something is truly wrong with an athlete, beyond just being out of shape, regarding potential chest injuries?A: Being out of shape typically presents as shortness of breath without actual struggle or severe chest pain. Red flags for chest injuries include pale or cyanotic appearance, complaints of severe chest pain, and a visible struggle to breathe.
Q: Is an on-field ultrasound something athletic trainers can perform, or is a physician required for assessing chest injuries?A: A physician would be required. While we wish it were seen more often, on-field ultrasound has tremendous value in clarifying life-threatening chest injuries.
Q: As athletic trainers are the initial contact for chest injuries, what essential information do you need from us?A: We will conduct our routine workup regardless. Key information includes what actually happened—e.g., getting hit in the throat versus the chest—whether they collapsed or lost consciousness, and how the patient initially presented and communicated their complaints.
Q: What kind of chest injuries might take a day or two to fully manifest or be definitively diagnosed?A: Cardiac and pulmonary contusions can take time to develop. Life-threatening issues are typically identified through labs on the day of the incident.
Q: Can you explain Commotio cordis in the context of chest injuries?A: Commotio cordis involves the ventricles going out of whack due to a flux of ions being disrupted, which is a chemical issue. This happens in a fraction of a second, as highlighted by the Damar Hamlin incident, which brought athletic training to the forefront for chest injuries.
Q: When an athlete experiences chest pain after a hard tackle, when is immediate removal necessary, and when can we “wait and see” for bigger issues related to chest injuries?A: Often, if you ask an athlete if they can return to play a few plays later, they might indicate they cannot or develop a specific spot of noticeable pain. Lingering pain for a few plays, rather than generalized pain, may be a sign for removal due to a bigger issue, particularly with chest injuries.
Q: Could you share a surprising ER story related to chest injuries?A: There are many stories. Early in my career, seeing a 4×4 through a chest wall, yet the internal organs were intact, was shocking. As I progressed, medical mysteries became more enticing. DJ Harden’s aortic injury after a chest hit, and assessing patient consciousness and bilateral pulse equality, are all crucial in emergency medicine for chest injuries.
Contact UsJeremy Jackson
Benjamin Stephenson
Layci Harrison
Mark Knoblauch
Ashlyne Elliott
Leslie Bennett
Sponsor ListFrio Hydration – Superior Hydration products.
Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast.
Donate and get some swag (like Patreon but for the school)
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Guided practice was the theme for Chris Greenleaf and Mary Williams as they joined Ben and Jeremy at the Sports Medicine Update. Being a preceptor is a growing experience, and the best way I know to grow is to ask experts how they do it.
Contact UsJeremy Jackson
Benjamin Stephenson
Layci Harrison
Mark Knoblauch
Ashlyne Elliott
Leslie Bennett
Sponsor ListFrio Hydration – Superior Hydration products.
Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast.
Donate and get some swag (like Patreon but for the school)
HOIST – No matter your reason for dehydration, DRINK HOIST
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Athletic Dry Needling – Save up to $100 when registering through our link.
Learn about facial injury red flags, CSF identification, EAP essentials, and return-to-play guidelines for athletes from Dr. Rehal Bhojani.
Q: What are the red flags for hematomas?A: Protocols from SCAT6 and other guidelines for hematomas or hemorrhages emphasize watching for loss of consciousness (LOC), altered mental status, and vomiting. Quickly identify these signs to avoid missing late concussions or other critical issues. Ensure the mechanism of injury (MOI) aligns with the trauma; diagnosis is challenging if it doesn’t.
Q: How can CSF be identified, and what is the “halo sign” red flag?A: The halo sign, also known as the ring sign, remains the best indicator for identifying cerebrospinal fluid (CSF). CSF is distinct: it has a clear-to-mucous color, is super thin, lighter than water, and does not mix with other fluids. For instance, a soccer player initially diagnosed with a concussion showed a bloody nose and consistent halo sign post-game, necessitating immediate emergency room referral.
Q: What essential elements should be added to an Emergency Action Plan (EAP)?A: EAPs are becoming more comprehensive, focusing on three key areas. First, ensure resource accessibility by including contacts for ENTs, dentists, and eye doctors. Second, review the EAP regularly, two to three times a year, rather than just annually, using past injury knowledge to proactively improve it. Third, if using AI to draft EAPs, meticulously verify all listed resources.
Q: What items should be included in kits for eye and tooth injuries?A: For eye and tooth injuries, kits should include 4×4 gauzes, an otoscope, a “Save a Tooth” system, eyedrops, nasal tampons, and Afrin. Physician-approved medications should also be added, along with an ENT kit, which is available online.
Q: What are the risks and benefits of athletic trainers performing sutures on the field?A: On-field suturing depends on the location and type of laceration, with the cause (e.g., metal object) being crucial due to potential tetanus considerations. Athletes often return to play the same day with sutures. For facial lacerations, specific types and sizes of sutures are used, but caution is advised near the eye. Eyebrows and the skull are generally suitable for suturing if no underlying fracture exists. Control bleeding and inform athletes of the risks associated with playing with sutures; safety is paramount.
Q: When can athletes return to play after tooth injuries?A: For primary (baby) teeth, if no secondary tooth injury is suspected, return to play (RTP) is generally straightforward. However, secondary tooth injuries involving complex factors can lead to lasting effects. It is important to document whether the injury involves primary versus permanent teeth. For younger children, involve parents to understand the mechanism of injury and the potential for future crown and root fractures.
Q: What current sports medicine trends should recent graduates be aware of or learn in the classroom?A: Sports medicine is constantly evolving, with increased pressure for accurate decision-making. Recent graduates need to be proficient in current literature and comfortable with shared decision-making and escalating care. As athletic trainers often serve as primary sports medicine providers, they require broad skills across various domains.
Q: How can these emerging sports medicine competencies be effectively taught?A: Teaching these competencies is challenging due to the need for comprehensive exposure. Educational methods vary by setting, and the field has expanded significantly. Training provides a broad scope, so it’s important not to be narrow-minded. Past experiences remain relevant, and post-training, continuous reading and skill refinement are crucial. In a controlled educational environment, students should learn as much as possible, as quickly as possible, to prepare for real-world practice.
Q: What topics are covered in today’s breakout session?A: Today’s breakout session focuses on facial injuries, incorporating practical eye, ear, and nasal examinations. The session emphasizes that history-taking accounts for 80% of a diagnosis, with the physical examination comprising the remaining 20%.
Contact UsJeremy Jackson
Benjamin Stephenson
Layci Harrison
Mark Knoblauch
Ashlyne Elliott
Leslie Bennett
Sponsor ListFrio Hydration – Superior Hydration products.
Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast.
Donate and get some swag (like Patreon but for the school)
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Dr. Dominic Maneen shares insights on OMT in sports medicine, covering his AT to DO transition and OMT applications for common conditions.
Q: How did you transition from an Athletic Trainer (ATC) to a Doctor of Osteopathic Medicine (DO)?A: I transitioned to practicing sports medicine without surgery, as that field didn’t align with my interests. I explored osteopathic medicine, identifying the core difference between DOs and MDs as a dedicated course in osteopathic principles. I maintained my athletic training certification to foster understanding and collaboration with ATCs, and a second course focusing on the musculoskeletal system further ignited my passion. During medical school, I also pursued an MBA, gaining insights into medical billing.
Q: Can you describe your athletic training (AT) experience at HBU?A: I completed my undergraduate studies at UT, then worked as an ATC for baseball and softball at HBU. I entered the profession serendipitously, drawn by the phrase “sports medicine.” It required rapid maturation, as I assumed an adult role despite being only slightly older than the athletes. I collaborated with Richy Valdez and several GAs, and student athletic trainers were indispensable since it was impossible to simultaneously oversee both baseball and softball. I recall an incident involving twin softball players: one sister not playing, the other on deck, with an accidental practice swing hitting the sister, necessitating a golf cart ride to the adjacent facility.
Q: Why is low back pain a significant health concern, and how is it related to depression and lifestyle?A: Low back pain is the second most common reason people visit the doctor, with depression being the first. Patients typically present with symptoms that indirectly lead to a depression diagnosis, rather than overtly stating “depression.” A sedentary lifestyle is often termed “the new smoking” in medicine, leading to tight, unused muscles. Hands-on manipulation therapy can be beneficial, and simple exercises like push-ups can improve posture by strengthening the neck muscles that support the head. Many individuals struggle with core muscle activation; focusing on proper technique and guiding them to engage their core will lead to increased strength over time.
Q: How do you address flat feet in patients?A: Patients often present with concurrent back and knee pain. Structural analysis can reveal the cause, leading to recommendations for inserts or corrective devices for arch support, rather than immediate surgical intervention. Subsequent efforts focus on improving knee mechanics to alleviate symptoms.
Q: What is your approach to concussion management?A: Myofascial release may sometimes require trigger point injections. However, most concussion cases can be effectively managed with muscle energy techniques. In older patients, some form of osteopathic manipulation may be necessary.
Q: What are the key anatomy considerations for the neck?A: It is crucial to understand that the neck’s complexity extends beyond superficial muscles like the scalenes and deltoids; smaller, deeper muscles also play a significant role in neck function.
Q: What are your tips for the Athletic Training Room?A: Prioritize hands-on manipulation therapy and muscle energy techniques with athletes, rather than solely relying on stationary bikes or treadmills for warm-up.
Contact UsJeremy Jackson
Benjamin Stephenson
Layci Harrison
Mark Knoblauch
Ashlyne Elliott
Leslie Bennett
Sponsor ListFrio Hydration – Superior Hydration products.
Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast.
Donate and get some swag (like Patreon but for the school)
HOIST – No matter your reason for dehydration, DRINK HOIST
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Learn how to optimize hamstring recovery for peak performance with insights and key Q&A from Brian Duncan, PT, DPT, OCS, SCS.
Q: Is fascial length more critical than strength for hamstring recovery?A: Fascial length is not necessarily more important than strength, but the body adapts from training, loading, and sprinting. However, sprinting alone is insufficient for optimal hamstring recovery.
Q: How can fascial length be tested in athletic training (ATR)?A: Currently, there is no way to palpate fascial length. It can only be observed on MRI or ultrasound as imaging techniques improve. An NFL-funded trial is ongoing, examining hamstring injuries and investigating various factors with imaging across several colleges.
Q: How does adjusting knee positioning impact hamstring rehabilitation?A: Varying the amount of knee flexion or extension can increase hamstring length and load depending on the specific area of the hamstring. Training hip extension can place more load on the proximal hamstring tendon. Most hamstring injuries occur at the myotendinous junction (proximal), while injuries within the muscle belly tend to heal better.
Q: What are the challenges in hamstring rehabilitation for high-level athletes?A: The higher the level of competition, the more complex the situation becomes, often involving “more cooks in the kitchen.” This raises questions about collaboration between different coaches and the athletic trainer. Communication and planning can be challenging in these scenarios, impacting hamstring recovery.
Q: Is high-intensity sprinting the most important aspect of hamstring recovery, and what are the considerations for progression?A: High-intensity sprinting is considered most important, but a lack of planning may be an issue. There is a significant load difference between an 80% sprint and a 100% sprint, with a substantial increase in eccentric load at maximum effort. The length the hamstring travels between 80% and 100% sprint is no different. A gradual progression back into previous activities is often necessary for effective hamstring recovery. Running more than nine sprints in a session can lead to further hamstring injury.
Q: Can AI, such as ChatGPT, replace athletic trainers?A: AI is only as effective as the user and the questions asked. For example, it can build a maintenance program. When asked to include high-speed running and eccentric loading, it then asked if a weekly microcycle was needed. Hopefully, it will not replace athletic trainers’ jobs but instead help them to excel at them, especially in optimizing hamstring recovery.
Q: What are the key takeaways for athletic trainers from this presentation on hamstring recovery?A: Athletic trainers should start eccentric training early (at a pain level less than 4/10) and incorporate sprinting (running) as soon as possible. It is also crucial to communicate with coaches to target at-risk position groups with maintenance plans throughout the season and to incorporate banded Nordic hamstring curls to maximize range of motion.
Q: What is the role of maintenance programs in athletic training, especially concerning hamstring injuries throughout a season?A: Maintenance programs are vital throughout the season to prevent recurrences and soft tissue injuries. During SAC camps, the key is to prevent overtraining and identify athletes who don’t self-regulate. Sprint training should occur early in SAC camp or during the day’s workout before lifting. For in-season maintenance, hamstring work should be incorporated on match day and two days after, ideally 3-4 days before the next match day.
Contact UsJeremy Jackson
Benjamin Stephenson
Layci Harrison
Mark Knoblauch
Ashlyne Elliott
Leslie Bennett
Sponsor ListFrio Hydration – Superior Hydration products.
Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast.
Donate and get some swag (like Patreon but for the school)
HOIST – No matter your reason for dehydration, DRINK HOIST
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Athletic Dry Needling – Save up to $100 when registering through our link.
Limb Alignment & Leg Length Discrepancies: Key Takeaways
Guest: Brennan Roper, MD
Discussion Points:
- Magnet-Based Leg Lengthening: Explore cutting-edge technology utilizing rods implanted in bone and an at-home magnet for non-invasive leg lengthening. This innovative approach allows for daily progress monitoring by providers, offering a minimally invasive alternative to traditional manual methods.
- Precision in Magnet Use: Understand the critical importance of using the correct magnet, placement, and parameters for effective leg lengthening outcomes.
- Understanding Leg Asymmetry: Learn that some degree of leg length asymmetry is normal. However, significant discrepancies warrant prompt medical attention, as early intervention can lead to less invasive treatment options.
- When to Seek Medical Advice: Recognize the importance of consulting a physician for any concerns regarding limb alignment, especially if a discrepancy exceeds 5mm or 1 cm.
- Specialized Care for Discrepancies: Discover why seeking a specialist for limb length discrepancies is crucial, rather than relying on general clinics or ready clinics.
- Supplementation for Teens: Discuss the role of Vitamin D supplementation, particularly for teenagers, due to potential dietary deficiencies. Calcium supplementation may also be considered based on laboratory findings.
- Long-Term Prognosis: Examine how the long-term impact of limb length discrepancies is influenced by the degree of the discrepancy and treatment goals. Even small differences, like 2mm, can allow for a quick return to sports after incision healing, with “guided growth” being a viable option for minor discrepancies.
- Miserable Malalignment Syndrome: Gain insight into this condition, characterized by knee or hip pain and a feeling of being “off,” despite a seemingly neutral external appearance. This syndrome often involves internal rotation of the femur, knee valgus (knock-knee), and external rotation of the tibia.
- Tolerance for Differences: Understand that small leg length differences (2, 3, or 4mm) are generally well-tolerated, while angular discrepancies tend to be less so.
Shortlink:SportsMedicineBroadcast.com/LimbAlignment
Website: http://utphysicians.com/provider/brennan-roper/
Advancements in Cartilage Repair: Insights from Dr. Raj ShaniCartilage damage is a common issue, particularly among athletes. Understanding the latest repair and preservation techniques is crucial for both medical professionals and those in sports medicine. We recently had the opportunity to discuss these topics with Dr. Raj Shani, a leading expert in the field.Favorite Technique: ACI (MACI)
Dr. Shani highlighted Autologous Chondrocyte Implantation (ACI), specifically MACI, as his preferred technique due to its immediate positive impact on patients. This procedure offers a faster, easier, and less burdensome recovery for the patient. Looking ahead, advancements may allow for cartilage harvesting and growth to occur in a single setting, eliminating the current two-stage procedure.Why Athletic Trainers (ATs) Need to Know
For athletic trainers, a general understanding of these techniques is invaluable. ATs are often the first point of contact for athletes and see them daily. Their knowledge fosters comfort and trust, allowing for more effective discussions about injuries and treatment options with athletes.Exosomes vs. Gene Therapy: The Future of Growth
When considering future growth, Dr. Shani believes exosomes hold more immediate promise. The ability to directly introduce exosomes into the knee makes them a more practical option than gene therapy, which presents significant challenges in modulation.Cartiheal: A Natural Solution
Cartiheal, derived from coral, is a fascinating naturally occurring and biologically inductive material. Bone can grow into it, making it a valuable substitute for allografts, which can be expensive or unavailable.The Meniscus: Protecting Cartilage
It’s important to differentiate the meniscus from the articular cartilage that deteriorates with arthritis. The meniscus plays a vital role in protecting the articular cartilage by increasing the surface area for weight-bearing. Without a healthy meniscus, the cartilage on the bone experiences less surface area for load distribution, making it more susceptible to damage and issues.
Cartilage Lesions in Athletes: Sports at Risk
Approximately 30% of athletes experience cartilage lesions. Sports involving cutting and contact, such as basketball, are particularly prone to these injuries. While data may be biased due to a higher male participation rate in sports, male athletes generally show a higher incidence of these lesions.
Contact UsJeremy Jackson
These people LOVE Athletic Trainers and help support the podcast:Frio Hydration – Superior Hydration products.
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Recovery Specialist, Club Sport Athletic Trainer, former industrial AT…Vander Castillo has created his own place to excel as an Athletic Trainer.
What is your Athletic Trainer story?As an avid NBA follower, I saw the Athletic Trainers and wanted to be those guys.
Full-time job working with club sports…please explain.I like wearing many hats
My office is inside of the club volleyball facility.
I have a mobile recovery unit
I see athletes one on one for a care plan
Appointment based during the week
Event coverage during the weekends.
I do a lot of education so the athletes know what they are doing.
Parents and players spend so much time on performance but neglect recovery
What drew you to club sports?Much of my AT experience was in the industrial setting
Disney
Beer
Coca-Cola
This helped me grow into an autonomous AT
I started as VSix industrial AT but that changed. I found a niche in hotels.
I was the MIPP program for the hotels in California.
We had bi-weekly appointments set up.
Being a business owner, what should ATs know?Social Media is great for an AT to break off and do your own thing.
Creating your own brand is simple but not easy.
Get to know sales: yourself, your brand, your product.
I do a complimentary resume/ interview session during NATM each year.
People will pay for good care
Best growth tool? Who do you follow?Mike Stella
ProMotion
Krystal Tyree
PTBiz
ATVantage
KCAT – Jessica
Compex vs Marc Pro vs Twitch? Which do you prefer?MarcPro is my favorite
Twitch is second and more affordable.
What makes up the majority of your business? Event coverage, practice, recovery, private evals?About equal thirds
Tournaments
Recovery
AT services
Most underrated recovery tool?Sleep
Contact UsVander Castillo – VSixAT
Joseph Eberhardt and Dawson Sports Medicine were preparing for a 3-peat at the time of this recording. Spoiler alert they placed 3rd in the 2025 state championships.
For those of us who may not know what is GHATS? And what is it all about?Chris Shaddock brought me into Sports Medicine as an eighth grader
GHATS hosts a workshop for student Athletic Trainer Aides.
The workshop is to educate and expose students to the profession.
Numerous courses and rotations provide students with opportunities to learn and explore their interests.
I was uncoordinated and unathletic, and I needed people who understood me.
My sophomore year was the first year of the QuizBowl in GHATS.
Chris told them: Do not embarrass me, watch the quiz bowl, and learn.
Learn it, love it, win it.
My senior year, I wanted to keep competing and so we were doing speed drills, we acquired a quiz bowl buzzer, we did scrimmages…And we finally won.
I went on to college and came back to GHATS to recruit the student AT aides from Houston.
We won 5 championships and have been in the finals 7 times.
I began developing the program so that we as a staff, are involved.
We start studying for them in August.
As part of our student AT workshop, before school starts.
If we win this year, we will be the leading state title holders in our entire district.
We study one 30-minute session each week starting from week one.
13 students were at each of these sessions
I write 200 new questions each year so the students can not just memorize them. I introduce them only at the scrimmage.
Region 6 has created a clause that requires the question to be fully read before the students can buzz in.
The quality of competition has increased
What did that look like through college?1 year at Texas A&M Corpus Christi we competed.
It was a different style quiz bowl that was more like Kahoot.
What does the state quiz bowl competition look like?The last two years was at Tarelton State. We came in early Sunday to settle in
Then they host the AT Olympics.
Monday morning they start the state competition like a track meet. Multiple events and your points total place you.
This year there is a rubric that enables the student to learn exactly what is being required.
After lunch was the quiz bowl just like GHATS.
Tournament style with buzzers, head to head.
They have a skills requirement list that they must learn and have signed off on by the professionals.
How do you keep kids motivated and engaged? Are they intrinsically motivated?Both
I push hard but it’s because they show up and want to be there.
Give us your tips for success.ENJOY IT – the whole process
Ernest Shackleton – Difficulties are obstacles to be overcome
These people LOVE Athletic Trainers and help support the podcast:Frio Hydration – Superior Hydration products.
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Jess Testani leads the Connecticut Athletic Trainers’ Association and is a former AT of the year recipient.
What is your AT Story?When did you get introduced to Athletic Training?
Where did you go to college?
Where was your first job?
How long have you been practicing?
Grew up as an injured athlete in high school
Erik Lanaes at Sacred Heart
Attended Sacred Heart Univ
Played soccer there with 2 significant injuries that left me without soccer
I took an Intro to AT course
My mentor, Tim Spiker, told me I was an Athletic Trainer and not a PT
The ability to multitask and think outside the box.
Shenandoah University for the ELM
They were big on the challenge and immersion of the AT Program
Spent a season with Rutgers football
Then went to DC United and realized the schedule didn’t fit my desired life
I found the secondary setting was my real calling
Got into the Physician practice so I could spend time with family, but still felt lacking in the depth and connection with the athletes.
You were named the CATA AT of the Year in 2019. Tell me about that.Have as many conversations with ATs as you can.
The then Vice president started asking me how we could change and push the profession.
From there I came to the board meeting and met the members, and the rest became history.
I became the secondary schools committee chair and worked to improve communication and connection.
What is a unique aspect of Athletic Training in your state?I feel like our scope of practice is the best for ATs
What is a big challenge for Athletic Trainers in your state?Similar to every other state – perceived value
Work life balance
We are a small state with smalled programs. So there are not a lot of ATs trying to take our place.
Functional shortage = shortage of numbers available for that setting
Contact:
Jess – presidentCATA@gmail.com
Jeremy – @SportsMedicineBroadcast
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New Code: SMB
Heather Heidel leads the Delaware Athletic Trainers’ Association. She has spent half of her career serving on the state association in Delaware.
What is your AT Story?When did you get introduced to Athletic Training? During my high school sports career, I was often injured, and the AT became a mentor to me.
A surgery in my junior year led to my not playing basketball as a senior.
Did an internship as a senior
Where did you go to college? UD & Cal U of PA
Where was your first job? Tidewater Physical Therapy in Milton, DE
How long have you been practicing? 16 yrs
When did you get involved with the Delaware Athletic Trainers Association?In my 7th year as a secretary for 4 years
The past two years, the president-elect
What is a unique aspect of Athletic Training in your state?I know almost all of the ATs in our state
We are 1.5 hours from top to bottom
What is a big challenge for Athletic Trainers in Delaware? Turnover rateTurnover rate
Funding for positions
The long-term hires are through the district rather than a clinical outreach.
In 2024, you had the Block grant to fund ATs in every school. Can you talk about that?2 million dollars annually
It is divided among the public schools based on enrollment and is only allowed to be used for hiring an athletic trainer.
We have used a lot of the AT Your Own Risk data to educate lawmakers.
If you had to pick another state to live and work in which one would it be and why? HawaiiThey mandate ATs, and I love the beach.
You’re recruiting ATs to work in Delaware…what is your sales pitch?We have a lot of young ATs and a lot of mentors. We are small and tight-knit
Contact Us:These people LOVE Athletic Trainers and help support the podcast:Frio Hydration – Superior Hydration products.
Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast
Donate and get some swag (like Patreon but for the school)
HOIST – No matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.
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Athletic Dry Needling – Save up to $100 when registering through our link.
Quick overview of Mind Mirror for those who missed the first podcast.Artificial intelligence is used to give a risk assessment of someone who potentially has a concussion.
Correlation is one element used to determine if the patient has a concussion
Coming straight in from bright light, which could restrict the pupils, but the correlation should be the same.
Light intensity, fatigue, and cold can affect pupils.
Taking Nyquil or something that makes you groggy or sluggish will negatively impact the test results.
Hit the maximum restriction in one second or less; it should not be three or more seconds.
The Athletic Trainer needs to know what is currently going on with the athlete.
Age can also have a very slow response, which is why the app looks at other factors.
PLR – healthy score indicates a high probability that the athlete does not have a concussion.
A score lower than .8 indicates a high probability that the athlete does have a concussion.
Caffeine’s effect?Caffeine can constrict the pupils; in Emma’s case, her pupils were very constricted due to a possible combination of the caffeine and light restriction.
You can use a light meter to help tell if the pupils are restricted.
Mind Mirror’s Indoor versus Outdoor differential?Try to do it in a shaded area or inside, and try to do it in an area that does not affect pupils
Does it matter if you do the baseline test or the after-incident test?Exact same test, just allows them to segment the data.
Will the administrator be able to see the results in the app?Yes
When using the Mind Mirror app it asks test result is normal or not normal before we see the results. Should we be able to see that before?SOAP, what did you observe? Did you observe things in a normal or abnormal state? Are things normal? They will be removed in the next version.
Clarify the colors a little more. One of our results showed .09 and was orange.Color scheme: green, light orange, to red
An extremely low score should have shown up in red
Will look into why it did not come up as red, yellow ,or orange is trending toward higher risk
How is the new prototype with more biomarkers coming along?
Starting development, exposing to customers, they do their observation and send notes back, send observations ,the advance score of the risk probability, the advanced model is now currently being combined into the app
Does the environment of the test matter? It seemed we got different results from indoors vs. outdoors in the shade.
Lighting does matter
Is there any more research you would like to do in the future? What do you want to prove? There are very few studies on female athletes and brain studies, not a lot of info, looking into studies on female rugby, looking at a lot of studies of different ages, not a lot of info on studies
How do you intend to begin selling the product when it is ready? Will it be a monthly service? A one-time fee? Discounts for bulk pricing(multiple accounts)? A variety of pricing models, the goal is to get it into the hands of as many people as possible
Youth leagues and high schools are a bulk price, $5.00 for 1 year or $2.50 for 3 years
Could you ever see Mind Mirror being bought out and implemented in one of the other concussion testing systems?Have had conversations with Sway to provide them with an objective measurement.
Healthy Roster, incorporating MindMirror results into the system.
The goal is to add sensors to help tell if protective gear should be added, and telehealth
The next model will have biomarkers for risk, age, and other health issues
Contact:Mind Mirror – info@mindmirror.health
Glenn Bowers – glennb@mindmirror.health
Ben Stephenson – https://www.instagram.com/_benstephenson/
Emma Gunnin –
Jeremy – @SportsMedicineBroadcast on IG
These people LOVE Athletic Trainers and help support the podcast:Frio Hydration – Superior Hydration products.
Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast
Donate and get some swag (like Patreon but for the school)
HOIST – No matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Athletic Dry Needling – Save up to $100 when registering through our link.
Cognitive FX can help your long term concussion sufferers get back to normal daily function. Imagine 8 hours per day for 2 weeks focused on restoring your cognitive function.
Explain what Cognitive FX is.Functional MRI FMRI – use the same scanner, the process is different, and the information is different
Located in Utah
Athletic trainers are integral and 1/15 of the treatment team, a large, multidisciplinary, interconnected team
Intense approach to therapy, rather than 1 or 2 appointments, it is an 8-hour appointment for 2 weeks, patients come from all over the world
What role does the Athletic Trainer play in CognitiveFX? At least 3 ATs on staff.
Athletic Trainers have not been easy to find.
We have gone to the NATA and other conferences.
We need them.
CognitiveFX will train the ATs to understand functional MRI and how the brain is connected to the body.
Cranial nerves and integration.
Use a lot of AT tools with the body mechanism
See patients between 18-40 and they do lots of sports, ex. Skiing, sports, slipping, and falling on ice.
They do a lot of specialized training, which is connecting the brain to the body
What are you looking for in an Athletic Trainer?Looking for someone that is willing to learn, some right out of school and some 20+ years, someone that is always curious and eager to learn, don’t know everything about the brain, cognitive fx is an exciting science, booking for curious and trainable, not focused on experience.
Every concussion is not the same
What are the statute of limitations…can we “fix” a 4-year-old cognitive deficit from a sports concussion?every one knows 5 people that have had concussions and have lingering symptoms, they are not the same but they look normal so they get ignored, no statute of limitations, have pts from 3 months to 3 decades after injury and still see improvement, younger and closer the better, still have seen huge improvements even decades later
I appreciate that the pricing is listed on the website. How often do insurances cover some of the treatments afterwards?Insurance reimbursement is different based on insurance companies, on average, 60-80% coverage depending on your insurance plan. The therphies are ones that people can get everywhere, so no problem with insurance.
The scans are when insurance gets iffy, the companies don’t understand why we need 4 scans:
2 Brain FMRI and 2 Neck FMRI
Typically, insurance companies don’t cover all of the MRI exams, the therapies do get covered
The costs are because so much attention is given to the patient for 8 hours a day.
24,700 price for two weeks
13,000 for one week
Athletic Trainers stay a long time
Insurance isn’t timing the therapists, so they can do what they want at the clinic.
They can alter plans without having to do insurance approval.
The first clinic was in paternship with Tom Brady and his best friend who is a Trainer, opened TB12 in Foxburrough., treat a lot of professional athletes, everyone gets concussions and they worked with the best of the best athletes, some people seem superhuman because they heal so differently, wants everyone to feel that their brain can change if given the special attention
EPIC treatment: is it like a camp where patients stay overnight?Clinic is in utah, people from all over the world, 3 pts from netherlands, 2 from canada, rest from US all over, 2 from utah, 15 pts this week, they are there for 2 solid weeks back to back, this scan is different, using a regular MRI but lying down and doing neuro psy tasks, not looking at structures instead having them do tasks, FMRI picks up changing happening in the brain, that is when they see some parts of the brain are not working well and some are componstating for other parts
Each scan looks different, looking at how the brain metabolizes oxygen, intense program built around the patient
MD neuro neuro radiologist phd neuro scientist, neuromuscular therapist, pts, ats, neuorintergation therphist, ots, vision, cognitive, etc.
Each patient for 8 hours a day gets one on one session with each speciality, it is crazy to do all this but they support the energy levels and give them the resources to help them
Partnership with Marriott hotel that is close to clinic, even during COVID patients are still coming, nice Marriott that shuttles to clinic, and some people find their own housing, try to make it easy for the patients
2.3. EPIC Treatment In addition to standardized test administration, normative-based assessment, and individual, image-guided measurements, our EPIC treatment exploits the latest knowledge of NVC and its role in PCS by integrating three fundamental rehabilitation facets for each patient: Prepare, Activate, Rest. Specific therapeutic activities included in each of these three phases of EPIC treatment are the product of research, clinical experience, screening, and empirical testing [29 – 34]. EPIC therapy implements a cyclical pattern of treatment where patients are rotated through therapies and activities that promote cognitive and physical rehabilitation from concussions. The preparatory stage of therapy includes varying degrees of aerobic exercise and neuromuscular therapy, based on patient capacity, to enhance cerebral blood flow in anticipation of cognitive therapy while also encouraging neurosensory rehabilitation [32, 33]. This phase of therapy lasts 50 minutes in duration and is followed by the activation portion of EPIC. We implement traditional cognitive and occupational therapy techniques for a subsequent 50 minutes of tailored treatment to target specific deficits for each patient. Complex, multistep problem solving, logic puzzles, functional and short-term memory challenges, digital therapeutic games, visual exercises, motor skill retraining, and psychosocial therapy are all implemented in this stage of treatment [30]. Additionally, DynavisionTM is incorporated into therapy as a means of Developing the Standard of Care for Post-Concussion The Open Neuroimaging Journal, 2017, Volume 11 63 treating visuospatial deficits and to enhance multitasking and cognitive processing. A destimulation period of varying duration follows to allow for recovery before another round of therapy will begin [34]. Brainwave entrainment destimulation is used promote neural wave harmonization and reduce cognitive activity [29]. This cycle is repeated for 6-8 hours a day over a typical 4-day treatment period that can be adjusted based upon symptom severity and resolution. These therapeutic approaches address a wide range of cognitive, sensory and physical functions. The key to success, however, is not necessarily the therapies themselves, but the manner in which the therapies are applied (i.e., timing and order). For example, a carefully guided rotation between physical/cardio challenge and cognitive or sensory processing challenge is a central feature in restoring the timed pairing between rCBF and regional neural firing. Our multidisciplinary team was successful in restoring pre-traumatic NVC through the cyclical application of these rehabilitative principles supplied in tandem with the benefit of appropriately timed neurocognitive exercise [35, 36]. A multi-method approach was also employed to avoid overexertion of brain regions with severe NVU. Accordingly, cyclical brain training aimed to strengthen surrounding neural correlate systems, which, in turn, support the more severely uncoupled regions. Sustained therapy over a multi-day period was shown to promote accelerated and longitudinal restoration of pre-traumatic NVC.
Interesting story most recent, 70% are concussions, about 20% are covid long haulers, ptst hat have had a viral infection, 5% are stroke or seziure disorder, quite broad in diagnostic catergories,
Riley Horner: big article on the news that was young with a TBI and 51st dates, kept forgetting, brought her into the clinic for 2 solid weeks, not 100% fixed, but significant improvements, came back again a few years later from teenager to older, saw huge improvements, reached out just in last month now in early 20s, she just graduated from nursing school, moms thanks for getting daughter back, now a nurse and wants to help others improve, watch inside edition improve, this is why she does what she does
Complementary consultations for anyone
Contact UsDr. Alina Fong – alina@cognitvefx@usa.com
Jeremy Jackson – @MrJeremyJackson
Ben Stephenson –
Megan Smith joins Emma Gunnin and Kayla Razo to share some advice from a young professional woman in AT to upcoming professional women in Athletic Training.
Megan Smith showed my family around the University of Delaware while we were on vacation.Megan, thanks for showing my family around the facilities of the University of Delaware. It was an absolute pleasure getting to meet virtual friends in real life.
What is new with Women in AT?Recent addition of new board members to create new opportunities for work and growing the board.
Rolling out mentorship for members.
Wanting engagement and also to answer questions, looking for more opportunities.
Possible meet up at NATA and a book club,
Created a book club during COVID to help engage, What Made Maddie Run was recommended to read.
We are going to try to find something light for the close of the spring season.
Emma is about to graduate and enter the workforce. What do you wish you knew?Have conversations early about improvement.
Ask them to regularly meet with you about how you can improve.
Have a growth mindset.
I wish I had someone who came to me offering to help and mentor me.
Don’t be afraid to ask for help or admit you do not have the answer.
Schedule regular meetings with your supervisor.
Kayla is in her first year as an MAT student wanting to work in college athletics. What should she know?Work with smaller groups
Develop strong relationships
Proactively communicate
Take note of the communication style of your coaches to improve the process.
How do I deal with an “old school” coach who does not trust a female?Try to have all of the answers ready.
Be open with communication.
Make sure you document any sort of misunderstanding.
Think about the long-term goal.
Communicate with your supervisor often so you are on the same team and they can help you work through the struggles.
How do I transition into being a professional?That grind mentality doesn’t go away…unless you are burnt out and looking to leave.
Take care of yourself, fill your cup.
I enjoy working out through CrossFit Monday-Friday
I do a 5-minute journal daily.
There is nothing wrong with the grind if it brings you joy and passion.
One thing we do at the University of Delaware is a cross-coverage calendar so we can plan around life events.
Do you know what you, as your best self looks like?
Write it down so you know what “center” is for you.
Contact:Megan – @MeganSmithATC
Emma – @emma_addisong
Kayla – @kayla.jean5
Jeremy – @SportsMedicineBroadcast
These people LOVE Athletic Trainers and help support the podcast:Frio Hydration – Superior Hydration products.
Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast
Donate and get some swag (like Patreon but for the school)
HOIST – No matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Athletic Dry Needling – Save up to $100 when registering through our link.
AT in Colorado is growing, and you can get a little bit of everything there. The Olympic Training Center brings in top-caliber athletes. Jeb Davis shares what he loves about Colorado
What is your AT Story?Often-injured high school athlete and went to the physician’s office for back pain where I worked one-on-one with an AT in a rehab setting
Nancy Condit in Missoula, Montana.
- We had a GA show up to help with high school basketball, and I learned more about the traditional role of the AT.
- Went to New Mexico State University
- Worked in outpatient clinics in the southwest
- Went to grad school at the University of Pennsylvania
Worked with women’s and men’s basketball at the University of New Mexico
I then became the clinical coordinator at Fort Lewis College, where I worked as the clinical coordinator and program director, as well as outreach for the secondary school.
Durango is the best of both worlds: mountains and the desert
Outdoor paradise.
Jeb also worked as the Athletic Trainer for the Women’s Roller Derby team.
What is a unique aspect of Athletic Training in your state?Orthopedic Outreach and Residencies are shaping employment for Athletic Trainers in Colorado.
What is a big challenge for Athletic Trainers in Colorado?CO is a great AT state
A long history of AT and a little bit of everything
Secondary
University
Professional sports
Olympic Center
We have a strong residency program
I feel like our ratio of ATs in ortho clinics is greater than most states
Colorado was only recently granted licensure for ATs
Maintaining and protecting the licensure is a big part of how we spend our resources.
If you had to pick another state to live and work in which one would it be and why?Go back to Big Sky country, where I am from.
You’re recruiting ATs to work in Colorado…what is your sales pitch?Colorado is a destination state. Great for the AT that loves the outdoors.
We have a lot of opportunities to grow.
Contact Us:Jeremy – SportsMedicineBroadcast.com
Jeb Davis- coatapresident@gmail.com
These people LOVE Athletic Trainers and help support the podcast:Frio Hydration – Superior Hydration products.
Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast
Donate and get some swag (like Patreon but for the school)
HOIST – No matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Athletic Dry Needling – Save up to $100 when registering through our link.
What is your AT Story?Lived in Las Cruces, New Mexico and was a high school student and was seen by the head AT throughout high school
George Westbrook became a mentor to me
I became a biology premed student and then hit a dead end.
Certified in 1980
Have had a great 45-year career
Worked at D1, D2 and D3 levels
Worked in high school and with the Dallas Cowboys
One of the unique things about California is the diversity. So many different settings
Started working in a faculty clinic at New Mexico State and finished at Cal State Fullerton
4500 AT in CA
I only represent 3000 of those because they are the certified ones
What is a unique aspect of Athletic Training in your state?We initiated our first licensure in 1986, but it got vetoed by the governor’s office
That has happened about 5 times since then.
We have our first title protection regulation on the books right now.
“You can not say you are an ATC without actually being one.”
Our next step is to have all ATs registered and have licensure.
We currently have almost no enforcement other than working with the leadership and showing them the law.
But there is no penalty at this point.
We field 4-5 “poser” emails per month to weed out the uncertified ATs in the secondary setting.
At about 55% of ATs in secondary school.
Diversity –
The state is huge
Ureka at the tip of Cali vs the AT in LA are very different.
We are committed to DEI efforts
Public school and private school
Some schools have 3-5 ATs on staff, but down the road the public school has 1 per campus.
Many of our ATs work in industrial (Amazon…) and outreach to the high school.
You’re recruiting ATs to work in California…what is your sales pitch?There are a lot of opportunities. The jobs being created are properly vetted and often include overtime. The community of ATs here is amazing.
The weather is second to none.
Contact UsJeremy Jackson
Ky Kugler –
California ATA – ca-at.org
These people LOVE Athletic Trainers and help support the podcast:Frio Hydration – Superior Hydration products.
Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast
Donate and get some swag (like Patreon but for the school)
HOIST – No matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Athletic Dry Needling – Save up to $100 when registering through our link.
Keith Shireman leads the Arkansas Athletic Trainers Association and is working on retention
What is your AT Story?I learned about AT from a colleague and started noticing motocross needed help.
Graduated in 1995 through the internship route
I became friends with Lorner Strong and she mentored me through the process
My work has all been in the secondary school setting except for the side hustle working with motocross
3rd year at Cabot
I was at Bentonville High School for 15 years
In Arkansas, your certification qualifies you for licensure. There is a very small licensing fee.
You need a physician statement signing off that you have a license.
The AR practice act has not changed since its inception in 1995. We have met resistance to change from other organizations on changing it.
The PT board helped and mentored until ATs got their board established.
This created a difficult situation with somewhat a conflict of interest where the PT board was preventing the AT board from advancing the practice of ATs.
We had an officer pass away from heat exhaustion at the fire academy and they did not have anyone helping regulate their heat illness
Border states can be a bargaining chip for getting legislature passed.
Last year we had 14 MAT students graduate and leave AR and one stay.
The population of ATs – 300+
Lots of places to go hiking, mountains, trails outdoors, beautiful seasons, mountain bike trails.
What is a big challenge for Athletic Trainers in Arkansas?Practice act is one.
Teacher pay was changed to the learns act
So everyone was put on the same pay scale.
We are meeting with the AT students to encourage them to stay in Arkansas and what are their sticking points.
You’re recruiting ATs to work in your state…what is your sales pitch?Lots of places to go hiking, mountains, trails outdoors, beautiful seasons, and mountain bike trails.
Contact Us:Keith Shireman
Jeremy Jackson
These people LOVE Athletic Trainers and help support the podcast:Frio Hydration – Superior Hydration products.
Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast
Donate and get some swag (like Patreon but for the school)
HOIST – No matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Athletic Dry Needling – Save up to $100 when registering through our link.
Nobody wants to miss a concussion. Mind Mirror uses your cell phone to measure Pupillary Light Reaction or PLR. Glenn Bowers joins Ben Stephenson and Jeremy Jackson to discuss the new concussion tool.
Artificial intelligence, mobile computing & pupillary light reflex (PLR)In 2022 Mind Mirror started because I was coaching my kids and missed a concussion with my own son.
We saw an opportunity to take AI tech and pupillary light reflex to assess concussion risk within 30 seconds.
Is Mindmirror used as an on-field assessment tool or a return-to-play tracking/monitoring system?Both, with the speed of the test and subjectivity taken out of the assessment, it can be a great tool for on-field assessments. It also provides an objective return-to-play measure providing clinicians with the ability to determine safe RTP without bias, subjectivity or dishonesty from patients.
One study found that the PLR test isn’t affected by exertion or emotions which can’t be said about all of subjective tests commonly used for concussion testing.
Mind Mirror doesn’t use baseline tests, so how are normative values collected?While baseline testing isn’t required it is highly recommended.
Baseline testing for this model is extremely efficient, it only takes 7 seconds for each athlete to be tested and automatically stored in the system.
Will be adding a roster system that can link the rosters with Healthy Roster, Rankone and other EMR software.
Could this help prevent lawsuits and protect athletic trainers when returning players with a possible brain injury? Is it lawfully sound?There is no single test to definitively determine if a brain injury has occured, we are more practically used as an objective test to determine if symptoms associated with a brain injury are present.
While most concussion testing is subjective we provide an objective measure.
What biomarkers are we testing? (like Sway tests balance, memory, and movement coordination) what makes the PLR test superior to these existing solutions? Velocity of constriction
Velocity of dilation
The system calculates all 14 biomarkers and provides a probability score ranking them into 3 categories green, yellow, and red.
Green is less than 0.3 probability indicating the brain is likely healthy.
Yellow is between 0.3 – 0.6 probability which is in the middle and requires further testing.
Red is above 0.6 and indicates there is a high chance that the patient has a concussion.
How was the AI software created?Iris, an old colleague from Italy had a cool idea and I knew that if we could figure out the technology this could be big.
We are already working with the U.S. military, collegiate, and high school settings.
Contact Us: Mind Mirror – info@mindmirror.health
Glenn Bowers – glennb@mindmirror.health
Ben Stephenson – _benstephenson
Jeremy – @SportsMedicineBroadcast on IG
These people LOVE Athletic Trainers and help support the podcast:Frio Hydration – Superior Hydration products.
Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast
Donate and get some swag (like Patreon but for the school)
HOIST – No matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Athletic Dry Needling – Save up to $100 when registering through our link.
What is your AT Story?When did you get introduced to Athletic Training?
Where did you go to college?
Where was your first job?
How long have you been practicing?
Typical high school athlete story”
Kyle had an ankle injury that was pretty significant, but ended up just walking it off.
He later sustained a concussion but kept playing because we didn’t have the tools to identify a concussion back then.
Kyle talked with a friend who was a football player and one of his friends was an AT student. That sparked an interest and he began working with Chad Starkey in Ohio
He went to WVU for a master’s degree. Part-time he worked with a D3 school and loved getting to work all of the sports.
Kyle finally decided he needed to get out of the 3-hour radius he had always lived in.
Alabama was the furthest job offer he received from home, so he took that one.
What is a unique aspect of Athletic Training in your state?Everything is 3-5 hours away, mountains, beaches, big cities…
Spiritually I am free to love others.
The people are great.
Nobody has a personal agenda, just people looking to do the work.
I live by work-life integration so that everything benefits.
What is a big challenge for Athletic Trainers in Alabama?Involvement. They need people to get involved.
Alabama had a council of 7 members when Kyle started and now has 17 and most of the positions are full.
In 2020 we updated our state practice act and had to redo it in 2021 after COVID
We created the advisory council which allows us to have 3 doctors and 3 ATs as the decision-makers.
Retention is a big challenge.
We have focused our effort on the rural incentive grant to help the 1-3A schools’ Athletic Trainers to get up to $7500 working at those smaller schools
Alabama is starting a loan reimbursement program for people graduating with an MAT degree who can get $7500 for 5 years.
Contact Us
Jeremy Jackson
Dr. Kyle Southall
These people LOVE Athletic Trainers and help support the podcast:Frio Hydration – Superior Hydration products.
Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast
Donate and get some swag (like Patreon but for the school)
HOIST – No matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Athletic Dry Needling – Save up to $100 when registering through our link.
Arizona has spring training…if you love the MLB, you should consider working with Lindsey Loughran in Arizona.
What is your AT Story?Lindsey Loughrin got injured in high school and had ACL surgery. She got to meet the Physical Therapist and Athletic Trainer through the injury.
Lindsey created a job shadowing program that became the current student athletic training aide program.
She attended a small college in Missouri to double major in theater and AT.
Lindsey Moved back to Chicago to study for the BOC. then she got a lot of experience at Northwestern University in Chicago
Blessed to receive a GA position at Northern Arizona University she moved down to Arizona
She worked with a high school for 7-8 years in Illinois, but when job changes were occurring she looked to get back to Arizona.
The incoming Arizona AT Association president was mentored by a NATA HOF member who told me to get involved.
Linsey started with the Governmental Affairs Committee, then secretary and VP. Now she is the incoming President
What is a unique aspect of Athletic Training in your state?Working with native American or tribal populations.
What is a big challenge for Athletic Trainers in Arizona?2 years ago we opened our license and have included dry needling for certified people.
The next challenge is preparing for new licensure
You’re recruiting ATs to work in Arizona…what is your sales pitch?We have a lot of diversity and some great masters programs: secondary school clinical outreaches, university, industrial professional sports
We are in a stage of growth
Landscape
Lots of diversity in environments
We are a good bunch of ATs, we help each other grow and stay connected.
Contact Us:Lindsey
Jeremy
These people LOVE Athletic Trainers and help support the podcast:Frio Hydration – Superior Hydration products.
Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast
Donate and get some swag (like Patreon but for the school)
HOIST – No matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Athletic Dry Needling – Save up to $100 when registering through our link.
Being an AT in Alaska offers amazing opportunities and challenges, such as moose. Carolynn has served as an AT in Alaska for over twenty years and currently leads the Alaska AT Association.
What is your AT Story?Carolyn grew up north of Anchorage and wanted to be an industrial arts teacher.
While at the University of Idaho, she took a Care and Prevention of Injuries course.
Barrie Steele
Graduated through the internship route
Carolyn came back for a year in Alaska since my mom was retiring and to figure out my next move.
What is a unique aspect of Athletic Training in your state?I love the people, they are generous and super welcoming.
Living in Sitka I feel like I live in an amazing bubble.
What is a big challenge for Athletic Trainers in Alaska?Being involved is difficult
Legislation is always a challenge
If you had to pick another state to live and work in which one would it be and why?Probably somewhere like Arizona.
You’re recruiting ATs to work in Alaska…what is your sales pitch?Pay is competitive
Anchorage is like most big cities
You get to cover all sports
It is a close-knit group of ATs
Scenery is unmatched
Contact us: Carolyn Black – alaskaata@gmail.comAlaska AT FB – https://www.facebook.com/AlaskaATAssociation
Jeremy – @SportsMedicineBroadcast on IG
These people LOVE Athletic Trainers and help support the podcast:Frio Hydration – Superior Hydration products.
Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast
Donate and get some swag (like Patreon but for the school)
HOIST – No matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Athletic Dry Needling – Save up to $100 when registering through our link.
Student travel is amazing. I regularly talk with high-school-age students who have never left the Greater Houston Area Jeff Hopp has decided to give up his time off during the summer to take students on trips over the summer.
How did you get started with student travel?I went on a few trips with my wife as a chaperone since she is a teacher.
My role with EF Tours is to recruit kids and build excitement around the trip.
We offer it to our students AT Aides, Health Science students IB program.
The trips are educational but are mostly about opening people up to travel, culture, and people.
Where were you this summer?Summer 24 – Ireland, England, and Paris
Where else have you been?January 23 – Training Trip to Belize
Summer 23 – Costa Rica
Training trips allow you to learn how the trips work.
They are fast-paced and go, go, go
The tour directors pretty much run everything once it starts.
Plane – England – bus – castle – hotel
Wake up early and hit another landmark, a sheepdog demonstration, a bog farm…
Typically from breakfast at 8 am to dinner you are up and going.
Usually a different hotel each night.
On our last day in Paris, I walked 12 miles.
My training trip was in Belize for 5 days
We went to Costa Rica with 25 students
January 2023 – Belize (training trip)
2023 – Costa Rica
2024 – Ireland England
2025 – Italy Greece
2026 – Thailand Cambodia
What company do you use?EF Tours
1 chaperone travels for free for every 6 kids that pay.
With 30 people you get a private tour.
Why do you spend your summers with students?These are typically students we would be around all year. Our trips are not open campus-wide. Students have become accustomed to the trips. The kids come into the year looking forward to the opportunity.
Pros and cons of student travel?We took phones away at dinner and then the kids opened up. They got noisy at dinner because they were talking to each other, bonding, and creating memories.
As an Athletic Trainer you might have summer duties, so traveling with students could eat into the few weeks you have at home.
My wife was gone for 10 days and she got back at the same time I was leaving for my trip. We missed half of the summer together.
Get started on your student travels: https://forms.gle/TjWqkh923cumhYVL8
These people LOVE Athletic Trainers and help support the podcast:Frio Hydration – Superior Hydration products.
Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast
Donate and get some swag (like Patreon but for the school)
HOIST – No matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Athletic Dry Needling – Save up to $100 when registering through our link.
AI Motion Capture can be a game-changer for orthopedics. Dr. Adam Whitman of Medbridge discusses how we can benefit and what we have to be careful of when using AI Motion Capture.
Everything has AI now, what does motion capture with AI mean?AI has been around since the internet started.
As hardware improves so can the calculations the computers can do.
Self-driving cars example – cows falling from abridge…what would you do vs what would a computer do?
AI does really well in processing huge amounts of data rapidly and consistently.
The physics problems in movement patterns allow for AI to be used for growth and improvement.
The machine has to be fed.
ROM is easy to capture and accurately measure.
The computer is limited in cases like spinal movement.
Theoretical AI Motion Capture conceptsLook at the FMS – they are built to be read against functional norms. It has been confirmed against many hundreds of thousands of instances.
We are looking for the potential for injury.
Think about scapular winging…it is like building a house on a concrete foundation vs building on a swamp…which one is built to last.
Some algorithms are being fed based on info so they begin looking for biased outcomes.
One AI model determining which patients should be prioritized from an insurance standpoint became racist because it was being fed biased information.
The algorithmic process can remove the bias when it is fed comprehensive data.
ChatGPT is now its own prompt engineer that allows you to ask average questions and get really good answers.
I look forward to when we can feed the movement into the machine and let it run its analysis without our input.
Think about re-captcha…computers are still bad at identifying objects in pictures. Humans are still needed.
Your movement analysis is your movement fingerprint. That can become a movement profile with each new recording.
What does that look like for the Athletic Trainer?Emphasis on prevention of injury to the athlete as opposed to reaction-based interventions – reduce the likelihood of an ankle sprain or ACL tear by catching fault movement patterns before the injury occurs
Contact Us:Dr. Adam Whitman – adam.whitman@medbridge.com
Jeremy Jackson – @SportsMedicineBroadcast on IG
These people LOVE Athletic Trainers and help support the podcast:Frio Hydration – Superior Hydration products.
Donate and get some swag (like Patreon but for the school)
HOIST – No matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Athletic Dry Needling – Save up to $100 when registering through our link.
Digital Health is revolutionizing healthcare. Adam Whitman, now with Medbridge, was a practicing clinician for 12 years including running a concierge PT service for NFL athletes.
Adapting to Emerging Tech(listen to my recent recording with Casey and Kim)
I have my hands in most aspects of the company
More recently I have been focused on improvement in remote care possibilities.
Demand for healthcare is growing
More and more providers are getting burned out and leaving the profession
Are you trying to take my job?All of our movement assessment uses AI
AI has greatly improved since the beginning of the internet…but it’s still a tool for you to do your job.
With billable hours telehealth was a real problem.
What led to the burnout?Documentation
Lack of income
But it was honestly the patients
People want the provider to fix them without their participation
High school application of Digital Health SkillsHEPs are the simplest way to meet them where they are…on their phones
Digital video to demo the exercises.
Coming soon is a digital self-motion analysis that helps you know when to correct the exercise
The AI helps us understand the acceptable level of adaptation
The digital tool also gives us the opportunity for outcome measure data collection
With some AI models, the exercises can automatically adjust to tailor to the needs of the patient based on the motion capture
The Non-Clinical PT
What do you bring to the table?
Do you understand what it takes to build? Can you make an app invisible?
You have to address the fundamental problem the person presented you with.
- It is a tool
- Break your habits
- Stop printing papers
- Digital prescriptions meet them where they are.
- Data is far greater than an individual can
These people LOVE Athletic Trainers and help support the podcast:Frio Hydration – Superior Hydration products.
Donate and get some swag (like Patreon but for the school)
HOIST – No matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Athletic Dry Needling – Save up to $100 when registering through our link.
Emerging Concussion tech can be big business. Casey and Kim join the podcast to discuss some of the new tools and trends for Sports Medicine professionals managing concussions.
What has gone away?Clear edge test
New Concussion Tech:What is new?
EyeBox – you put your chin on a chin rest and then track the marker in the EyeBox
Wavi – EEG
Mind Mirror – uses a front-facing camera and focuses on pupilometry
Mouthguards –
What is new with SWAY?We stay up to date with the consensus statements. We updated our documents from SCAT 5 to SCAT 6
Our tests mirror what is going on with the common research
We listen to our customers and now have it in English, Spanish and French.
We added the sleep survey
PHQ9
EMR integrations are a big thing for us.
Shortened the test if results were consistent
Helmets detect concussions real-time: What is your time-to-treatment? How long does it take from injury to the time the injury is being treated by a specialized professional?
Contact Us:Kim Wyand – kim.wyand@Swaymedical.com
Casey Paulk – casey.paulk@swaymedical.com
Jeremy Jackson – Sports Medicine Broadcast on IG
These people LOVE Athletic Trainers and help support the podcast:Frio Hydration – Superior Hydration products.
Donate and get some swag (like Patreon but for the school)
HOIST – No matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Athletic Dry Needling – Save up to $100 when registering through our link.
Casey and Kim share Emerging Technology in Sports Medicine
Emerging Tech in Sports Medicine
Rehab
Xothrm smart pad
Blazepods
Firefly recovery
Healthy roster, RankOne and EMRs
GameReady
BFR Owens/Delfi, SujiBFR
Virtual Reality
Sidelines
Sway Medical App
Avive
Perry weather
Emerging tech for At Home
Medbrige
Evaluation
InFlow Hydration monitor
Spark Motion
Dartfish
Sway Medical App
Force plates
Mind Mirror
Contact Us: Casey Paulk
Kim Wyand
Jeremy Jackson
These people LOVE Athletic Trainers and help support the podcast:Frio Hydration – Superior Hydration products.
Donate and get some swag (like Patreon but for the school)
HOIST – No matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Athletic Dry Needling – Save up to $100 when registering through our link.
Working definition: Athletic dry needling vs non-athletic dry needling.There is not a difference between the wording. We aim to take and make dry needling practical and easy to use.
We filmed professional-quality videos that are included in the course.
What got you started in Dry Needling?I took 12 CEUs per year for 10 years
What is your favorite application?The cervical seems to give the biggest outcomes
I love when people are stumped or out of options and willing to try anything
Weirdest needleNeedling has a systemic effect
Pelvic floor dry needling
There are a lot of barriers to entry for the secondary school AT. How do you walk through those?Get the waiver specific to dry needling.
Use a lot less needles
Include stim and needles to reduce the number of needles needed.
Typically I use 16 -20 needles
Young kids, I use less than 10.
If someone is scared of needles, can they do this course?We get this often.
I try to get them to try a few and see
We have only had one person no-show on the next day due to the fear of needles
When would you apply E-stim to needling?Allows you to dose needling – essentially make it more or less intense.
Best used for pain mitigation
If they are hesitantFind out their objections
You can have anything in the world you want if you help enough people get what they want. – Zig Zigler
Call to action:use SportsMedicineBroadcast.com/DryNeedling for your exclusive discount
Contact Us
Scott Dixon – AthleticDryNeedling@gmail.com
Scott – 904-853-1921
Jeremy Jackson –
These people LOVE Athletic Trainers and help support the podcast:Frio Hydration – Superior Hydration products.
Donate and get some swag (like Patreon but for the school)
HOIST – No matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Athletic Dry Needling – Save up to $100 when registering through our link.
Contact UsJeremy Jackson
These people LOVE Athletic Trainers and help support the podcast:Frio Hydration – Superior Hydration products.
Donate and get some swag (like Patreon but for the school)
HOIST – No matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Athletic Dry Needling – Save up to $100 when registering through our link.
Mark, where are you from and how did you get into Athletic Training?A family friend owned the Milwaukee Bucks
We used to landscape his yard.
I was a sophomore or junior in high school and got connected with the Bucks AT.
Went through the Internship route
Worked Minor league baseball with the Brewers
Started working with Bellin Health after my internship
Passed on a low A ball job and stayed with Bellin
Tell some of your family origin story…did you have kids, tried but couldn’t, chose to not do natural childbirth…Been married since 2010
One month before our wedding my wife-to-be ran a marathon and collapsed most of the way through.
2 months into our marriage she did a tilt table test and learned she had low blood pressure.
2011 convention in New Orleans and she was still running
She had a cardiac incident while in the pool…as in she actually died.
She ended up needing an internal defibrillator.
Talk about your adoption journey.We were trying to have kids, but the heart meds were possibly affecting her.
We started using IVF and failed once, tried again and then my dad fell and broke his femur. Then we learned that it failed again.
It was heart breaking.
Then my dad passed away the next week.
Most of the football season was a blur due to all of the family trauma.
My wife took the lead in looking into adoption.
We did not know if we wanted local, foreign, foster care, straight adopt.
We connected with adopt help out of California and a social work back here.
Once people know, the stories started coming out of the woodworks. Lots of people I knew were affected by adoption in one way or another.
April 1st, 2014 we went live with our adoption. Which was coincidentally our birth mom’s birthday.
What conversations have you had with other ATs about the choice to adopt?Our adoption is open.
We get lots of friends asking us to speak to friends in family in similar situations.
Our son knows he has a birth mother and a mom and dad here.
Contact Mark: IG, Twitter
Jeremy – SportsMedicineBroadcast on IG
These people LOVE Athletic Trainers and help support the podcast:Frio Hydration – Superior Hydration products.
Donate and get some swag (like Patreon but for the school)
HOIST – No matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Athletic Dry Needling – Save up to $100 when registering through our link.
Mitigating Secondary Loss is something that hits home for me. Bubba Wilson has taken his role with ATsCare to another level. We recap the summer and one of the best CEU talks I have ever heard.
Where has AT taken you?JJ:
Thibodeaux, LA
Dallas, Texas
Arlington
Fort Davis
South Padre
Lansing Michigan
Hot Springs
Las Vegas
New Orleans
San Antonio
JJ Road trip5 weeks
One van
7 people
Chad from Candid AT
Michigan AT Society Meeting
Meeting Cookie Tuesday in Detroit
Megan Smith at the University of Delaware.
Favorite tourist thing: Niagara Falls
Least favorite tourist thingStatue of Liberty
Bubba
All this travel means you need to have your stuff in order…I teach and followed the DaveRamsey plan to get out of debt, budget, and have my financial house in order
Talk about secondary lossNok box
I Am Dead, Now What
Bubba’s Quick Start Guide
Video from Trinity Sports Medicine Update
Call to action:Contact:
Bubba Wilson –@ATCLATBubba – on X
Jeremy – @MrJeremyJackson on socials
These people LOVE Athletic Trainers and help support the podcast:Frio Hydration – Superior Hydration products.
Donate and get some swag (like Patreon but for the school)
HOIST – No matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Athletic Dry Needling – Save up to $100 when registering through our link.
LEADS Academy was created to build foundational leadership and empower the next generation of leaders in the Michigan Athletic Trainers Society. Jacob Ortega-Schultz and Courtney Lewis join me live at MATS 2024.
LEADS
Leadership Excellence and Development Series
Contact UsJeremy Jackson
MATS Leadership
These people LOVE Athletic Trainers and help support the podcast:Frio Hydration – Superior Hydration products.
Donate and get some swag (like Patreon but for the school)
HOIST – No matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Athletic Dry Needling – Save up to $100 when registering through our link.
Brian Parker spoke for an hour at the Michigan Athletic Trainers Society annual meeting. Energy drinks, stimulants, drugs and the need to educate athletes.
Brian speaks at a lot of regional meetings and would love to come share Taylor story with your group.
Contact UsJeremy Jackson – MrJeremyJackson on Twitter, SportsMedicineBroadcast on IG, FB
ATCorner Podcast
Ryan Collins
Joseph Eberhardt
Christina Fry
Bob Marley
These people LOVE Athletic Trainers and help support the podcast:Frio Hydration – Superior Hydration products.
Donate and get some swag (like Patreon but for the school)
HOIST – No matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Professional Boundaries ebook from Dr. Sadie Adado and the ATvantage.
Dr. Adado, what are some professional boundaries you have put in place?Scheduling (personal and professional time blocks for zone of Genius)
“Self-care” (exercise, meals, meditation, yoga, reading, walking, family/friends)
Quality improvement project on how I spent my time.
Why did these need to be established?As a young professional, I hadn’t yet learned what I needed. It took a lot of self-awareness and reflection to understand my own needs so that I could practice putting boundaries in place.
Walk us through some of these Professional Boundaries conversations.Self-awareness is a journey. It doesn’t end, it’s continual and ever-changing.
Tuning into self in each moment will help to outline needs that can be met.
It is your ownership of that, responsibility that matters. Take action for yourself, no one else will.
What are some of the boundaries you see other Athletic Trainers needing help with?I hear ATs talk about being taken advantage of, lowest paid, constantly overworked, etc. The story feels redundant at this point. I wish more ATs felt empowered to change their own script. If you’re burnt out, who has the power to change that? Stop pointing fingers at the system and start being an agent of change.
Establishing boundaries helps create life balance. What does life balance look like for you currently?For me right now, I love my work but it’s definitely not what I spend most of my time or energy on. Some might scoff at that, but truly it’s been a process of shifting the scales so that I came first. My body, my mental health, my spirit, and then my family friends pets.. it took a lot of practice and still does (every day) of ensuring that my cup is full so I can give.
I love Financial Peace University and we are debt-free including the house. How do you think finances play into life balance?I also love the messages about financial peace. Finances play a big role in this balance.
It can be tough… I was an AT with a Masters salaried working 60+ hrs a week and paid under $40k. I had 3 job offers in the same week and that was the highest… needless to say I lived paycheck to paycheck for a long time, feeling totally stuck. Eventually, I moved to working 5-6 jobs at any time to get “unstuck” but then found myself burnt out. I’m sure this story is familiar.
I decided to put energy into one place. For me, that was starting my small business. This created freedom of my time which is actually the most valuable. Long story short, this journey brought me to where I am now. And I still have multiple sources of income but it’s much more harmonious.
I think for ATs the balance of life and work does revolve a lot around money. I think we need to talk about it more often. We need to justify and prove our worth not just “say” it.
Contact Us:Dr. Sadie Adado
Jeremy Jackson
These people LOVE Athletic Trainers and help support the podcast:Frio Hydration – Superior Hydration products.
Donate and get some swag (like Patreon but for the school)
HOIST – No matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
IMG Academy offers opportunities for Athletic Trainers different from most secondary settings. Kaitlyn Deshaies and Jared White share what life is like at IMG.
Kaitlyn, how did you get into Athletic Training, and what led you to IMG?I was an injured athlete in high school.
I met an AT while traveling with the team and knew Athletic Training was what I was meant to do.
Jared, How did you get into Athletic TrainingPlanned to go to med school and do orthopedics because I loved being in and around sports.
A random guy was sitting behind our bench with a little black bag and I started asking questions about him and what he did.
I had zero previous experience with Athletic Trainers.
Went to Anderson State University then transferred back to middle Tennessee State
Worked with Vanderbilt
GA at Auburn
Season intern with the KC Chiefs
Became the head AT for the KC Brigade Arena football
Became head AT in Nashville at a D2 school for about 7 years.
At the interview, I loved the IMG academy environment and leadership.
The academy has a boarding school with the traditional student life.
We do not have tryouts, but we have 12 support teams for the one baseball director.
We also have campers throughout the year.
Many pro teams use our campus as an off-season host site.
We are a for-profit business.
We have a very diverse population of TV Stars, a 10-year-old tennis player who is the son of an Abu Dhabi prince, professional athletes, and working-class athletes.
Wayne said there are a lot of unique growth opportunities for an AT at IMG. Can you explain?You may have a camper here for a week or a student with a torn ACL.
Our ATs have a lot of physician interaction and see a lot of injuries.
Both Kaitlyn and Jared have been forced to grow.
As a for-profit business, we have to help the company make money.
Personal and professional growth.
We are focused on customer experience. Our staff has to understand the ins and outs of the business.
We are housed in a building that houses strength coaches, nutritionists, mental health specialists, leadership and character development, and sports science and data analytics.
We get to work with a lot of sponsors like Gatorade or Under Armor.
IMG Academy’s summer hires are looking for a staffer who can be part of our team in the future.
A good candidate needs to be a part of the team and do the same tasks as the full-time staff.
You do need to be an LAT to work in Florida.
We started the growth summit where we host an entire week of education for our AT staff.
How to read imaging
Dermatology issues
Suji BFR will host a course
Emergency Med situations
CPR AED, Emergency transport
ROM and measurement education
Where have some of the ATs who left IMG gone to?Some have gone home and had a family, and some have springboarded into their dream jobs.
We have alumni in almost all aspects of athletic training.
Clinical, hospital, LPGA, NFL
How does IMG Academy provide life balance?We have 23 athletic trainers now and hire 7 during the summer camp season.
We do not have a “hard” PTO schedule. If you can swap with someone to attend to a personal event then do it.
We only have 9 sports and have multiple ATs working baseball but have 200 baseball players.
Contact Us:Jeremy Jackson – THE SMB on IG
Kaitlyn – Kaitlyn.deshaies@imgacademy.com
Jared – Jared.White@imgacademy.com
These people LOVE Athletic Trainers and help support the podcast:Frio Hydration – Superior Hydration products.
Donate and get some swag (like Patreon but for the school)
HOIST – No matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Stephanie Greeson is going back to school after age 50 to earn her BOC. She has been an LAT since graduating college.
Contact UsJeremy Jackson – MrJeremyJackson on Twitter, SportsMedicineBroadcast on IG, FB
ATCorner Podcast
Ryan Collins
Joseph Eberhardt
Christina Fry
Bob Marley
Wet Bulb Globe Temperature is the standard for protecting from heat illness which is 100% preventable in athletics. Tom Woods discusses where we are as a state in adopting it.
What is the ATLAS ambassador?
What changes would you make to protocols in Texas?
WBGT takes in several more important factors than Heat Index
Don’t forget about band, dance, cheer in your WBGT needs
What is the next major tech advancement you would like to see?
Switching to WBGT and becoming a mandate rather than a recommendation.
NFHS covers 48 states..but not TEXAS
Will heat illness training become a required training?
Contact Us:
Jeremy Jackson
Shawn Ready – shawnreadyatc@gmail.com
Dr. Mark Knoblauch – maknobla@Central.UH.EDU
Dr. Layci Harrison – lharris5@Central.UH.EDU
Bob Marley – Bob.Marley@uth.tmc.edu
ATCornerPodcast – ATCornerds@gmail.com
Joseph Eberhardt – eberhardtj@pearlandisd.org
Christina Fry – fryc@pearlandisd.org
These people LOVE Athletic Trainers and help support the podcast:Frio Hydration – Superior Hydration products.
Donate and get some swag (like Patreon but for the school)
HOIST – No matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Turf Toe is ever-changing. Dr. Paul Shupe and Joseph Eberhardt discuss some of the facts and history of turf toe at the Memorial Hermann sports medicine update.
What can I do to benefit my athlete since turf is here to stay?Making sure the field is well maintained, and proper personal protective equipment is significantly important. A lot of football players like to wear narrow cleats which can contribute to lower extremity injuries based on the cleat pattern, length, and width of the shoe. The time of day we practice is important as well.
Is there any data or research done about laces and appropriately tying the shoe with appropriate arch support?Great question, I’d have to look into that. I’m sure there are studies – I didn’t delve into that. These are very important questions, I think that core strengthening is a very pertinent point as well.
You spoke about an increase in PCL injuries. From my education, the mechanism of injury for PCL is that dashboard injury, coming from direct force on the anterior tibia. Is there any research, or from your background and knowledge, why is it that we’re seeing more prominence from that mechanism on that turf?When it’s not a dashboard injury, the common mechanism is that you onto your knee bent at 90 degrees, your toe has interacted and your cleat is stuck in the turf so it’s not giving away.
Your foot is in this dorsiflexed position and you land on that knee with all of the force going back through, as opposed to if the shoe gives out allowing you to land on less of a 90-degree angle.
Is there any correlation to gastrocnemius weakness regarding those Turf Toe injuries?I think that’s a valid argument, I don’t have enough science or background to say but I do think that would be an interesting thing to study.
We talked about the history of turf in your presentation, would you say we’ve moved in a safer direction? Are we moving to a safer surface?I think we are, I think we’re moving to a safer surface for our lower-level athletes. I think our higher-level athletes have different muscle builds and different muscle types that may lead to some of those injury at a higher level.
I do think the technology that’s going into it is moving towards a safer playing surface, I don’t think there’s much we can do about the heat and some of the other things, and they are looking into that. I think we are moving there, the important thing here is that turf isn’t going away, I don’t think that we’ll ever go back to grass.
With technology moving forward, I do think it’s becoming safer. I don’t think it’ll ever be 100% safe but with education, and proper maintenance, I think we can make it as safe as we can.
You mentioned the coconut or the cork, those things are natural materials that would rot, and putting turf in is a lengthy and expensive process. How does it make sense for a high school field to put something that might rot underneath there?So part of it is just the turnover of it, so it’s got to be properly maintained. So when we use the proper equipment and the proper rakes just to shift it around that’s a valid question, especially in a wet and humid environment like it is here. It’s not being used a ton yet, and I think that’s yet to come. We may determine years from now that it’s a bad idea.
Rice uses wood instead of rubber on their field, I found that interesting when we played there last year.
Did you notice any difference?Thinking back, I think your point about feet being sore on these fields; is a major problem. Your feet hurt at the end of the day on the rubber. There’s less of that impact.
We did have in our Rice game, but I don’t think it makes a difference in injury, we had an ankle fracture that game, we had a significant hamstring rupture, and a couple of other things so I don’t think it makes a difference as far as the interaction of the cleat but it may make it as far as the softness.
You mentioned your time in the military where you would sweep and make sure there was no foreign debris as part of the turfing. Can you speak briefly about your time serving our country?I served in the Navy for 12 years and loved it. I trained as an intern, and then I was 3 years as a flight surgeon with the Marines, serving in an F-18 squadron. I had the opportunity to go all over the world with that, then finished my ortho training in San Diego.
Then I spent 4 years as an orthopedic surgeon in Japan and Florida, and loved it.
They were not allowing me to do sports medicine, which is what I came to Houston to do a fellowship for. So, there are nothing but good things to say about the Navy and those who serve.
People who go to the military to become physical therapists or surgeons, can you talk about what they should and shouldn’t think about before?So for me, it was an avenue for me to pay for medical school. They paid for me to go to George Washington University, and so one thing is well paid and very well educated no matter where I go in the world or in the country.
The training that we got is respected. Same thing for physical therapy. Other than the Naval Academy, and probably West Point Force Academy, there are not a lot of athletic trainers in the military.
But you certainly get that experience working with different types of teams, and I think the opportunities that you get serving far outweigh the downsides of deployment or other unfriendly things like being told where you have to be, when you have to be there, where to have to move to, overall very positive.
I think the Navy and all of the armed forces provide great education both in-person and online learning. A lot of the coremen would enlist, and have their education paid for while working on campus, and several of the individuals I worked with would graduate with a year’s degree while they were on active duty service with no cost to them.
Got Questions about Turf Toe?Dr. Paul Shupe – Reach out to his office and tell them the Sports Medicine Broadcast sent you
Contact Us:
Jeremy Jackson
Shawn Ready – shawnreadyatc@gmail.com
Dr. Mark Knoblauch – maknobla@Central.UH.EDU
Dr. Layci Harrison – lharris5@Central.UH.EDU
Bob Marley – Bob.Marley@uth.tmc.edu
ATCornerPodcast – ATCornerds@gmail.com
Joseph Eberhardt – eberhardtj@pearlandisd.org
Christina Fry – fryc@pearlandisd.org
These people LOVE Athletic Trainers and help support the podcast:Frio Hydration – Superior Hydration products.
Donate and get some swag (like Patreon but for the school)
HOIST – No matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
EMRs are like most things, it is not one size fits all. When looking for a solution for records management Will Ryan wanted to share his search results with all ATs.
Discussion topics:
- Searching for EMR
- How to obtain EMR
- How to Familiarize yourself with EMR
- Communications with EMR Companies
What has been your process for searching for an EMR?Identifying limiting factors like cost. Sportsware and AT Genius are cheaper options.
Barriers to documentation – time, limited resources, uncertainty of what to document. NATA has created guidelines regarding methods of documentation. Consider the legal aspect of documentation.
How do you approach your school about obtaining an EMR?Build value in the documentation. Explain how EMR protects patients, coaches, and healthcare providers; and keeps everything secure. Convenient place to store all UIL-required documentation.
What is the best way to familiarize yourself with EMR’s?CAATE standards have now included EMR’s.
Pearland ISD uses Rank One – signs in upon entry and documents almost everything. We introduce our MAT program students to Rank One and have them document all patient interactions.
Did companies offer demos of their EMR systems during your search?Rank One, Healthy Roster, Healthy Monitoring, Sportsware, AT Genius.
All provided demos, and were very open and helpful.
The creator of AT Genius took the time to meet with me.
Collecting some data is better than none, do what you can.
Use documentation to show the dollar value of your care and how much money you save parents by providing care.
Christina Instagram:
Cmfry16
Sydney Instagram:
sydneyhayes95
Contact Us:
Jeremy Jackson
Shawn Ready – shawnreadyatc@gmail.com
Dr. Mark Knoblauch – maknobla@Central.UH.EDU
Dr. Layci Harrison – lharris5@Central.UH.EDU
Bob Marley – Bob.Marley@uth.tmc.edu
ATCornerPodcast – ATCornerds@gmail.com
Joseph Eberhardt – eberhardtj@pearlandisd.org
Christina Fry – fryc@pearlandisd.org
These people LOVE Athletic Trainers and help support the podcast:Frio Hydration – Superior Hydration products.
Donate and get some swag (like Patreon but for the school)
HOIST – No matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Combat Sports Medicine seems like an extreme environment to practice Athletic Training. Dr. Ethan Kreiswirth created Blackbelt Sports Medicine to provide Athletic Trainer care for combat sports athletes.
You are always posting gnarly pictures and videos on IG. What gives you pause or catches you off guard?As an Athletic Trainer, I started covering tournaments around 1997.
Personal experience in the sport helps me understand the types of injuries that occur.
Tournaments now are 40 mats over 6 days
Dislocations, unconscious used to give me pause.
Now it is just running a company.
Or working youth tournaments, those are always difficult for me.
Does Blackbelt Sports Medicine have tournaments across the United States?Yes, we work with the BJJ organizations to help provide medical care for combat sports.
A new AT is going to work in combat sports medicine. How do you prep them?Gloves, gauze, skin lube, and nose plugs.
An Athletic Trainer working with Black Belt Sports Medicine could almost get away with just bringing their fanny pack, like the Nexus Deadbug
There is almost no taping done, maybe some finger taping.
You do a good bit of suturing…discuss that as an AT. Many of these BJJ athletes are from out of state or another country.
Suturing on the sidelines helps them out tremendously.
I have done about 10 sutures so far.
There is a lot of practice involved with the practice kits.
Not being licensed gives me more freedom to practice the emerging skills.
We take a table behind the scenes and do the standard prep work. We also instruct them to follow up with their HCP.
The larger tournaments have an overseeing physician onsite as well.
Sign up for a tournament and see if Combat Sports Medicine is for you.Contact:Dr. Kreiswirth – https://www.facebook.com/Blackbeltsportsmedicine/
IG: https://www.instagram.com/dr.kreiswirth/
Jeremy – https://www.instagram.com/sportsmedicinebroadcast/
Resources:Pub med research
These people LOVE Athletic Trainers and help support the podcast:Frio Hydration – Superior Hydration products.
Donate and get some swag (like Patreon but for the school)
HOIST – No matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Bubba Wilson discusses Crisis Behavior or Crisis Etiquette live from the Memorial Hermann Sports Medicine Update. He has been leading D6 in ATsCare since its inception and has learned a lot over the years.
Discussion topics:
- AT Cares
- Crisis Management
- CCISM Credential
- COVID Impact on AT Cares Program
- NATA Gather Program
- Mitigating Secondary Loss
Did crisis management help you be prepared for being inducted into the SWATA Hall of Fame?AT Cares drove me there.
CCISM credential:Certified Critical Incident Stress Management – Level 1 deals with individuals in crisis, the majority of AT Cares population. Level 2 deals with groups in crisis.
Began Crisis Management training in 2019.
AT’s managing grief:Grief comes in at a later time, ATs have to finish the game/event after a critical injury/event.
AT Cares reaches out once notified to ensure assistance is provided where needed
NATA Gather Program Integration:Young professionals can use NATA’s gather program to find mentors.
Crisis on campus – what is the best method to find that definite grief to counsel them?Don’t counsel them. Listen. Refer out.
Soapbox Warning – What is step 1 in managing the secondary loss of loved ones?Have affairs in order. Have a will, have life insurance. Have your burial wishes written down. Have the conversation. Have a list of your account usernames and passwords. Know how many death certificates you may need. Legal Zoom is a good resource. Make sure you constantly update your affairs. The primary loss will be exacerbated if we don’t handle our affairs.
Currently working on a presentation with AT Cares members regarding their experiences with loss and what they’ve learned along the way.
Thanks, Sydney Hayes for creating the Crisis Behavior show notesContact Us:
Jeremy Jackson
Shawn Ready – shawnreadyatc@gmail.com
Dr. Mark Knoblauch – maknobla@Central.UH.EDU
Dr. Layci Harrison – lharris5@Central.UH.EDU
Bob Marley – Bob.Marley@uth.tmc.edu
ATCornerPodcast – ATCornerds@gmail.com
Joseph Eberhardt – eberhardtj@pearlandisd.org
Christina Fry – fryc@pearlandisd.org
These people LOVE Athletic Trainers and help support the podcast:Frio Hydration – Superior Hydration products.
Donate and get some swag (like Patreon but for the school)
HOIST – No matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Practical Preceptor Tips from Christina Fry at Dawson High School in Pearland, Texas. They do an amazing job with the Sports Medicine staff, their student aides, and as preceptors for the University of Houston MAT program.
Discussion topics: * Advancing students in the profession * Preparing students * Outfitting students * Providing learning opportunities * Scheduling * What to avoid * Practical Preceptor Tips
How long have you been a preceptor?7 years.
Can you share some of the things you have done to help master’s students be involved and advance in the profession?We treat the masters’ students as an extension of our staff, we want them to be respected in our ATR just like us.
We have our high school students refer to them as Mr/Ms/Mrs. We interview them to make them feel that they are in a professional setting.
My assistant, Thomas, likes to ask them “What did you learn today?”. We outfit them, invite them to our pregame meals, we make sure that they feel respected. We make sure that every day they learn something new.
You interview them for the position, but they’re already assigned there?Correct. We ask them to submit a resume, and for a lot of them this is their first job “interview” and ask them interview-like questions and ask them to submit a cover letter.
We then give them critiques so they can start working and build that resume so that when they are done with their program they can apply and be successful for their interviews for their actual job.
Do you do that just once, or every week, every 3 weeks, etc?So our level 2’s are with us all year long, we make sure we give them monthly updates. Our level 2 this past year wanted an update every day, every week, so we always were helping her and growing her, anytime there was a hiccup or something she was unsure of, we gave her that reassurance and feedback.
For the level 1’s, it takes a while to get into that comfort zone, but we always try to give them feedback when we notice something, good or bad.
You talked about outfitting them to make them feel welcome, do we give them the ones that say athletic trainer, or the ones that the students wear, do they keep them; what does that look like for you?So it varies, level 2 vs level 1. Level 2’s we’ll give them the game day polo for the year, and require them to look professional when they come into the ATR.
Our students will wear Nike shorts and a T-shirt. We ask that our UH students either wear something UH to differentiate them or they wear a polo with either nicer shorts or nicer slacks, with their UH ID badge. And that way it identifies them as an adult and not a student.
More Practical Preceptor Tips: Include them in almost everything! So for GHATS, we made a fun t-shirt for the t-shirt contest, and we had a team-building activity of tie-dying the shirts.
We invited our UH students to join in since they went with us to GHATS, and they were allowed to wear that shirt as a fun GHATS representation. For our level 1’s, if there’s an event going on during the time that they are with us we’ll give them one of the students’ shirts, but for the most part, we’ll give them our practice shirt for the year that they can wear to Saturday treatments, etc.
One of the things I’m trying to still work out is scheduling, how do you balance that out and hold them accountable while keeping in mind that they’re college students?You and I have the luxury of working in a high school setting, so we automatically have Sundays off, that is the one day a week they have off because they are required to have at least one day off within a 7-day span. So we keep that in mind.
We use something called “Homebase” which is a scheduling app, where our students, ourselves, and our UH kids can submit their days off requests, so we honor that.
We always remember that they are students first, so they can communicate with us if they have a big test coming up and they’d like the evening off before to study, they just have to have that communication with us, and then we treat it like how if one of us had a doctor’s appointment that morning and we’d say hey, I need this off for that; so encourage them to communicate with their staff, which is the other UH students, to ensure that things get covered.
When it comes to accountability, they’ve got a set amount of time with us to get the hours they need, so they know that if they’re not going to be there they have to make up the hours they need.
For games that they weren’t scheduled for but show up for, how do you handle that?A great Practical Preceptor Tip is to have them ask them to ask us in advance. Especially for indoor games or baseball/softball because the space is limited, so we tell them if they do want to come and work extra to give us that heads up that way we can say yes or no.
Ensuring that you’re providing an educational opportunity, how do you hand off responsibility to those students?So when the first years come in, they haven’t gone over any anatomy for their assessment class so once they reach the test or the ankle, knee, hip, etc; if they’re going over the ankle at the time, we say that every ankle sprain that comes in here, we want you on it, evaluating it to where you’re at in your studies.
Once you complete ankle, every ankle eval we say that’s yours. That way they are getting that clinical experience.
Our level 2’s, get a little more autonomy when it comes to that. If they’re struggling to remember shoulder special tests, every shoulder that comes in, go get on that eval and come back and ask us questions. We’re right there with them making sure they’re completing it correctly but we want to make sure they get as much hands-on experience with different patients.
Do you have the course syllabus of when they go over certain things?We ask to see that, we just ask them hey what did you go over today in assessment, hey what are you learning in this class and they tell us and we say okay we’ll make sure to touch on that.
We’re using a more practical time in a hands-on setting. We also meet each week to go over GHATS quiz bowl material with our kiddos and we always invite our grad students to sit in on those lectures as well.
Do you have any release of responsibility schedule or do you just have an internal feel for it?We’re not going to give them something they’re not comfortable with, we kind of feel them out in the beginning and try to build up what they’re not as confident in within their realm of comfortability, because at the end of the day, they’re students too and we want them to learn and grow, within their limits.
Our UH girl this past year wanted to learn more about admin, so we said okay, you’re going to look at our student manual and we want you to go through and make these changes. So it varies based on each individual, and we always ask “What are you not comfortable with?”, and then we try to make them comfortable.
Are any other cool things that stand out?Something I learned when I was in undergrad, we called it twisted Tuesday. Every Tuesday the upperclassmen, whoever was in charge of that sport, became in charge for the day. The preceptors dressed down into what the students would wear, and those students in charge dressed up as the preceptors.
For every new injury that walked in, they corralled how to treat it, or tasked a student with rehabbing them, they set up practice, talked to coaches, delivered injury reports, etc. So that’s something I’ve taken over at Dawson, and every Thursday night during football season, our UH students are “in charge”, so they’re the first ones to go onto the field, they set up games for the day, and that is their time to get their autonomy and to feel confident in those high-pressure situations.
How do you prepare your students and staff for those Thursday nights?So we go over the way games are set up in the beginning, they usually get a game or two under their belt as a UH student and then we say alright it’s your turn, so they get to see what a setup looks like, they get to understand how we run things and our expectations. We tell the coaches, hey by the way you are going to be hearing from so and so tonight they are in charge.
Of course, we are always right there behind them making sure that if there is something a little bit more extreme or if they’re out of their comfort zone and need us to step in we’re right there. We let them communicate with coaches and parents, that way they get that experience in a high-pressure situation. And they know that it’s coming, we give them a heads up.
When you say you’re right there with them, are you still on the sideline when they go onto the field, are you kind of halfway in between, or are you standing right beside them and just not saying anything?I am behind them, always looking over them. I’m always watching. We might stand off a little to the side especially if they don’t like someone hovering over them, but we’re always watching to make sure there’s no malfeasance going on and ensuring that they’re doing everything correctly. And we do make sure that before they go do it in a game-time situation, they’ve performed the skill correctly in clinic.
What else as far as practical preceptor tips?I just always remember my time as a student, and things that helped me, things that didn’t help me. We try to give them the recipe for success.
I always want to make sure that our students feel comfortable and can come to us with any issue, we always have open communication with any question they have and we always want them to learn, so by providing that safety realm of education and comradery, we want to make sure that they know that were an asset for them, we talk to them about how we came to be who we are and we want them to feel proud in their journey too.
Anything that you’ve seen or heard from your students over the last few years as something you should try to avoid? A lot of the times whenever we do kind of expose them in the first few weeks they feel kind of overwhelmed, but we explain to them that every situation you are in won’t be a comfortable one, you are not always going to feel like it’s easy.
A lot of times we get “At first I was nervous because you just kind of like put me in there.”, but we explained it, and we went through it, and it is scary but that’s what our job is. Sometimes we have them drive our gator, and a lot of times they say they don’t feel comfortable doing that so we say okay. We listen to what their comforts are and respect them.
Previous Practical Preceptor Tips Conversations:Preceptor Tips with Dr. DJ Gilliland
Don’t be That Preceptor
Contact UsJeremy Jackson – MrJeremyJackson on Twitter, SportsMedicineBroadcast on IG, FB
ATCorner Podcast
Ryan Collins
Joseph Eberhardt
Christina Fry
Bob Marley
These people LOVE Athletic Trainers and help support the podcast:Frio Hydration – Superior Hydration products.
Donate and get some swag (like Patreon but for the school)
HOIST – No matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Neuro 20 looks like a wet suit with electrodes for E-Stim built in. That is partially true, the materials a spandex or Dri-fit type material, and Wayne and Michael share a lot more on the Sports Medicine Broadcast.
Give me the big picture. Background and origin of the idea.–Founder DJ Schmitt was injured during service and wanted to find a way to get healthy without taking so much medication.
He used his electrical engineering degree to develop the first Neuro20 suit.
The suit is made up of a compression material(spandex).
Establish firing rates for healthy individuals and be able to choose for the AT/PT to know which one to use.
Where does the name Neuro20 come from?20 large electrodes placed strategically to engage the maximum amount of motor neurons.
Who is using it right now in sports?NHL
Olympic Athletes
NFL
D1 Athletes
What are the most common applications of neuro20?Prehab
Rehab
Active recovery
Motor education
Accessibility for the Athletic Trainer?At the moment it is not accessible to the high school population because of privacy issues.
College-level or professional level
Can you set them up and “walk away?”Patients can be set up and allowed to complete a workout session on their own.
- One of our pro sports athletes uses it after games while on the plane for recovery.
Can I use Neuro20 with my high school athletes?It is FDA-cleared for adult patients. Some youth patients have used it with waivers and clearance from their doctors but that is not the target population.
Contact Us:
Jeremy Jackson
Wayne Smith – wsmith@neuro20.com
These people LOVE Athletic Trainers and help support the podcast:Frio Hydration – Superior Hydration products.
Donate and get some swag (like Patreon but for the school)
HOIST – No matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Sudden Cardiac arrest in sports with Travis Turner at the Memorial Hermann Sports Medicine Update. Randy and Sandy Harris from the ATCorner Podcast ask all the hard questions.
Contact UsJeremy Jackson – MrJeremyJackson on Twitter, SportsMedicineBroadcast on IG, FB
ATCorner Podcast
Ryan Collins
Joseph Eberhardt
Christina Fry
Bob Marley
These people LOVE Athletic Trainers and help support the podcast:Frio Hydration – Superior Hydration products.
Donate and get some swag (like Patreon but for the school)
HOIST – No matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
SUJI Blood Flow Restriction or BFR is changing the game with its AI-powered app. Dr. Michael MacPherson joins me and Lisette Guerrero to learn more about our new gear.
What is your 10-second sales pitch for Suji BFR? A portable, affordable, and easy-to-use gold standard, AI-powered BFR technology
The affordability of the device is one reason we chose to add Suji BFR. Discuss current pricing. Suji has found the middle ground. We are data-driven for incredible accuracy at an affordable price, never before seen in the BFR space.
Let’s get into the app, it is one of the big differences from the Delphi unit we have. Our AI-powered app automatically calculates LOP for the clinician and then saves that data to a patient/athlete profile, saving at least 3-5 minutes every BFR session. The AI-powered calibration process is also incredibly robust.
All patient/athlete data is stored in a HIPAA-compliant cloud that lives in your institution. A Suji institution is your team or clinic where all your Data lives. Only you have access to it as the administrator. With Suji, you only have to calibrate as often as you deem necessary.
Discuss the continuous monitoring vs the detachable hose. With Suji Pro and its real-time pressure adjustments, you won’t need to attach the hose to adjust the pressure within the cuff.
With Suji Pro, you’ll be able to adjust the pressure on the pump in real time.
Suji BFR Pro – what should we expect? Suji Pro is Lighter, Smaller, and Hoseless.
Our users are passionate about our portability and our customizable in-app recovery sessions so we’ve made advancements in both areas. Our users also expressed the desire for real-timepressure control without attaching hoses and a pump, so you can expect greater control with Suji Pro without breaking the bank.
Contact Us:Jeremy Jackson
Michael MacPherson – michael@sujibfr.com
Lisette Guerrero
Frio Hydration – Superior Hydration products.
Donate and get some swag (like Patreon but for the school)
HOIST – No matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Backboarding the injured athlete is an ever-evolving skill. Dr. Matt Camarillo discusses it live at the Memorial Hermann Sports Medicine Update
How common are spinal cord injuries?-9-10% of injuries are spinal. About 12,000 nationally.
Looking at physicals I have a couple of athletes with previous spinal cord injuries. What are some of the things that I should be more aware of when taking care of these athletes? -Usually due to trauma or born with cervical stenosis.
-Should have a spine surgeon associated with the athletic population
We talk about spinal cord injuries, and the first thing we think about is football. We think that it is equipment-heavy and collision-based and talk about equipment removal for that. But what is the instance in other sports?-Happens in lacrosse, gymnastics, hockey, soccer, baseball, and basketball.
-Helmet and shoulder pads keep them in alignment then leave it on.
-If only a helmet probably needs to come off.
These spinal cord injuries, I believe you mentioned there are about 12,000 injuries per year. Are these spinal injuries with awareness in education are we increasing these or decreasing these?-Since 1975 they have gone down.
-A lot of spinal injuries come from automobile accidents.
Is there a reason for that?-Awareness, and if it goes away the numbers will go up again.
Moving back into narrowing down into more of an athletic training setting when working with sport athletes for example what would be our initial assessment and what would be some red flags to actually move the person onto a spine board?-Big trauma like a head-on hit you want to be careful.
-Clinical judgment.
-numbness bilaterally
The athlete just has a lot of pain.
-Trust your gut
So once you decide to stabilize someone, I know you talked about two methods to stabilize, but what is your preferred method?-6 man lift
-If you don’t have enough hands, nobody will fault you for doing a log roll.
When is it appropriate to move the neck into neutral?-It is always ok as long as you do the head or trap squeeze.
-You want to make sure you have access to the airway.
Can you talk a little bit about the difference between a head or trap squeeze?– head squeeze is more about putting you hands around the athletes head or helmet
-trap squeeze where you are putting your thumbs and finger around someone’s traps and gives you more stability because you also have to add in the fatigue factor.
-Trap squeeze is more stable
Be aware that clothing could cause you to slip while holding a helmet.
I think it comes down to practice and figuring out how everything works. Because once you get it down, then when all that emotion going, if you practice over and over again it just becomes a routine.
What are some tips you have for someone who is working with an equipment-intensive sport, like hockey, that they are not familiar with the equipment?-Practice
-Use equipment managers to become familiar with equipment.
What does it look like once they are at the hospital?-equipment removal and go into a cervical collar.
-Then straight to a CT scan is #1.
-Transport to a level 1 hospital because you don’t want to have to move to multiple locations.
Can you talk about differences between places that have stopped using spine boarding techniques like in motorcycle accidents?-Two different mechanisms and two different thoughts.
-Make sure everyone is on the same page
-You can always ask to talk to a supervisor because these are generally big EMS areas and you can’t control what everyone does.
Can you talk about the order you take the piece off of the helmet?-Side pieces off first. Allows to flip and gives access to the airway
CPR with shoulder pads. With a spinal cord injury and you are having to do CPR and you are removing the equipment, you would leave the shoulder pads in place as long as you open them up?-Open them
-If getting into CPR take them off because it has become life-threatening.
Do you have any recommendations for an AT who does not have a lot of volunteers or staff and might be working alone? You have coaches. Train the coaches. Coaches are always there. Make sure your coaches are in line with helping you.
The highest incidents seem to be in high school/middle school. Can you talk about why?-Proper tackling technique
-Old equipment
Is there anything else we didn’t touch upon that you wanted to add?-Education and preparation are the biggest things.
Contact Us:
Jeremy Jackson
Shawn Ready – shawnreadyatc@gmail.com
Dr. Mark Knoblauch – maknobla@Central.UH.EDU
Dr. Layci Harrison – lharris5@Central.UH.EDU
Bob Marley – Bob.Marley@uth.tmc.edu
ATCornerPodcast – ATCornerds@gmail.com
Joseph Eberhardt – eberhardtj@pearlandisd.org
Christina Fry – fryc@pearlandisd.org
These people LOVE Athletic Trainers and help support the podcast:Frio Hydration – Superior Hydration products.
Donate and get some swag (like Patreon but for the school)
HOIST – No matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Protect3D joins medicine and technology to help Athletes return to the sport safer and maybe faster. Kevin Gehsmann joins me to share their story and how Athletic Trainers can get their athletes braced.
Where did the idea come from?Engineering student
Liked 3D printing
Daniel Jones, the quarterback at Duke, went down with a clavicle fracture. They decided their engineering project would help Daniel and other elite athletes needing protection.
Customized for his unique needs and ROM
What has been the most difficult hurdle for Protect3d?In the early days, we were recognized by the NFL and won $50,000 and Superbowl tickets.
The pandemic caused a lot of challenges.
Every device we make has a positive impact on the athlete and their performance
Share a success story you enjoy.Clavicle pads reduce the risk of re-injury and increase the confidence of the player and health care team.
It is also the original pad or brace that birthed the idea.
Outside of your own clinics where have you had doctors adapting this style of bracing?We started with elite athletes and have worked with orthopedic surgeons and athletic trainers.
An ankle/foot orthotic is a new brace to help with foot drop.
We had a D1 athlete participate in games with a Protect3D brace for foot drop.
What do you see as a hurdle for secondary setting adoption of Protect3d braces?The cost of the product is one hurdle.
Setting up a system for billing on demand can be an obstacle as well.
Are these braces something that could be printed on your everyday, at-home printer?Due to the material, printer, and the need to control different variables as a medical device, they are not currently printed at home devices.
There may be options in the future as we grow and develop.
Want to test out Protect3D?Have an athlete needing a brace?
Willing to give me your honest feedback on the podcast?
Send me an email and maybe follow it up with a social media post.
Give me the story (protect patient privacy)
If it works out then we will collaborate to get you a custom 3D-printed brace for your athlete.
Contact Protect3D
How common are facial injuries occurring?-20-40% involve face
It could just involve something as simple as a slap in the face.
On-field assessment allows you to hone in on a specific injury.
Where does your mind go during the initial assessment for a facial injury? What are you looking for?-1st talking and airway
Ecchymosis is present, when should you refer?-Racoon eyes (both eyes) – vasal or skull fracture possibility
-Battle sign – ecchymosis behind the ear. Basal or skull fracture possible.
Skull fractures is surgery common or just monitor?-CT to check the brain and for fracture
-not all require surgery
Mandibular fractures. Are we looking at surgery?-Depends on the type of fracture. Not displaced can monitor and have on a soft food diet.
-High protein foods for high-level athletes so they can still get nutrients
Healing time during a mandible fracture, what are they allowed to do?
-As tolerated
-Lift, light exercise
-nothing stressful that they clench their jaw.
Difference between RTP. What are you looking for, for an athlete returning to play in a contact sport?-Depends on sport and position.
-2-3 months, but it depends on how the athlete is healing and what their position entails.
Regulations in rugby. They aren’t allowed to wear certain masks?-Protective gear cannot be a hard shell.
-Lots of pads and tape.
-Can have a mouth guard.
TMJ dislocation. What is the relocation process?-Usually down and out. Put posterior pressure and push back in.
-Wear gloves and roll gauze on your thumbs since you have to push on the bottom teeth.
-Relocated the TMJ, but chose to not let him back in the game.
Follow up for TMJ dislocation?-Follow up with them.
-Ask about symptoms, can lead to who they need to be sent to.
-Typically if it is back in and they are good, you can watch them.
Maxillary fracture. Seen one clinically?-Common from motor vehicle injuries
-Never seen one from sport.
-Could maybe see one from a combat sport.
Splint a lefort fracture.
-Bartans split technique.
Key signs of a zygomatic fracture?-Big swelling over cheek bone
-Dent in the cheek bone
Nasal fracture, when can you get them back to sport?-Depends on sport/position
-usually 4-6 weeks
-Need to be pain free and breathe ok.
Mask wearing can be just to be for the athlete to have comfort and prevent another injury.
Fix nasal bone once done with sports.
Nasal bleeds. At what point should you call EMS if you cannot control a nosebleed?-Symptoms of lightheadedness or dizziness. Headache or nauseous
Manage a nosebleed if someone is dizzy?-Tilt and pinch. Try sitting, not just lying down.
Orbital injuries
Eyelid injuries – refer to an ophthalmologist. ER have on call?
-Have to go to an ER connected to a hospital because they will have one on call.
-The movement and tear ducts are something to consider.
AT should control bleed and refer?
-Control bleeding, and cover then refer to ER.
What should the AT’s actual action be when referring an athlete to the hospital for an orbital injury?-ABC’s
-Neck
-Then they can sit up and you can evaluate.
Most orbital injuries something you would refer to ER?-Corneal abrasions can be sent to urgent care.
-Foreign body could go to an urgent care
-ER globe rupture, eyelid laceration, loss of vision
Ear injuries
Ear magnets
-Put on the outside ear to squeeze which can help prevent cauliflower ear.
How long do you have to drain cauliflower ear?-Hematoma is the beginning, cauliflower ear is when you don’t take care of it.
-As soon as possible when it is still fluid/squishy. Can be within the next couple of days.
The most common head injury seen is a concussion.
All five senses are on your head. Want to check all 5 in your assessment.
Contact UsJeremy Jackson – MrJeremyJackson on Twitter, SportsMedicineBroadcast on IG, FB
ATCorner Podcast
Ryan Collins
Joseph Eberhardt
Christina Fry
Bob Marley
These people LOVE Athletic Trainers and help support the podcast:Frio Hydration – Superior Hydration products.
Donate and get some swag (like Patreon but for the school)
HOIST – No matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Discussion topics:
-Team paramedic and coordinates emergency care for on field.
What are the classifications from paramedic to ECA, EMS, and Paramedic-ECA – first responder. Couple weeks class
-EMT basic – everyone starts off at. Full college semester
-EMT advanced – Intubate and start IVs, and cardiac meds. Can’t RSI or DSI
-Paramedic – nationally and state certification; Two-year program and learn advanced cardiology and pharmacology
Difference: Licensed paramedics will have an AA in paramedics or a bachelor’s in emergency medicine.
ATs are under the direction of a physician, how does that work with emergency medicine?-Work under a medical director. Medical directors must be licensed by the state. Emergency certified physician.
Roll of team physician on the sideline?-EAP’s
-Get together with all emergency response teams to see what everyone can do or should do.
-Communication
-EMS arrives, they take over control of the athlete and their protocols go into effect.
Equipment removal in in-service?-Discuss how far to go with equipment removal.
-CPR of football, don’t remove helmet/shoulder pads, just face mask. Open shoulder pads to do CPR and place AED pads.
Organizing the annual practice, how should the AT approach it?-Week before training camp starts.
-Coordination through their contact. EMS Chief or president of the company.
How long does the training last?-Depends on how much you want to cover.
-At least CPR, backboarding, trauma injury. 30 minutes each
-Debrief before and after.
How can we educate EMS on what ATs can do?-Invite EMS groups to your in-service to participate in the training process.
-Look at each other’s protocols.
-Get everyone’s education
How much are protocols changing year to year?-Generally, they don’t. Just based on technology and medical changes.
Differences between rigs?-BLS is a basic truck with 2 EMTs. Basic first aid/childbirth
-ALS truck for higher emergencies.
What does it look like after EMS has taken over care and on the way to the hospital?-After a report from AT, they do their own patient assessment.
-After assessment, determine the care plan. Get vitals and stabilize life events.
What is the most important information coming out of the report from an AT?-Short and sweet
-This is what happened, what I did, what I found.
Spine board or not to spine board?-Depends on the medical director’s protocol.
-Depends on the situation and if it will make the injury worse.
-For the team, it might depend on the spine doctor/team physician.
-Annual meeting to discuss spine boarding and log roll vs. 6-man lift.
Stories-Professional baseball game. Baserunner ran into the catcher. The collision was bad. Amazing that there was only a broken nose.
-Open femur fractures, concussions
Anything else to add?-Communication is the number one key.
-Reach out to local EMS agency
-Athlete/patient comes first.
-Find out each other’s capabilities.
Contact Brad: bwilson@hcec.com
Contact Us:
Jeremy Jackson
Shawn Ready – shawnreadyatc@gmail.com
Dr. Mark Knoblauch – maknobla@Central.UH.EDU
Dr. Layci Harrison – lharris5@Central.UH.EDU
Bob Marley – Bob.Marley@uth.tmc.edu
ATCornerPodcast – ATCornerds@gmail.com
Joseph Eberhardt – eberhardtj@pearlandisd.org
Christina Fry – fryc@pearlandisd.org
These people LOVE Athletic Trainers and help support the podcast:Frio Hydration – Superior Hydration products.
Donate and get some swag (like Patreon but for the school)
HOIST – No matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
How do you go about starting a relationship to find a team dentist?-A lot of AT’s have nobody.
-Find someone who is available to come after hours and loves it.
-Can cold call offices or Google search.
-looking for sports dentistry
-Ask other ATs if they know a dentist since the community is small.
What resources are available to the AT with dental emergencies, especially after hours?-Cell phone number of the dentist
-Tooth SOS app.
How do you know who to refer to for dental injuries?
-General dentist first, then general dentist can refer to the proper personnel.
Special consideration for athletes with braces?-If you have braces, ligaments are already loose and can put you at risk for trauma/injury.
-Mouth guard.
-Mouth guards specifically for braces. And because teeth move they might have to get mouth guards frequently.
-Custom has more compliance than boil and bite.
-Can get a custom mouthguard to go over Invisalign.
-See more soft tissue trauma
How have patients felt with mouth guard around braces?
-Tough sell because nobody wants to wear a mouthguard at that age.
What would you like the AT to do to help with the referral process?-Send pictures.
-Backstory is nice to know
-Timing
-Don’t need past dental records
Team dentist be utilized for PPE’s?
-Have the athletes come in groups.
-Visual exam
-Oral cancer screening
-cavities/wisdom teeth
-Get scans for mouthpieces.
-Able for the athletes to ask random questions
-Establish a dental home, especially for college students who move away from home.
-Dentist can give a card
Fun stories-Mowing lawn and trying to tie a string and it took the tooth.
The little girl had her silver cap come off and there was a Jolly Rancher glued to it.
-Kids are very resilient and heal a lot quicker than adults.
Action Item: What should an AT have in their bag?-gloves, gauze, light
-Guidelines on what to do when it happens.
Cheat Sheet-Cell phone number of the dentist,
– Tooth SOS app
– Save a tooth solution
– Spit in a cup
– Do not put the tooth in water
Contact Us:
Jeremy Jackson
Shawn Ready – shawnreadyatc@gmail.com
Dr. Mark Knoblauch – maknobla@Central.UH.EDU
Dr. Layci Harrison – lharris5@Central.UH.EDU
Bob Marley – Bob.Marley@uth.tmc.edu
ATCornerPodcast – ATCornerds@gmail.com
Joseph Eberhardt – eberhardtj@pearlandisd.org
Christina Fry – fryc@pearlandisd.org
These people LOVE Athletic Trainers and help support the podcast:Frio Hydration – Superior Hydration products.
Donate and get some swag (like Patreon but for the school)
HOIST – No matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Contact Us:
Jeremy Jackson
Shawn Ready – shawnreadyatc@gmail.com
Dr. Mark Knoblauch – maknobla@Central.UH.EDU
Dr. Layci Harrison – lharris5@Central.UH.EDU
Bob Marley – Bob.Marley@uth.tmc.edu
ATCornerPodcast – ATCornerds@gmail.com
Joseph Eberhardt – eberhardtj@pearlandisd.org
Christina Fry – fryc@pearlandisd.org
These people LOVE Athletic Trainers and help support the podcast:Frio Hydration – Superior Hydration products.
Donate and get some swag (like Patreon but for the school)
HOIST – No matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Work Right Northwest was the best fit for Jody during his current stage of life. He loves the industrial setting and the support the company offers for personal growth.
Jody, Start with your AT story.From Waco
Was not enjoying playing football and quit to become the student AT for softball.
Chris Hargrove was the AT that me under his wing
Graduated from Baylor as an AT working with some legendary ATs like Mike Simms
Jody moved to Lincoln Nebraska to get a master’s degree and work with their Track & Field teams.
2007-2009 did a fellowship with US Olympic and Paralympic Track and Field.
That led to internships with USA teams.
He has worked with a lot of providers throughout the US and learned different perspectives as well as made a lot of connections.
13-year Outreach Coordinator at BSW
2012 I began the GA partnership with Baylor and grew the program to about 16 schools.
How does WorkRight fit into that?Auto industry, shipping and delivery, food, manufacturing, and warehouses across the United States.
We focus on being proactive with industrial athletes.
These workers are at the same station doing the same repetitive motions for 8-10 hours per day.
We are limited to OSHA first aid guidelines.
There are plenty of at-home exercise options or opportunities.
Better posture.
Improved hydration.
Early symptom intervention – 15-minute eval on site.
Tell me a few storiesOften times the job is the first time the workers have benefits that include healthcare.
We provide a list of healthcare coverage professionals in the area and establish relationships with them to help facilitate care.
One line worker was having continued upper trap and cervical issues. After a few visits, he was able to work pain-free.
One of our ladies had posture issues and we were basically the only medical option for her.
I have thought about how I could change into the industrial setting. Walk me through the process.We work 4/10s with someone on duty 24/7
Mon-Friday. dependent on site
We do a lot of 3-day weekends.
Vacation time: can accrue up to 2 weeks of vacation time
Holidays: get a lot of major holidays off…but this is site-dependent too.
Manual therapy skills are important.
Taping and first aid skills are important.
Start learning the lingo.
Visit LearnRightNW.com and take the entry-level course.
How do you build connections with clients at Work Right NW?Listening
Seeing them at their job
What do I need to consider before making the move?
Making that big of a change will come with some hiccups.
Research the company
Know the details
Know their injury software
Learn the lingo
OSHA first aid principles
- One of my biggest deciding factors was their personal growth support.
Resourceshttps://WorkRightNW.com/
https://www.learnrightuniversity.com/
https://staffrightrecruiting.com/Contact Us:Jody Moore – Jody.Moore@workrightnw.com
C: 254-715-1727
Jeremy Jackson
These people LOVE Athletic Trainers and help support the podcast:Frio Hydration – Superior Hydration products.
Donate and get some swag (like Patreon but for the school)
HOIST – No matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Contact Us:
Jeremy Jackson
Shawn Ready – shawnreadyatc@gmail.com
Dr. Mark Knoblauch – maknobla@Central.UH.EDU
Dr. Layci Harrison – lharris5@Central.UH.EDU
Bob Marley – Bob.Marley@uth.tmc.edu
ATCornerPodcast – ATCornerds@gmail.com
Joseph Eberhardt – eberhardtj@pearlandisd.org
Christina Fry – fryc@pearlandisd.org
These people LOVE Athletic Trainers and help support the podcast:Frio Hydration – Superior Hydration products.
Donate and get some swag (like Patreon but for the school)
HOIST – No matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
RankOne data makes it easy to tell your story as an Athletic Trainer. If you collect it then you can pull everything you need with a few clicks. If you need help just call and they can guide you through.
What are some of the common things you RankOne sees from ATs?End-of-year audits
Newspapers seeking info
Easily filter through the data that has been entered
We take data security seriouslyData transfer is really important in security.
We work with a lot of partners to make the transfer of data as seamless as possible
We partner through our API to integrate those partners.
Do you have a complete online solution for forms?We put the medical history form online
We have included a physical upload form so parents can include a scan of the form.
There are definitely pros and cons for both.
Going Back to Data CollectionOther than concussion reporting integration what are you seeing?
Justifying the need for Athletic Trainers
- Reports show how many treatments and using the CPT codes can demonstrate value
The proof of your value is in the data.Until something bad happens the ATs value is usually glanced over.
It gives you a great way to look back and reflect.
Seen anything weird?We get calls requesting additions often.
So we add fields when it helps them collect that data.
We like to get a consensus before we make any big changes by checking with the Athletic Trainers.
Ease of use features with RankOne Data:Print Paperwork
Run Reports
Messaging within RankOneWe are creating a more robust messaging system that allows two-way communication.
It will message the email that the account was created with.
Any features you have cut?There have been quite a few changes that are in response to user feedback.
What are we doing to prevent the dreaded August 1st breakdown?We have set up some API boundaries for our partners.
Load-tested the servers.
Thanks, Bethpage Consulting for helping make the trip to SWATA 2023 possibleCheck out the Instagram Live video
Contact Us:
Jeremy Jackson
Shawn Ready – shawnreadyatc@gmail.com
Dr. Mark Knoblauch – maknobla@Central.UH.EDU
Dr. Layci Harrison – lharris5@Central.UH.EDU
Bob Marley – Bob.Marley@uth.tmc.edu
ATCornerPodcast – ATCornerds@gmail.com
Joseph Eberhardt – eberhardtj@pearlandisd.org
Christina Fry – fryc@pearlandisd.org
These people LOVE Athletic Trainers and help support the podcast:Frio Hydration – Superior Hydration products.
Donate and get some swag (like Patreon but for the school)
HOIST – No matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Kim Lowry and
Nutrition Myths are so close, so easy, so trendy…Kim Lowry discusses some of the Sports Nutrition myths with Ryan Collins at the Memorial Hermann Sports Medicine Update.
Protein2-2.2 grams of protein if they are trying to bulk up
Total calories are a common misconception
You can not bulk up Muscle but not add any fat…almost universally
Spread it out throughout the day
Nutrient TimingResearch is mixed – some say within an hour increases your muscle growth
You can ap into muscle synthesis about every 3-4 hours
High Protein snacks and mealsNuts
Low-fat cheese sticks
Greek yogurt
Deli turkey
P3 packets
Protein bars and shakes
Adding chicken to your pasta dish
RAMEN – You can add peanut butter
Or peanuts
I like to use the “Tasty App” and search for dorm room ramen for healthier options
Eggs are another good option
Creatine is BAD…Pretty much all of the nutrition myths have been disproven in all healthy usage of creatine.
Contact Us:
Jeremy Jackson
Shawn Ready – shawnreadyatc@gmail.com
Dr. Mark Knoblauch – maknobla@Central.UH.EDU
Dr. Layci Harrison – lharris5@Central.UH.EDU
Bob Marley – Bob.Marley@uth.tmc.edu
ATCornerPodcast – ATCornerds@gmail.com
Joseph Eberhardt – eberhardtj@pearlandisd.org
Christina Fry – fryc@pearlandisd.org
These people LOVE Athletic Trainers and help support the podcast:Frio Hydration – Superior Hydration products.
Donate and get some swag (like Patreon but for the school)
HOIST – No matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Sean Hwang discusses his first SWATA experience with Dr. DJ Gilliland.
Tell us your story, SeanKorean American
Went to UT Austin.
US Army field artillery officer for 3 years
Went to chiropractor undergrad for a semester
I had been doing something similar to AT with my amateur Korean soccer teams
I shadowed John Houston at the University of Houston Women’s Basketball
SWATA Student Track?I was not expecting to learn a lot because they made it out to be a fun hang-out.
Dr. Knoblauch’s lecture about balance
Being up to date on current trends
Cannabis lecture from Dr. Konin
Have you met anyone knew?I would love to…but I have not really.
Dr. Harrison: we will take you around and let you shake hands with everyone
Does UH pay for the students to go to SWATA?Nope they fundraise
Last year’s group did a great job fundraising.
The stickers and bracelets were a pretty big hit
How many students ended up coming from UH?There were about 20 students.
Our preceptors and partners jump on the opportunity to get the students here.
If you are passionate about learning new things then coming to SWATA is the place to be.
What has been the most unique thing you have learned so far?Cannabis is not THC. CBD can be used without it causing an impact on your THC test levels.
Suggestions from SeanI would like to see more nonathletic setting workshop courses here at SWATA.
Tory Trevino asks: what are you learning as professionals?DG: CBD talks
DG: Seeing people I have not seen in years
LH: Bre’Layshia’s talk included a personality trait test and have mock conversations with different personality types.
Contact Us@s.noogi__ on Instagram
@drgililland on Twitter (X)
@layciJ on Twitter (X)
Jeremy Jackson
Michael MacPherson – michael@sujibfr.com
Lisette Guerrero
These people LOVE Athletic Trainers and help support the podcast:Frio Hydration – Superior Hydration products.
Donate and get some swag (like Patreon but for the school)
HOIST – No matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Foster Care is not easy. Neither is Athletic Training. Travis Turner is trying to grow his family through foster care/adoption.
Jeremy Jackson
Michael MacPherson – michael@sujibfr.com
Lisette Guerrero
These people LOVE Athletic Trainers and help support the podcast:Frio Hydration – Superior Hydration products.
Donate and get some swag (like Patreon but for the school)
HOIST – No matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Storytime with buzz is just that, fun stories from an old school Athletic Trainer still practicing. Thanks, Bethpage Consulting for helping to get the SMB out to SWATA 2023 in Arlington.
I have been attending SWATA for about 38 years
I broke my collarbone playing football and then became the team manager. Sam Aguilara came to teach the coaches about Athletic Training products. I knew I could do the stuff he was showing the coaches.
The next thing I knew they were sending me to AT clinics at colleges.
I have met a lot of great people during my career as an Athletic Trainer
Joel Kregerberg was the assistant AT for the Oilers while I was an intern. I got to tape Earl Cambell. He greatly deflated my ego when he told me it was the worst tape job he ever had.
Give me some more storytimeHouston Rodeo got me started with Justin Sports Medicine and Truman Spoon Sports Medicine
Did you get autographs?Not really, I was always around the people and did not consider it.
Where was your first job as an AT?Seminole High School is about an hour from Lubbock.
I moved to Macaney with the head coach
Then the Houston Oilers called and I moved to Houston
Take us back to Seminole HSI taught driver’s ed in the morning.
It is a small school with a small AT Facility
We were really good at basketball and gymnastics
I taught a job at the Air Force base with firemen and nurses
Who are some of the mentees that have impacted you?Valerie Tinklepaugh-Hairston – with her impact on college sports and SWATA
David Traylor – SWATA Hall of Honor
Southlake Carroll High School is being run by two of my former ATs
TSATA Hall of HonorThis award brings a smile to my face every time I think about it.
What did you dream about being as a kid?My dad was a pharmacist
My brother was a pharmacist and MD
I thought about following them
Storytime – What sticks out the most?A Houston Oiler went down and was basically numb from the neck down
We backboarded him
That was his last game to ever play.
He was a good friend of mine.
My wallet and everything I needed were in my bag that the equipment managers packed up since I went to the hospital with him. We almost got stranded in Kansas City.
MarkChisum@alertservices.com
Contact us:Jeremy Jackson
Michael MacPherson – michael@sujibfr.com
Lisette Guerrero
These people LOVE Athletic Trainers and help support the podcast:Frio Hydration – Superior Hydration products.
Donate and get some swag (like Patreon but for the school)
HOIST – No matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Preparedness to throw is a whole new process of injury prevention. Chris Gallina joins Ryan Collins live at the Sports Medicine Update 2023
What are we looking for as parentsVolume
Radar gunsBAD in Youth Athletes
Rest for throwing Athletes
We usually suggest no athlete should be pitching for more than 7 months
Maybe pitch for 2 seasons then focus on fielding and hitting
Pitchers should not play pitcher and catcher as well
Breaking ballsJames Andrews – you should not throw a curve ball until you can shave
Mechanics is key during the pitch
Fastball and changeup are very effective for youth athletes
What are the signs and symptoms to look forMedial elbow pain is number one
The posterior cuff is sore on the Youth Athlete after almost every pitching outing
When do we shut them down?Flex
Rotation
Cross body abduction
External Rotation GainIs it GIRD or adaptation?
Mr. Burns Posture (The Simpsons)
Soft tissuePec Minor
Deep Neck Flexors
Jeremy Jackson
Michael MacPherson – michael@sujibfr.com
Lisette Guerrero
These people LOVE Athletic Trainers and help support the podcast:Frio Hydration – Superior Hydration products.
Donate and get some swag (like Patreon but for the school)
HOIST – No matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Career Advancement brought Bre’Layshia Alexander from working intermediate athletics to her current role with Baylor Scott and White. She discussed this all with Joseph Eberhardt live at SWATA 2023.
Sponsored by San Antonio Sports Medicine
What are the goals of the Career Advancement Committee?
- Chaired by Bre’Layshia
- Split from the young professional committee
- 7-12 years in the profession
- Everyone on our committee presented at SWATA 23
The Career Advancement Committee also hosts a scavenger hunt for prizes to increase engagement.
Student workshop highlights:
- Resume workshop
- Career Advancement talks
- Tools on how to advance your pay or benefits
- Life Balance options
How do we contact the Career Advancement group?
- @D6_YP_CAC
- @Swata-YPC
- Email: brelayshia.alexander@bswhealth.org
- Facebook Bre’Layshia
- @atc_mojo2015
Where did you get into AT?
- I was a cheerleader in high school and band in high school. After not making the team I searched for a way to be on the sidelines.
- I became a student aide for 1.5 years in high school
- Graduated from Texas State and got a job in Temple.
- After 3 years as a middle school AT I knew I had to move on
- SportsCareAT
- Now a physician liaison with BSW
What is your role with TSATA?
- Recently passed legislation that opens up jobs and expands the scope of an ATs practice.
Jeremy Jackson
Michael MacPherson – michael@sujibfr.com
Lisette Guerrero
Bre’Layshia Alexander
Joseph Eberhardt
These people LOVE Athletic Trainers and help support the podcast:Frio Hydration – Superior Hydration products.
Donate and get some swag (like Patreon but for the school)
HOIST – No matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Concussion technology has come a long way in helping us understand and manage concussions. Dr. Summer Ott discusses some of the options available and who they best fit.
What is a digital assessment?* Started in the ’90s, * Professional teams * Not meant to replace traditional assessments * A combination of tests is still being used
Pros:
- Efficient
- Easy access and use of mobile devices
- Allow tracking
- Remote testing
Cons:
- What/which app is reliable
- Who is using/trained to use
- Environment
Considerations when deciding on a digital tool* Budget * Feasibility * Is it comprehensive
Age range ConsiderationsComparison / Contrast different tests available
- Example: Impact, Axon, ANAM
- 20 min to complete
- Test Cognitive Skills and symptom
- Ex. C3 Logic, Sway, King Devick
- Used with Handheld devices
- Quicker to complete 10-15 min
- Offer Alternative stimuli
- Important to look at “What is the cost?”
- Does the cost correlate to the effectiveness
What tools and how many are practitioners using in assessing Concussions
How do you pick a digital tool? / What is the right choice?
What is VOMS?Looking at: eye movements, eye tracking, convergence, and rating symptoms while performing assessments
Symptom Checklist-
Can be broken down into clusters: Physical, Emotional, Sleep, Cognitive,
Case Management example:
Natasha Law
- The Law and UIL sports vs Club sports on concussion
Considerations for Special populations (504, at-risk)
- The Law and Academic Accommodations/Recommendations
- Reach out to @ATC_mojo for PDF of Academic Recommendations
Contact UsJeremy Jackson – MrJeremyJackson on Twitter, SportsMedicineBroadcast on IG, FB
ATCorner Podcast
Ryan Collins
Joseph Eberhardt
Christina Fry
Bob Marley
These people LOVE Athletic Trainers and help support the podcast:Frio Hydration – Superior Hydration products.
Donate and get some swag (like Patreon but for the school)
HOIST – No matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Hot Springs Arkansas is the place to be in July 2024. Keith Shireman and the Arkansas Athletic Trainers Association will host SWATA outside of Texas for the first time in years.
SWATA is the largest attended district meeting.Next year Keith and the team in Arkansas hope to make SWATA 2024 the newest record holder for SWATA attendance.
Why come to Hot Springs?It is a family-friendly place.
Three lakes
Hot Springs
Lots of hiking and biking trails
I love coming to SWATA because:Interacting with Texas folks.
Friendships
Great topics
Fun entertainment
What else about SWATA in 2024:There will be plenty of places to eat
Bath Houses
National Park
Contact Heidi for the local scoop
Contact Keith Shireman on Twitter – @KeithMxATC
Jeremy Jackson
Michael MacPherson – michael@sujibfr.com
Lisette Guerrero
These people LOVE Athletic Trainers and help support the podcast:Frio Hydration – Superior Hydration products.
Donate and get some swag (like Patreon but for the school)
HOIST – No matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Eddie Smith shares how the state powerhouse Katy Tigers are reducing the fear of hamstring injuries during rehab for their athletes.
There have been 6000 papers published about hamstring injuries
The research is all over the place.
The only real consensus is Nordic hamstring curls
We start with NSAIDs
The next day we start with movement
COMPEX
Ankle movement
Heel slides
As soon as they can walk pain-free we get them back on the field
We use short lever arm exercises
We use Catapult for GPS data and can help know when our players are working within a safe range.
If it is a larger injury, how do you talk them through the mental aspect?Know your athlete
Communicate with all of the stakeholders
Athlete
Coach
Mom and dad
0-80% is easy, but 80-100% is the really hard part.
Educate them on some of the options: PRP, Cryo, …anything that will help them feel better.
Mentally they are prepared, physically they are not.
How do we reduce the recurrence of injury?The first two weeks are most commonly the time frame for reinjury
Repeat the exposure incident over and over again.
I like to have them sprint over and over again.
How do we recreate sprinting for the kids that can not?We want to train on the speed-strength continuum as much as possible
Gymaware is the bar speed program we use.
Nordic Hamstring curl
- Highest-rated prevention exercise
- Activates the highest quantity of muscle fibers
How can we implement “reducing the fear” into off-season or pre-season programming?Implement the eccentric
Are there any hamstring quad deficits
Contact UsJeremy Jackson – MrJeremyJackson on Twitter, SportsMedicineBroadcast on IG, FB
ATCorner Podcast
Ryan Collins
Joseph Eberhardt
Christina Fry
Bob Marley
These people LOVE Athletic Trainers and help support the podcast:Frio Hydration – Superior Hydration products.
Donate and get some swag (like Patreon but for the school)
HOIST – No matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
QCollar seems like just another gimmick…but this could really be a life-changing tool. Dr. David Smith, inventor of the Q-Collar joins me to discuss the story, how it works, and his book When Heads Come Together.
Where did the idea for the Q-Collar start?Dr. Dave was presenting at the Army Research Lab in 2008 where they threw down the gauntlet complaining that clever people should “figure out Traumatic Brain Injury.”
I was working on wound care.
When presented with the woodpecker I immersed myself in the anatomy and physiology of cavity animals.
During a yawn, you are occluding your jugular.
When getting FDA clearance, what were some of the harder questions you had to answer?42 patents
We are the only FDA-approved TBI prevention device.
Is there any concern with extended use, like several hours at a time?FDA recommends 4 hours.
We lay down to sleep for 8 hours at a time and occlude our jugulars.
When Heads Come Together – this is a more detailed story about your journey to “solve” TBI…discuss the book.Julian Bailes listened to me and encouraged me
Discuss the rebreather and how you can reverse TBI.We looked at how a giraffe breathes
In the first 10 minutes after a concussive event, there is a critical issue
We partnered with Dr. Jedd Hardings at Cinncinatti
Spreading depolarization
I told him CO2 was the trigger for the depolarization
They raised the CO2 levels of a legally brain-dead patient in a coma. The family agreed to try this and 4 hours later he awoke from his coma.
Jeremy Jackson
Michael MacPherson – michael@sujibfr.com
Lisette Guerrero
These people LOVE Athletic Trainers and help support the podcast:Frio Hydration – Superior Hydration products.
Donate and get some swag (like Patreon but for the school)
HOIST – No matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Youth Sports Safety is Jim Mackies passion project. With over 50 years working as an AT, he can sit back and turn the profession over to the younger crowd, but instead, he continues to give time and effort to help improve healthcare for all athletes
Mr. Mackie have you ever had to perform CPR?Had a coach drop dead on the goal line after a game.
As I am headed that way I see the firetruck pulling out, and this was before we AEDs readily available.
Jim, What is happening in Youth Sports Safety?Florida is # 1 in sport safety but much to be done. Laws re Concussion, CWI, AED, EAP, etc. but much education and compliance are needed.
There are a lot of causes or task forces, why did you choose Youth Sports Safety?Obviously, there was a big void legislatively & in the knowledge base. Allows me to put many years of experience back into the community to advocate and educate.
Where is it headed?Progress is being made but we have to see more implementation of best practices done consistently. With many schools without an AT there requires more district education, especially in our rural communities.
What roadblocks are we seeing?Resistance and slow to change the culture, especially in youth leagues. Many are volunteer-driven and they rely on what their personal experience was and not best practices as well as the effort it takes to implement.
We have discussed social media a lot recently, what role does it play in Youth Sports Safety?Podcasts can help to educate and influence the public. They see a lot of situations that happen and yet are dismissed or diminished in a 24-hour news cycle.
Youth Sports Safety Podcast – tell me about that.Started in 2021
We have been opportunistic and gotten some really high-profile doctors and Athletic Trainers.
Call to action: Take the time to educate kids, parents, and coaches on the best practices. Raise the expectations of those you entrust your child to at their sports venue. Take the steps to create a venue-specific EAP, learn CPR, have AEDs accessible everywhere, and connect with an AT.
Jeremy Jackson
Michael MacPherson – michael@sujibfr.com
Lisette Guerrero
Jim Mackie – jdmackie@comcast.net
JAXSMP.com
ATSJAX.com
These people LOVE Athletic Trainers and help support the podcast:Frio Hydration – Superior Hydration products.
Donate and get some swag (like Patreon but for the school)
HOIST – No matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Tyler Knight shares some Soccer Specific Return To Play or RTP tips and tricks. With nearly a decade of soccer experience, he has seen a lot of growth in sport-specific rehab plans.
What is the least soccer specific rehab exercise you have seen?
Almost everything we do…discuss the importance of understanding the ‘why’ of what we do, as well as never forgetting components of movement.
Isometrics because the patient can’t perform much more
Eccentrics once able
Stretch-shortening cycle
Unloaded → supported → unsupported
“Train movement not muscles”
What do we need to consider in on-field RTP?
In order to get to the field, you have to get out of the Athletic Training room first.
Treat the person, not the athlete or the injury (reference all that people have going on in their lives). Ron Corson-ism
Good communication, setting expectations, and appropriate planning are MUSTs.
Individualization (based on person, position, and injury)
Consider our two biggest protective capacities and build upon those early: strength and endurance
Programming based upon working zones (importance of ESD)
Quantifying internal vs. external load
To do that, we have a few basic rules at Charlotte FC:
-
Create a safe environment.
-
Don’t hurt the person.
-
Be aggressive without breaking rules 1 and 2.
KPIs to provide direction and accountability to the process
Additional principles of rehab to accelerate and enhance what we do on the field:
Move early, move often.
Highlight BFR and isometrics.
Don’t mess it up.
Consider tissue healing times.
Periodize manual therapies, incorporate things the person believes in
Break down the phases of healing (acute, subacute, remodeling), as well as the places of healing: table, Athletic Training room, gym, field, and everything in between.
Create time for mental or psychological recovery
KPIs
Mobility
Stability
Function
Power
On-Field
Consider position, individual needs, team tactics, and demands of the sport…and MAKE IT FUN
Players have the ball only 3% of the time, a good reason to emphasize the incorporation of the ball and fitness/drill exercises that place focus on getting into the right spaces
In 2019/2020 EPL season, the highest average number of passes per game was 688 (Man City; approx 62. per player) and the least was Burnley at 333 (approx. 30 per player).
Paul Bradley research
Consider control - chaos continuum
Reverse engineer and use the prospective loading document
When we have elevated AC ratios, did the majority of that come from a more controlled environment or chaotic environment
By using fatigue, you can increase chaos (for those athletes limited in what they can perform)
How are you going to account for one of the most unique facts of the game: limited substitutions and, potentially like many other sports, the pace of the game is only increasing
Actual loading
Link load with the context of how it happens in a session/match
TD, HSR, sprint, ACC/DEC, HMLD or explosive efforts
Intensive vs. extensive days (can you match what the player is doing with you to what the team is doing; team schedule, RPExduration)
Density of high intensity actions (repeated sprint ability and repeated high intensity efforts in 1, 3, and 5 min blocks)
In the secondary setting, we may not be out on the field for practice. How can we help coordinate RTPs?
“It takes a village.” Educate, incorporate, and empower those around you. If we all understand the why, we will know how to do it, and what we need to use to get there. Trust is a major factor here.
Create a PowerPoint document, have illustrations, don’t be afraid to do the math ahead of time, use a stopwatch.
Let's talk through a RTP plan you use and why:
The war is won and lost in the mind
Briefly recap where we are and where we’re going
What can we do to prepare, potentiate, desensitize,
MOBO is a single myofascial release tool designed and created by Dr. Christie Powell. Her inventor story is different than the ones we have heard previously.
MOBO is only offered in blue…why blue?
I have scaled back the company and product offering
We got a huge verbal order before COVID that wanted blue.
Happy accident since we had to order 10,000 units
How did you get started?
As a smaller person performing myofascial release on large D1 athletes.
I kept having to McGyver things together to teach the patients how to do the work at home.
At a huge CrossFit event, the contestants all had 10+ devices and that was a huge inspiration.
I wanted one device that could replace most of those.
I reached out to an engineering friend and we worked together.
You mentioned getting funding for MOBO…can you share?
It is so complicated, I am a PT and I just want something for my patients.
We had to create CAD drawings
Film videos
Pay someone to listen to your idea
The very first prototype was $1000 to produce.
We connected with a producer that worked out in our gym and he was our first funder.
$10,000 seemed like so much but that went through really quickly
He hooked us up with the filming studio.
We launched a Kickstarter to produce about 1000 units.
All my friends were product models and my gym was always the setting for photo shoots.
We did a “Meet and Greet” and the people donated about $20,000 which allowed us to make our first order.
We had trouble sourcing the materials in the US so we had a big process of finding the materials that were responsible.
We got another couple hundred thousand dollars from customers. This was a personal loan-type investment.
I had to bring on some business partners and there was much more stress.
So much time lapsed between a problem and a solution because they were being made overseas.
The last round of funding happened right at COVID. We had put in all the work and fine-tuned the process.
We took away all of the moving parts to limit the possible breakages.
We simplified the tool, but of course, that costs money and time.
We got 1.5 million dollars from one investor and that was in January 2020…right before COVID.
We now have to spend all this time filming and creating a website and an online shop.
Discuss the MOBO licensing deal
I felt like I was letting my baby leave the house.
Our deal was with DICK’S Sporting Goods.
We actually shared their manufacturing facility and they felt our tool would help them reach the adventure sports crowd.
We had to negotiate so many things to produce the product cheaper.
We knew there were certain areas we could not compromise on certain components.
What would you do differently if you were starting over?
Everything got me to where I am now with the product and company.
I could not have done this by myself. Surrounding myself with the best possible fit and people that have the same values.
I allowed anyone who showed interest to help instead of vetting them and picking the “right” person
What do you see going forward?
I am going to lots of places to do a demo for a running group and a yoga studio.
I am excited we are expanding and blowing up.
Previous Episodes with Elysia
AT Inventors Round 1
Establishing a Business and Testing
Logistics and Production
Tokis Story
Elysia Tsai - https://www.si-boards.com/aboutus.asp
Dr. Christie Powell - http://www.cp-pt.com/our-crew-5
Alex Bray is a young professional that grew up with social media and smartphones. She uses it to make an impact in her sports medicine practice.
Why do you use social media for sports medicine?
Started in grad school as a way to network, turned into a way to advocate for our profession & athletes, share things I struggle with as an AT to help others, and learn from other ATs in areas that I’m weaker in.
What have you taken from Social Media?
It can be helpful or hurtful. I’ve created some friendships because of it, but I also see toxic, negative things in the AT Social Media world every day. I tend to scroll past those & ignore them as best I can.
How has it helped?
I’ve learned things to help my athletes (@ Zach’s incredible shin splint program, patellar tendon treatments, etc), learned about jobs, and gotten involved more in my state association because of it.
Has it been harmful or negative for you at all?
The most “harmful” thing for me is more of my personal anxiety struggles. I feel like I’m a part of the first generation that ever grew up with social media and playing competitive sports we always hear “Everyone is watching what you post,” so I tend to overthink if my content is portraying what I want to, or if someone will take it out of context. When I start to overthink things and feel like my mental health is struggling, I usually delete the apps for a while.
How do you manage Twitter?
I try to go by the rule I grew up with using social media: Don’t post anything you wouldn’t want your grandma to see! There are certain hot takes that I avoid sharing opinions on. I also tend to ignore any of the toxic, negative comments/accounts.
Which platforms do you use and why?
Twitter - a huge opportunity to network with other ATs, learn from other ATs, and also share things with parents/athletes that they may not learn otherwise.
Facebook - From an AT perspective, mainly to connect with my athletes’ parents/encourage other parents to understand what ATs do for their kids. For example, I had the opportunity to go to the state capitol this year, so of course I’m going to share that and make sure parents see ATs do so much more than stand on the sidelines!
TikTok- I use TikTok in waves. I’ll download it, post some content, and then get anxious with it (afraid something is taken out of context for example) and delete it for a while. I try to take “social media breaks” anytime I start to feel like they’re affecting my mental health.
What has your HR or legal department given you for guidelines?
Probably more than I can remember. Honestly, living by the “don’t post anything you don’t want your grandma to see” is my general guideline for social media use. I definitely have certain opinions that are different than Select Physical Therapy, but I try to disclose that my opinions are my own, not the company I work for.
What connections have you made through social media?
Friendships/relationships more than anything!
Call to action:
Use social media to share positive things about the profession / where it’s going / what we do. Feeding into the toxic negativity spiral doesn’t help anyone! Use that same energy to reach out to people who can make a difference at the state and national levels!
Alex Bray - @AlexBrayATC on Twitter
Andrea Kovalsky uses Twitter a lot as an Athletic Trainer.
Why do you use social media for sports medicine?
I was professionally socialized by Boomer ATs, so I’m a bit old school. But working on a relatively nontraditional DAT, I’ve learned that we have to embrace change and make it work for us before we get left behind. If social media is how future generations consume information and interact with the world, then it has to be a part of how we advocate and move the profession forward. Otherwise, we’re losing out on engaging with a huge audience.
There is just so much information out there, it’s impossible to read & digest everything coming out of sports medicine today. I like the short snippets that social media provides so that I can decide whether I want to read the whole article/study later
Journal subscriptions are expensive! I’m completing a DAT at FIU right now, but I joke that I’m only there for access to the university’s library databases (PS: If we want preceptors to encourage clinical students to practice EBP, we must give preceptors access to the university library databases as a form of payment for the work they do!)
What have you taken from Social Media?
Like the disclosure slide that no one pays attention to in CEU presentations: my opinions may not be those of my employer, and use this information with caution!
Take everything with a grain of salt: Who is the speaker? What’s their background? What’s their motivation for posting this? Are they blowing off steam, subtweeting someone, or looking for genuine engagement? If they are looking to engage, are they open to learning, or will any discourse make them dig in further? Know when to disengage.
We have such a diverse community on #ATtwitter. There are a lot of positives as well as some challenges. It’s also helpful to bring those connections to the real world, though. The life we present online is often much rosier than real life, but real life is where things get done. Advocating on social media and living it are two different things. I try to be the same person online as off.
How has it helped?
Probably wouldn’t have survived lockdown without finding AT friends online
Learning new clinical techniques, hearing about research before it’s published
Another avenue to get questions answered & reach people in power
Got our new practice act language passed!
Helps me survive as a solo AT: venting, troubleshooting, connecting with others who get my jokes
Has it been harmful or negative for you at all?
There will always be trolls and misinterpretation of context, which is how messages get blown out of proportion
Probably mildly addicted, but who isn’t? (It’s also kinda my job to be on socials, so I use that excuse)
How do you manage Twitter?
Tweetdeck is a lifesaver, but there are dozens of paid and free social media managing apps out there
Add relevant images as much as possible, it boosts your visibility
Use a link-shortener like bit.ly when you reach a character limit
Don’t just post a link to other content, post a quote or short explanation
Ask a question, and state something poignant if you want people to engage
Best engagements happen when you post in the morning
My NATM is often not the theme: 2022 was #ATgratitude, and 2023 was #auscultATe. IATA’s 2022 was #FlatAT (had so much fun with that!)
I do use ATCAnonymous, but only when I need to reach a wider audience than what I have, with a legitimate question. Not a fan of anonymous accounts. Why? Listen to Kutz & Konin’s Leadercast episode 15: Anonymity & leadership
Socrates said: “Is it true? Is it kind? Is it necessary?” There’s enough shit in the world. Be kind.
Eleanor Roosevelt said: “Great minds discuss ideas; average minds discuss events; small minds discuss people.”
Which platforms do you use and why?
Fewer and fewer nowadays! The real world is too busy (FT job, FT doctoral student,
TikTok always ended up showing me stuff I did not want to see, so I deleted the app. Meanwhile, KP, AKA Kyle Parkison, is amassing quite a following and positively impacting the world using TikTok.
Why do you use social media for sports medicine?
Started it for fun and advocacy
A lot of students and people did not know All of the things we do as Athletic Trainers.
TikTok has a lot more random followers
TikTok would be the only one if I had to choose.
Those videos are about ten seconds to a minute long.
A lot of people know and follow me…
It is kinda weird
I am outgoing but people outside of my circle following and recognizing me was just weird.
What have you taken from Social Media
I have been using it for about 6 years.
I have taken a lot of ideas from others
How has it helped?
Free stuff for the kids
Advocacy
Has it been harmful or negative for you at all?
My wife and I have had a few conversations about it, but she actually is pretty helpful in making videos.
How do you manage a video per day?
Some are 1.5 hours
Some are 30 seconds
Some are 6 seconds
I keep the app open while recording the long videos and just lock the phone until it is time to record again.
Which platforms do you use and why?
I use:
IG
TikTok
YouTube shorts
TikTok is easily my favorite
What has your HR or legal department given you for guidelines?
Our admin team was 100% supportive
None of them really knew what is going to happen
Make sure you ask and keep open communication.
I ask parents before posting ones with student-athletes
What connections have you made through social media?
Several brands have sent me things or given me discounts for making videos.
Lots of student-athletes in the surrounding area have connected with me.
KP - Kyle Parkison
Twitter: https://twitter.com/MonroeCentralAT
IG: https://www.instagram.com/monroecentralat/
TikTok: @MonroeCentralAT
Growth Plate Injuries are hard to identify unless you know what to look for. Dr. Lindsay Crawford specializes in Pediatric Orthopedics and shares some of her wisdom with the Sports Medicine Broadcast.
The location of the pain is an indicator
Is it at the joint itself or on the bone adjacent?
Dr. Crawford likes to have xrays before doing a lot of special tests on athletes with swelling
How can they verbalize?
Take your time
Look all around
Break it down and say words they understand
Use your normal system for evaluating
Give them a distraction - maybe close their eyes
I try to not clue them into what I am looking at.
Little league elbow - what tips do you have?
Year-round baseball is huge in the southern states where you can play all year long.
You need to have a feel for the parents and kid and know if you can say rest or not throw anything at all other than in a life-threatening situation.
Return to throwing instructions are complex and have a lot of steps.
After they begin their program require them to come back into the clinic to re-evaluate
Speak to the Mental Health of the kids that get shut down.
Know what the patient's goal is, and form a plan that works and they can follow.
Do we have an end point or goal
The curveball and growth plate injuries?
If there was no pain, and then they started throwing the curve ball and pain started, we need to cut out the curve.
If you have mysterious knee pain then check the hip.
Growing pains are real
Some kids have growing pains
3-6-year-olds, typically have pain in their calf or knee
They can not relate it to any activity
@UTPedsOrtho on TikTok and Instagram
Contact Us:
Mental Health Coordination is preparation for when a mental health crisis occurs. Amanda Groller and Bubba Wilson discuss things available to Athletic Trainers when they need help.
ATsCare - Professionals responding to professionals
2016 is when it became official
How did it start -
A perfect storm of events.
Jim Thornton had been trained in CISM as an EMT and reached out to him after a wrestler died.
This sparked some conversations and got the train moving.
Many people separate mental health and physical health, but really it is just health.
This statement could help destigmatize mental health
It only makes sense for ATs to have their own CISM tools
Military people want to hear from people in the military, someone who knows their situation.
Having conversations about CISM teams is really important. It gets the ball rolling and allows us to call in support to continue to do the job that we do.
Self-care is emptying your bucket and escaping for a minute.
Compassion fatigue is a problem.
You need to debrief the debriefer
Dr. Jessica Yellen went through a Trauma Informed Yoga Course. This course was meant for the caregivers to release their burdens.
What techniques can you share?
We use this approach:
"What has happened to you?" rather than "What is wrong with you?"
Psychological first aid
Suicide prevention training - get them to the next step alive
Stay within your scope, but know the resources available.
Help simplify the process for the ones struggling. REMOVE THE RED TAPE
QPR training is a good option
Know when to refer
“When you do not know what you do not know you become dangerous” - Dr. Josh Yellen
We are mandatory reporters, but we also have a duty to report people who are struggling.
You are not going to get in trouble for calling 911, you are going to get in trouble for NOT calling.
Build relationships before so that the resources are available.
How do we help people start to process?
My crisis is not your crisis
I can not force you to take the help
Education is one of the best things we can do.
If you did not need help then there would not be available.
Driving Healthy helps us lead by example, and take advantage of time off. Shawn gave me lots of tips before we took our 3800-mile 4-week road trip across the country.
Longest road trip: well over 1000 miles
Average Road trip: some days working outreach I might drive 350 in a day
Eating Healthy -
nutrition is huge
Know your body’s needs and what causes problems.
I stay with simple things that I can extend throughout the day.
Meat cheese and nuts work great for me.
Drink things that help you hydrate and feel better
Stop and do your lunch break and bring a game, frisbee, or soccer ball.
Pee breaks also help to get you up and moving
Bring a cooler of healthy snacks and food with you.
Staying fit -
Donnie Thompson bowtie for postural correction
Keep exercises - band pull-a-parts
Doing the old rocky routine with the lat pulldown machine in the truck
Use a lacrosse ball in a tube sock for mobility
Lifting heavy before starting a long drive gave me soreness that encouraged me to move.
Mile markers: I would see a mile marker and think for this mile I am going to focus on getting a really good core contraction.
Then I would squeeze the butt for the next mile.
Staying Awake -
Get up and move
Changing what I listen to helps me.
Contact Us:
Collagen is everywhere right now. It is in coffee and everything, but we need to be more strategic in our implementation. Meredith Sorenson Joins Dr. Yellen to discuss how we can should and should not be using it.
Where is the evidence?
It can help increase the collagen in structures and joints in the body.
A lot of athletes are using it as a preventative measure which is where the most evidence is.
We want to make sure that we are loading the tissue when we are consuming the collagen.
Is it safe?
NSF certification means you get what it says and there are no banned substances.
VitalProteins, SIS, Klean Athlete, Live Momentus
Or you could go to the grocery store and grab some Jello…well gelatin
Glucosamine and joint and bone health.
Collagen is probably the better option.
Bad information is really easy to come by.
Pain Patterns
The studies were measuring subjective pain
Are there biomarkers?
P1NP is a direct biomarker
Dosage of Collagen
15 mg Dosage is probably the minimum
It is a pretty low-risk supplement.
Most of the indicators are in research…we are not going to remove someone's tendon to measure the collagen.
Why would I recommend it?
They have the resources to purchase it
The athlete is actively working in rehab
They are struggling to get enough protein in as is.
More of a need for explosive movements
Possibly more for females to encourage tendon and ligament strength
Contact Us:
Meredith Sorenson - @MeredithDarcyRD
Dr. John Gallucci discusses Five Things that Athletic Trainers can do as clinicians to help prevent injury.
John, what is your Athletic Trainer story? Wrestler and baseball player in high school
A local PT company had an outreach AT
His family owned a supply company that connected him with PTs.
Through high school and college, he had several great interactions with ATs that lead him down that path to becoming an AT.
Five things we are doing wrong that could cause injury:Providing self-care* We understand biomechanics and how the body works. * Use proper biomechanics * Appropriate nutrition
I learned this lesson about 15 years ago when I was feeling unhealthy. I was not fit enough to get across the field and do CPR.
I could not run to get the AED if needed.
We are givers but sometimes we as Athletic Trainers need to TAKE a little.
We never get enough sleep* This causes soft tissue injuries and cramping
Biomechanics* PNF patterns cause the clinician not to use the legs and strength of the chain * Put yourself in a de-risk situation * Outpatient is the PT of choice * 8-12 patient loads – consider the height of the table and use proper leverage and bracing
When I was day to day with redbull as their AT, I got there early to stretch and run to be ready for the day.
Are you ready for the demands of the day?
The Industrial ATs are teaching the workers how to be ready for the job. Take some of that and internalize it.
Stress Causes Harm* Think about your responsibility each day * Think bout the communication chains between medical professionals * Make sure the EAPs are clear, written, communicated, and practiced * We have to make decisions as healthcare professionals that can impact the lively hood of the patient * Vent or decompress in a safe place – internalizing the stress is a big problem.
Proper lifting techniques* Lifting techniques are important for high shelves * Use the tools to provide the best mechanical advantage * Do lifting drills as a team * Practice lifting technique
Time with the RedBulls:
In the 90s I had the opportunity to work with the local team that only had one AT / medical professional
Spent 7 years working in the professional soccer realm.
Became the player care coordinator
I currently help the MLS ID good AT candidates
Medical coordinator
I have been lucky to see the league evolve from 10-12 teams up to 31 teams in the next few years.
Santa Monica PEP program
Ruben Echenmendia – concussion expert
Back to Ryan Stevens and being a team leader:
Communication is key
- Be part of the voice when we are building the processes and policies.
- Reflection – how have you behaved, learned, and affected situations?
Contact us:Jeremy Jackson
Dr. John Gallucci – info@jagonept.com
These people LOVE ATs and help the SMB pay the bills:Frio Hydration – Superior Hydration products.
MioTech – meeting all of your sports medicine supply needs
PhysicalTherapy.com – use promo code “1FREECOURSE” to start for free
Donate and get some swag (like Patreon but for the school)
DragonflyMax – one-stop EMR
HOIST – no matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
5 words to describe FOObag:Innovative
Necessity
Driven
Family
Committed
FOO – I have ten siblings and we were the jocks in the neighborhood
We were nicknamed the egg rolls
Where did the idea start?Hofstra University where I met my wife
We were founders of the student AT organization
Summer intern with the New York Jets
I have worked at each level of sports
Got my masters from Hofstra in 2003
Stepped down as the coach/AT to follow my daughter’s college sports careers
I passed the stadium on a rainy day where I always kept my gear on the back of the cart
The coach borrowed the cart to move gear but did not keep my kit out of the weather, it soaked everything in my medkit.
At that moment I knew I needed a solution
I spent about a year or two looking at all the kits to design and create the bag to fit my needs and the other ones on the market.
I wanted to find a local manufacturer so I could make trips there as needed.
The manufacturer showed him a bag they use when onboarding inmates at the penitentiaries
After a few weeks, we had a prototype. Then we tweaked it several times.
And then adjusted the sizes.
We have grown with feedback.
What “version” of the FOObag are you on now?We now have the 2.0.
Who was your first sale to?Marissa, a local AT here on Long Island and a long-time friend.
Your biggest haters?I do not remember anyone giving me a hard time or telling me that it wouldn’t work
Other ATs were a little “jealous” of me thinking of it first.
If you were to start over what would you have done differently?I would have learned more about social media and online marketing and online sales.
I would like to have switched and delved into other markets earlier.
Contact UsCraig – craigatc14@aol.com
Foobag – @FooBagFoo
Jeremy – @MrJeremyJackson
Connecting PTs and ATs to create a high-performance sports medicine team is part of the mission Dr. Eddis Smith is accomplishing with Ellie Roenig.
As an AT I want people to know why we should collaborate.We need to move things forward in creating high-performance teams
PT, AT, Team Doc, Mental Health, Sports Science.
We send our residents 4 days a week to the AT Facility
And available after school and on Saturday
Load management – How do you do it?Create high-performance teams
Communicate
Close those gaps
Athletes need to be weight room ready when they leave your care
How else are we connecting PTs?PT asked the manager how they can work it out.
Find a company that values the community integration
It has created a significant increase in referrals
Eliana Roeing
Contact Us:eddiePTATC
Jeremy Jackson
Shawn Ready – shawnreadyatc@gmail.com
Ray Olivo – rayolivo1@gmail.com
Dr. Mark Knoblauch – maknobla@Central.UH.EDU
Dr. Layci Harrison – lharris5@Central.UH.EDU
Bob Marley – Bob.Marley@uth.tmc.edu
Dr. Josh Yellen – jbyellen@central.uh.edu
These people LOVE ATs and help the SMB pay the bills:Frio Hydration – Superior Hydration products.
MioTech – meeting all of your sports medicine supply needs
PhysicalTherapy.com – use promo code “1FREECOURSE” to start for free
Donate and get some swag (like Patreon but for the school)
DragonflyMax – one-stop EMR
HOIST – no matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Up to 90% of eye injuries in sports can be prevented with proper eyewear. Dr. Alireza Somji, OD joins me, Jeremy Jackson to discuss some of what he sees and how we can help prevent eye injuries.
International sports vision association – eye safety awareness program
WileyX are ballistic rated
Sportsvision.pro
Protect prevent play
Over half of the brain is dedicated to visual processing.
But we almost never train the visual performance
Alexander Arnold from the redbull documentary
Steph Curry, Matt Ryan.
First step should be getting a full eye evaluation.
Make sure they have an examination and not a screening.
Jeremy Jackson
Shawn Ready – shawnreadyatc@gmail.com
Ray Olivo – rayolivo1@gmail.com
Dr. Mark Knoblauch – maknobla@Central.UH.EDU
Dr. Layci Harrison – lharris5@Central.UH.EDU
Bob Marley – Bob.Marley@uth.tmc.edu
Dr. Josh Yellen – jbyellen@central.uh.edu
These people LOVE ATs and help the SMB pay the bills:Frio Hydration – Superior Hydration products.
MioTech – meeting all of your sports medicine supply needs
PhysicalTherapy.com – use promo code “1FREECOURSE” to start for free
Donate and get some swag (like Patreon but for the school)
DragonflyMax – one-stop EMR
HOIST – no matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Females Athlete Care is not the same as male athlete care. Dr. Jill Moschelli is making a career specializing in it. Megan Smith, the chairperson for Women In Athletic Training, leads the interview.
https://mm.linkedin.com/posts/cassie-monaco-2803b3202_flathead-valley-high-school-students-win-activity-7034338310130974721-xSV0Looking into your bio, you specialize in Female Sports Medicine. Can you share with us what that entails?Female athletes are just different than men
Female athlete triad.
Concussion recovery is different
Predisposed to different types of injuries
How popular is being a female sports medicine-specific doctor?It is not really common, but some of it is due to comfort level.
There has been an increased discussion about women training on their menstrual cycles and understanding how each phase affects your training. When someone is looking into this- do you have any recommendations on how to get started or a basis of understanding while training during different phases?Educating in general is the biggest first step
Educate them about their own body and their cycle
Know what is normal for you and be aware of what changes look like.
Some of those changes can be due to oral contraceptives for whatever reasons.
Basic menstrual tracking app.
Perceived performance scales but nothing has been clear or consistent…so more research is needed.
How do we ask: are you on your period?
Make it not taboo…make it part of their general health
I am going to ask a lot of questions and if you feel like you can’t or do not want to answer that is fine.
“How has your menstrual cycle been?”
“Are you on any medicines that would impact it?”
We bring up topics like that at the beginning of the season so it is less taboo and breaks through the barrier.
Over the years I have taken many female-specific continuing eds, but one stood out to me which was pelvic floor dysfunction in female athletes. Is this something that you’re seeing in the clinic or refer out to a pelvic floor PT? Can you share how this can affect the training of our female athletes?It happens more than we are aware of. It is not discussed as much.
Up to about 30% of elite female athletes experience incontinence.
Impact sports have a greater incidence.
Bringing up the conversation more often helps teach people about it.
Finding a pelvic floor therapist can be difficult
Stress Incontinence:
Inability to control the flow of urine during stress.
How can Athletic Trainers bridge that gap?The more we talk about it the more it normalizes it.
You can be the first line of defense for those athletes.
Maybe set up a regular schedule to discuss it so they know to expect it.
Have the resources available or posted for them.
Are there areas of female patient care that you believe would be beneficial for athletic trainers to be better versed on? What are those areas? Is there training that you recommend?Reproductive/menstrual cycle/ pelvic floor in your education as you get your degree.
Spend time discussing the differences between male and female athletes.
Have grand round discussions on female athlete care.
Females recover differently from concussions
Timetables are different for females
The treatments are similar but they might take longer.
The Female Athlete Conference every other year in Boston to tackle issues concerning female athlete care.
Contact us:Jeremy Jackson
Dr. Jill Moschelli – sadoskij@msu.edu
Megan Smith – Twitter
These people LOVE ATs and help the SMB pay the bills:Frio Hydration – Superior Hydration products.
MioTech – meeting all of your sports medicine supply needs
PhysicalTherapy.com – use promo code “1FREECOURSE” to start for free
Donate and get some swag (like Patreon but for the school)
DragonflyMax – one-stop EMR
HOIST – no matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Post Exercise Recovery Nutrition is one of the topics Brett Singer addresses with high school, college, and professional sports in Houston as part of the Ironman Sports Medicine team.
Doubling carb intake prior to an eventCliff Bar and Gatorade
Gatorade and a banana
Applesauce and Gatorade
Gummy bears or Fruit snack
Choose any two of them and that should get you to the right amount.
Is there a chart for glycemic reference?Brett uses the USOC recovery chart
Glycemic Index Chart by National Library of Medicine
Post-exercise nutrition can minimize the NEED after for a recovery drinkMilk is more effective at rehydration than just water.
If you are eating then you probably do not need the recovery drink
Electrolyte drink vs GatoradeSituations dictate different needs.
The 10-year-old kid will likely need less than an adult
Sodium and Chloride are the most important components of the recovery drinks
Professional soccer players may lose 6-7 pounds during the course of practice
A meal and water with an electrolyte drink between meals.
Youth bodies can handle the heat better?2% of body weight loss shows visible effects of performance
In general, water should suffice if trying to recover 12 ounces (kid) versus 72 ounces (adult)
What are some dehydration signs to look for in Youth Sports?Losing abnormal amounts of sweat
Headaches
Nausea
Fatigue
Cramping
Weighing in and out should be done with caution.
High School and Rec athletes – Are there ideal mixes? There is not one that has all of the needs of an athlete.
Most products are insufficient for high-level athlete carb needs
3 to1 or 4 to 1 ratio is ideal for carbs/protein but needs to look at the big picture.
20-40 grams of protein
High-glycemic foods in recovery are OKCreatine and Post Exercise Recovery NutritionI do not push it for high school athletes but it is safe.
Following the guidelines is important
The benefit is really for the high-level athletes
It also helps with glycogen replenishment
Whey vs casein protein?It does matter how much protein you take in?As far as protein synthesis goes 20-40 grams is the general window
Adding glycogen to protein does not improve glycogen uptake
Focus on carbs if there are small windows between competitions or training sessions.
Don’t be that preceptor who is just trying to get CEUs or the one who only uses MAT students as grunt labor.
Being a Mentor is a choice. A choice to give of yourself for the good of others. So is adoption. DJ tell me some of your adoption story.Taylor has been such a fantastic part of our life. She is a part of my life as an Athletic Trainer and my life as a preceptor and mentor.
Worst preceptor story you have heard?Worst mistake I made as a preceptor was right out of Grad School.
- My responsibility is to the team and athletes, not the students.
- I did not want to invest in the students
- I did not want to give up control
- I only allowed them to set up the field
- It is finally my time to be the Licensed Health Care Provider and make decisions
- It is about me now
Communicate the roles and expectations
Some other bad examples?I am not getting any feedback
I am doing what they ask but I am not getting any feedback
How to avoid being average as a preceptor:Do not complain about students on social media
What are some of the struggles for preceptors?Accountability
Set expectations
- Have an orientation
- What can the program cover before the kids get to you
- What do you need to cover
Dress code
Look at this as a semester-long interview process.
For scheduling purposes
- We try to keep a really structured process
- Immersion should be a minimum 40 hours per week
- 85 hours /2 weeks
- 1 day off every 7
- And at least 8 hours between shifts
Shout out to my administrators and my co-worker for giving us the opportunity to be preceptors for U of H MAT.
JP: I felt like my hands were being held the whole time… I was either setting up the field or observing.
Contact us:Jeremy Jackson
These people LOVE ATs and help the SMB pay the bills:Frio Hydration – Superior Hydration products.
MioTech – meeting all of your sports medicine supply needs
PhysicalTherapy.com – use promo code “1FREECOURSE” to start for free
Donate and get some swag (like Patreon but for the school)
DragonflyMax – one-stop EMR
HOIST – no matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Dr. Josh Yellen presented Leadership in Crisis at the Memorial Hermann Sports Medicine Update. Shawn ready had some questions to follow up on his talk.
Leadership in COVID – Planning in athletic – speaking to your AD, your coaches, school leaders…this is one setting.
How do we as qualified healthcare providers help function in the world?
I am Head FOOTBALL Athletic Trainer or I am an AT with a lot of experience with football.
Compare primary care vs ATThere is a shortage of primary care physicians.
The definition of Athletic Trainer and primary care doctor is almost identical
Practicing Scared – We as directors need to understand the CAATE standards, the state practice acts, and the BOC requirements.
We need to keep pushing into the village of medicine.
PA is a master’s degree program but is much more respected.
We were comfortable staying in the sports setting for many years.
To have direct access to patients you have to have a physician oversite.
Bachelor’s degrees will not be reimbursed by CMS.
WHY DO WE USE OTHER PROFESSIONS TO EXPLAIN OUR PROFESSION?
Medical Model’s effect on Leadership In Crisis – The Physician is the top and we are all extensions of the physician.
If we do not move into a better role and stake our ground then someone is going to take our role.
Sports Medicine Student Aides – appropriate vernacular is important
This gives the impression that a high school student without training can do your job
Watch the presentation on the SMB FacebookJeremy Jackson
Shawn Ready – shawnreadyatc@gmail.com
Ray Olivo – rayolivo1@gmail.com
Dr. Mark Knoblauch – maknobla@Central.UH.EDU
Dr. Layci Harrison – lharris5@Central.UH.EDU
Bob Marley – Bob.Marley@uth.tmc.edu
Dr. Josh Yellen – jbyellen@central.uh.edu
These people LOVE ATs and help the SMB pay the bills:Frio Hydration – Superior Hydration products.
MioTech – meeting all of your sports medicine supply needs
PhysicalTherapy.com – use promo code “1FREECOURSE” to start for free
Donate and get some swag (like Patreon but for the school)
DragonflyMax – one-stop EMR
HOIST – no matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
These people LOVE ATs and help the SMB pay the bills:Frio Hydration – Superior Hydration products.
MioTech – meeting all of your sports medicine supply needs
PhysicalTherapy.com – use promo code “1FREECOURSE” to start for free
Donate and get some swag (like Patreon but for the school)
DragonflyMax – one-stop EMR
HOIST – no matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Preceptors are an important part of the MAT program for future Athletic Trainers. Dr. DJ Gilliland shares what makes a good
Call out by name a few of the best preceptors you have known.David Stuckey at Hardin Simmons – instilled in us the desire to give back to the profession.
It was our responsibility to mentor someone
David Colt or DC hired me out of undergrad. He guided us on how to teach and interact with our students.
Kyle Southall at Briarwood Christian in Alabama
48 local preceptors
Dustin Rush – What you see is what you getHe does a great job of letting students take chances and risks.
Dustin has a fantastic debrief with the students.
Frank Perez – He is a tough preceptor with a ton of experience. He is really good.He spent several years with Cirque De Soleil and brings dance medicine into the equation
He has a large administrative component to his site.
- Great communication skills with coaches and admin, and team docs
- He is an alumnus
- Always an ear to listen or a shoulder to guide them…we need to guide them more
Administrative work:* Documentation practices are on par with what is needed for professional communication * Team management – day-to-day injury report presentations * Working alongside the nutritionist for the team * Physician referrals * Scheduling + Second-year students should be involved with scheduling and communicating with the opponents’ medical staff. + 5% of the BOC is now about Administration + Allow the MAT students to schedule the student coverage + Teach them how to manage the student aides + Allow them to create an evaluation system + Have them look at and update the policies and procedures. + Have them look at and update the EAP + Teach them to be a mentor to the kids + Understanding professional boundaries
Mike Ramirez – * “You can not work in the NFL unless you work at a college” * Great with organization and teaching the students what to expect. * He puts students in charge of making sure the gear is ready * They learn inventory * Real-world problem solving * Writing rehab plans
Brenna Ellis – She transformed the experience for our students. They leave feeling like they have grown as an individual and professionals.
AT is a family.
Supervised Autonomy – The preceptor should be the patient’s advocate
Build up the student’s trust and confidence by having mock scenarios in downtime.
The really good preceptors take advantage of that time.
- EMS situations
- Knowing the rules of the sport
- Use the scaffolding approach to build trust
- Give them more freedom in lower-pressure situations first.
- Give them a comfortable environment to fall forward
From the students:JP: I felt like my hands were being held the whole time… I was either setting up the field or observing.
JP: One preceptor gave us printed steps for taping. So we could use them during independent practice
JP: Having a written plan for the athletes to follow helps us grow, but also gives me the opportunity to develop a plan.
Contact us:Jeremy Jackson
These people LOVE ATs and help the SMB pay the bills:Frio Hydration – Superior Hydration products.
MioTech – meeting all of your sports medicine supply needs
PhysicalTherapy.com – use promo code “1FREECOURSE” to start for free
Donate and get some swag (like Patreon but for the school)
DragonflyMax – one-stop EMR
HOIST – no matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Cryotherapy Research discussion with Sean Kennedy, live from the Memorial Hermann Sports Medicine Update. What is current science telling us?
Cryotherapy – What do you tell them?We have a lot of interpretations, so it makes it hard for there to be clear guidance
Cryo after injuries – there is no hard science about dosing for ice
Think about the messaging (chemical and nerve) that may be delayed
There is a place to allow the swelling to do its job.
Evidence shows compression edges out ice but can be used together easily.
Listen to the theories and allow your mind to be open. Do not be a stagnant clinician.
Cold water emersionWe used to believe it would send them into shock and the heat would stay in the core
All position statements say full body immersion is the standard to lower core temperature
Joint application only could take 80 minutes to cool the body
It could be 3-5 minutes with cold water immersion
Cryotherapy Recovery from workoutWhat is the value of reducing the perceived soreness from the damage that was done?
If you are trying to mask the fatigue by ice bath you are increasing the risk of injury.
Jeremy Jackson
Shawn Ready – shawnreadyatc@gmail.com
Ray Olivo – rayolivo1@gmail.com
Dr. Mark Knoblauch – maknobla@Central.UH.EDU
Dr. Layci Harrison – lharris5@Central.UH.EDU
Bob Marley – Bob.Marley@uth.tmc.edu
Dr. Josh Yellen – jbyellen@central.uh.edu
These people LOVE ATs and help the SMB pay the bills:Frio Hydration – Superior Hydration products.
MioTech – meeting all of your sports medicine supply needs
PhysicalTherapy.com – use promo code “1FREECOURSE” to start for free
Donate and get some swag (like Patreon but for the school)
DragonflyMax – one-stop EMR
HOIST – no matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Instead of Icing try MarcPro
Supply chain issues are still causing problems for Athletic Trainers. Thankfully Paul Calloway has the inside scoop to help us stay ahead of it.
AEDs – there has been a shortage for a little while.Shortage in components and an uptick with purchasing after Damar Hamlin incident
Hospital suppliers have more access than sports medicine suppliers
Aerosols Tough to get – QDA, Tuff Skin, Adhesive, Cold Spray
- All are unavailable for the foreseeable future possibly until 2024.
- Magic spray and stick em’
- May not be available in as many varieties
Shortages cause price increases
M-tack from Mueller is a pump spray
Gatorade chews Still in short supply
They have basically taken those out of the options
Cliff bar energy chew is an alternative
FoamThere has been a bit of pressure in the foam market.
Pre-wrap and under wrap continue to be problems for sourcing
Price increases should be expected
Looking at about $1 per roll
OTC meds More so with Medique brand products
They have been struggling for about 2 years to get things leveled out.
You may need to buy in the bulk bottle
Athletic TapeCoach tape from J&J was bought by BSN Medical
The price has gone up but it is back and available again.
Elasticon has been brought back as well
Zonas 1-inch box tape is back in production as well.
Other concernsThere tends to be consolidation of SKUs…like there may be fewer options for ankle braces
Mueller has discontinued some of the medkit lines.
Not a whole lot of new products out this yearPrices will continue to generally increase
FreightWe are paying more in freight now than last year. Even if it says free shipping, it still has to come out of the costs.
TipsIf there are a few sacred items put no substitutions but be willing to consider alternatives on most other products.
Andover was bought by Millican…they are the same, but just now switching branding
They did discontinue some of the niche items
Contact us:Jeremy Jackson
Paul Calloway – Twitter or Facebook
These people LOVE ATs and help the SMB pay the bills:Frio Hydration – Superior Hydration products.
MioTech – meeting all of your sports medicine supply needs
PhysicalTherapy.com – use promo code “1FREECOURSE” to start for free
Donate and get some swag (like Patreon but for the school)
DragonflyMax – one-stop EMR
HOIST – no matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Patellar Instability is a specialty for Dr. Jeremy Rush’s orthopedic practice in San Antonio.
Tell me about the first patellar instability you remember seeing.Chronic instability up to dislocation
It is a very heterogeneous group
Patella dislocation and patella subluxation
And patella instability
Addressing the first-time dislocator
Be super aggressive with the rehab
Step one: reduce the dislocation
Brace them for a week but then get them moving
Try to get started in PT within one week
See them back about 6 weeks and then again at 3 months
At 6 weeks with effusion makes you think there is a loose body.
Ability to do straight leg raises
Apprehension with manual pressure
Instability vs dislocation.Dislocation = all the way out – 95% are lateral
- Usually traumatic events
- Some are from anatomic risk factors
Subluxation is partially out of the groove
Instability is a chronic form of Subluxation
First timer tipsGet them to relax
Move them into extension
Calm them and even cover the dislocation if needed
Maybe get them up and it could self-reduce
Top patient complaints/ indicators of patellar instabilityKnee feels unstable or it is slipping
Or my knee just hurts
Buckling
Recurrent effusion
Anterior knee pain
Start with rehab
Target
Positive patellar apprehension
J-Sign
Predisposed to instabilityPatella alta
Women are at higher risk due to q-angle hyperlaxity
Rotational abnormalities
On examJ-sign
Apprehension
Lateral pressure
MRI on chronic instability
MPFL damage
If the injury is unclear then I get an MRI to rule out any sort of cartilage or loose body.
A huge effusion indicates a loose body.
Contact:Dr. Jeremy Rush – IG @satxsportsmedicine
Jeremy – @jhjacksonlat
These people LOVE ATs and help the SMB pay the bills:Frio Hydration – Superior Hydration products.
MioTech – meeting all of your sports medicine supply needs
PhysicalTherapy.com – use promo code “1FREECOURSE” to start for free
Donate and get some swag (like Patreon but for the school)
DragonflyMax – one-stop EMR
HOIST – no matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Eccentric contractions have long been known to improve muscle hypertrophy. Ryan Collins joins Clayton Berrang to discuss Eccentrics vs Tempo training and how to implement both.
Where in the timeline are the athletes?Once they can move without bracing
Strength Deficit Eccentric training benefitsSupermaximal load and trying to move that through the eccentric motion
A load that can not move through the concentric movement
How would you recommend emphasizing eccentric training?
Tempo training is a safe place to start but it affects the muscle adaptations
Most ATs and PTs are probably already doing this.
EX: single leg squat – box progression –
Reverse engineer sprintingBrakes are going to be important to anything we move
But eccentric training offers so much more than just the brakes
Triphasic training
When do you transition from eccentric training?
Time of year and sports demands
Talk about the cycles for footballSummer is great for super maximal loads for the experienced lifters
Beginners lifted should be doing triphasic
The full stretch-shortening cycle would be in season
Tempo training is one of the easiest forms of progression for an athlete’s body
Most adaptations from the eccentric load
Increased reps give some adaptations
Tempo is the lowest ROI
Box squats exampleTempo training and progress through the tempo training
4×5 with a 3 sec – 4-5 and up to 8-second tempo
Now we use slightly heavier weight with about a 2-second tempo
5 – 7 – 10 – 12 reps progression
Progress through load
4×5 and increase the load over the next 4 weeks
How do we set up a supermaximal eccentric?Rack setup with safety catches and partners or team lift it back up
We are looking at 5/10% above our maximal level
We can do 5 sets of 1
Is there a tempo in this eccentric?Move it as slowly as possible
The nordic hamstring curl is an example
“What works works”
If you move slowly you will move slow, move fast to move fast”
Late RTP 6 months out ACL?Overload plays in
Their body is avoiding positions needed for power due to injury.
Post activation potentiationBands are a great tool
Apply them in multiple planes of motion.
You can pull them into an overloaded position
Forward-backward lunge with the band
Clayton Berrang – Email cberraang@athleteth.com
Jeremy Jackson
Shawn Ready – shawnreadyatc@gmail.com
Ray Olivo – rayolivo1@gmail.com
Dr. Mark Knoblauch – maknobla@Central.UH.EDU
Dr. Layci Harrison – lharris5@Central.UH.EDU
Bob Marley – Bob.Marley@uth.tmc.edu
Dr. Josh Yellen – jbyellen@central.uh.edu
These people LOVE ATs and help the SMB pay the bills:Frio Hydration – Superior Hydration products.
MioTech – meeting all of your sports medicine supply needs
PhysicalTherapy.com – use promo code “1FREECOURSE” to start for free
Donate and get some swag (like Patreon but for the school)
DragonflyMax – one-stop EMR
HOIST – no matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Mobilization of the Athletic spine with Brian Duncan and Shawn Ready live at the Memorial Hermann Sports Medicine Update
Who is worried about spine manipulation?My fear is always the lack of proper evaluation
You need all the myotomes, dermatomes, mobility, and descriptions.
You are not going to manipulate someone who just went in for a tackle and is now having pain.
Red flags are more obvious, but what about yellow flags of mobilization?Going through your 5DsDysphasia
Dysarthria
Dysoplia
Dizziness
Drop attack
3NsNystagmus
Nausea
Manipulation is a skill similar to any special test we do… it’s like an anterior drawer
HVLA manipulations
High-Velocity Low Amplitude
Knowing your anatomy is crucial if you are going to do mobilizations.
Contact UsBrain Duncan – 214-632-6784
Jeremy Jackson
Shawn Ready – shawnreadyatc@gmail.com
Ray Olivo – rayolivo1@gmail.com
Dr. Mark Knoblauch – maknobla@Central.UH.EDU
Dr. Layci Harrison – lharris5@Central.UH.EDU
Bob Marley – Bob.Marley@uth.tmc.edu
Dr. Josh Yellen – jbyellen@central.uh.edu
These people LOVE ATs and help the SMB pay the bills:Frio Hydration – Superior Hydration products.
MioTech – meeting all of your sports medicine supply needs
PhysicalTherapy.com – use promo code “1FREECOURSE” to start for free
Donate and get some swag (like Patreon but for the school)
DragonflyMax – one-stop EMR
HOIST – no matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
These people LOVE ATs and help the SMB pay the bills:Frio Hydration – Superior Hydration products.
MioTech – meeting all of your sports medicine supply needs
PhysicalTherapy.com – use promo code “1FREECOURSE” to start for free
Donate and get some swag (like Patreon but for the school)
DragonflyMax – one-stop EMR
HOIST – no matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Jamie shares How It Ended, an amazing partnership between AT and AD to transform the culture of sports medicine in a community.
Phot credit: https://jamiekaywoodall.wordpress.com/ Jamie, go back over the timeline.DME – I wanted to be in the high school setting so I knew DME was short term
A&M Consolidated – 2 years, then I left to be the head AT, open a new school, and work alongside my husband.
Rudder in Bryan ISD 11 years – AT and public health mirror each other in the area of prevention. I felt called to go into public health and work with low socioeconomic status. We housed a few homeless students during our time there. During the master’s, I got connected with HR and the school safety department. Felt like I hit a ceiling and thought it may be because we were married and did not want to put a spouse in charge of the other.
The move to Brenham would really challenge me to grow.
Assistant AD of Sports Med in Bryan ISD
Brenham – 4 years
Waller ISD
Coach Allen, where are you now?Giddings Texas – DC / Head AT
Houston Stratford HC/CC – 16 years
Head AD in Benham because we wanted to retire
Bastrop allowed me to be just the AD not a coach anymore.
What is the legacy y’all left?Coach Allen – Do what is best for kids, even if it is tough for adults.
Jamie – I would hope people would see how deeply I care about making the whole system.
I hope that through my work, people would see that we win when there is a team approach.
You discussed the talks at SWATA and NATA, what do you want to clarify?The AT department needed a lot of tender loving care.
When I got into I realized how much prep work I needed to do.
Use the PASS or SSSA to guide you and make sure you evaluate your program
I was in the middle of getting my hands dirty and realized I did not have sinks. Coach Allen came in and made it happen within a few days.
Coach Allen, speak to the AT, how do they start the process of building what y’all built?A lot of times there is a natural divide between the 2
Athletic Trainers are fearful the coach won’t listen and follow instructions
Coaches are fearful every player will be set out.
Be willing to pitch in and do the extra things.
Build trust
Call to action:ATs – try not to take on responsibilities that are not yours and then let it become your job or expected of you.
If I did someone else’s job, I would remind them to take care of it.
Jamie is one of the most efficient people I know. She handles people and situations really well.
She went out and earned the changes and I was able to go in and ask for it.
Contact us:Jeremy Jackson
Eliot Allen – dallen2@bisdtx.org
Jamie Woodall – jwoodall@wallerisd.net
These people LOVE ATs and help the SMB pay the bills:Frio Hydration – Superior Hydration products.
MioTech – meeting all of your sports medicine supply needs
PhysicalTherapy.com – use promo code “1FREECOURSE” to start for free
Donate and get some swag (like Patreon but for the school)
DragonflyMax – one-stop EMR
HOIST – no matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Dr. Luara Purdy goes over what we know at this point about Damar Hamlin and the importance of accurate medical history.
Dr. Purdy, what do we know at this point about Damar Hamlin?Has a background of sickle cell trait
Almost no commentary of known information about his heart.
He suffered sudden cardiac death and was resuscitated
Usually, the athlete has something leading up to an episode with hypertrophic cardiomyopathy
Underwent induced hyperthermia and was put into a coma
If there are not any problematic findings he could be cleared to play again and perform rehab.
Any inaccurate info out there we can help correct?COVID virus and vaccine – causes mild carditis
COVID is not the only virus or vaccine that causes this.
The heart is a muscle and our bodies are filled with muscles from head-to-toe
Most viruses cause inflammation of muscles.
The flu makes your whole body hurt…muscles.
Myocarditis hurts every time your heart beats
A colleague had a kid turn in a physical without documentation of being insulin dependent. What are your thoughts?This is so dangerous – everyone involved needs to be aware and know how to deal with the possible complications.
They need to have insulin available and food available all the time.
WE WAN YOU TO PLAY…safely
Dr. Purdy, what are some non-reported medical conditions that cause problems?Asthma
Anaphylaxis
Any history of previous injury
Head injuries
Vision
Discuss the sports physical versus a routine / developmental physical.Most athletes are going to feel healthy
A routine annual physical is designed to take a look at your health head to toe and risk factors.
We have limited time with them during this.
By having a sports physical we give two opportunities for the doctor to see the patient. And the sports physical would be scheduled for more time.
Telehealth – The physical exam would change the outcome
We do have smart stethoscopes but we are not there yet.
Still get your sports physical in person if at all possible
Offload the other visits to telehealth and free up the doctor for more in-person time
Athletic Trainers are the first line of defense in protecting the athletes.
If you see something please say something.
Contact us:Jeremy Jackson
Dr. Laura Purdy –
These people LOVE ATs and help the SMB pay the bills:Frio Hydration – Superior Hydration products.
MioTech – meeting all of your sports medicine supply needs
PhysicalTherapy.com – use promo code “1FREECOURSE” to start for free
Donate and get some swag (like Patreon but for the school)
DragonflyMax – one-stop EMR
HOIST – no matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
The Good Life, relationships are built, trust is established and culture is changing. Jamie and Eliot discuss what the AT / AD relationship looked like once they got past the rough spots.
Coach Allen, what has been your favorite part about working with Jamie?She is such a problem solver. She anticipates problems that are going to occur.
Jamie, Your favorite part about working with Coach Allen?Very patient and graceful when things do not go his way.
He did not shut down when I came on too strong.
“Is it best for the kids?” is a driving force for him
What was your biggest sports medicine victory together?When I first got into it I wanted to do a lot but I had to clean and organize everything first.
I knew I was going to forget something big like AEDs.
Bart Peterson had a checklist he shared with Jamie that was part of the PASS system.
This really helped us prevent compliance slip-ups.
We changed the culture of healthcare in Brenham. The ripple effect.
The overall respect our community and school had for ATs
We built up to having 4 ATs.
Parents and students were asking for it.
What are some of your smaller wins?* I needed a window door if I had to have a closed-door conversation. * Hydration systems – moved away from trash cans * Radios * Lockers for student ATs * We shut down the gym AT and moved everything to the field house AT Facility. * Having the plan written out on the whiteboard allowed us to collaborate more.
Any regrets?Coach Allen – Not really, have not worked with anyone I trusted as much as Jamie.
I came in too strong.
When I left Brenham it was an unexpected change. It was not something I was looking for and therefore was a little unprepared.
There were some organizational things I had not prioritized because of the bigger issues.
Talk about the Master’s DegreeI got my degree in public health because I was ready to leave the profession.
Through the master’s I learned how happy I was in the profession
In Brenham, I did not have time for all the school health stuff while we were making adjustments.
The pandemic was really a blessing for an AT with a degree in public health. Being married to Josh Woodall helped us really sit down and work side by side and help set up procedures to get stuff back to the school and back to athletes.
The leadership team was meeting and Coach Allen knew Jamie would be a great asset. He pressured the admin to let her in.
Delivery is key
Respect is built and given, not taken
We did Character Talks with our athletes to help grow the respect for the AT staff. Jamie spoke at some of them.
Contact:
Jamie Woodall – jwoodall@wallerisd.net
Eliot Allen – dallen2@bisdtx.org
Jeremy – @MrJeremJackson on Twitter
These people LOVE ATs and help the SMB pay the bills:Frio Hydration – Superior Hydration products.
MioTech – meeting all of your sports medicine supply needs
PhysicalTherapy.com – use promo code “1FREECOURSE” to start for free
Donate and get some swag (like Patreon but for the school)
DragonflyMax – one-stop EMR
HOIST – no matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Abdominal Injuries in Sports with Dr. Benedict Ifedi and Shwan Ready live from the memorial Hermann Sports Medicine Update
How are we going to see this on the field?PQRST –
Provoking – what is making it worse?
Qulity – sharp, ripping
Radiating – diaphragm
Severity – 0-10
Timing – constant, coming and going
All ATs need to have a stethoscope and BP cuff in their kit to monitor for vitalsPulseOx in your pocket
What do we need to carry with us?Stethoscope
PulseOx
BP Cuff
Pneumothorax cover
Possibly needle decompression – 18 gauge needle
Reflex Diaphragm evaluationWhats going on
Where are yo uhurting
How is it hurting?
Keep it simple with yes or no questions
PulseOx for Oxygen
Walk them off and continue to monitor if things are trending upward.
Trending downward – call EMS and send them
Let’s try to loosen up everything so there is not compression from equipment.
It can also be a lung contusion – where the athlete is spitting up blood.
If it clears in a few minutes then still sit them out and have them follow up with an ER visit and imaging
Rib Fracture – EvaluationPosterior to anterior allows you to check the spine first.
Having a systematic routine is important.
PneumothoraxSpontaneous – taller thinner athletic male
Traumatic- comes witha hit to the ribs
If you are looking at the athlete and they are just struggling then elevate yoru care to the next level.
Use your vital sign measuring tools.
Comotio CordisSudden collapse
Non-responsive
Activate EMS and provide care
Aortic RuptureABC
Pulses were weak
Legs felt like they were going numb
Spleenic LacerationMono increases the spleen 30-50% increase in size
Flank pain from a blow
Monitor vital signs – PulseOx and BP
Practice your abdominal palpations on non injuries so you know the difference.
Liver LacerationRare
Usually non emergency
Painful breathing
Outpatient follow up most likely
Looking at the PQRST
Rigidity in the abdomen is something we need to know what it feels like.
KidneyKidney punch
Tenderness in CVA area
May have radiating pain that wraps around to the bladder area
Blood in the urine
Where can we go to learn normal abdominal feel and sounds?Youtube is a great resource
Jeremy Jackson
Shawn Ready – shawnreadyatc@gmail.com
Ray Olivo – rayolivo1@gmail.com
Dr. Mark Knoblauch – maknobla@Central.UH.EDU
Dr. Layci Harrison – lharris5@Central.UH.EDU
Bob Marley – Bob.Marley@uth.tmc.edu
Dr. Josh Yellen – jbyellen@central.uh.edu
These people LOVE ATs and help the SMB pay the bills:Frio Hydration – Superior Hydration products.
MioTech – meeting all of your sports medicine supply needs
PhysicalTherapy.com – use promo code “1FREECOURSE” to start for free
Donate and get some swag (like Patreon but for the school)
DragonflyMax – one-stop EMR
HOIST – no matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
These people LOVE ATs and help the SMB pay the bills:Frio Hydration – Superior Hydration products.
MioTech – meeting all of your sports medicine supply needs
PhysicalTherapy.com – use promo code “1FREECOURSE” to start for free
Donate and get some swag (like Patreon but for the school)
DragonflyMax – one-stop EMR
HOIST – no matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
How It Started is not how it ended. Jamie and Eliot Share their stories and motivation for changing the culture of Sports Medicine in Brenham ISD.
Eliot, before Jamie Woodall, what was your take on Athletic Trainers?I was a head football coach for 20 years in Houston
We had ATs that were old school and then a series of newer ATs that really opened my eyes
I wanted to move to the model of “head and assistant” vs male and female
Jamie, What was your take on Athletic Directors?I have had some great experiences and some bumpy ones
Many of those belong to me as being young in my career and lacking the finesse in my conversations.
Why did you interview for the job with Eliot?I am happy where I am but I was willing to look.
It sounds like Rudder is a situation that someone can walk into and keep the machine running. We need someone to take care of our kids like that.
I lost the Assistant AD title, I had to commute…I was losing a lot.
Tell me about your “List of Demands”Calibration
Radio
Hydration units
Water access on one of the practice fields
Jamie, you got your master’s to leave the profession of AT. Why did you stay?I got a master’s in public health and was really ready to leave.
I could not go to work every day and be happy.
I loved the AT-specific aspects of my job.
Some of those things were my mental decisions, it was my mindset.
Eliot, how did you help Jamie become a little more palatable?Jamie’s resume was really outstanding
We needed a lot of help.
She really came in guarded, even stating all coaches are A**holes until proven otherwise
I had a plan to get it all started, but those got changed.Physicals are starting to come in and I do not have a filing system.
We hired a second AT and I pushed for a second female. I wanted to remove the male-female divide.
I wanted someone who already knew my personality.
We wanted physicals every year and not just odd years.
In the coaches’ meeting, Eliot stole my show.
I am protective by instinct. I knew I needed to push the coaches so she didn’t take the blame.
“It was my job to stand on her own two feet.”
The relationship between the AT and coach can be really tough. Try to see the best in each other.Being able to relax and trust them
Contact us:Jeremy Jackson
Jamie Woodall – jwoodall@wallerisd.net
Eliot Allen – dallen2@bisdtx.org
These people LOVE ATs and help the SMB pay the bills:Frio Hydration – Superior Hydration products.
MioTech – meeting all of your sports medicine supply needs
PhysicalTherapy.com – use promo code “1FREECOURSE” to start for free
Donate and get some swag (like Patreon but for the school)
DragonflyMax – one-stop EMR
HOIST – no matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
When is a hip flexor not a hip flexor? Dr. Rod Turner joins Dr. Layci Harrison after his presentation at the Memorial Hermann Sports Medicine Update.
One of my rules of thumb is…What is going to kill a patient?
Is there anything ATs can look for in a hip flexor?This kid came in on crutches?
Look at other factors
Discuss more of the gen med side of a hip flexor injury.It is easy to forget about the abdomen.
It is easy to palpate the abdomen.
Are they getting better?
Are there certain cues we can give to request further imaging?ER docs save lives every day.
Sometimes they get tunnel vision.
If the athlete had said abdominal pain rather than hip pain the workup probably would have been different.
Can we add anything to AT education?Communication
Need to be willing to answer the phone
Rod Turner on IG
Jeremy Jackson
Shawn Ready – shawnreadyatc@gmail.com
Ray Olivo – rayolivo1@gmail.com
Dr. Mark Knoblauch – maknobla@Central.UH.EDU
Dr. Layci Harrison – lharris5@Central.UH.EDU
Bob Marley – Bob.Marley@uth.tmc.edu
Dr. Josh Yellen – jbyellen@central.uh.edu
These people LOVE ATs and help the SMB pay the bills:Frio Hydration – Superior Hydration products.
MioTech – meeting all of your sports medicine supply needs
PhysicalTherapy.com – use promo code “1FREECOURSE” to start for free
Donate and get some swag (like Patreon but for the school)
DragonflyMax – one-stop EMR
HOIST – no matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
These people LOVE ATs and help the SMB pay the bills:Frio Hydration – Superior Hydration products.
MioTech – meeting all of your sports medicine supply needs
PhysicalTherapy.com – use promo code “1FREECOURSE” to start for free
Donate and get some swag (like Patreon but for the school)
DragonflyMax – one-stop EMR
HOIST – no matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Meghan Allcorn has had about 9 job changes in roughly 11 years.
Meghan, where did you start as an AT? How long were you there?11 years as an AT
PRN coverage for collegiate D2 in the Michigan area, working every sport available.
My first full-time job was as an Industrial Athletic Trainer out in the Washington area.
Secondary School setting back in Michigan
PRN coverage
Detroit Metro Airport
Secondary School and community outreach working out of a health and fitness facility.
Finished PTA degree and started working in the inpatient setting
Another industrial setting and been there for 4 years.
What pushed you to change settings?Survival as a single female, creating a full-time job where there was not one before.
Currently the program manager for Workfit in the automotive industry. I now have 2 little girls and wanted a day shift job that would still have a need every day.
I was done missing my kid’s events.
Which was the hardest change for you?Leaving the first industrial setting job – it was a first shift job and gave me so much freedom of schedule.
Discuss the Airport settingYou get on the airplane and put one bag overhead.
The workers tag them, move them, and help the underbelly workers get them there.
They are stuck under your dining room table moving 50-pound bags for an 8-hour shift.
How did you transfer experiences from one setting to the next?Personality is the top transfer tool.
Build trust and then you can accomplish a lot of things.
The skills transfer similarly. You need to be in that position or setting to observe and improve body mechanics.
Assembly line – you have about 60 seconds to get your part, attach it, and be free. The parts are usually behind you and need to be gathered for each assembly.
Is this your final stop?I do not know.
I love AT and what it has brought to my life, but I can not say it is definitely my final destination.
Encourage someone in the process nowDo not be afraid to try and fail.
Every time you try something new you gain experience.
Any Regrets?No regrets but a few missed opportunities. All of these lead to shaping who I am.
Favorite resource for someone looking to change settings?REBA employee assessment
Changing Settings SeriesJoel Luedke
Tyler Triggs
Tanya Watson
Daniel Ruedeman
Kevin Joyce
Bill Coburn
Jason Robey
Meghan Allcorn
Contact us:Jeremy Jackson
John Ciecko – John Ciecko on Twitter
Meghan Allcorn – LinkedIn
These people LOVE ATs and help the SMB pay the bills:Frio Hydration – Superior Hydration products.
MioTech – meeting all of your sports medicine supply needs
PhysicalTherapy.com – use promo code “1FREECOURSE” to start for free
Donate and get some swag (like Patreon but for the school)
DragonflyMax – one-stop EMR
HOIST – no matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Jason Robey has experience with division 1 athletics, industrial, academic, and military Athletic Training settings.
Jason, where did you start as an AT? How long were you there?High school
Clinical Outreach
Went back to grad school
Semi-pro sports
Physical Therapy Clinic
Independent pro baseball
Division 3 college
D1 college
Air national guard
Army
Where are you now?Newport Virginia Fort Eustice
I am a subject matter expert – more like a consultant
H2F – Holistic Health and Fitness
There are 6 different tests rather than the previous pushups, run, and situps
We have an entire team similar to a D1 sports program.
Mental health, nutrition, strength,
The current AT policy in the Army is very restrictive and we are pushing those boundaries.
We have about 200 ATs and I am their advocate at the admin level.
What makes you the subject matter expert?Broad patient background
Experience
Understanding both sides of the need
I have a Ph.D. and worked as an assistant professor.
The Army has the most ATs on staff and should be about triple that over the next 7 years.
Is this where you plan to stay?Definitely would like to stay in the military, but I want to advance to become an army civilian.
A favorite resource for someone looking to change settings?Recognizing the potential of stress as you are changing.
If you are an AT you are qualified for the position. You do not need to be the grand wizard of AT to work in the industrial or military.
All changes are stressful and difficult.
I did not know the Army, but I did know Athletic Training.
Contracts – you are not in the military, just a worker for the military.The companies are starting to recruit in case they get awarded the contract.
I have not seen a weight requirement but you do need to be physically fit to ride along on training events.
What is the future of the H2F?Each year we are going to expand the number of brigades that we provide care for.
620 ATs by 2030.
Regrets or missed opportunities
I miss the athletes and patient care
I am in a place where I need to be helping advance the profession
Each step is important
Changing Settings SeriesJoel Luedke
Tyler Triggs
Tanya Watson
Daniel Ruedeman
Kevin Joyce
Bill Coburn
Jason Robey
Meghan Allcorn
Contact us:Jeremy Jackson
John Ciecko
Jason Robey
These people LOVE ATs and help the SMB pay the bills:Frio Hydration – Superior Hydration products.
MioTech – meeting all of your sports medicine supply needs
PhysicalTherapy.com – use promo code “1FREECOURSE” to start for free
Donate and get some swag (like Patreon but for the school)
DragonflyMax – one-stop EMR
HOIST – no matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Bill Coburn changed settings a few times to meet certain needs in his life. Employment, advancement, family-friendly schedule. Check out his story and let him know if you have questions for him.
Bill, where did you start as an AT? How long were you there?Ohio University in the spring of 2000
Took a job in the high school as just the AT for afternoon and afterschool job
I taught sports med for 3 years
Worked through the county for exercise science and AT
Continued to get a reduction in force or RIF
Went to grad school to get a masters in AT
Took a job at Davidson North Carolina
The change in conferences made travel unbearable.
Had my son in 2014
Returned to the high school setting
Had a 50-minute commute for about 2 years
Took a job closer to the house in Greensboro
When my second son was born I had to be available at home more.
Worked for an independent orthopedic office until they merged with EmergeOrtho. That opened up an opportunity for me to
What pushed you to change settings?Family life
Burnout at the high school
Favorite resource for someone looking to change settings? https://roymatheson.com/https://www.ergoscience.com/https://www.occupro.net/https://www.posturalrestoration.com/https://www.functionalmovement.com/https://www.nata.org/committee-practice-advancement
Look for the places that are paying better and provide a better life balance.
Changing Settings SeriesJoel Luedke
Tyler Triggs
Tanya Watson
Daniel Ruedeman
Kevin Joyce
Bill Coburn
Jason Robey
Meghan Allcorn
Contact us:Jeremy Jackson
Bill Coburn
John Ciecko
These people LOVE ATs and help the SMB pay the bills:Frio Hydration – Superior Hydration products.
MioTech – meeting all of your sports medicine supply needs
PhysicalTherapy.com – use promo code “1FREECOURSE” to start for free
Donate and get some swag (like Patreon but for the school)
DragonflyMax – one-stop EMR
HOIST – no matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Kevin Joyce had to make some changes because he felt like a zombie.
Kevin, where did you start as an AT? How long were you there?US merchant marine academy as an intern
Elmyra college as GA for 2 years
SUNY Plattsburgh – 5 years
SUNY New Polts – Head AT
Post University in Conn – as head AT and head SC for 6 years huge burnout alert
I had two young kids at home and woke up daily asking myself why I was doing this.
Got the opportunity to do DME. It was an improvement but still a struggle
Worked clinical for 3 years in the PT clinic with a friend.
SUNY Oswego – works with a former student-athlete as the head coach.
I realized how I missed the college sports setting.
When you took that Head AT position, why was that too much too soon?At that point, they had been without a head AT for about 8 months.
My previous spot was kinda a one horse town where everyone wanted to work with you.
At that location, it was more in a metroplex, that people were not begging to work with your team.
I did not realize what works in one place does not work in every place.
In some of our COVID meetings, I would not speak for the first 2 or 3 meetings.
Where are you now?USNY Oswego
A lot of the older PTs gave me the autonomy to work with the patients as I saw fit.
The newer PTs were high and mighty.
I loved working with a diverse population, but I felt most comfortable with the college-age athlete.
I enjoy the unpredictability and chaos.
I enjoy having to problem-solve with evaluations and think and adjust on the fly.
Is this where you plan to stay?I plan to be here.
What pushed you to change settings?The change was what I needed at the time to reset and refocus.
I needed a challenge so I knew the DME and clinical jobs were not for me.
The need to create and improve was a driving force for me to come back to the college setting.
What held you back from moving on?Fear
Am I setting myself up for failure
Will this provide for my family
We had to move back in with my 85-year-old mother to make the change.
My wife brought up the fact that I needed a change
Favorite resource for someone looking to change settings?Spoke with people in those positions
Changing Settings SeriesJoel Luedke
Tyler Triggs
Tanya Watson
Daniel Ruedeman
Kevin Joyce
Bill Coburn
Jason Robey
Meghan Allcorn
Contact us:Jeremy Jackson
John Ciecko
Kevin Joyce
These people LOVE ATs and help the SMB pay the bills:Frio Hydration – Superior Hydration products.
MioTech – meeting all of your sports medicine supply needs
PhysicalTherapy.com – use promo code “1FREECOURSE” to start for free
Donate and get some swag (like Patreon but for the school)
DragonflyMax – one-stop EMR
HOIST – no matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Daniel Ruedeman discussed his journey to Orthopedic Trauma with Sandy Harris of the ATCorner Podcast
Daniel, where did you start as an AT? How long were you there?Started in the clinical outreach setting
I was an intern in the traditional high school setting
Moved to Tennessee for a traditional setting for 3 years
Was awarded a Stedman Hawkins fellowship and started working an outreach job.
Long hours were wearing me out so I became an outreach manager at a small private practice
I am currently working in OrthoTrauma – 4 x 10s
No outreach responsibility
Is this where you plan to stay?I have had opportunities to move up in the admin side but pulled back because I look forward to going to work each day.
What pushed you to change settings?The team physician back in Tennessee invited me to come to work in the clinic setting.
I did not see the connection with the patient like they had at the clinic
Tate Ericson came in and started running the outreach program and we started growing the program like crazy.
The history you are taking with the family and patient in the clinic is different from the one on the sidelines.
Becoming an Office Admin –
Being a stay-at-home dad I knew I needed to find something.
I applied for the office manager spot but they offered the back office manager spot.
I learned a lot about the roles and responsibilities but i missed the clinical experience.
How did you articulate your capabilities?I take pride in having the staff’s back and supporting them.
I always felt like this was missing in my AT jobs
Finding more ways to talk to people and building bonds.
How can I provide for them?
What held you back from moving on?What is the pay
Am I going to be happy
I have connections from each stop along the way and losing that connection caused me to hesitate.
Trauma was a new challenge for me.
Favorite resource for someone looking to change settings?Do your research on the demands of the job
Talk to people
Know your motivation and what you need for your fulfillment.
Making the changes taught me about myself at each step of the way.
Trust your gut
Changing Settings SeriesJoel Luedke
Tyler Triggs
Tanya Watson
Daniel Ruedeman
Kevin Joyce
Bill Coburn
Jason Robey
Meghan Allcorn
Contact us:Jeremy Jackson
John Ciecko
Daniel Ruedeman
These people LOVE ATs and help the SMB pay the bills:Frio Hydration – Superior Hydration products.
MioTech – meeting all of your sports medicine supply needs
PhysicalTherapy.com – use promo code “1FREECOURSE” to start for free
Donate and get some swag (like Patreon but for the school)
DragonflyMax – one-stop EMR
HOIST – no matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Where did you start as an AT? How long were you there?Started out as a College AT at Division 1 Mid Major Universities, Interned at my Alma Mater New Mexico State University for a semester, then Grad School at the University of Wyoming, My First Job was at the University of Alabama Birmingham for 2 years, then at the University of Southern Mississippi for 3 years.
Then life got Lifey, my parents were getting older and having health problems so I needed to move back home. I was able to find a job in a Physician’s Practice and worked there for 5 years.
When I felt that I had hit the “ceiling” and was not growing professionally I was looking to leave, and my Alma Mater was in need of an emergency hire to teach in the Athletic Training Program. I taught Full time for 2 years, then adjunct for 2 years.
A local High School position opened up so I applied and accepted that position for a year. That high school was not a good fit, but have now been at my current High school for 4 years.
Where are you now?Texas 6A High School
Is this where you plan to stay?No intention of moving on anytime soon.
Tanya, what pushed you to change settings?Life 🙂
A favorite resource for someone looking to change settings?NATA has a lot of great resources on job descriptions, committees, etc.
For those interested in the Physician practice the Athletic Trainers in Physician Practice Society has a lot of great info and job postings https://atpps.org/
Regrets or missed opportunitiesThe physician practice setting – I wish I could have grown it.
When it was time to make the change it wasn’t hard to make that decision.
It took a while to recognize I needed a change.
Mental and physical exhaustion
The clinical setting did not provide me with the mental challenge I craved.
Find what takes priority in your life and make a career decision based on that.
Athletic Training is NOT my IdentityContact us:Jeremy Jackson
Tanya Watson – @tewatc on Twitter and Instagram
Changing Settings SeriesJoel Luedke
Tyler Triggs
Tanya Watson
Daniel Ruedeman
Kevin Joyce
Bill Coburn
Jason Robey
Meghan Allcorn
These people LOVE ATs and help the SMB pay the bills:Frio Hydration – Superior Hydration products.
MioTech – meeting all of your sports medicine supply needs
PhysicalTherapy.com – use promo code “1FREECOURSE” to start for free
Donate and get some swag (like Patreon but for the school)
DragonflyMax – one-stop EMR
HOIST – no matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Where did you start as an AT? * Started at an orthopedic clinic working at a high school right out of college. New school so the first AT they had. I was also the first and only full-time outreach ATC Rockhill had. * Loved my school. Very High turnover in management at the clinic
How long were you there?* Nearly four years
What was next (tell more of your story)?* So this is kind of two parts. Before COVID I started a cash-based rehab services business. Partnered with local gyms. This was my plan to leave and do full-time. Was about to make the jump then COVID hit and the gyms shut down. * This kind of killed my momentum and made me pivot. I tried to go into the online space and still do that some but needed it to be a side gig for now at least. * Things came about with the clinic I was at. Did not feel appreciated or supported anymore and had the opportunity to try Sales. * Gave me more “regular” hours. Higher pay potential and higher pay to start. * Dynasplint for 6 months. I ended up working more hours. Being bored with the work and just did not like my situation.
Where are you now?* This led me back to “traditional” – I am with a children’s hospital here in Kansas City as the ATC of a Class 5 high school. It is the district I live in, and my wife teaches at the school. Just started at this school after being at another one before internally transferring when this came open.
Is this where you plan to stay?* The answer is maybe. I don’t want to leave for another school or hospital system. CMH treats me well and the school situation is about as ideal as they come. * But we just had a baby 6 weeks ago. And I can see my priorities already shifting and wanting to be home more. I know I won’t be willing to miss his sporting events and other activities. * Other options I am keeping an eye on: Industrial, Military, Healthcare Admin/Leadership, Self-Employed
What pushed you to change settings?* Feeling underappreciated * Lack of work-life balance * Pay * Advancement opportunities
Tyler, what held you back from moving on?* Fear of failure * Lack of opportunity at first * Not want to leave my athletes * Really enjoyed the school I worked with
A favorite resource for someone looking to change settings?* Fellow ATCs!! * Speak to others in the setting you are thinking about or who are with the company you want to apply for. * Former employees at those places can also be very helpful
Call to action:* Do your homework before jumping into just any opportunity * Now is a great time to advocate for your worth in many ways * If you want to stay in traditional settings, don’t feel bad about it. Maybe your current position is just not that great of a fit but another could be. And if you want to try something else don’t let fear hold you back.
Changing Settings SeriesJoel Luedke
Tyler Triggs
Tanya Watson
Daniel Ruedeman
Kevin Joyce
Bill Coburn
Jason Robey
Meghan Allcorn
Contact us:Jeremy Jackson
John Ciecko
Tyler Triggs – tyler.triggs@gmail.com
These people LOVE ATs and help the SMB pay the bills:Frio Hydration – Superior Hydration products.
MioTech – meeting all of your sports medicine supply needs
PhysicalTherapy.com – use promo code “1FREECOURSE” to start for free
Donate and get some swag (like Patreon but for the school)
DragonflyMax – one-stop EMR
HOIST – no matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Joel, where did you start as an AT, how long were you there?D1 Track and field – the pay was not great
Took the head AT spot at a D3 school that gave more money and last hours
Currently working at a local clinic
What was next on your AT journey?My job was the first job that was paid for directly through athletics.
With the change to MAT programs we knew we needed to take advantage of the unavailability of GA positions.
Is this where you plan to stay?This is a loaded question.
I currently have a 1-hour each-way commute
I will hopefully look for something close to home
The clinic setting is probably where I will be for the remainder of my career.
What pushed you to change settings?We were losing staffing but there was no reduction in expectations.
I also had changes in my personal life – we had a kid.
I was not going to be able to fulfill those commitments and could not ask the team to pick up my slack.
Which skills transferred?It was fast-paced in the clinic.
What held you back from moving on?I loved my job at the university
If we could have gotten the staffing then I likely would have stayed.
We had done so much to change and build things.
Talks with a close colleague with more years of experience were really important for me.
Do you have any regrets?
I miss daily interactions
I miss daily treatments and the rehab side of it.
I have been working to create those opportunities.
I miss the moving and shaking and trying to figure things out.
No regrets, just miss some stuff
I would not trade the time with family for the loss of those things.
A favorite resource for someone looking to change settings?Talking to people
Listen to podcasts that discuss their setting
Take some tours
Talk about some of your accomplishments:I never complain about being bored, but i do not feel like i am operating at 100%.
The team has been open to options
We recently got a service agreement with tactical operation teams.
Opening up dry needling same-day appointments.
How has the network been important?The team physician was really willing to get people in to take care of the athlete.
My current supervisor used to work for me at the university.
We are all looking out for each other and trying to make thighs happen.
Contact us:Jeremy Jackson
John Ciecko
Joel Luedke
Changing Settings SeriesJoel Luedke
Tyler Triggs
Tanya Watson
Daniel Ruedeman
Kevin Joyce
Bill Coburn
Jason Robey
Meghan Allcorn
These people LOVE ATs and help the SMB pay the bills:Frio Hydration – Superior Hydration products.
MioTech – meeting all of your sports medicine supply needs
PhysicalTherapy.com – use promo code “1FREECOURSE” to start for free
Donate and get some swag (like Patreon but for the school)
DragonflyMax – one-stop EMR
HOIST – no matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
“We have to elevate Athletic Trainers.” This has been a driving force for me since I became a director of athletic accounts at Henry Schein. – Eric Kearns
Rising Star Award –Shortlink – sportsmedicinebroadcast.com/RisingStarAward
- How can we give back and elevate?
- What are some of the conflicts ATs are dealing with?
- It is peer-nominated and voted on
- Less than 5 years of experience
- Previous winners become judges as well
- Happens during NATM – so each March
What is your first memory of an AT?* Jim M. at the University of Kentucky * Had to fill the role of a previous AT with a great relationship * We did not have an AT as hockey players growing up in New York * Here is your one shot to make our relationship work
First “normal year” post-pandemic what are ATs needing* Stuff delivered on time…that is the biggest struggle. * The rising cost of goods is also an issue for everyone.
Favorite use of space tip you give to ATs?* Eric Kearns was a contractor for years before coming to sales so this is great for me. * Start with the big objects and work from there + Tables can only go in certain areas. * A turf workout area is a really awesome concept that provides greater rehab opportunities.
Call to action:For more information about Henry Schein Medical’s Athletics and Schools business, click here.
Connect with us on our social channels:
LinkedIn: Henry Schein Medical, https://www.linkedin.com/showcase/henry-schein-medical
Twitter: @HScheinMedical, https://twitter.com/hscheinmedical
Instagram: @henryschein, www.instagram.com/henryschein
YouTube: https://www.youtube.com/channel/UCb6fjfUWDOKmgZKSnSFVcXw
Facebook: @HenryScheinAthletics, https://www.facebook.com/HenryScheinAthletics/
Contact:Eric:
Phone: Cell – 631-793-5020
Email: Eric.Kearns@henryschein.com Henry Schein Medical Customer Service: AthleticsandSchools@henryschein.com
These people LOVE ATs and help the SMB pay the bills:Frio Hydration – Superior Hydration products.
MioTech – meeting all of your sports medicine supply needs
PhysicalTherapy.com – use promo code “1FREECOURSE” to start for free
Donate and get some swag (like Patreon but for the school)
DragonflyMax – one-stop EMR
HOIST – no matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
The Ice Machine is not working..we all know the story, cross country meet followed by a football game and the Ice Machine stops making ice the day before.
Paul Calloway and Jake Stiefel share some tips and tricks for avoiding that nightmare morning.
Ice Machine MaintenanceTry to have two machines running and schedule maintenance one at a time.
Cube Ice drops in batches and needs time to cycle
Nugget ice (Sonic Ice) machines continue to run and don’t need to shut down and cool off.
Water cooled is typically better than air cooled
Water filters?6 months is a must for filters.
Proper size filter is really important, typically follow manufacturers’ instructions.
Try to use the multi-phase filter approach to help prevent the machine from shutting down.
Clean the ice machine every six months or when you change your filter.
Change the filter anytime you have the water shut off.
Scale reduction is important in maintaining the life of the machine.
Bad taste, lower performance.
Air Filter?Cleaning them when you change your filter is a good recommendation
Emptying and cleaning the Ice Machine?Use a scale cleaner or remover according to the manufacturer’s recommendations
Best if you let someone trained to run the cleaning cycle.
Ice machine sanitizer from amazon is usually ok but check for food-safe branding.
Sanitize and rinse the machine because scale remover is caustic.
Be sure it is food grade!!!
TroubleshootingMake sure the machine is level or it can decrease the production rate.
The filter is the number one cause for not making ice – no water pressure means your filter is clogged
Most machines will have an error code you can google or look up on the chart.
Making a loud noise – turn it off and leave it until it can be serviced.
This is a great time to clean it out anyway.
Won’t dump – usually a sensor that stops working.Check that the sensor door doesn’t have an ice cube blocking it from closing
From the fans:Tip#1
Stop using ice.
Michelle Crosby
Annual maintenance is a MUST, depending on your water, here in El Paso the water is so hard with minerals that 7 years is the life expectancy of ice machines. Change your filters, at least every 6 months more if waterlines are broken or whenever you have mandatory boil drinking water. We bought Scotsman nugget ice machines and ironically exactly 7 years they both died, with gearboxes getting water and burning out covid hits, and parts are slim to not available, we switched to Manitowoc insides are stainless steel made in the middle of covid in ITALY bought with fundraiser money right at $9,000 worth. Wow, that was a lot of Gatorades.
Joe Messinger, MA, LATC
Athletic Trainer/Sports Med. Instructor
Bel Air High School/Medical Magnet
Hey Jeremy, my school gets my ice machines serviced annually and has a service contract. My one horror story is that this company came recently without my advanced knowledge to service both on the same day and so drained them both and left me without ice for the day. Luckily I didn’t need it so badly that day
David Silverstein
Michelle Crosby –
My coaches take care of water for games, etc. and we utilize water systems we’ve made that hook up to spigots for practices.
During times I need a cold tub set up for heat illness, we do have an ice machine but I also Freeze 1g pails of water to lessen the amount we take from the ice machine (and wear and tear).
For injuries, I’ll use an ice cup every now and then or a reusable ice pack if necessary (rarely).
Honestly, I function without an ice machine for 90% of the year.
Keep up the good work!
Contact:Jake Steifel – stiefelrep.com
Paul Calloway – MioGaurd.com
Jeremy – @MrJeremyJackson on Twitter
These people LOVE ATs and help the SMB pay the bills:Frio Hydration – Superior Hydration products.
MioTech – meeting all of your sports medicine supply needs
PhysicalTherapy.com – use promo code “1FREECOURSE” to start for free
Donate and get some swag (like Patreon but for the school)
DragonflyMax – one-stop EMR
HOIST – no matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Robotic Surgery is the movement of medicine. Dr. Jeff Davis of Andrews Sports Medicine believes the repeatability makes robotic surgery a better long-term option for the health of the patient.
- iStock Photos
Paint me a picture, what does robotic orthopedic surgery look like?
Robot-assisted procedures
Primarily used for the spine but as we progress more surgeries become an option.
Total hip and knees are currently being done.
There is imaging to “zero” the joint.
Why Robotic Surgery?
It is an imageless surgery so it reduces the radiation.
The program runs based on preoperative planning.
There is a learning curve and it does take a slight bit longer
There is more opportunity for error if you do it manually
The reproducibility of the surgery is improved
How can Athletic Trainers be a part of the change?
My MA is an AT with a lot of field experience
There is not anything specific about the robot that an AT would benefit.
Knowing about it and its advantages as a resource to the community.
Do some people choose not to have Robotic surgery?
There is some fear of who is controlling the robot, but the surgeon is in control of the robot.
One patient would not get into the CT scanner so we could not do the surgery.
Share some fun / cool stories
Patients that have been in pain for a while have really benefited from the robotic surgery.
The more difficult the surgery the better the outcome from the robot.
With the robot, you can have a much better idea if previous surgeries will impact the current one. Since we use imaging and a computer plan we can prepare a little better than non-robotic procedures.
Robotic Surgery questions from Twitter:
Have you noticed a reduction in recovery times or improvements in outcomes? - ATScoop
Decreased dislocation rate
It is still the same surgery
Who gets credit for mistakes? - 2thebrownbear
Ultimately it comes down to the surgeon
Contact Us
Dr. Jeffrey Davis - 205-939-3699
Quad Inhibition and Muscle Atrophy can really slow down the recovery process. However, Jackie Kleihege and Jena-Claire Auten know it is essential for healing. Finding the balance between helpful and hurtful is kind of an art form.
Looking at the timeline is essential so we can see the progress of where we have come.
What is the research showing us?
We do not have all the data yet from the quad tendon ACL
We have 10 years of data on it
What are some reasons we have inhibition?
In the acute phase, it looks about the same.
If we can interrupt the inhibition early then we have better outcomes
It is really hard to study the brain when we are studying the knee
How can we find this loophole or workaround to muscle atrophy?
Decrease swelling
Decrease local inflammatory response
ICE???
Is there a time frame where are going too fast in turning off the inflammation?
We still want the natural healing process to continue through that phase.
And then for that to quietly fade out.
NMES
JK: I have probably underutilized it most of my career.
I needed to give something more and then added NMES and made a difference.
What are your ideal volume and exercises to prevent muscle atrophy?
PRE-OP therapy is critical
There is not a magic wand protocol
Pre-Op nutrition is super important as well.
When we try to activate the quad and then the patient is absent for a week what is the problem?
Latency is key - I want those first 7 days like they are falling downhill, then I dial it back.
Often day 1 postop patients do not look bad, but then days 2-3 are worse.
JA: Genetics plays a role in the inflammation process.
Consistency is key, similar to Instagram and Facebook, they keep putting the ads in front of you and then you end up buying it…
Continue to use the same methods so the patients know what is coming and can buy in
Looking at the 12-16 week patient
OPEN KINETIC CHAIN - the type of graft makes a difference as well
I need to be able to read the signs and customize the options for them.
The goal is quad communication
Determining when to progress:
Biofeedback can help give visual and auditory feedback.
BFR:
It is really as good as they say.
The uses keep growing.
Femur fractures were one of the biggest changes on paper.
Watch the Muscle Atrophy presentation on the Sports Medicine Broadcast Facebook.
Contact Us:
Jena Claire Auten - JenaClaire.Auten@memorialhermann.org
Jackie Kleihege - jacquelyn.kleihege@memorialhermann.org
Dr. Candice Teunis discusses TFCC injuries with Dr. Layci Harrison live from the Memorial Hermann Sports Medicine Update.
You compared wrist injuries to low back pain
Low back pain has so many different causes and ulnar wrist pain is so similar
You do not always have to have all of the answers on your first interaction.
Using a differential diagnosis is super helpful.
I think it is either this or this…here are some options for both of these.
What are the red flags for ATs to be referring?
Ulnar wrist pain is fairly forgiving
If you think the DREJ is unstable then you really need to get fixed quickly
On the ulnar side are the differences in age?
Yes, all of our joints wear down over time and those needs to be considered.
We see traumatic injuries as well as chronic issues.
Recovery in age differences
In older patients we are astarting to see some wear in the joint and lengthens the recovery time. The wrist has to be unloaded in some of the older patients the you would not with younger patients.
Reinjury risk?
Pediatric patients are more likely due to the constant motion
This can be trick since the imaging show the repair. You really have to look critically at this point.
How can we help prevent reinjury of the TFCC?
Strengthening helps
Pronator strengthening
ECU work
Most of the stuff we do not have control over except for the gymnastic population due to the constant weight bearing on their wrists.
Should we be limited movement in gymnastics?
It would help but its nearly impossible.
These kids tend to live with some amount of pain and ignore but it eventually catches up with them.
What should we be teaching students about interprofessional communication?
Develop a personal relationship with the people around you.
ATs can benefit by connecting with hand therapists to help improve the outcome for the patients.
Getting a congruent plan benefits all parties.
Watch Dr. Teunis lead her breakout session on TFCC
@HandSurgeonCandice
Contact Us:
Dr. Candice Teunis - Candice.B.TeunisWashko@uth.tmc.edu
Running Analysis is not just for the elite runner. Kimberly Gandler works with runners in all stages of the sport to help improve efficiency and reduce injury.
Doctor Mark Knoblauch from the University of Houston Master's of Athletic Training program follows up on her presentation at the Memorial Hermann Sports Medicine Update.
Running Analysis - who is it for?
If you are going to be a runner I would highly recommend getting a gait analysis
Shoes are important and going to a run-specific store where educated people can help you.
Fleet feet in Houston, Run on in Downtown
They can do that at Memorial Hermann on a cash pay basis.
Maximal vs Minimal vs Traditional shoes
That focuses more on cushion than support.
Think about the area you are running. Your body can not handle constant banging on concrete.
Hoka and Merrel have a pretty low heel-to-toe drop
But if you switch to an ultra runner shoe then you need to retrain your body as if you are doing a couch to 5k.
How do you balance your style of running and the shoe you need
Change your style before changing your shoes.
YOU CAN NOT BELIEVE THAT THE SHOES ARE MAGIC
If it is not broken do not fix it.
Look at the situation. Do not mess up the time of an elite runner
Weight training can be the bridge to adjusting the form and help prevent injuries.
Late-onset runners - what are you seeing?
Those who pick it up later tend to have better form because they go with what feels right rather than trying to meet the expectations of some coach.
You do not have to go run if you hate it, there are plenty of other exercises.
Marathoners
Most people who sign up for a marathon to lose weight end up using it as a free pass
How do you make it fun for them?
If you do not like it then do not do it. Find something you like and something you can maintain.
I found a way to enjoy strengthening after having 3 kids.
Watch Kimberly's Presentation
Contact Us
Kimberly Gandler - kimberly.gandler@memorialhermann.org
As the director of AT services for the Houston Rockets, Keith Jones has seen the entire evolution of sports performance. He knew early on that he needed this team in his corner for the health and safety of the athletes he was caring for.
Build a Team
Building the relationship with the strength coach
There was none
Then I was the strength coach
Then we hired a professional strength coach
Many of them were from colleges or football programs
It was an adjustment for us to learn what we needed from them and the athletes.
Building the relationship from the ground up is crucial for success.
Find out what is important to you
We can Assist each other better by building relationships.
Keith Jones, how have we changed for the need?
30 - 40 years ago we were fighting each other, muscle head vs medicine.
Let's sit down and figure out what is needed for success in this situation/sport
If we fail then we will have to fail together.
The ATs need to know that the strength coach can be their ally or enemy.
Get in the same room and work together often.
The triangle analogy - How do we ensure the athlete is in the center of patient-centered care?
I love people, I think all ATs love people deep down.
Let me take my skill set and help the people I am passionate about.
In 30 years of NBA experience, my greatest success is collaborating.
How have you spent time in the other spaces and stayed in our lane?
Maybe go into the weight room and enter your paperwork to catch what they are doing
Invite them to use your microwave or fridge.
Intentionally cross paths
Be bought into each other's goals
CHECK YOUR EGO.
In my setting, we spent a lot of nights together on the road and so I tried not to eat alone. We shared meals and car rides together.
How you have developed leadership?
I never really view myself as a leader, I am but do not really look at myself that way.
I want to help, I have learned a lot about what to do and what not to do.
Empathy is important - why are they doing that
Figure out how you can help.
Transformational and servant leadership combine to make the most sustainable change.
Series on Leadership in AT
Watch Keith Jones's Presentation here:
Contact Us:
On-field cervical spine evaluations are an area of expertise for Dr. Mark Prasarn. He is the spine consultant for the Houston Texans and all University of Houston sports teams.
What is the initial on-field assessment look like
ABCs
When do we transport?
Anyone that is unconscious
Significant neck pain
Weakness or numbness
Bilateral is a much greater indicator.
What does it look like once we transport it?
This really depends on the group, but equipment removal
Then get them stabilized
What are our early-stage rehab focus and goals?
If there is an AT it is a huge benefit
ROM
Transient hemioplegic patient
This can be mistaken for strokes
Neck pain is the significant indicator
Education is important
Most cases resolve in a few seconds or few minutes when it is a stinger
If it does not resolve then have them evaluated
Refer for imaging per doctor's orders.
What conversations should ATs be having with local staff?
Where are they going?
You should be involved in the decision-making.
What can we do to prevent these cervical spine injuries?
There is not really much we can do to train away injuries. Strengthening is most likely going to help
Do we need acclimatization for tackling?
Data shows that tackling technique improves injury rates
Watch the presentation:
Randy and Sandy Harris are young professionals looking to positively impact Athletic Training.
I personally listen to their podcast and love the interaction between the two of them.
At some point this summer I will have a gap in content. I will be recording a lot over the summer but I won’t release any until I get them ready. So to help you fill the void in AT content I encourage you to listen to my friends Randy and Sandy over at ATCorner Podcast.
Randy, How did y’all meet?
R: Scrolling on Instagram and WOW…I went to work and found a mutual connection. The rest was history.
S: I was actually not going to post the picture of getting my acceptance letter…luckily I did.
Sandy, what is Randy’s Favorite Podcast
S: This one is easy…the Sports Medicine Broadcast…Seriously
Other than that the British Journal of sports medicine.
Randy, what is your favorite part about hosting a podcast with Sandy?
The balance. She keeps from being too nerdy. We have different experiences and play well off each other.
Jeremy: I love the relationship and quirkiness. Watching on social media how you two are genuine and enjoy your time together is such an encouragement.
What is your favorite piece of feedback you have received regarding the podcast?
R: Hearing people comment after the show with a story that we reminded them of.
S: The growth of our audience to include college students through late careers.
Win the crowd over, what will they gain by listening to AT Corner?
We want to be the bridge between education and experience, the college student and the seasoned pro.
Plus free CEUs…
Contact:
Instagram: @ATCorner
Website: https://atcornerds.wixsite.com/home/about-us
Email: atcornerds@gmail.com
Jeremy: Do not disturb me, I am vacationing.
Athlete Intelligence currently has 3 products: Vector, Cue, and Cue+ to help you monitor head impacts for your athletes.
Tell me about Athlete Intelligence
Wearable device - Cue sports sensor - Bluetooth enabled device
Vector mouthguard - transmits data live and not just Bluetooth
Can receive signals up to 300 yards away
Cue+ - combo of the other two, wearable with the capability of the mouthguard.
Discuss the science behind Athlete Intelligence?
It is the only way to measure in real-time what is happening to the player's head.
Complex algorithms and really nerdy stuff aside, we use accelerometers and gyroscopes to calculate and pinpoint the impacts players receive.
Who is using it?
We built Athlete Intelligence for the youth sports crowd. It is made to be set up and run by volunteer coaches with little to no training.
What does this look like in a high school setting?
Generally, there would be a locker room table with the mouth guard cases set out. The cases would be labeled with the player's name or number.
At the end of the day, the player returns the mouthguard or Cue to the case for charging.
Inside the software, the data automatically syncs and send reports as assigned by the administrator in charge.
I do not want to add another task to Athletic Trainers, can coaches run this program?
Create a system that is easy to useCreate affordable packagesAnswer the question “What do I do with the data?”We are really good at data visualization
“ You can not manage what you do not measure”
How long will it last?
As long as you have a subscription…we handle that as part of our service contract.
Mark H wants to know about the data. Who owns it, where is it stored, what happens to it if we stop using AI?
Data security is super important
We are not a medical device but follow the best practices for medical records.
AI owns the data which allows them to store and analyze it.
Historical data stays with the school account.
Book a demo at www.AthelteIntelligence.com
Contact:
Kevin: kwright@athleteintelligence.com
Andrew: agolden@athleteintelligence.com
Jeremy: info@sportsmedicinebroadcast.com
Ed asked questions about leaving the profession.
Chad took a step.
John jumped off the diving board.
Leaving the Profession question 1
When we say that people are leaving or there is an AT shortage, are we actually talking about specifically in the traditional setting? (Not sure on % breakdown, but how many ATs are working in industrial and clinic setting now compared to 5 or 10 years ago)
John: I think both are accurate. People are leaving the profession of Athletic Training and are leaving the traditional setting. Both situations are good for the profession.
Leaving The Profession Question 2:
For those who have moved on from a setting or profession, what were some of the red flags you noticed if any, or were there smaller subtler signs that were overseen that added up?
John: Being close enough to the table to recognize budgets and spending, HR trends, and then not be given a proper salary increase or plan for the future were my major red flags. I, unfortunately, ignored all of the mini red flags of the community leading up to my decision allowing my value to drop or not be seen to be given a fair chance/raise.
Question 3
Are our governing organizations finding this trend of ATs leaving concerning, or is this what the BOC and CAATE want as we push to be more recognized and respected as healthcare professionals?
John: From a MATS perspective, we are noticing it. We are also noticing the
Question 4
If our profession is in fact trying to distance ourselves from the traditional setting, how do we maintain the same, or improve the level of care we once provided to that population if we are trying to do that with less people?
John: For me, and I think a lot of people, we want to see a well-laid-out plan complete with proactive answers to questions. Without that, it promotes anxiety and uncertainty even if a positive decision is being made. That being said, who knows? I know our skill set is unmatched but we keep changing directions and losing good athletic trainers in the shuffle.
John, how have you been treated since leaving the profession 6 months ago?
I have had nothing but respect from peers and coworkers.
Contact Us:
Ed
John
Jeremy
Being at home with the kids all day gave Toki time to think. He knew he needed to practice his skills and wanted to help others. Late one night he decided to create the joint dislocation simulator.
Toki, tell us about the first time you reduced a dislocation?
Back in 2000, we were playing an hour away from San Antonio
There was no ortho available for the game.
Dr. Bud Curtis said, “Toki, you have to do the reduction.”
Tell us your AT story
1992 I came to the US from Japan. My father had business in Houston so we decided on Texas and since there were almost no Japanese people in San Antonio I knew I would have to learn English with total emersion.
Spent one year at the University of the Incarnate Word learning English
Brackenridge High School in 2000
After 14 years I needed a change
Stayed home with kids
Discuss the origin of your company
One night I started dreaming and then began collecting materials.
CAATE added 3 major standards including Reduction Techniques
I built it for ATs, but I am now getting requests from Emergency Medicine, Wilderness Medicine and a DOD contract.
When you were discussing Dr. Approved, tell us more about that.
Dr. Curtis was my team doctor and we worked with him through the whole process.
We also connected with Dr. Green, a local hand doctor , and had him test it out and give feedback.
How can Jay help you today?
Jay and I are actually going to be at NATA together sharing a vendor space.
If you are no longer in school (an ATEP) how can we get this practice?
I am hosting workshops across the country.
If you can pay for the travel expenses and the best sandwiches in town, I will be there.
What are you using for materials?
It started with an old anatomy teacher donating a broken down skeleton and me using orthoplast to replicate the bones and joints.
Do you feel guilty searching for new providers?
I do not have a problem with switching if the company can do the same thing for cheaper and better.
In the life balance you are creating, where is your line?
I do not have a lot of expectations of someone giving back.
I do a lot of things for others and do not expect anything back.
Toki, talk about Shark Tank.
I applied and presented to the first round.
If I was selected I would fly out to California, but I was not.
For me, I am glad I did not give up money and take on a loan.
What is the feedback you are getting?
My first workshop was in San Antonio ISD with former colleagues that had never reduced a dislocation before.
A lot of clinical programs do not have someone to teach the skills even though they bought the devices.
Contact:
Toki - Facebook or pretty much everywhere
Elysia - Email or @SIBoards on Socials
Jay - Instagram or Twitter
Jeremy - @MrJeremyJackson
Long COVID - define it.
Symptoms after a covid infection that last past 3 months
Resurfacing of a past issue like asthma
Share some of your story.
Exposed on March 8th
Symptomatic on March 16
Body aches, shortness of breath
Sprint run chest burning
Mental fog - it was hard to learn new things
Exacerbated an autonomic condition
I tried to keep going but some friends did an intervention
You recently presented at two conferences about Long COVID. Give me the cliff notes.
San Diego Pain Summit - more theoretical and it is available to watch for free
NJATS - practical and scientific application for the Athletic Trainers
Some settings no longer require an RTP. What are your thoughts?
Most RTP does not address Long COVID
Encourage Cardiac testing
Breathing symptoms and cognitive symptoms
How do you tell the difference between out of conditioning, a cold, and long COVID?
Look at a normal deconditioning response indicator like heart rate
The aerobic system is broken.
People with cardiopulmonary testing or rehab do worse on day two, typically much worse.
It may be hard for athletes to verbalize their needs and concerns. It was hard for me as a grown adult medical provider to recognize and verbalize my needs.
The heart rate does not match what they are doing.
When I shower it may be 150 where I am 120 bpm walking upstairs.
Do they seem like they are getting sick from exercise?
What is the one take-home message for ATs dealing with Long COVID personally or professionally?
Make it simple
Crippling fatigue
PEM or PESE post-exertional symptom exacerbation
Breathing pattern disorders - hard breathing when they should not be
Mast cell activation syndrome
An estimated 50% of long covid will have autonomic dysfunction
Heat illness is a major concern
LongCOVID Physio - a group for medical providers struggling - peer support
Stop rest and think
Be intentional
Have conversations early and often
Altered taste and smell is a thing with COVID
This can lead to difficulty with student-athletes getting proper nutrition
This is a Mass Disabling event
Contact:
Daria - OnTapPhysio
Jeremy - MrJeremyJackson
Resources:
longcovid.physio
David Putrino
Medbridge Course from Todd Davenport - use the code THESMB for your discount
Long COVID discussion with Daria on Facebook
Watch the video here
Tips and tricks for using BFR are usually best with some experience. At this point, we have used Delphi BFR for about 6 months.
Jennifer Asberry has used it as a clinician and as an injury-loving weekend warrior. She shares some of her injuries later.
Kyle Kimbrell has been working with BFR for years and has plenty of tips, tricks, and thoughts. He has previously been on the podcast to discuss BFR in adolescents.
Before we get to BFR Tips I have a few shoutouts.
Judy Bittar - a student AT Aide for listening and reaching out when you visited our campus.
Tony Young - for purchasing the Compex and looking into BFR after we discussed it here on the podcast
We received funding for the BFR unit from our Pasadena Education Foundation - a few quick tips on getting grants funded:
Will it make my classroom more innovative?Will it boost student engagement?Will it be used primarily in the classroom/ campus?Is it underfunded or not funded by the regular school budget?Does it relate to student learning, development, and academic success?
Favorite success story
Femur fracture returned to sport-specific activity after 3 months with equal quad size.
PCL - patient returned after 4 months
Derek - ACL repair after 5 months
Best BFR tip for ease of use.
JJ - you can press anywhere on the clock circle to start the 30-second timer.
Jennifer - Have the exercises planned out before starting.
Jeremy - Teach helpers and patients to set it up.
Why does my LOP swing about 30 mmHg day to day?
The LOP is a measurement of what it takes to measure occlude blood flow at that moment.
Stress can effect itPrior activityCuff placement
Any blunders?
I had a user have the cuff slide down and “pop-out” the BFR cuff. How can we prevent it?
User error…that is all …lolYou can press deflate without having to do LOP againOr remove the tube from the cuff and press your thumb over it while you readjust the cuff
Large leg, can’t get the cuff to measure LOP. What else can I do?
Isometric ExerciseExternal cuff pressureSkip the sleeve if they are wearing compression pants already
“More likely to get funded” tips from the Education Foundation:
Makes learning more engaging and innovative.Impacts a larger number of students & teachers.Reusable, sustainable, and long-lasting projects.Supports classroom instruction and boosts college or workplace readiness skills.Includes matching funds from other sources.Completed applications with accurate information.
Matching Funds:
Contact:
Jennifer - Jennifer.Asberry@cps.k12.ar.us
Kyle - kyle@owensrecoveryscience.com
Jeremy - info@sportsmedicinebroadcast.com
Valerie Tinklepaugh-Hairston presented on Recovery at the Trinity Sports Medicine Conference in 2022. I had some questions about her presentation because I like technology and toys.
Mike Hopper has some questions about Kelvi and was being an AT Nerd and watching the Facebook live of her presentation.
Food, Sleep Hydration…Valerie, give us something fancy…
Tell them why they need these things61% injury reduction rate when these issues are mitigated
The Sports Nutrition playbook
Movement is Medicine - Active recovery is king
Alternate activitiesVary heart rates
Explain the co-contraction with the Theragun a little more…
We need external stimuli to help the internal stimuli get moving.
This could be done without a percussion gone but would be tiresome. You are basically poking the bear until it wakes up and chases you.
You talk about needing an inflammatory response but knowing when to step in and help control it.
This is the way we were biologically made
It is basically the EMS crew coming in with the wrecker crew and the fireman to sweep up, clean up, haul off the bad stuff and get traffic flowing again.
Pain is great, but sometimes those sensors just get stuck on.
Treat the individual and not the symptom.
Valerie tell us about Kelvi
You really need to see it to believe it. The ability to go from hot to cold in 15 seconds is amazing.
The technology is incredible, we have sensors inside the sleeve that measures and maintain the skin temperature.
Pain management is one area Ice and Heat have really shown beneficial.
Preparation to work is a great way to use the heat feature.
Contact us
Valerie - vhairston@kelvi.com
Mike - Mike.Hopper@bishoplynch.org
Jeremy - info@sportsmedicinebroadcast.com
I run for recreation, to keep myself healthy, and to set an example for my kids, students, co-workers, and family. Meredith Sorenson runs because she is good at it...like really good. KP runs because he does not want to break his streak.
Regardless of why we are all recreation runners now and need to refuel.
Meredith, give us a quick tip in case someone turns it off after this.
If you are running do not cut carbs
Kyle - SIX YEAR recreational run streak…let’s talk about that
Started with one month in college and then just kept going.
I was a cross country runner and baseball player in high school.
Now running is for recreation.
Meredith as a collegiate runner what were your eating habits?
In high school, I ran about 30 miles per week
In college, it went to about 55+miles.
I continued with under-fueling which lead to stress fractures since I was cooking for myself.
I was not good a preparing or planning ahead. I did not bring snacks.
75 miles in a week is my personal record
GO TO Breakfast
I have a sensitive stomach…so I tried a lot of sports drinks with carbs.
Bananas and clif bars do not work for me
GoGo fruit squeezes work for me.
How are the demands for a steeplechaser different from a straight runner.
You need more muscles than you usually do running
It is a 3k race with barriers and the barriers do not move. One time I ran into one and got a really big bruise on my knee to show for it.
There is a lot more pounding involved
As an adult / recreational runner how have you changed?
Currently a 40+ mile per week runner
Recovery after runs is a priority at this stage in my life.
I learned to cue into my hunger signals.
Athletic Trainers are like every other profession, some are fitness nuts and some are very unhealthy. Give us some more depth of fueling the recreation runs.
Early morning you could skip the food if it is low intensity short (under an hour) duration.
In higher intensity runs you need to get something small then follow up with a good breakfast.
You have 60 or less to pick one of these for fuel…lets see how you do!!
Jeremy - Hershey's bar with almonds
Kyle - Hershey bar without
Jeremy - Protein shake
Kyle - Protein bar
Kyle - Oreos
Jeremy - Gatorade chews
Jeremy - Hot Cheetos or Takis
Kyle - Pringles
Call to action:
Contact:
Meredith IG @MeredithDarcieNutrition
Kyle - MonroeCentralAT on IG and Twitter
Jeremy - @MrJeremyJackson on Twitter
Resources:
Relative Energy Deficiency in sports
APATS or Asia Pacific Athletic Trainer's Society started in a hotel conference room when some ATs were trying to figure out the best way to help new Athletic Trainers get settled in Asia Pacific.
Our Guests
Erick Chen spent time in China, working with Cirque De Soleil, and opened up a hospital rehabilitation clinic before moving back to the United States (just before COVID)
Ngan "Nina" Chung is an Athletic Trainer at the Candian International School of Hong Kong.
Share some of your story Ngan
Born in ChinaImmigrated to the USNew Jersey became homeAn internship in AsiaA collegiate AT back in the US.
Erick share some of your expereince
SoCal growing upAttended Fresno Several different AT jobs in the statesWent to work with Cirqe in Macau8 Years at United Family HospitalNow back a Los Angeles City College
Struggles of working as an Athletic Trainer in Asia
Communicating and education are a huge piece of the puzzle for ATs in Asia PacificWe have to tell people who we are, what we do, why we are important.Creating the role from scratchLiterally no space or supplies for an AT FacilityThe culture of traditional medicine
How did you connect with other ATs in Asia
We did not for a while. We were on our own.
We decided we needed to team up to grow our profession and met up at a hotel and started APATS shortly after.
Now we have the organization and social media.
What are the goals?
CommunityImprove the CLinicianImprove the Community buy-in
Where should we go to learn more?
Website- https://www.apats.org/Facebook- https://www.facebook.com/APATSociety/IG- https://instagram.com/apatsociety
http://sportsmedicinebroadcast.com/1freecourse
Daniel Bellamy left us with a great line in his first podcast: Question Without Questioning. I knew we needed more time to discuss this so we scheduled another session.
We missed some parts of the story
Grew up in Washington DCSon of a pediatricain and a recreational therapistGrew up in the churchWhen he got to college he decided to test out the college life
Where did that lead you?
I began to question my faith, and I struggled with anxiety. I used drinking and smoking and partying as a way to cope or deal with the anxiety. I eventually came to an "I am going to fix this" situation. That's when I met my wife and started doing great.
"When my wife got pregnant I panicked and started back up. My son was born and I heard a sermon that really struck my heart and changed everything."
I need to have some initiatvie, I need to get my wife and I out of my parents house and lead my family. I need to take advantage of the time and blessing i have been given.- Daniel Bellamy
Why did you move on?
I was just coasting, I was chilling at the high school and not really growing.
I needed to repair some relationships, get out of my parent's house and make some more money.
That lead me to develop my core values as an AT while at Howard University.
What are those Core Values?
Effort
Empathy
How do we question without questioning?
Assume the BEST - almost no one was out to get me. If I approach from that perspective it usually goes well.
Be curious to understand - truly ask how, why, when because you want to learn
Enter their space - hit the weight room with the coaches or catch up at baseball practice
Overcommunicate - this leaves you with plenty of deposits in that relationship bank account.
Invite them into your world - joint CEU options or planning and policy teams.
Invite Daniel to speak to your AT program
Daniel - Daniel.Bellamy@utsa.edu
Victoria - @morris_atc
Dr. Andrew Gallucci worked on Burnout in Athletic Training as part of his doctoral studies.
This podcast was a live recording at the Trinty Sports Medicine Symposium 2022.
The YouTube video is of the live presentation.
https://www.youtube.com/watch?v=5jmZSciQYvA
Burnout can be Emotional or Physical, or both
Some signs and symptoms of burnout
CynicismWaking up tired after a full night of sleep
Increased exhaustion leads to increased medical errors
It is important to recognize, address, set boundaries, and seek support when you feel like you are experiencing burnout.
Some Athletic Trainers will not speak up, but if you are already planning on leaving the location or profession then why not have the conversation.
A few tips:
Set do not disturb on your phoneSet lock out timers on your emailDelete email from your phoneHave seperate devices for checking email and phone calls
Thank You Shawn Ready and the Trinity Sports Medicine Team
Contact us:
Andrew Gallucci - Andrew_Gallucci@baylor.edu
Jeremy Jackson - info@sportsmedicinebroadcast.com
Why not me? Why should I not participate in the Mental Health Diversity talks? - Janet Lin Craft
Living Room Talks - a way to discuss Mental Health Diviersity
Living room talks…what are some of your takeaways?
Struggles
Passionate
Talking as therapy
Hurt experienced- academia microaggressions,
Frustration with lack of progress in society ( still teaching)
and profession ( numbers same, small moves by all partners
Hope too: hoping for better
Understand small moves
How does your ethnicity/ culture look at mental health?
First gen- work mode
Stigma
Finding time
Trying to find someone like you….
Work, family, upbringing, mentors, work life integration, setting
Personal experience with Mental Health Diversity
Who would be your star struck guest on living room talks?
Everyone
Unfamiliar people, becoming friends and colleagues and go-to
Saying yes, being open and honest
“Open book”, ask me anything
==open door
Mental Health diversity…what are the struggles?
Stigma
Finding someone like you
Call to action:
NATA resources: EDAC, ATs CARE
Seeing people, really see them, be uncomfortable (question yourself and others)
Janet Lin Craft -
Victoria Morris - TikTok: @coachmorrisat
Director of Sports Performance at Howard University, Daniel Bellamy brings his skills, family, and his voice to Texas in his new role at UTSA.
Where did it start?
During my NFL internship, I learned to incorporate a lot of sports performance into rehab.
At the high school
Teacher
PT clinic
Arena Football head AT
Track and field coach
I wanted to spend more time with my patients
So I took an assistant job at Howard University
At the university, I became very curious about the injury risk reduction side of AT.
I took it upon myself to develop warmup routinesI was able to implement recovery routines
Masters - injury prevention and performance management.
First task as the director of Sports Performance
Hiring a strength and conditioning coach that would work for an FBS coach
The process was brutal but the outcome was something great
The best ability is availability - they need to be functional and healthy before they can work on performance
Four Pillars
Patient care
Athletic Performance
Data and research
Education
Key elements
Trust
Honesty
Respect
Integrity
Communication
Overlap and interdependence in Sports Performance
Athlete MonitoringInjury PreventionInjury surveillanceNutrition initiatives
Each team member needs to understand the goal and how we can work together.
What is the benefit to each member?
Wellness surveys can help coordinate care as well.
Shared information and language in Sports Performance
Continuing EdInclude all relevant team members in the processThis gives us shared learning and coaching cues.
Progression / regression charts
Highlights key movementsHow can we reintegrate the athlete optimallyWhat are the most complex version of the movement and what is the most basic “entry fee” into that movement
Shared Projects and initiatives in Sports Performance
Collaboration to integrate new technologiesKinesiology collects and analyses data to use for publications
BRING MART PEOPLE TOGETHER AND ALLOW THEM TO DO THEIR THING
Bottom Line
We are in the people businessTrust is KeyAsk questions without questioningAllow people to take the lead
Strength and conditioning’s goal should always be to ensure safety during the workouts.
Compliance comes from understanding and is the biggest key for the athletes completing the RPE and RTT surveys
Resources
Ted Sperlak, NSCA Talk on Sports Performance Model
https://youtu.be/EKI7rDYWLrI
Article to Read on Recovery Periodization: Mujika et al., (2018). An integrated multifactorial approach to periodization for optimal performance in individual and team sports.pdf
Article to Read on Periodization and Rehabilitation: Periodization and PT.pdf
Contact Us
Daniel -
Victoria -
Jeremy -
As a collegiate coach, Dr. Kimberly Stein had to communicate the science of recovery and nutrition to her teams.
Being a pioneer in the NFL Kevin Luhrs had to communicate the science behind the small changes to improve player performance.
What does effective communication mean to you/look like to you?
KS:
We think it is cool and give them the details but they do not really careKeep it simpleMeet them where they are
KL:
transfer of knowledgeFind where they are and stay one step ahead of them
What barriers have you run into while trying to share science?
KL:
I started in 2010
I think the number of Sports dieticians has doubled in college athleticsAppeal to the why - Why are you tired on the field, why are you sluggish? Keep monitoring them.
KS:
You have to sell it as another training aidePotential injury preventionSTART WITH WHY
What are the best steps to introduce science into a conversation effectively?
KL:
Plant the seedAsk questionsI had the opportunity to communicate the science in front of the whole teamI had a lot of consultations in the whole way or in the At Facility
KS:
Meeting them for the first time is not the best timeWhat do you think about nutrition and performance?What do you think you need to perform?“Let’s try just a little bit of energy” not well the RDs recommend 20 ML of fluid every 20 minutes of heavy activity.
How can you get a team of professional athletes to take interest in the science behind sport?
KL:
Where do I start?Fried catfish FridaysImplement it into practice as you educate themSmall changes
KS:
Older athletes kinda lead the way for me…they wanted to extend their career.Nowadays we see athletes that are asking questions as soon as they get the contract.
How do you adjust your communication methods between a practitioner audience or a professional athlete audience?
KS:
Practitioners get more of the scienceThey want to see the charts and graphs and dataBut you are still not talking to other scientists so do not go overboard.Use visuals often.
Professional athletes Let them ask questions and get a feel for what they wantUse examples of places and people it has worked withCoachesThey have to be the key in implementing it.Allowing water breaksAllowing practice to start later so the team has time to eat.But they also need to internalize this personally
KL:
Educate them so they can communicate the message when neededBeing on the same page as a staff is probably the biggest key to success..coaches, admin, everyone
How can someone communicate why their recommendations are effective for reasons beyond the science?
KL:
-
We definitely have to convince people or sell it at times
-
Like Dr. Stein said, science is not black an white, it is evolving
KS:
Yes!!!Understand the science of behavior changeYou are not really changing the diet but changing their behaviorTiny Changes
How can a practitioner determine whether information is best communicated visually through graphics or data, or through straightforward text?
KS:
Pee Color chartHaving a picture of carbohydrates…giving examplesDo this instead of a list
KL:
Weigh in charts for hydrationTraffic light training systemGoSlowWhoa
What are your recommendations for sharing/communicating the science via social media? What are some effective posts/sources that you’ve seen recently?
KS:
We are a headline driven society..so it is hard to communicate the science accuratelyWho know how valid the “reports” areGet with the team captains and see if they can share the good stuff on their personal info
KL:
Point towards some that are doing the right thing.
What are some scientific resources you would recommend for someone who is trying to expand their sports performance research knowledge?
KS: - www.GSSIweb.org - hands down
KL: Sports Science Exchange or Gatorade performance partner website
Contact Us:
Dr.
Dr. Mercedes Himmons believes the Diversity and Inclusion committees of her state organization are doing a really good job. She has worked hard to set the example and is now leading in the PATS organization
Dr. Himmons, if I walked down the hall of your parents’ house what would the pictures tell me about you?
I am sassy, always wore dresses and I am family-oriented.
What levels of education do your family members have?
I am a first-generation college graduate.
You have been traveling the world and Cairo on a camel at sunset was one of your highlights. Tell me more.
Dream trips:
Paris and Rome
Turks and Caicos
What is your favorite thing about athletic training and sports medicine?
Relationships
What is our working definition of diversity?
Having multiple people regardless of background all in the same place.
Make sure all of those people are heard and seen and their perspective is taken into account.
How about inclusion?
The word belonging is a good fit instead of inclusion.
What would you like to see from the local, district, and national levels within the profession?
PATS is doing a good job of trying to close the gap.
Racism is a public health issue
Be good humans to each other
The majority of our patient population as ATs is nonwhite but the majority of the ATs are white, so there is some disconnect.
Show that you are willing to learn and understand.
You are the NATA president. What would your platform be on diversity and inclusion for the profession? What about for NATA as an association?
First I would like to take the temperature of the room.
Everyone matters and should have a voice.
Keep the patient at the center of our focus.
Listening to understand and not just to reply.
What is some advice you would give companies looking to diversify? What about MSAT programs?
It would depend on the demographic
Retention is very important, what are you doing to keep the diversity?
Anything you would like to say to listeners that want to be an ally. What would you like to see or hear?
People need to know that they are going to step in and do the right thing to help eradicate the negative behavior.
Contact Us:
Dr. Himmons: @MemoriaVitae
Victoria Morris: @Morris_ATC
Jeremy: @SportsMedicineBroadcast on IG
Amy Hamilton will be taking over GLATA which is now two different districts in the NATA. Challenges and troubles will arise but with a good team in place, the transition should be easier.
Amy Hamilton, what are your thoughts as you begin to dive into the presidential role leading 2 districts in a few short months?
Management versus leadership - how are you going to handle these?
Look at the talent in the room and allow them to use their skills and empower the next generation of leaders.
I lead by example in my day job
A large number of our staff are involved in leadership.
Amy: one of my biggest passions is looking at ATs place in healthcare.
I hate the word “coverage” and provide healthcare instead.
Has being a Woman as a leader been difficult?
It has not been a barrier for me because I have not let it be one.
I do not want a seat at a separate table, I want a seat at “that table”
How do we encourage people to break barriers down?
Start by asking to help.
GLATA membership carries a good amount of the NATA membership (approx 20%), now that 2 districts represent those ATs, what advantages do you see in future?
We will have a lot more people involved and represented in AT now. We basically doubled our positions available.
Budget is one of the items we didn’t look at all the details for.
As incoming MATS president, John, what thoughts do you have in a state leadership organization in GLATA, District 4?
I look at it from a regional rep's point of view.
We have a lot more opportunities for concerns to be voiced.
We needed to develop future leaders. We had to bring back the Young Professionals committee.
We need leaders with diversity in their leadership experience.
Leadership Series 2021
Contact Us
Amy - amyhamiltonatc@gmail.com
Patrick - @Patc1996
John - Twitter
Jeremy - Twitter
Help me Help YOU
Admiral McRaven's ten simple rules for life start with Make Your Bed and mark that first task off your list.
Chapter One: Start Your Day with a Task Completed
What does attention to detail say about you as a leader?
John: The little things add up over time. Attention to detail means you have attention to the goal.
Chapter Two: You Can’t Go It Alone
Why is it important to have a strong network of people who support you?
John: Family to take risks and ground you.
Chapter Four: Life’s Not Fair – Drive On! How do you deal with adversity?
John: Foster an attitude for success, not misery!
Chapter Seven: Stand Up to the Bullies Choosing the difficult right over the easy wrong.
John: Being a leader means always striving to choose the right over the wrong and being ok with the internal dilemma that is within.
Chapter Eight: Rise to the Occasion
What dark times have you gone through in your life?
Jeremy: Having our first foster placement taken from us at the same time I was worried about losing my job
Chapter Nine: Give People Hope
How do you encourage people when things get rough?
John: What leadership styles or theories best suit individual followers? We can’t always be the rah-rah person…
Texas 2014 Commencement Speech regarding Make Your Bed
https://www.youtube.com/watch?v=GmFwRkl-TTc
Contact Us:
John Ciecko
Jeremy Jackson
John Ciecko and Dr. Matt Kutz share what they are doing to take leadership at home seriously.
How do we Develop Leadership AT Home?
Intentionally scheduling my time is critical for me.
Johns daily schedule
When during the day are ATs practicing leadership most?
ATs tend to stop practicing leadership when they are not in their AT role.
Leadership is not something we put on and off, it something we are.
Leadership is something we take with us everywhere we go.
Dr. Kutz homeschooled because he wanted to teach them some very specific skills
Americans are one of the only cultures that do not celebrate life milestones
“Communication is a result of something else, not a goal”- Dr. Matt Kutz
When kids come into the picture your values change.
Management shines best when the situation has occurred before. It really struggles when a situation is novel. That is when Leadership shines.
V.U.C.A. leadership world.
Authoritarian leadership is not dictatorship. “It is ok to say, Do this because I said so.”
“As your team and relationships grow, the techniques you use early on do not work later on.”
Favorite resource for raising kids?
Becoming a modern-day knight
Kids had to do book reports to earn money it was a great way to expose them to skills and knowledge.
TIME is the best resourceOwn your mistakes and apologize
A fun song from the musical Hamilton, "What Comes Next" is the line we are focused on for the start of the 2021 leadership in AT podcast series.
Thanks Patrick Ohaver for putting it all together.
What comes next??
You have wanted to move up to a leadership position in the company, the school, or even a professional organization.
Just as a young America made the leap into independence, now you are given the opportunity to lead.
That is the question on this episode..
Do you know how hard it is to lead?
Patrick- As Former supervisor for a hospital Outreach based program I was given the task of leading approximately 25 athletic trainers. Some of these athletic trainers were my peers and that in itself is a difficult part to lead your own peers.I really resonated with this song in Hamilton as I knew it would be difficult to lead however I did not realize the full extent until I was in that situation. It is difficult to lead and not just your peers but to lead a cohesive group of athletic trainers.
I was fortunate enough to have mentors that were in leadership positions and I observe them through my career taking mental notes on what I would do in certain situations how I would overreact how I would respond however I learned so much during my tenure as the supervisor of Athletic Training Services and dealt with a lot of specific leadership challenges.
Patrick --- Another point in King George's song what comes next really struck me was when your people say they hate you don't come crawling back to me. Now as a recovering people pleaser, I strive to make everyone feel Equitable and try to look for the win-win. However, during my time I discovered win-win just doesn't work out sometimes. When you have to lead a large group you are not going to please everyone now. I would not say that my employees “hated me “ however some decisions that were made did not meet with high favor.
I can recall a time when we sent out an employee satisfaction survey. It was a sort of 360-degree look at our leadership team.
Through the eyes of the employees and I was expecting an overall positive response however, the amount of negative response was shocking and really caused a point of reflection and revaluation of my leadership style and our leadership team’s style.
I was fortunate enough to work with two other athletic trainers in the leadership team. We assisted each other and each had our own strengths and weaknesses in the leadership team. However, that employee survey was a watershed moment for me and my leadership style.
Have you had an employee survey or an evaluation done on you that was not what you expected and did it change your outlook?
George Washington states - “Winning was easy, leading is harder”-
This point in the musical also echoes a similar thought that getting to the top may be easy however leading is harder.
Leading your peers is very difficult. We can look back at a recent Facebook post in the Secondary School group where an employee was ranting to her “friend” who was in an administrative position about the organization. I am not sure what was said or how it was said however the other party deemed it necessary to inform her superiors and her subordinate was reprimanded.
There's a good book called “From buds to boss” by Guy Harris and Kevin Eikenberry. It's a good book and help me get some perspective in my early supervisory times.
Being the boss isn't all Fame and Glory. Some people want that prestige and that title however, if you're not prepared, then it may be more of a detriment than an aid.
Call to action:
Were you ever on your own? I recently heard from a long-time listener Caleb who was out in China as an AT and he was on his own for a while. Share your story with us.
Contact Us
Patrick - Twitter
John - Twitter
Jeremy - Twitter
Is Leadership Curriculum a good way to learn to lead? Can it be added to our current AT course requirements?
How do we develop leadership in AT?
Curriculum is the hardest way to learn leadership - there is an absence of the practice of AT
“We tend to protect them from the leadership process in their clinical experiences”
The only way it can work is if we integrate them together into the clinical experience.
Trial and error - best most effective and efficient way
Observation
JBY: It is more outcome-based. It is easy to track clinical outcomes.
There are so many types of leadership.
Situational leadership or contextual leadership is critical.
In the current BOC practice areas, only about 2 of 8 deal with sports
How do we develop good leaders?
What makes a good leader?
Are we putting people in the right places to lead?
Energy bus
The military does this really well
They capitalize on the problem-solving process.
If you look at the CAATE and look at the math, .05% of ATs are in leadership as program directors.
MK: we need to be better at recognizing the reality there is a small percentage of us in leadership roles.
We need to train the program directorsIncrease the exposure of our students
If we think adding clinical skills to our profession is going to change our profession we are sorely mistaken.
People want to know how we can help improve and all we have to offer is a new way to tape an ankle…
The BOC states we have to have skills in leadership...not knowledge of…
We have to be able to change hats.
We are 20 years behind compared to other healthcare professions as far as leadership.
Nursing is by far the leader in my opinion in the leadership curriculum.
We are making a big mistake as a profession by not putting more eggs in this basket.
Can we teach it at the MAT level? How do we measure such an objective subject?
MK: We get scared when we go to the literature.
Leadership is not like a clinical skill
It is not a checkbox item.
Instead of a concrete objective, there should be a certain number of leadership exposures per semester.
Develop a leadership philosophy.
JBY: New 2020 standards have shifted towards outcomes. How are you documenting them?
Checking the boxes is a managerial task, not a leadership task.
Self Assessment - SWAT analysis - how did I move this pile of beans to the other pile.
Operationalizing Leadership is hit or miss.
The MAT is designed for an AT student to ENTER the profession.
Some of the ways we have it is an AT Student Society
We have liaison positions in our program.
Being on a committee at various levels.
When everything is outcome-based how do we say “Leadership was performed”
MK: I hand out sticky notes and ask and ask them to put 3 words for each LEAD
That leaves us with hundreds of words dealing with leadership.
Now we need to make an operational definition from all of these words.
It depends is a real answer as long as you are not using it as a cop-out.
Leadership is a philosophical construct versus a hard skill.
MK: Leadership is not volunteerism
JBY: Education is a business
The student is our customer product and asset...it is so unique.
Why is PA more acceptable than AT in the medical community?
What is your responsibility as a program director? Differences between programs
JBY: When students come in I tell them I am interested in people who are looking to be leaders and agents of change. We will make you into good ATs, but we need you to be the change.
The leader needs contextual intelligence to be really good.
Management is checking the boxes
Leadership is influence
MK: At FIU we focus on helping them answer the “it depends” question.
We are developing leadership behaviors to influence the world, not just AT.
We need to add value to SOCIETY as a whole.
Leadership definition:
Risk Reduction is the key to preventing ACL injuries. Chris "Tex" McQuilkin joins us to share how Power Athlete HQ is building better movers.
https://www.facebook.com/sportsmedicinebroadcast/videos/299113867774673/
Movement is going to be our common language
HELPING PEOPLE UNLOCK THEIR ATHLETIC POTENTIAL.
Empower your performance
Non-Contact Injury Risk Reduction
Athleticism will be the focus
Create a common language between coaches, strength coaches, parents, and athletes
Primal Movements
Vertical pushVertical PullHorizontal Push / PullX-SquatY- LungeZ- Stepup
In sports, none of the movements are isolated, but in the weight room, we train them as isolated planes.
The frontal plane is the back injury prevention lane
Create a systematic approach
Demands of Sport
Reverse engineer the sport
Athlete Assessment
Identify potential and limitationsDO NOT DO 1 REP MAX with HIGH SCHOOL ATHLETESLimiting factors - what happens to their head, their core during the lift
Develop a Program
Based on your individual needsDON’T take the college program for top recruits at D1 school
Injury Prevention - 27 minutes
We need valuable scalable tools that use common language so the coaches can correct it easily without the Medical Professional there
Train them to see movement
Stu McGill’s Big 3
Assessment - each set and rep in the weight room should be used to assess.
Integrate correctives into a program
ACL Injury Prevention Model
ACL Tear Mechanism
Quad dominanceLigament dominanceAsymmetryLeg dominance - plant leg or kick legJump tuck testLooking for one hitting the ground firstTrunk DominanceTrunk leaves the center of gravity and compromises the muscle is the largest problem that is modifiableCan not jump and land repeatedly in the same spot
Athlete Assessment
TrunkHeavy Barbell - relativeDeadbug and spidermanAdd 5lbs each session to the 3x5Primal X-Y-ZShow where they are weak withing the lunge or step-upFrontal PlaneTransverse PlaneCan you separate knees from shoulders?
Corrective Exercises
ReeducationTeaching them how to moveWarmupsBest chance to implement corrective exercises. Work within the window of their normal warmupsAccessory Work
Neuromuscular reeducation - 41 minutes
Quad Dominance - use: Power Athlete SeeSaw WalkLigament Dominance - triplanar arch...have them work barefoot and do toe yoga stuffAsymmetry - Symmetry trainingTrunk Dominance - Trunk Strategy - overload and give them the opportunity to make adjustments
Phases of Neuro reeducation
AlignmentForce ReductionForce Production - Coaches often jump to this because it is easy to put in a spreadsheet and “showoff”Isometric Force - Protective Force - Overload - show you can move well then we add load
Principle of specificity
The Warmup
Rename it if you need to so they take it seriously
Why - enhance athleticism
Every day is a way to get really good and master your movementPsychological gives you a chance to get a feel for the athletes and how the day will go.
Risk Reduction through Anatomy Warmups
Pre-warm up warmup - do a lap/motion without lollygaggingIso-Stability - establish a posture and then challenge itFeet and anklesPrimal MovementsCombining primal movementsEnergy systems - what does the game call for...represent the highest demand they will see in competitionX-factor
Training vs Competition
Avoiding talking about ACL injury prevention before the game, but build it into the normal warmupBe mindful of your words
Injury Prevention Integration - 57 minutes
Accessory Work
Why - work mitigating factors
StructureRemodeling - never accept flat feetWe can remodel archesTri-planar arch developmentHypertrophy - increasing the cross-sectional massInter/INTRAmuscular Coordination
I need it difficult in a controlled environment so that I can trust they can handle it in an uncontrolled one.
Execution
Look
AT Inventors 3 is focused on Logistics and Production for your product to help improve the practice of Athletic Trainers EVERYWHERE.
Production
Origin of production, taxes, and duties
Cost per unit and minimum orders
Payment options with vendors
How do you price your product
E: dial in all of your costs and then add 15% in case of overages.
A lot of people do not understand this statement, but it's good to shoot for 5X to cover all the other expenses we talked about. Rent, insurance, time, labor…
Really slim margins do not offer you any protection. Everyone needs to make their money.
Using the SanDisk memory card example - the card is the same shape and size as it changes storage capacity but the price keeps going up.
Stay focused and do not spread yourself too thin.
E: Shipping can be a big experiment as well. Saving one inch could save you lots of dollars.
J: Everyone liked the custom cardboard boxes but they cost more…
E: I was going to pay $90 for 10 stickers...I decided to go with a vinyl sticker cutter instead...it has been well worth the time and investment.
Passive income streams are another option we did not really cover.
What is your relationship with your vendors?
How do you handle quality control and setbacks from vendors
J: As someone who does not have access to a lot of warehouses I had to prototype to troubleshoot quality control and how they handle the load.
I used SGS as a third party inspection company
How involved do you want to be with production?
Do you want to learn a new trade or use a vendor for production
J: Is it worth your time and money to pay someone or do you need to learn how to do this.
E: Look at efficiency and what you really want - do you want to learn how to sew.
How do you keep things in stock or when do you know you need to purchase more
Just in time manufacturing, WIP or large batches of inventory
Where do you store large batches of inventory?
Elysia, please answer this one. I do not want people to look into my supplier because of my partnership with the warehouse
Logistics
How will the products arrive to you?
Will you ship your product and storage
Order fulfillment systems
How involved do you want to be from start to finish?
Websites, credit card processing, and fees
J: Affordability was the key - square seemed to be the best fit for me now.
They are a one-stop shop for me.
E: I got a quote from a company to build a custom site with everything I want for $14K
There were not as many eCommerce sites available
I felt I would be stuck with that with minimal support.
We went with an eCommerce site and used the money to get exactly what we wanted.
With your website try to answer every customer service question with an article or video so that you can reduce the personally answered questions.
J: The best part of upgraded eCommerce sites is REPORTS.
Marketing options for trade shows, social media, influencers or grassroots
J: I did not do any marketing, I established a relationship with ATs first using Instagram.
E: The personable story is what everyone likes
Always answer the phone with a smile.
If you put a video on YouTube you do not actually own it but YouTube does.
Google ad words - someone will outbuy your “word”
Variety is actually good, not everyone likes Starbucks
How do you manage daily business operations and unforeseen events?
What is the critical path, doubling back on your work or pure avoidance
E: What is the most important thing you need to get done today at this moment - I do not open an email unless I am ready to answer it.
Do the things you least like first to get them out of the way.
Write yourself an abundance check - kind of like a self-fulfilling prophecy.
Check out the first two in the series:
AT Inventors 1
AT Inventors 2
Elysia Tsai - info@SI-Boards.com
Jay - @NexusSportsMed on IG
In AT Inventors part 2 Jay and Elysia discuss establishing a business and product testing.
Some of the topics we discussed include:
Establishing Business
Defining your core values before establishing a business
If you define the core values and base all your decisions on that then decisions are a lot easier.
It is easy to chase every shiny object but as a startup, you need to be focused on doing one thing well.
Articles of organization
Business insurance, product liability and other protections
J: I do not have a reseller license, for now, I am a direct-seller only.
E: Reseller certificate allows you to get items tax-free that you are going to use for your business. You need this to sell it anywhere, like a trade show...this is so you can pay more taxes.
Depending on structures you may set up monthly sales tax or quarterly.
E: Product liability insurance - Mine is high since I am looped in there with skateboards where people break bones often.
I have been able to break that into 4 payments so it is not a huge hit
My patent fee structure is confusing and I break it up to level out the costs.
Design and utility patents are different - again a couple of thousand dollars for the attorney fee.
And nobody gets approved on the first round so be ready for that. Lots of small adjustments.
Consider if you really need a patent or can you focus on other aspects of the business?
Business structure types, LLC, sole or other corporations
Toki Nakazawa - you can function as an S corp using Form 1120S even though you are an LLC
Funding vs bootstrapping your business financial needs
How do you manage a business partnership? Do you want a business partnership
Is Shark Tank or other investors an option
J: the style of my product is already out there, i am just making it more specific for our situation.
E: KNOW YOUR PRODUCT LINE
J: Is it sustainable?
Method of selling product (direct, wholesale, etc)
Where is all the money going? Proper accounting and continual costs
When to consider employees, worker comp insurance, payroll and managing other people
E: I answer all of my phone calls and emails. Do you want to make money or provide something that enriches the lives of others?
If money is your motivation then focus on that.
If freedom of schedule is your goal, focus on that.
J: My military price is important to me. I want to support and help those that have protected us and given me so much.
Why people always ask about how much money you make, how many units you sell and if you are a million dollar company
The importance of good business mentors who understand your product line
J: I am always cautious because it is a dog eat dog world
E: One of my college professors keeps a log of all her incoming and outgoing calls
Leave the end of the day with your desk clean
Through the years I have been able to meet all of my product owners. These inventors offered to help in establishing a business. I reached out and they helped out
SBA and SCORE are great resources
Some of the advice was helpful in that it showed me the wrong path.
When to quit your day job and jump all in with your business
J: Elysia, you are really an example. The passion in me really says let's go all-in with Nexus because I feel I am mediocre at both right now. I am not ready to leave the day job yet (I have a baby on the way).
E: Lots of friends know they can not start a business because of the family's need for stability.
It may take you longer, but you can do it.
“I can not keep doing it with the work schedule and my health...it is time”
You can jump right back into AT if needed.
TestingThe MVP-Mean Viable Product
How do you choose a product line and different tiers of quality
When to diversify and when to stay focused on your product line
Do you have multi-purpose materials or interchangeable parts
Elysia and Jay are AT Inventors. They created a product because they did not find one on the market that met their needs.
Join them in their stories so that when it is your time to become an AT Inventor you have guidance and some warnings.
Research
Do you have a Mental Health EAP? Do you have a athletic injury EAP?
Dr. Hector Lopez of SMASA shares some of the tips for building a mental health EAP for Athletic Trainers
Have you planned what to do in the event of a suicide threat or attempt?
The secondary setting is harder because we are dealing with minors
A good understanding of mental health
Video from YouTube - For NCAA student Athletes’ Mental health: a more educated approach
NCAA Sports Science Institute mental health awareness
According to the WHO it is a state of wellbeing in which the individual realizes his or her own abilities.
Mental illness refers to diagnosable mental disorders and health conditions
There is a stigma that it is a weakness
Myths about Mental health:
Children do not get mental health issues - 75% begin before age 24Personality weakness or character flaws cause themI can not do anything for a person with mental health problems
Examples:
AnxietyEating disordersMajor depressionPTSDAdjustment disorderSocial anxietyBipolar disorderSubstance abuseCo-existing learning disabilitiesADHDAutism spectrumChronic Medical illnessBullyingHazingRelationship AbuseSexual AssaultGender DysphoriaUnexpected PregnancyGamblingUndiagnosed medical issueStressors affecting athletesTeam culturePressure to performBalancing demands
Identifiers for a mental health EAP
ID based on performance
Injury causes isolation or forced retirement
Burnout due to early specialization
Poor performance
“I can’t show weakness”
Dealing with injured athletes:
Listen
What does the injury mean to the athlete?
What is your team and AT Clinic culture?
Educate about the diagnosis
Correct any misinformation
Provide a road map for recovery
“Dr. google is a big problem in my world”
An emotional response to an injury is normal
Sadness
Isolation
Irritation
Lack of motivation
Anger
Frustration
Changes in appetite
Sleep disturbance
Disengagement
Response to injury
Stress can lead to increased injury, muscle tension, poor concentration, and performance
Can trigger depression
Problematic emotional responses
Persistent symptoms
Worsening symptoms
Excessive symptoms
Summary of possible symptoms
Barriers to care:
Stigma
Poor understanding
Difficulty willing to express
Lack of time
Denial
Fear
Worried about it affecting play
Not accessible
Facilitators:
Increased awarenessSocial supportEncouragement from othersAccessibilityA positive relationship with staffConfidentialityTimeIntegration into athlete lifePositive past experiencesEase of expressing emotion
Treating injured Athletes
Rapport is keySupportive cultureRespect privacyAcknowledge and understand their identity may be tied to athleticsMay be the first injury for themBe on alert for red flags
Mental Health EAP TIPS
Interview the athletes away from other athletes or with another staff member if possible
Ask open-ended questions
If the concern is self-harm be blunt
Actively listen and allow them to talk without interruption
KNOW YOUR ATHLETE
RED FLAGS
Any talk of self-harm or suicide
Talking about hopelessness and empty
Making a plan for killing themselves
Talking about great guilt or shame.
Suicide hotline
www.nimh.nih.gov/sucideprevention
5 steps graphic
Identifty an Emergency
maintain safety for yourself and othersCall for helpTalk in a quiet place where you can defuse the situationDo not leave the student alone but do not place yourself in dangerDevelop policy and procedure and practice them
KOWN YOUR LIMITS
Your responsibility is to recognize and refer
Prevention
PPEAre you stressedDo you want to weigh more or lessOpen-ended questions - are you sad, do you feel hopeless, do you feel safeWhat are the protocols at your institutionEmergency scenariosKeep names and numbers accessibleWhat about after hours?
Dr. Paul Saenz shares how the San Antonio Spurs have used Sports Science to help their Sports Medicine.
The Spurs have always been on a leading edge of performance have looked at best practices around the globe.
The sports medicine team consists of at least 10 positions with multiples at several of these positions.
ATs serve as the backbone and primary interface between the players and the medical team.
WHY monitor?
Direct FeedbackInjury preventionPerformance enhancementsRehabilitation baselines
Key facets of Athletic Performance
Strength
Aerobic Capacity
Nutrition
Recovery - has replaced the word “rest” - its intentional
Psychological Wellness - they fill out these surveys onn a daily basis
What to Monitor with Sports Science
Games and Training - volumes and intensity
Player Strength and conditioning
Fatigue / Recovery
Player Availability ( injury incidence and prevalence)
Types of Loads
External - the physical load they have endured
Road cyclist - mean power output for given duration - 400 watts for 30 minutes
Internal - how have they responded physiologically
HR, RPE, Blood lactate, cortisol, testosterone, inflammatory biomarkers
External Load Monitoring
Time Motion analysis - GPS and digital video movement analysis
Accelerometer Data -
Catapult system - GPS wearable system that monitors elapsed exercise time.
Neuromuscular function
The huge collection of data requires the skill to extrapolate and draw conclusions.
Internal Load Monitoring
RPE - Relative Perceived Exertion
Heart Rate Response
Biochemical
Weight
Adductor Squeeze
Dorsi-flexion lunge
Isometric lunge
RPE Scale
Self-determined assessment of exercise intensity
Correlates well with heart rate
Blood draws can be done during this time.
Cardio Recovery
Heart Rate Recovery - how quickly your heart rate returns to normal
Markers of fatigue vs fitness
Yo-Yo Intermittent Recovery Test
Short intense runs with brief recovery periods https://www.youtube.com/watch?v=nkOk_P5VnOA
Salivary Biomarkers
testosterone /Cortisol markers of stress and recovery
Anabolic vs Catabolic state
Adductor Squeeze
Done with a blood pressure cuff
Very well documented with European teams
Recovery Methods
Light cardio
Massage
Cryotherapy - whole body cryotherapy
- reduces edema and positive effects on the autonomic system
Pulsed compression - NormaTec type
Convenient for air travel or post-game
Aquatic Therapy -
AlterG
NordBoard
Measures ongoing hamstring health over the course of the season
Which Sports Science Tests to Choose?
Most relevant to your use
Practical implementation
Most reliable
Produce actionable intel
Key points to make it effective
Make sure your athletes understand
Make sure your coaches understand
Be consistent in implementation
Consider the data but make clinical decisions
What about electronic recovery units like Compex, MarcPro or Firefly
These are great options
Do not forget cold tubs or
SLEEP
Stationary bikes
Group session in a pool
How do we apply the Sports Science data in our high schools?
Focus more on periodization of training.
COVID19 emphasizes the need for that.
The Yo-Yo test is simple and easily performed
Talking to your athletes individually
https://www.facebook.com/sportsmedicinebroadcast/videos/1123009438093307/
Contact Us:
Dr. Paul Saenz - get a hold of Shawn Ready
Shawn Ready - @ShawnReady_ATC
Financial supporters that make the podcast possible.
Casey Paulk has experienced Sales Success as an Athletic Trainer. Not because he was naturally gifted but because he knows what an AT is and does and continues to work hard to help meet the needs of Athletic Trainers.
What were some exposures you had to sales as a kid?
First time I had sales success was as an intern in the Texas Rangers AAA as a bullpen catcher.
I had to convince and prove to the staff I was qualified for the job.
I was able to help the Athletic Training staff more and the team more.
I also had to sell my services as an AT Skiatook Middle School as an AT and science teacher. They had never had an Athletic Trainer before.
What was your first job ever?
Garage door warehouse grunt.
I worked in the Oklahoma summer heat hauling garage doors.
It was a grind and hard work. It helped me succeed in my career as an Athletic Trainer and now in my career in sales with Sway
What does the life of an AT Sales Success person look like?
So now with my sales job I still work a lot of hours but I can set a few more boundaries.
I wake up early to check emails and line up my day.
Take care of personal business and spend time with the family.
Start making phone calls to Athletic Trainers (I do not call when they are sleeping or doing morning treatments)
Why do you love the sales side of AT?
Serving the Athletic Trainers and helping them return their athletes safely to participation.
I cover 14 states as a sales rep so I have a lot of phone calls and emails to get out.
The same process of evaluating an injury as an AT has helped me have sales success.
Athlete: “Hey, my knee hurts.”
AT: “Tell me what happened, when did it start hurting, what makes it better, what makes it worse?”
Athlete: answers questions...
Athletic trainer: perform tests and evaluates the next steps needed
Athlete: “I do not think that will work for me… or ok let’s do it”
It is the same with sales.
To the AT who is on the fence, what would you say?
Reach out to an AT in sales and tell them you are interested.
See if you can do some part time work in sales of any sort.
Go shadow Casey for a day or week and see what it is like.
There are jobs out there but unless you tell people you are looking for one they will not know.
Golden Rule for Sales Success:
Look to help and serve your customers and be sure you believe in the product.
Houston Methodist, Official Healthcare provider of Pasadena ISD just signed up with SWAY.
Call to action:
Reach out to Casey Paulk at Sway for questions about sales, life in Oklahoma, or basically any product that can help your patients get better.
Watch the Facebook live conversation
Contact Us:
Casey Paulk - 918-688-8599
Email: casey.paulk@swaymedical
Jeremy - @MrJeremyJackson on FB, IG and Twitter
Sway Medical
https://youtu.be/-Y7tQjYIsXU
Seeking your Doctorate Degree? Which one should you choose: DAT, Ph.D., or Ed.D.?
Dr. Matthew Drescher earned his DAT and is enrolled in a Ph.D. program at Indiana State University. Dr. Nikki Harris earned her DAT and is enrolled in a Ph.D. program. Scott Mullet just enrolled in a Ed.D program.
Join the conversation to see why they chose their doctorate degree. After listening to the podcast reach out to them and ask your specific questions.
We recently recorded a podcast on the DAT where Mat discussed the ins and outs of that program.
We followed that up with a podcast about the PhD as an AT
Scott Mullett joins the podcast to discuss why he chose the EdD in Interprofessional Leadership
Which doctorate degree should Stephone baker choose?
What would be a salary difference between the PhD and DAT and EdD?
Do not chase the dollar signs...
Why should I consider the DAT?
There is a shift in our profession
How have your young professionals been able to balance the workload and earning a doctoral degree?
Start practicing good time management now.
Make sure the stakeholders in your life are fully aware of the demands.
Balance is an inaccurate word. It is not equal, but we emphasize or focus on certain things at different times.
How can I use my Doctoral degree in AT?
We got the turf replaced by tracking the data and telling the admin.
It is a multiplier
“What can you not do?”
Any funding available for earning these doctorates?
Athletic Trainers do a really bad job of asking...we just assume there is not any.
University settings usually have terminal degree programs if you stay on for a certain amount of time.
Preceptors can earn credits at certain programs.
Watch the Doctorate Degree Facebook video (there was an audio issue...be warned)
Contact Us:
Matthew Drescher - Email: mdrescher@sycamores.indstate.edu
Twitter: @Matt_Drescher
IG: @Dreschem
ISU DAT:
IG: @indianastatedat
Twitter: @isuathltraining
Dr. Nikki Harris - @YoungProf_AT
Scott Mullett - Facebook.com/ATEfficiencyJeremy - SportsMedicineBroadcast.com/About
Meghan Johnson is a College Athlete, Credentialed Athletic Trainer, Softball Team Captain and graduate student.
Dr. Krystal Tyree asked to hear more of her story so Joel over at Athletic Training Chat and I split the interview. Check out Meghan's background interview before or after this one.
My friend Joel over at ATChat already interviewed Meghan so go check that one to get the first part of Meghan’s story.
Meghan, what is your dream job as an AT?
My dream job is not really out on the market. I think I need to create it.
I want to work with college athletics caring for the mental health aspect of injuries and rehab.
How important is working in college athletics?
In my undergrad clinical rotations I had a good bit of experiences including: secondary schools, private schools, public schools, Collegiate Division three.
I got to kind of dabble in a little bit of everything in my clinical rotations.
I'd be very happy working wherever would give me the opportunity to marry these two concepts of Counseling and Psychology and Athletic Training
Dr. Krystal Tyree - what did your exposure to being an AT and Athlete look like?
Check out her two podcasts with Joel
College Basketball player
Tore my ACL
Transferred school and tore it again.
I decided not to continue with basketball as the mental health aspect was weighing heavy on me.
I focused on finishing my degree and becoming an Athletic Trainer.
Meghan, are sports over for you?
I still have next year left to play sports.
I am in my 3rd year of playing softball and my first year of graduate school. I have one more year of schooling and softball then I will do the clinical requirements.
Dr. Tyree, what would you have said to Meghan about playing and finishing up your studies?
Great job, I could not do it because I wanted to work and earn some money and move out of the dorms. We did not have any real mental health coaching back then.
Meghan, are you currently working as an AT?
I actually do pick up per diem hours so I can work at my own pace and focus on school and softball as much as possible.
Is there a struggle with just being the athlete and not the athletic trainer on the team?
We have a lot of athletic training students who play sports. Our university is pretty good at referring to the AT Facility and staff when we are in season.
Of course there is still a struggle with setting those boundaries for myself and my teammates.
If there was an emergency then I would obviously step in but otherwise they went to the on duty person.
Life balance: How did you do it with being an AT student and softball captain?
I learned not to spread myself too thin.
I did what I had to but I do not think I would enjoy continuing at that pace.
I had to learn to fill up my cup before I could pour out and fill up others.
Was there anything you wish you had said yes to but could not?
A team doctor tried to connect me with and athlete patient of theirs to discuss the mental health aspect of recovery.
I was scared and unsure of myself.
If you had to choose being an athlete or athletic Trainer which would you have chosen and why?
I would choose Athletic Training if I had to choose one but that is a really hard decision.
BOC results just came back. Did you pass on the first try?
Yes, but it is only a test, and if you failed then do not let that define you. Prepare and take it again.
Contact Us:
The teacher of philosophy or PhD is usually a research-focused degree. Dr. Matt Drescher is seeking his because he wanted to answer some questions. He also sees his career leading him to teaching the Athletic Trainers of tomorrow.
What is the PhD?
The term doctor comes from - to teach
A doctor is a teacher and there are obviously many different versions.
Technically medical doctor are physicians
Doctor of philosophy which is theory and application of that theory.
You are doing the research to create the theories
Not always applying them into practice
The art form of a PhD is being able to apply the abstract idea into practice.
The EdD is similar to the DAT - advanced clinical practice degree.
https://www.northeastern.edu/graduate/blog/edd-vs-phd-in-education/
Which ones would benefit an AT?
Core Values...make your connection towards that.
I am really curious about the answers to these abstract things. I want to find the answers to the questions.
Being able to read the research and synthesize that to your patient population.
What programs are good for an AT to earn a PhD?
Core Values
Medical school
PT School
Ph.D. - education
Biomechanics
Neurophysiology
Basically anywhere
What paths have you seen ATs pursue after earning a PhD?
The PhD is kind of like the steward that is guiding the profession through the profession and towards growth.
Most Ph.D. ATs have practiced but were not getting answers so they went to find them.
Only about 10% of people finished their PhD globally.
Why should I not choose the PhD?
To make more moneyOk with taking the facts (do not really dig into the details)If it does not fit your core value
Simon Sinek the infinite game
Final thought:
If you have those questions reach out to a researcher in that field and start to work in that area.
Contact Us
Matthew - Email: mdrescher@sycamores.indstate.edu
Twitter: @Matt_Drescher
IG: @Dreschem
ISU DAT:
IG: @indianastatedatTwitter: @isuathltraining
Is the DAT the right choice for your advanced degree? Should you pursue your Ph.D. or maybe an Ed.D.?
Dr. Matthew Drescher, a PhD candidate, already earned his DAT from ISU and joins me to answer some of my questions. In the next two podcast we will discuss the Ph.D. and Ed.D. and compare them.
What is the DAT
The DAT is a post professional degree program. It's a clinical doctorate stands for Doctorate of Athletic Training.
Most of the programs that are currently across the country are focused on clinical education, advanced clinical education and clinical leadership, but I kind of looked at in a different light so I tend to look at it as a metaphysical idea
It's a mindset to meet the gap is a commitment to the profession to be the leader and push forward.
Promote advanced practice leadership Promote us as a profession as healthcare providers Helping lead the profession forward
We understand that's a hard thing to do, but we can do hard things and the DAT is a commitment to that mindset to continue doing what's right for the profession and moving it forward.- Dr. Matthew Drescher
What would I expect out of my DAT education?
The beauty of the post professional degree, is that it can be marketed to the market. So, all of the programs, hit on the same central tenets, but they all do them in a different way.
When you're thinking about going into this level of education, it's really about aligning that with your values.
Part what I learned in the ISU DAT was really how to be a clinical leader, what it looks like to be that person, the person who does hard things, the person who asks the hard questions.
Promoting yourself as a lifelong learner, that's something that I value immensely. Some other programs focus on different aspects.
At ISU we focus a lot on manual therapy and advanced manual therapy skills, some programs focus on more of the leadership aspect. Or they focus on what we call practice-based research, but each program has a little bit of a nuance.
What you would expect from a DAT program is that mindset of thinking differently.
The DAT should help make changes at the system level. How do you think that that helps me get Athletic Trainers into the intermediate setting?
I think you make a really good point. I guess you could call it the clout, having that title of Dr. Jackson would bring.
But part of that mindset of the DAT is that it's not really about the degree to the outside world.
It's, an easier concept to understand that you're a doctor versus You're not a doctor but when you're with,
The concept is not necessarily the clout, but it's the skill and the knowledge to be able to make the changes to know the steps to how those changes have to be made. You can't just run in and say, put an athletic trainer here, please. It's knowing how to line up all of the blocks to work with you and that's what I mean more about a systems level change.
Because at that level, the systems are dynamic, and they're complex, so being able to know how to speak that language to align the blocks to prove that value and worth. That's something, those are skills that the DAT degree can give you.
On top of the confidence and credibility that the degree itself carries, I would argue that your experience carries a lot, but you are also going to have to explain what that means to someone who's not familiar with athletic training, whereas the degree on top of your experience and then on top of that, those skills are going to help you carry that effort.
I look at it more of like a medium to carry the skill versus a be all end all.
Check out the podcast or video for more questions and answers about the ISU DAT program.
Contact Us:
Matthew - Email: mdrescher@sycamores.indstate.edu
Twitter: @Matt_Drescher
IG: @Dreschem
ISU DAT:
IG: @indianastatedat
Twitter: @isuathltraining
Jeremy: @MrJeremyJackson
Todd just launched Love Handle 2 LEAN as his new online business.
Welcome back, my friend. Why a fitness coach?
In December I launched my first online rehab offer. I went one for 12 in bringing those people on as clients.
The one glaring need that kept coming up in all of these conversations.
LIGHTBULB moment
I am passionate about the health and fitness aspect of life.
How do I incorporate the mental aspect into health?
The name Love Handle to LEAN Method or L2L, tell me about that.
The phrase came up over and over
It needs to resonate with potential clients
Low hanging fruit
Education - how can we simplify
Audit
Never-ending
Let’s discuss the mentorship investment…$10,000 so someone could tell you how to start L2L?
I wish I would have done it 4 years ago.
I knew if I was going to continue on the path that I was on it would take way too long.
I was fed up and needed help.
It was scary to make the investment but which was worse the cost of the program or the cost of staying where I am.
What is on the other side of making the investment?
Watch Love handle 2 LEAN on Facebook
Contact Us:
Todd Sabol - @ToddSportsMed on IG - Twitter - and FB
Jeremy Jackson
Related Podcasts:
$100k Side Job with Tim Neal
Full transcript of Love Handle to LEAN created by Otter.Ai
Todd Sabol 0:00
As you know my life like I like a lot of other trainers are. And I was always trying to find ways to push my body push my mind to the highest level of ability that I could because I was an athletic person per se, I should work pretty hard to get what I had. So, yeah, so, in December, actually launched an odd my first online rehab injury offer. And I had, you know, 12 - 14 people reach out and, you know, I was able to get have lengthy conversations with about 12 of those people. And I went one for 12 and bringing the two people on so I was feeling pretty down, and it wasn't. Yeah, I think I might have gone in with too high of expectations who my first time and I wasn't sure what to expect, but through those conversations. You know, When we're trying to connect with people and you know, for the athletic fans that are listening you always are trying to create that connection and learn more about the person because that's what really matters, but, you know, the skill never they are cool but if you can't make a claim for that person, you can't help them. So, whose conversations I was having that one glaring need that kept coming up was like yeah, like, you know, some sort of the guy's shoulder may have hurt, and you know he might have been struggling with that, his, his or her biggest concern wasn't that they were in physical pain it was, you know, my shoulder hurts so I hadn't been working out as much. I put on weight and I feel self-conscious around my wife and my husband, that that was the big conversation and the big thing that kept coming back to these conversations. And that was the first kind of light bulb that I had in my head and a really long time of, you know, is this, is this where I need to be kind of focusing more of my attention on, Because I've always had a passion around this area, but kind of it's your point in the athletic training world it's something that we tried to distance ourselves from, and rightly so because there's so much confusion around that but I feel like it's something that I've kind of repressed in myself for a long time because it's something that I do really, really enjoy that I am passionate about but, again, kind of going back to what I just said. It's a really fine line to walk, walk, just because of the confusion around athletic training personal training and, and those types of things. So that's kind of like the short, short story of how it all happened so quick, but it's something that I feel like there's a, there's a fire in me with this just because the one, the one thing that I never could figure out,
David Silverstein has been an Athletic Trainer for 12 years and has yet to need his CPR skills. That all changed in an instant as his actions helped "Z" survive long enough for the EMS to arrive and take over.
David, you just recently saved a life. Tell us the story.
SCA leading cause of death in exercising athletes typically caused by underlying structural or electrical conditions. 75% of deaths occur in football, basketball and soccer. Male and African Americans are at highest risk. Survival declines 10% each minute waiting for defibrillation. Early defibrillator increases survival chances by 80%Eyes rolled back, brief seizure-like activity and agonal breathing was distracting and those were all the signs pointed out in the video. Differentiated from EHS or sickle cell in that SCA is sudden without signs of struggling or exhaustionAny athlete who has collapsed and is unresponsive should be assumed to be in SCA until proven otherwise or another cause of the collapse clearly is identified.
What is your prior experience using CPR?
None other than teaching and getting certified.
I first took the class when I was in undergrad.
Tell us some more of your Athletic Trainer Story.
Graduated from MSU during the internship era. GA @ CCF
Got out of Athletic Training and came back to it after 5 years. Served mostly in high school settings but working at a DC office now while doing a lot of PRN coverage.
How did you process the situation afterward?
Didn’t want to be there
Replayed events in my head to see if I performed up to par
What are you going to change because of this event?
EAPs
1E. Every school or organization that sponsors athletics should develop an EAP specifically for managing serious
and/or potentially life-threatening sport-related injuries (athletic EAP)
2E. The athletic EAP should be developed and coordinated with local EMS, school public safety officials, on-site
medical personnel or school medical staff, and school administrators
3E. Every school should distribute the athletic EAP to all athletic staff members
4E. The athletic EAP should be specific to each venue (including maps, directions, etc)
5E. On-site emergency equipment that may be needed in an emergency situation should be listed
6E. The athletic EAP should identify personnel and their responsibilities to carry out the plan of action with a
designated chain of command
7E. Appropriate contact information for EMS
8E. The athletic EAP should specify documentation actions that need to be taken after an emergency
9E. The athletic EAP should be reviewed and rehearsed annually by all parties involved
10E. Health care professionals who will provide medical coverage during games, practices, or other events should be included
Call to action:
Drill EAPs more often
TUFSS
AT Cares
More consistent hours at Shaw
Resources from David Silverstein:
https://uwsportscardiology.org/
Contact Us:
for an AT to Practice within the Law requires a depth of understanding. Luckily there are people like Joseph Hacker and Tammi Gaw to help us out.
Tammi is a Lawyer and Athletic Trainer and Joseph is Practice Manager for University of Kentucky Surgery and Sports Medicine.
What are the biggest compliance issues ATs face?
Privacy is the largest
Athlete information because betting is allowed in certain states
Electronic medical records
The US is behind on Data Privacy rules
Make sure it is a reputable companyDoes it really protect patient privacyIs it secure all the way up the chain?Is schools wifi secure enough?Is your personal phone secure enough for you to enter data.What if you are 3 years removed from an institution and you get sued, can you keep that information? Can you access it?
Engage your risk management in all the decisions made regarding records management.
Request a seat at the table!!!!
How are you allowed to communicate?
Not knowing what is in the state practice act or understanding the language.
We need an easy guide to help the practitioner know “yes or no.”
We are unclear on who is a Licensed Health Provider, how much more unsure are we which we should be following.
Looking at the Texas practice act let’s discuss this as I understand it and as you understand it. (layman vs. Lawyer)
Texas Practice Act
110.12. Scope of Practice. (New Section adopted effective October 1, 2016, 41 TexReg 4435)
(a) A licensed athletic trainer prevents, recognizes, assesses, manages, treats, disposes of, and reconditions athletic injuries and illnesses under the direction of a physician licensed in this state or another qualified, licensed health professional who is authorized to refer for health care services within the scope of the person's license.
(b) The activities listed in subsection (c)(1)-(7) may be performed in any setting authorized by a licensed physician and may include, but not be limited to, an educational institution, professional or amateur athletic organization, an athletic facility, or a health care facility.
(c) Services provided by a licensed athletic trainer may include, but are not limited to:
(1) planning and implementing a comprehensive athletic injury and illness prevention program;
(2) conducting an initial assessment of an athlete's injury or illness and formulating an impression of the injury or illness in order to provide emergency or continued care and referral to a physician for definitive diagnosis and treatment, if appropriate;
(3) administering first aid and emergency care for acute athletic injuries and illnesses;
(4) coordinating, planning, and implementing a comprehensive rehabilitation program for athletic injuries;
(5) coordinating, planning, and supervising all administrative components of an athletic training or sports medicine program;
(6) providing health care information and counseling athletes; and
(7) conducting research and providing instruction on subject matter related to athletic training or sports medicine.
(d) A licensee shall not provide health care services which are not within the definition of "athletic training" in the Act except in accordance with state and federal laws and rules applicable to the provided services including but not limited to, Occupations Code, Chapter 157, relating to a physician's delegated authority; other licensure laws; and laws relating to the possession and distribution of controlled substances.
this is a catch all
A skill is in the standing orders but not in the state practice act. What could go wrong?
Example joint relocation -
Rectal Temp - In Kentucky it is outside the state practice act. Even though it is the gold standard, we are not currently allowed to do it.
***Local Policy → State practice act → Standing orders → position statement
People can sue for anything.
Taking the most conservative path defends your actions but does ...
Deaf Athletes speak a different language, they are not disabled. They maybe Hard of Hearing but not any less capable. We have to learn how to provide healthcare for them the same as the hearing athletes.
Jennifer Warren learned signed language as a kid to communicate with one of her teammates and has continued learning and using the skills through her career.
Josh Woodall and John Ciecko have first hand experience working with deaf and hard-of-hearing athletes and share some ways we can provide more equitable care.
Jennifer, what is the best tip you have for working with hard of hearing or deaf athletes?
I would suggest that the hearing community speak naturally to those who are deaf or hard of hearing. Many can read lips, but when we accentuate our words, it distorts our mouths, which can make it more difficult to read lips.
Second tip, most people who are deaf and hard of hearing appreciate any sign language you may know. Spelling out words or signing slowly is welcomed and appreciated.
John: Communicate eye to eye, never tell the interpreter “tell them this…”, people of various abilities should never be excluded from sports.
Only 30% of the English language can be read on lips, and that’s with perfect lighting and a couple of strong cups of coffee. Helmets, low hats, or any kind of obstruction to see someone's face and mouth hinders this ability to catch what’s being said on the lips. This is why it’s so important for Athletic trainers to learn the basics of ASL.
Josh, give us an example of how you have used this or other tips from Jennifer?
The first week in Bryan ISD I had an athlete with a broken radius/ulna so had to learn real quick how to communicate with an interpreter.
Jennifer, what should we know about working with deaf and hard of hearing athletes?
Not all disabilities are cognitive disabilities. In fact, the deaf community does not see hearing loss as a disability. The deaf and hard of hearing community prefer to be seen as a community that uses a different mode of communication, rather than a group with a disability.
American Sign Language is considered a foreign language, which is simply a different mode of communication. The need to use sign language is comparable to the need to use Spanish when a student’s primary language is Spanish. This means that deaf or hard of hearing students are very capable or able to participate in athletics and other extracurricular activities.
Also, the words ‘deaf or hard of hearing’ can seem like a harsh way to describe a people group, but it is actually what is accepted and preferred by the deaf community.
And, Deaf and hard of hearing students may not hear the starter’s gun or whistles blowing. Adjustments may need to be made to allow for access to the audible elements of the sport.
Discuss some of the hearing devices and how we can protect those for participation.
Most students self-care for their devices by the time they make it to the secondary sports level. But, AT’s (Athletic Trainer/Assistive Technology) may find it helpful to know how to support these athletes:
FM systems - wireless assistive hearing devices that enhance the use of hearing aids. The coach or AT may wear a mic that is bluetoothed to the student’s hearing aid or cochlear implant. This allows the student to hear direct voice from the coach or AT.
Hearing aids -small device that fits on or in the hear to amplify sound
Cochlear implants - small device that consists of an external portion that sits behind the ear and a second portion that is surgically placed under the skin. The device has several parts that help reproduce the effects of sound.
It may be helpful for the AT to offer a secure place to store the devices.
John: actual sound or noise that comes through the auditory devices can vary from what you and I hear as hearing individuals, which is why it’s not always enough for effective communication especially in...
Mike and Kathy exemplify the "AT in the Capitalist Economy." Share in the discussion and consider if being an AT business owner is right for you.
Mike, what does “Capitalist Economy AT” mean to you?
What can an AT do and what is the value of our skillset?
Will people pay you for your services?
We are bridging the gap and speaking directly to the public.
Live the American dream
This is all about advocacy for me.
17 years ago I started my business D&D Sports medicine.
I am worth being paid for the services I am providing.
Part of our COPA committee is developing resources for the capitalist AT.
Kathy as a business owner where do you see us going?
We have become so diverse.
Pandemic has caused a lot of ATs to try running their own business.
Helping with reimbursement even though “cash is King”
Reimbursement opens the doors wider.
When the poop hit the fan and sports stopped the earth shook.
I made the decision 7 years ago to go out on my own.
I try to look at my business as telling the athletes how they can get better.
How can we do this to positively impact the profession?
This entrepreneur road is a great way to keep good ATS here.
Kathy - I have been a mentor each time I switched jobs out of a sense of duty.
I constantly get questions about how they can follow my path.
“First guy through the fence always gets a little bloody...I was that first guy” - Mike Stella
Knowing your “why” is crucial.
When I am faced with making a business decision I go back to my core values and see if it fits.
State practice ascites were written 20-30 years ago and when ATs were only in sports settings.
We need to update them to include a lot of the new settings.
READ your state practice act and have a good understanding of it.
Standing Orders: keep or trash them and why?
Kathy - What we are seeing is a result of a profession that has always worked under the supervision of a physician.
In the medical community, there are a lot of providers working under a physician.
Mike - Having the medical team in place is important.
Working under a physician puts the thumb on us and creates an automatic glass ceiling.
I was told, “You can not start a business because you can not hire my boss.”
The doctors I worked with decided they wanted a piece of the pie.
Now we have to jump through hoops that a massage therapist does not with one year of training.
“If we want a different solution or answer then we have to ask different questions.”
Access to insurance billing, does it hurt or help, and why?
CMS recognition helps as a sign of credibility
Do you lose some patients who want to bill insurance?
As it stands right now ATs are an expense item on the budget where as PT and Chiro generate revenue
Hypothetical: You are starting an AT-based/AT-oriented business next year what is it?
Product manufacture
Education business
But start with what problem are you trying to solve.
Consulting business because of where I am in my career.
From Innovate At Facebook Group:
Carrie Meyer - Does ATs engaging in capitalism increase health disparities - if the focus is on profit?
You will have some ATs in it for the profit and become revenue generators but most ATs are in it for the patient.
YOU CAN DO BOTH - create revenue and have great patient outcomes.
Ethics are Ethics palin and simple.
You can treat kids for only the reimbursement amount if you choose, but revenue keeps the lights on.
Kendall Selsky - What is happening in AT that should make prospective students consider AT as a career?
20 years ago I gave a business of AT presentation to 10 or 20 people at most across the country.
We are passing legislation
We WILL get California liscensed
Adam Halpern - What risk does AT as a profession face with athletic trainers entering the private market and infringing on other disciplines’ domains?
AT Moms have a lot to deal with. Being mom at home and "mom" at work, breastfeeding in a football locker room at halftime...I mean come on.
Cari Wood, Valerie Moody, and Kelly Salter join share some of their stories to encourage and lift you up as an AT Mom.
Val, what is your family makeup?
University of Montana Director of our program
AT Journey Colorado, Nebraska, Colorado, Florida back to Nebraska
Met husband in high school but actually met when she was back in Nebraska
Cari?
22 year old and 19 year old
Married 23 years
Kelly?
Born and raised in Michigan
Husband was a coach at her first job
23 years this summer
21 and 20 year old sons
Tell some stories of raising kids as an AT mom?
Kelly - we now sleep with a phone on for our kids...but it can not be me as I get messages from former kids at all hours.
I was able to provide AT care to my kids in little league.
As the only AT at my school, I have to care for my kids. It takes practice and objectivity.
Cari - former athlete called her after a varsity football game and they had been having fun.
I love they feel safe to call me
A friend fell off the golf cart and broke her 5th metatarsal but Cari made her play through it.
It is hard to evaluate your own kid.
My son was a wrestler but my contract did not cover the road trips. So I had to sit in the stands and sit and watch, but I can never really turn that off.
Val - when my kids are playing I have the other AT doing the evaluation. It gives me a layer of separation.
“Will there ever be a game where I am just mom, not the AT?”
What are some of the best moments?
Cari - raising the kids in the high school and having them be included with the teams. Allowing the high school kids to guide and instruct them.
Realizing I had to lay down the law with the boys trying to date my daughter.
Kelly - getting to see role models and how the teams can be like family.
Now my boys are returning the mentor favors.
Keeping my kids involved in what I do and allowing them to be pediatric patients and part of my regular routine
How do you handle the dating scene?
It was great for me but tough for the kids. I always knew everything.
It is a double-edged sword. There was much more benefit than difficulty.
Being relationship-driven has always been important to me so it caused some issues as I wanted to be friends with others.
Am I an imposter?
Val - It is easy for us to fall into that trap with social media.
I try to surround myself with good role models that I can reach out to.
I intentionally connected with another faculty member who is in a similar situation.
Cari - I missed a lot of competitions because I had to work, my husband did a lot of the nighttime routines.
Kelly - It is hard to be vulnerable, but it is so important to have a real conversation with someone you trust instead of just venting on social media.
Once we acknowledge the feeling we give them less power.
Being understanding of the schedule and requirements is really important to help and support the feeling of adequacy.
Help with child care understanding daycare requirements.
Val - bring coffee or chocolate
What are some of the struggles of being an AT Mom?
Breastfeeding can be tough
Have a handheld pump as a backup
Talk to your admin and say I need a space to do this.
Having a pretty rigid schedule helps as well even though it is really tough.
Planning ahead and making sure they had backups for the backups...diaper blowouts can derail your lesson.
I allowed my students to help and that was crucial.
People want to help you, let them.
I feel many women have to choose to be an AT or a mom, speak to that thought.
Kelly - I knew I wanted to be an AT before I knew I wanted to be a mom. I was told several times that if I wanted to be a mom I would need my teaching certificate so I had something to fall back on.
As a single mom AT you have to make a lot of sacrifices. Dr. Erin Hassler has gathered a few friends to share their stories.
Dr. Hassler, start us off with your story of getting into AT.
Went to school in Atlanta and always playing some sort of sport.
When I got to college I put the two together.
The 1996 Atlanta Olympics
Currently a teacher
Own SportzFactory
Own a non-profit
Work with Olympic Track and field
Teach adjunct online
Paula -
20 years out of college and 28 years in AT world
I started as an aide at 13 years old
I hated PE and tried to find my way out of it.
As a cheerleader, I jumped down the stairs and had to visit
First 5 years I was at a private school and then after school stuff
After that I became the sports performance coordinator.
I loved being part of the team and celebrating and getting better.
It was neat as a high school student to understand the psychological pressures
Chakaia -
Athlete with a lot injuries
My high school AT taught me a lot
Tennessee state for undergrad
Fell in love, got engaged, had a baby, we split and went our separate ways
I knew it was time for me to complete my schooling.
Te Shondra -
Born and raised in Florida and I was into sports.
A close family friend was the AT and she became my ride to and from school.
I was active but always found a way to help in with AT.
Went to school in South Carolina
Was married for about 7 years and moved back to Florida.
About year 7 or 8 we were pregnant and about that time he bailed
I did not make the adjustment until my daughter was at an age where she needed more hands-on for competitive practices.
When did the kid(s) come into the picture?
Tell me about your Tribe:
Co-workers that all started at the same time and were in similar situations.
These are the emergency contacts for my daughter
Now I have my “mommy squad” that I have met through my daughter.
Being willing to pick up and drop off your friend’s kids and it is reciprocal.
You need someone to celebrate and sorrow with.
Dr. Hassler - I do not call myself a single mom
I do not label myself as a single mom so that it does not look like I am missing a piece.
“You do not need to try to make up for someone else”
K - I am a thinker and a planner. I will manage my emotions, but sometimes that is at the end or the process.
I have to let someone else help me
Advice for K
Let your story show your passion and desire
Build your network now
Reach out to everyone you know.
Know the presence the ATs have in the area.
Really understand the expectations that will be placed on you.
Build camaraderie and trust your co-workers
Making a strong connection with the parents and letting them know “I am here for your kid”
Moving to the DAT/PHD
Dr. Abner - I was praying and had a vision and saw that I could get into the collegiate and instructional side then I could still be in the profession. I could help shape the future.
I knew I wanted to finish in 2 years so I did, while holding down my full-time job.
I left my high school while I was in my final year and finished up the DAT.
A friend called and offered the online teaching job.
Erin - My son helped me with my homework.
I would get the books from amazon so we always had books for him to get work done.
Lots of prayer
What has been the best part of being an AT Mom?
Giving my kids different exposures to the different populations I have been around.
Words of encouragement to other Single Mom ATs:
K - you never know what you can do until you are cornered
Do not put energy into things you can not control
Erin - AT is a lifestyle
Use the skills you use as an AT in the rest of your life.
Make the adjustment for the people that are most important to you.
Te Shondra
Self-care is not selfish - take the step back and take care of yourself
Founder of the Brookbush Institute, Dr. Brent Brookbush joins Tanya Watson to discuss some tips for maximizing online learning. AS we are hot on the heels of NATA going virtual again, we hope to help make lemonade.
Dr. Brent Brookbush, you were recently on the movement underground with Mike Stella. What was your big takeaway from that podcast?
We make statements that I feel are for social media. We do not live that out in our lives, but we do it for the clicks.
Manual Therapy is supported in research. Period
All of our courses are Evidence-Based courses
Joints mobs and manipulations have the most research of any treatment in our profession.
How do I find a research-based course?
If it does not have a bibliography then it is not worth studying.
Is there evidence other than this guru’s opinion?
Is there original research?
Look for original sources as the citation
Accreditation is important but an end all be all
Brookbush Institute has lots of courses, almost all online now. How can we as ATs maximize our online learning?
There is no current research saying in-person education is better than online.
Would you benefit more if you could review the material and practice on a colleague and then go to the course or course first?
Take it on your own
Repeat it as much as you want
Practice until you are comfortable
Practice on related injuries but not the exact (i.e. shoulder injuries get a spinal manipulation)
Add in an in-person workshop for mastery.
What is Brookbush Institute including in their courses to help retain learning?
The online workshops were incredibly successful because now people had access.
We were only getting into 20-30 cities
“I hate the education system as it is” - Brent Brookbush
What will make this possible for my working colleagues?
We have to make courses short and give credit as they go.
Needs to be on mobile and desktop.
Multimedia - we are adding audio voice over so you can listen while driving or running
We want you to have more access during random downtime.
We do not want to penalize people for taking a long time to finish a course.
Educators tend to kick customer service out the window.
Make it possible to take education easily.
I want to take an IASTM course. What can I do to help me master the manual skills while learning online?
Find a mentor or find/form a local group and “therapize” each other
Watch the podcast on Facebook
Contact Us:
Brent - www.brookbushinstitute.com
Tanya @tewatc on Twitter & Instagram. or email: tewatson79@gmail.com
Jeremy - IG: SportsMedicineBroadcast
Women in Athletic Training acknowledges women and men are not the same; however, that does not mean one is less than the other. Come celebrate with this awesome group as they are growing healthy relationships to grow our profession.
What’s new with WAT?
Since the last time we were on the SMB a ton has happened - specifically in the area of intentionality and forward direction. We launched our re-brand of WAT 2.0 on 1/1/2020 and that for us signified a HUGE shift both in who we were and where we were going. We started the process in September of 2019 and used the last 4 months of 2019 really collaborating and digging deep into who we (the revitalized WAT board) wanted to be and where we wanted to take WAT. That leads us to the creation of a formal mission, vision, and our credo that WAT is more than AVERAGE (insert visuals here) standing for authenticity, virtue, empowerment, respect, advocacy, growth, and elevATion. We moved what was a place for all women AT to just come and ‘be’ to a true resource. A safe space for the women in this profession to empower one another. It was through this re-launch that we saw a huge shift in the way our membership interacted with the group - in a hugely positive way. We also were sure to come into the process using the evidence-based models and surveys out then 7800 members. This year when we started 2021 we did the same thing to evaluate our model. We are super proud that we just hit 9000 members, have 9 board members, we were the 1st group to offer a virtual interview of the then-candidates for NATA presidency, have hosted multiple call-in sessions for professional development around covid, interviews with NATA LGBTQ, EDAC, and more.
What are y’all working on now?
At the end of each year, we put out a survey for our members to complete for the Women in AT board to review and re-assess the needs of what our members are wanting from us. We all completed passion roadmaps which is a resource that we utilize from Passion Planner (Megan loves Passion Planner) that allows us to each individually brainstorm the goals that we foresee for WAT over a time period of 3 months, 1 year, 3 years, and a lifetime. We work together to review the survey answers to plan and create a quarterly outline for Women in AT to help us take small steps to reaching our larger goals for WAT while also catering to the needs that our members requested of us. This past year the survey revealed that the top two needs that the members would like for us to provide are networking opportunities and educational content. This is something we are working hard to provide for our members. This month as NATM’s theme is AT’s are Healthcare, we want to shed more light on the emerging settings of athletic training. This month will include some roundtable discussions from multiple settings, some social opportunities, and an interview with a professor who teaches negotiation tactics. We are all very passionate about athletic training and the future for WAT, and are excited to see how it all evolves.
What are two key issues y’all are working to improve for women in athletic training?
Showing up for each other in an authentic, empowering way. For too long women in this profession (and in general) are forced into competitive environments that pit one against another. We aim to change that. We should be building each other up, and working together as athletic training professionals. Empowering each other forward. Not holding each other back.
What is the vision for the next 5-10 years?
To infinity and beyond :-) no but in all seriousness, we have big dreams and no intention of slowing down. We want to be in the room where it happens - since women belong there - as RBG so eloquently reminded us all. We strive to be a national presence. Some of the things we have on our roadmaps are Women in AT Panels at the various different conferences; being a CEU provider - and ultimately even a WAT conference; educational ...
What are you doing to provide quality COVID Care and Prevention?
Paul Calloway of MiotechGroup joins us to discuss some of the options available to prevent the spread of COVID and other communicable diseases.
What is new in COVID care?
NanoBio - the average person touches their face
BZK kills 99.9% + the negatively charged bacteria
Nasal Swab basically creates a line of defense
Microsure surface protectant
Let’s talk about washing hands
8HD
Up to 200 applications
Spray rub and let your hands dry
BZK has antiseptic properties
Surface disinfectant
Microsure surface protectant
Protective barriers
MS Sports & Healthcare - basically a bag that goes between the.
PPE
The materials used for masks is the same used for underwrap
There are no alot of places the produce vinyl gloves.
Some of the hospital systems are using 2 years’ worth of gloves in 90 days.
Purell has a food service-rated disinfectant. Look for the foodservice disinfectant products for things that are dealing with food.
What do you think?
What are you doing for COVID care and prevention? Tweet Us: @MrJeremyJackson @JohnCiecko @Paul_Calloway @MioTechGroup
Watch COVID Care with MioTech on Facebook
Contact Us:
Paul Calloway
John Ciecko
Jeremy Jackson
Sports Medicine Broadcast and COVID Care partners
Allan Parsells is an Amazon AT or as they call him IPS. Injury Prevention Specialists are positions at Amazon that are only held by Athletic Trainers.
What is it like working for Amazon?
There are about 150 ATs across Amazon
BOC certified is a job requirement
Been with Amazon for 4 months
The industrial setting is a complete 180 from the traditional setting.
I had to step out of my comfort zone.
I had to learn OSHA stuff and learn what I was able to do and what they wanted me to do.
From day one the IPS network at amazon has been extremely helpful. From onboarding to answering questions.
There is a six-month learning curve.
How did you get the job?
Amazon is the most customer centered company in the world.
Allan’s customers are the associates that fulfill orders.
Our “athletes” are our associates and getting them back into work.
You are dealing with professionals that can not afford to go home or “sit out”
They need to earn income.
What is good about being an Amazon AT?
Favorite thing: interactions with associates that make a difference.
Collaborating with co-workers
Great Benefits PackageStabilityOpportunity for advancementLife Balance
Calling in sick - there is no sub, you just do not go to work.
Switching to the morning shift - may require moving to a different building.
Leadership roles - there are managerial roles in IPS, safety manager role, ergonomics role.
What is not so good?
There are a lot of people that have to approve things before changes can be made
Everything that happens in safety affects operations.
Amazon is hell-bent on safety.
In the Facebook Insights, it says women 2-10 years into the profession are the target audience. What specific advice would you give them?
What am I going to do now and what am I going to do when I have a family.
Amazon provides a great opportunity for you if you are starting a family. Maternity/paternity leave.
It is not a “boy's club”. Everyone has equal opportunity here.
If you love to help people you can help people here at Amazon too.
Amazon is thriving during the pandemic, does that impact you as an AT?
There are salary employees and hourly employees. At this point, I do not know what that looks like.
PhysicalTherapy.com is a great way to earn CEUs as an AT and be a better clinician. What are the skills you are improving on as an AT right now?
If you stop learning you are getting behind.
OSHA requirements are the biggest learning right now
Contact Us
Allan - aparsells@premiersportsmedicine.net
Jeremy - Info@sportsmedicinebroadcast.com
When you are ready to change there are several employment considerations you should consider. Dr. Danny Barringer did his dissertation project on the key areas Athletic Trainers should condsider before making the move.
The Problem:
The Athletic Trainer applying for a job did not know what to ask and what to look for.
COVID really underscores the need to know and clarify the expectations of your job
Three main employment consideration models:
School District
Outreach
PRN
Source of Funding
School District - city/state/federal level
Are you going to be teaching anything?
Does the school only need to cover the stipend?
Outreach
Typically from a hospital
Are you an at-will employee?
Will you be furloughed?
PRN
Usually, funding comes from the school district to the third party.
Job Expectation
School District -
The AT knows the hours are long but usually has summers off.
May have to supervise student aides
Outreach
Hours are usually better regulated
But typically working year-round (finding more business)
Mileage?
When are you on the clock, when you leave the house or arrive on site?
Supervision of PRN ATs
PRN
Much more freedom of schedule
Consider who will keep the documents and records
Varying policies and procedures between sites
Human Resources
School District -
Teaching with stipend
A clinician with or without teaching responsibilities
Summer camps
of days on contract
Stipends
Benefits
Outreach
HR may not know what you do and who you are.
Make sure you have liability and physician oversight
Stark Law/referrals
PRN
No benefits / HR AccessLiability and physician orders are on your own
Immediate Supervisor
School District
Typically and Athletic Director (hopefully we are moving away from this)PrincipalSuperintendent
Outreach
You could be reporting to a clinicianMaybe a CEO or CFOContracted Schools ADs
PRN
PhysicianTournament DirectorSchool AD
Location Specific Nuances
School District
Rural vs. UrbanPhysician/clinical staff
Outreach
Clinical space accessMultiple offices
PRN
Could but constantly changing
Contact Us:
Dr. Danny Barringer
Jeremy Jackson
Amy Metiva did not ride snocross, or even really know about the sport. She is a really good AT and busted it to be the best wherever she was working. Check out some of her story below.
Start us with a crazy/awesome story
Fargo, North Dakota and it’s negative 39 degrees. The propane tanks froze so the trailer stayed around 42 degrees the whole weekend.
Most race weekends we work 15 hour days.
We had to backboard in the snow...in the negative 40-degree snow. There were 2 sleds stuck together and a rider underneath the sled.
Knowing he needed advanced care quickly we carried him right to the ambulance.
Hunter was in an accident in a tight corner.
“We are basically waiting for a car accident to happen and then being ready to pounce.”
We had a racer get hit by a spindle and had an arterial bleed from the nose and he was not breathing when we got to him.
By divine intervention, he came back.
He was buried under the snow and we had to dig him out of the snow. Ended up breaking every bone in his face and had 97 stitches in his face.
He got to race about 3 weeks later.
Hunter, discuss your previous interactions with ATs
Hunter grew up playing football and had the high school AT.
He did not have much interaction with her.
Got hit with a spindle and tried to shake it off.
Once he could not move his arm he needed to go see medical.
Amy always seems to know when you are going to be hurting and ready to take action.
Racers are tougher than nails, so how have you softened them up?
Do not go up to the racers when they are focused and in the zone.
I communicate beforehand and set up some signals to know they are all good.
Build trust before they are injured
They come to know if I can get them back into the race safely I will.
If I can help them hit their goal and dream...that is the most amazing thing
Discuss your journey to becoming an AT.
Middle School athlete and was told she had swelling and could not play anymore. She went to an Athletic Trainer and he helped her rehab.
In 7th grade she went to a camp and found a book by Arnheim and started reading it on her own.
By high school, she was the self-proclaimed medical person.
Went through the internship program at Lake Superior State and was assigned tennis.
Her parents told her to be the best tennis AT there was even though she did not like tennis.
She then moved onto wrestling and loved being the only female AT. That led her to volunteer in lots of places.
She stopped the Harlem Globetrotters bus to speak with the AT.
This conversation changed Amy’s direction for her career.
A year later he called her and brought her to the court to meet the first female Harlem Globetrotter.
I have had a lot of jobs between now and then including a ten-year sabbatical to raise my two boys.
How did you get into snocross?
Someone randomly sent her an offer to help with snocross and she went for it...with no previous knowledge of the sport.
“After the first race I was hooked.”
Then I got the “call” to the major leagues.
She was grilled for 13 hours about how she would handle the job.
"God has a plan for me and he wanted me in that place at that time to care for those Snocross athletes."- Amy Metiva
Talk about the FXR Snocross medical trailer
It is an ER
It is a mobile medical clinic
We do a lot of taping since they can not fit a brace on with the clothes
Sutures, ultrasound, xrays but no medications
Everything in the trailer is free for everyone with a “hard card”
Family members and crew members as well
Expect the unexpected and be ready for anything
Obviously, it’s cold, what are your go-to “stay warm” items
Klim is a sponsor and provides great gear.
Hunter tries to wear almost the same thing each race day whether it is negative temps or just below freezing.
Amy does not change her routine either
Lots of FXR on the outside
Dr. Julia Hines has connected her passions and works with Auto Racing Medicine because her dad took her to races growing up. She joins us to discuss her story of becoming and AT and PT as well as how she is helping make racing safer.
Julia, What is your favorite race event and why?
Going to Monaco would be a bucket list item
What is your experience in driving racecars?
I have done some courses
Dr. Hines’s husband is a racer
I get in the racing go-karts now and then.
How did you get into Athletic Training and Physical Therapy?
Dad is an amateur racer and started going to the track at 3 or 4 years old.
He got a concussion in her senior year of high school.
They basically did not treat him at all
He drove the pacecar the next day
He had symptoms for about a year including BBPV
I grew up close to Limerock park and love all those events
Went for PT school but ended up doing the combined AT PT program.
I got injured a lot as a dancer growing up
There are ATs with racing, but they are few and far between.
Showed up at races and talked to everyone I could
My doctoral thesis was on returning the motorsports PT.
Talk about the evolution of concussions in Auto Racing Medicine.
This is not a team sport. If the drivers are not driving, they are not earning their money and they are potentially out of the industry.
The big teams, NASCAR, INDY, F1 they have traveling medical teams
The “arrive and drive” guys do not have any sort of consistent medical care.
Julia is currently working with more of the endurance events where they are driving for 24 hours.
NASCAR has been focusing on improving the health of the pit crews and a lot of ATs
Back in the 90s they would grab the guy from the local oil shop to be part of your pit crew.
Do you have experience treating Pit Crews with random injuries?
They have medical personnel in the pit..and everywhere.
If there was an emergency we would work as a team, allowing the emergency medical crew to lead and then being the primary on the follow-up or continuation of care.
Talk about the marathon races...how do you prepare them?
Anytime a driver exits the car after 2 hours...something is going to be sore. Low back, foot, hand.
Rule out red flags.
What can I do in this instant to help them get back in the car in a few hours?
As a PT I avoid passive therapies
As a MotorsportsPT we utilize a lot of the passive therapies because they are not really done with their event.
If it is the night time you are trying to allow them to get treatment and get rest.
Letting them know you have a plan in case treatment one does not work
Do you ever have to “talk” them back into the car?
I had a driver with a torn ACL who was concerned about driver changes. We had to work through the process of what causes pain and what does not.
But never really had to convince anyone to get back onto the track
What is the least understood aspect of a motorsports athlete?
These are extremely high performing athletes.
Heart rate, respiratory rate and effort have been shown to be very high during the duration of the event.
Going back to the concussion in motorsports...it was hard to recreate the situation.
The heat
The helmet
G forces
Incline
Vibration
Tons of visual stimulus
What is the RTP for motorsports?
Every racing environment is different
Use multiple monitors to simulate the environment
Get as close as you can without putting them at danger
What lessons stand out the most that you took into motorsports?
Reaching out to your network - Sarah Brown at BU had multiple brainstorming sessions with Julia
Professor worked with her to create higher value questions and prepare answers.
If you do not try then you always wonder “what if”
For 4 years I showed up at racetracks and talked to people...4 years I worked on building the network.
Jovan Means is an Athletic Trainer and a professional cutman. It would seem that these jobs conflict each other but Jovan shares how these professions work together for him.
Where does your Cutman story start?
16 years as an AT
DC native
Currently working in the same school system, he graduated from (not at the same school though)
Jovan has always been a fan of boxing and MMA and thinking “I always wanted to expand my skill set.”
One day he was watching a fight with his son and he said “Dad, that is similar to what you do.”
Light bulb moment.
Started reaching out to cutmen in the area and Mike Rodriguez reached out to him and serves as his mentor.
Being a cutman is an inside job. You have to know someone to get your foot in the door.
Mike Rodriguez invited him to a cutman workshop and they sparked a friendship.
What about taping?
It takes Jovan takes 12 minutes to wrap one hand
Different classes and commisions have requirements for the amount of tape per hand.
Make gauze pads for knuckles.
Tape must be 1 inch from the knuckles.
Monitored by an official and the opponent’s team.
There are a lot of rules to follow.
Back to cutman business
You got 60 seconds to get in the ring, handle swelling, overheating, and out of the ring.
He has learned how to anticipate what injuries will be coming and how he will handle it.
2019 Jovan was in Las Vegas for NATA and there were a few fights in Las Vegas that he was able to shadow him.
Mike is really big in boxing; it was really a blessing for him to be connected with such a big name.
Chris Colbert allowed Jovan to walk out with him
Mike reminded him you gotta start in the trenches. The Las Vegas week was pretty "big-time" but definitely solidified Jovan’s desire to grow in this field.
Jovan does a lot of volunteer work at a local boxing club.
Some cutmen do not tape hands...so for Jovan's fighters it is a bonus.
Ringside you get a 10-second heads up to jump into action.
Keep the “Enswell” tool on ice.
Jovan also uses an ice cream scooper to help with swelling.
Wound care is something we obviously know how to do as ATs.
What is your priority as a cutman?
Over the eye first - blood
Swelling before under the eye-bleeding
Nose plug
How do you stop the bleeding?
Dog ear cleaner q-tips
You are allowed some medicines, but you gotta know the rules.
Adrenaline chloride 1:1000 and other coagulants
Petroleum jelly
Horror Story
First time with a fighter and knew he had been whacked and would not have been allowed to play sports if at the high school
He went back in and got knocked out.
The fighter was out for a few minutes before coming to.
When have you been “star struck?”
Charlo brothers were at the ring hanging out were there. There were also their trainers and cutman.
What courses, training, or certificates would be good for an AT interested in being a cutman.
Relationships
Work with the “losers”
Do your research
Reach out
Start putting in work
Jovan has been rejected more than once as they did not know what an AT is.
Favorite experience as a cutman?
Met two guys from Dallas the day before the fight.
His brother asked him to coach him as well.
This guy is 1-5 fighting a 6-0 guy
Jovan really got to coach this guy to a victory
Mike is part owner of WARTAPE
Shoutout to Dr. Donita Valentine
Watch Professional Cutman on Facebook
Contact Us
Jovan Means
Jeremy Jackson
HOIST Hydration helps us get through days of podcasting
The wife is the greatest source of growth. I trust my wife and if she tells me I need to be kinder, slower, more active with my kids then I usually listen.
Ryan Stevens asked a few of his colleagues and their wives to join us and see what makes a good AT Dad...and what does not.
How did you meet?
Dave and Annie McCune - Annie was a PA and took a sports medicine course at Rutgers where she met Dave. They waited until she finished her rotation to start dating of course
Kevin & Kim Briles - Kim was coaching at the same school and came in to ask why her kids did not have water setup.
Kevin Blew up on her, set her straight about the role of the Athletic Trainer, and then the rest was history.
Sarah and Jeremy - We were at a college dance with other people and kept checking each other out. We started hanging out after that and now almost 16 years and 3+ kids later we are here.
Ryan and Jamie met in an AOL chat room, stayed in touch and 15 years and 4 kids later
What does your life look like now?
Annie -
Craziness -
We just moved back for Dave’s job at Rutgers.
I was doing door dash
Staying home with their son
Dave has to be at school early for testing
One 6 year old together
Dave was living in a dorm for a little while when he was transitioning jobs.
Was able to come back to Virginia during COVID
Kim
Ships passing in the night
We kind of have opposite schedules
15/17/20-year-old kids
We have a son that hasn’t left his pajamas in 10 months
It is a good crazy, we are used to it.
Jeremy, what about your wife Sarah?
Sarah is a stay at home mom and works part-time at the church. She is the primary caregiver to our kids both biological and foster.
3 boys under the age of 10 and a foster daughter under 1
Ryan and Jaime
Wife stays home with the 4 young kids
Ryan says “I could not make it without her.”
Paint a picture of the relationship you have with your children now.
Briles: the wife gets up at 4:30 to get the kids to daycare on time.
Kids ride the bus home
We had to orchestrate the entire fall season of who was picking the kids up from school. We had grandparents and family that we trusted.
We use to take them to school and the teams would automatically babysit for us
There was a time I needed a break. It was Christmas time, we were supposed to go to this event - I told Kevin “Get everyone out of this house and do not come back until I tell you”
Kevin called the wife a few times to see if he had permission to come home.
McCune: I used to take them to school with me all the time pre-COVID
Annie says she needs that time alone. As the mom and the wife everyone needs something and she just needs some time alone.
If it was written on the wall, what would be your mission statement for your family?
Jackson Family: To raise Men (and maybe women) who honor God and positively impact the world around them.Briles Family:DrivenCompassionateKindMcCune Family:Be relaxed in the situationTrustAlways be kind to everyone you meetStevens Family:You will be loved and you will love
“Keep Doing / Stop doing /Start Doing”
One key to successfully maintaining your family dynamic?
McCune - spend time together when we are off
Briles - just be quiet & Say yes more to friends and family
Jackson/ Stevens - prioritize family
What will you “STOP” doing which may lead to more stress upon the family?
McCune - stop trying to help when I get home
Briles - stop saying yes to everything
Jackson - The wife says I need to STOP being on my phone during the evenings
What do you hope to start doing/do more of moving forward to further build your family?
McCune - more fun things as a family
Briles - make the remaining moments count
Jackson - I apparently need to start listening more as I can not remember what the wife told me
Funny Stories?
Briles - Kim was pregnant with Liz, our first,
John Ciecko is a goal setter, so in AT Dads 2 we discuss the end goals and how we can work backward from that to make all 940 weekends count.
Ryan, give us an intro to your family.
3 boys and a girl
10 and under
What does the end of your career look like as related to your family?
John - For a goal setter the end of my career has always been saved for… the end of my career. Now I’m focusing on financials more, planning and goal setting for 4 rather than just 1. Is there a career change, job change. I’m now more aggressive in my job responsibilities and worth at my current job.
Ryan - I am not a goal setter, I set priorities and work towards making those good.I want them to be functioning and contributing members of society.All my kids will be adults by thenWe want them to always feel welcome to come back and spend time in our house
Let’s work backward from there to make a plan.
20 years
Jeremy - approaching retirementAll Bio kids out of college; Possibly grandkids.I want to know my grandkids the way my mom and Sarah’s parents do. I want to be an actively involved part of their life. This doesn’t happen if I am absent from my kid’s life now.
John: As Jenny says, in 20 years, I’ll be close to 100! - I’ll be approaching retirement or onto my “second” career in retirement. I will be focusing on Davids’s post-college and Cece's college years. These are very important years for them, where advice and communication are important to their adulthood. I’m building capital and “collecting coins” now so that my words then will have more of an impact on them when they need it.
10 years
Jeremy - I will have 2 out of high school and at least one to go.
Dating my Wife
Intentional conversations and interactions with my kids.
Ryan: I’ll have 4 teenagers…
I want them to be safe
Foster a relationship that allows them to tell you the bad stuff too.
John: in 10 years David will be getting ready to try out for the basketball team at my high school...if that is what he chooses.I look forward to dealing with “father/son/patient/medical provider scenarios”I want them to fail so they can learn, but not fall.
Next year
Jeremy - adopting MJ, attending school events, taking them to school and events with me.
It is not about the big events, but the daily interaction.
“Dating my kids” - giving them individual time to invest in our relationship
DATING MY WIFE
John: Focusing on my relationship with Jenny so that our relationship with our children is meaningful. We are intentional with our words and actions throughout our relationship.
How are we as AT Dads going to get there?
John - Pulling on inspiration and examples from my ATDads/Men mentors like Jeremy, Tom Ford, Larry Cooper etc.
Call to action:
“Dad can you look at this or are you too busy (with your phone)”...if you are hearing this look at why and respond appropriately.
Make a plan for how you will hit your target.
Watch AT Dads 2 on Facebook
Contact Us
Ryan
John
Jeremy
AT Dads are similar to dads in every other profession: great, average, or awful. Dads are one of the biggest influences in the life of a child for both good and bad.
Meet our AT Dads
Ed, what is the one question you want answered by the end of the episode?
What were some of the biggest challenges you faced balancing being a father and an athletic trainer?
Prioritize and set non-negotiables
Were you able to increase the amount of quality time throughout their childhood and adolescence? And if yes, how?
Friday Pizza Nights
Driving to school with altered schedules
Joel?
How understanding does your significant other need to be in order to find the balance?
Larry’s wife was non-athletic so she does not fully understand the lifestyle.
Larry used to hold a team meeting to discuss the week and expectations and schedule.
Has the balance ever brought you to consider changing settings/roles in the profession?
Jeremy:
As an AT Dad, How do I foster a lifetime relationship with my children?
Larry, let’s start back in the beginning.
When did you meet your wife and marry?
Wrestled in high school and in community college
Left and went to Pitt
Wanted to be an architect, then an accountant. Realized he could not stay inside all day every day
Larry’s uncle introduced him to athletic training
Was a student teaching and doing field experience at Baldwin high school.
One of the team members introduced him to his wife.
Went to Sugarbowl with Pittsburgh and spent a lot of money on alcohol and she possibly saved his liver and his life.
First Job in Arlington VA as a certified AT
Got married over Thanksgiving in his first year as a teacher.
His wife attended a lot of the games and they became friends with one of the coaches and his spouse.
Moving 6 hours away from his parents brought him closer to his wife.
Waited 5 years to have kids and spent a lot of time investing in each other.
Larry’s wife got a job at Larry’s school so they got to work together.
The first kid
Sarah born in April 1990
The most rewarding job I have ever had was being a dad.
They moved back to Pennsylvania and worked at a clinic. He used this time to spend with family.
Larry would take his daughter to pre-school daily and work on the counting skills while in the car.
The Second Kid
Molly was born in 1993
Another AT joined Larry on staff that allowed him some more time off
Third time is the charm...
Delaney was born in 1997 and they had 3 full-time ATs on staff at that time
Larry was involved in the state association and coaching soccer..life was busy, but life was good.
All 3 played Volleyball, cross country, soccer.
The administration was supportive and family-oriented when his daughter was born.
His wife stayed home with the kids.
Larry was able to take 2 weeks off and then proceeded to juggle and balance.
Pizza Friday - they would come up for dinner each Friday night and eat together.
His kids still carry on that tradition with their own.
Eat dinner together whenever possible
During summer Larry would plan camping trips and travel the country. One trip was 7.5 weeks with a family camper.
“We are going to be in this area, what do you want to do?”
Watch the AT Dads 1 Facebook video
We freaking love these hands free units from FrioHydration
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
Facebook video
Contact Us
Max
Jeremy
Financial Supporters
It is the ultimate biohack, but is BFR in adolescents a good idea?
Devin Kielur DAT, LAT, ATC joins Kyle Kimbrell PT, MPT to discuss procedures, protocols, outcome measures...not just hey this is cool...
Blood Flow Restriction: What contraindications are there?
It is like a hybrid car - there are two ways two produce energy for movement
With BFR you are limiting the ability to produce aerobic energy.
Too much load can be problematic post-surgery
Open wounds - no BFR
With any clotting issues, there should be a doctors clearancePost-op is the target timeThe first teaching was: wait until the wound was closedWith use, there has been less concern with waiting until the wound was closed.
Hypertension
Who is administering it?
What methodology? - you need to have the means to measure the pressure
Do you need it at all?
Encourage the behavior of “Is this going to outweigh the risk?”
Athletes that do not like having their BP taken.
Sickle cell and diabetes could cause problems.
Clotting disorders
ORS has trained over 8,000 people in the US alone.
What is the main goal or purpose in using it?
Devin likes to focus on good sleep, nutrition, hydration, and body awareness.
How do you decide what load is used?
We use an RPE scale
Then use our rep scheme and by the end of the exercise, we need you to be exhausted.
We found the analgesic side very beneficial - the cuffs seem to settle the pain down
Tissue flossing produces a similar effect on the ischemic area and reduces pain...but it should not be counted as occlusion training
Do these goals change in adolescents?
Reduce pain
Limit muscle atrophy
Repeated inflation and deflations of the cuffs change the hydration of the cell and trick the body into “feeling normal”
This would need to occur frequently
Cuffs allow for movement and walking.
This allows PTs to space out the sessions
RPE -
Omnires scale
“I do not want to make your pain worse, but do not tell me your pain.”
I do not tell them what number I am looking for.
They give me the number they feel fits
30/15/15/15 rep scheme with 30-second intervals
use the patient as the guide
Initial BFR goal: I want them to be mesmerized by it.
This means I have set the load up and it seems really low at first.
We need a continual push for growth to occur
What procedures or policies would you recommend before beginning to use it.
Measure LOCPrescribe pressure based on that numberSome companies have notDocument the number for full occlusion Document the pressure for each sessionDocument the length of time the cuff was onDocument the load usedinterventions should be supervised with the AT
Consider the timing of using the devices.
We are basically lifting heavy so plan with the fatigue levels of the day.
What is the variability of using the device between clinicians?
Experience can play a role in the use of BFR.
This is about equal parts perceived and realConfidence and comfort are kinda contagious
Have I done enough? - did they complete the 75 reps 2x in a row? Then I need to increase
How is the person moving?
Are they really sore?
What are they reporting about the interventions?
Kyle takes girth measurements - within a month I should see some increase in girth size. This allows me to check their attendance and level of exertion
We also use this to discuss nutrition and protein intake.
Watch BFR in Adolescents on Facebook
https://www.facebook.com/980579115403772/videos/1597911170390829
Contact Us
Kyle - kyle@ors.io
IG: @kylekimbrell
Twitter: @kylekimbrell1
Devin: Twitter: @kielur_devin
Jeremy Jackson - MrJeremyJackson on Twitter and Facebook
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Goal Setting can be awkward..."What do you mean what do I hope to get out of coming here today?"
I am trying to have a more Patient-Centered Approach to Athletic Training Services, but I have not found a good way for me to ask the questions that the students understand.
As a licensed AT and practicing PT Daria Oller knows the value of goal setting. She joins Ray Olivo and John Ciecko to try and make me less awkward...Good Luck.
What is “patient goal setting in rehab”?
Looking at objective measures
ROMStrength parameters Rep or weight countPain is an important measure - you can include subjective measures
Do not say “the patient will be better”Use the SMART conceptSpecific; Measurable; Attainable; Realistic; Time-Bound
Working on them together
Recognizing them as a total person
Continually listening
How is it affecting the quality of life?
What is not “patient goal setting in rehab”?
If you take the patient out of the equation you are showing your ego… “I want the patient back playing in two weeks..”
A big failure is removing the patient from the equation
Having coaches dictate when an athlete or parent can return to play.
Daria: LongCOVID - I want to get back to running, walking, dancing. I am stubborn and would do them but then was just crashed out.
How I have asked:
“What is your goal for today?”
“What are you hoping to get out of coming in today”
“What are you wanting to hear after the evaluation?”
Thoughts on asking these goal-setting questions?
With kids, it may just be awkward because they are answering them for themselves the first time
There are therapy goals and then daily goalsThey should still tie into what the overall goals are
John: Relationship building
A majority of people will not know what their goals for the day are.What is the real question?Realistically you are talking about the history“How are you doing today?”“What have you learned today?”You use those things as clinicians to help them define their goals.
Remember the history and relationship with the kid and consider that as you are asking the “goal” question.
We do not use a lot of objective goals because we do not have to report it, but they can be useful in motivating.
“How can I help you today?”Ray Olivo - on helping patients set goals for their healthcare
Continue to ask questions to figure out who they are as a person rather than an injury
“How can we work together to get you to your goal?
Daria - the psychosocial is such a huge piece as well.
Some goal-setting is defined by statements such as: “I want to get on the floor with my kids/ grandkids and play but the pain is preventing it.”
Trying to document for insurance forces Daria to put all of the pieces together.
Are there stairs in your apartmentIt sounds like you are saying this, this, and this. How can we work together to get better?
Example of “Goals” for athletes
Ankle sprain
Walk pain-freeJog pain-freeRun pain-freePractice pain-freeReturn to play
Instead of “Here is what you are going to do today.”
Maybe try:
“Here is what I feel like we need to work on how do think we can accomplish that?
John - I like to look at it as a department view
“What are our professional goals”
We write them out and put them on the wall and it leads everything we did
You still need to have a goal as an AT to guide the patient’s recovery.
Celebrate small goals
In the secondary setting where we potentially see them every day, what should this look like?
John - The target - “what is your bullseye?”Work backward from the outer rings to see how they get to the bullseye.We keep soap notes and rehab sheets out for all of our athletes. Rehab charts are on the back of the soap notes.
WRITE THINGS DOWN
Daria - know the target and work out from there8 weeks walking pain-freeSo what steps can we use to get you there at 2 weeks, 4 weeks, and 6 weeks?
Rick Cox has used the Sports Medicine Broadcast on his path to leadership. Through John's Leadership series Rick has been able to strengthen and improve as a leader in Athletic Training and at home.
An interesting fact: Rick was wearing his Sports Medicine Broadcast shirt when he dislocated his elbow rock climbing.
“The world is always full of the sound of waves. The little fishes, abandoning themselves to the waves, dance and sing and play, but who knows the heart of the sea, a hundred feet down? Who knows the depth?”
Why did you choose that line from Musashi?
Well it illustrates a person's path to their given occupation or specialty. (Musashi)
We may see the outside but do we ever really know the true path that person took to get where they are now and more importantly, where they are going in the future?
Who is Rick?
Year 3 at Suffolk Head ATwas satisfied for a while as an assistantRealized that just being part of the staff was not going to be good enough, but he knew he needed to learn.I am constantly questioning “what could I be doing better”
What started Rick on his path to leadership?
Had no experience Did a lot of reflection and questioning himselfMakes small changes
How did he do it?
A lot of reading, but not focusing on a single personSimon SinekRyan HolidayMilitary tends to lend itself to leadership
“Football (soccer) is life sped up”
Life / Athletics and war are not the same thing but lessons can be learned
You realize people have gone through some tough situations and you are not alone.
What have been some of the leadership lessons you have realized?
There are examples everywhere
The election is an example
What are some of the universal truths you have learned?
Not placing blame
Honesty
“Take the blame and give out credit” - Rick Cox
In my path to leadership, building relationships has been one of my strengths and it has grown our influence with our athletes and coaches.
Honesty with harshness
When have you had to relearn the lessons?
Year on we had a baseball player in the clinic and our Ortho wanted the athlete to go to the ER.
We were busy and did not communicate with each other and the coach.
The following day the baseball coach was pretty upset.
Rick’s first instinct was to place blame, but before he spoke he remembered the lessons…”You are right, we messed this up”
Have you seen improved relationships on your Path To Leadership?
Not to the point of being “buds” but there have been improvements
John busted his butt to build relationships, made progress but then for some reason it reset once the season was over
It is like building a garden. You have to replant each year
What have been other benefits to your Path to Leadership?
I am still struggling with this at home and have not been able to transition this to home
What has been the outcome?
I have become a better clinicianI am better as a leader due to this.
What would you tell a Young Rick Cox?
Humility
Books?
Anything by Jocko
Simon Sinek’s Leaders Eat Last and Start with WHY
Ryan Holiday’s The Obstacle Is The Way and Ego Is The Enemy
Dare to Lead - Brene Brown
https://www.facebook.com/sportsmedicinebroadcast/videos/340721383694562/
Contact Us
Rick Cox - rcox2@suffolk.edu @Suffolk_AT
John Ciecko - @John Ciecko
Jeremy - @MrJeremyJackson
Encourage them to buy more shirts for you...
Deanna, Kelsey and Jennifer, all Adopted ATs, share their stories to encourage others to compassion and action.
Deanna, what is your Adopted AT story?
Has a positive story
Relationships with both of her biological parents
Knew from birth that she was adopted but did not realize it until age 7
Searched for her Bio parents because of concerns with her health.
Maternal Grandparents connected with her first
Birth dad began connecting
Since 2011 Deanna has been connected to all her bio and adopted family.
Kelsey tell us about being adopted.
“I am still related to my birth family”
Born to a single mom and taken into foster care at the age of 4. The CPS workers came to daycare and picked her up that day.
Placed with aunts and uncles and began playing sports right away.
Kelsey wanted to be a doctor and then got hurt as a freshman in high school and went to get treated by her Athletic Trainer.
College would not have been an option if she had not been adopted.
Jennifer share your Adopted AT story
Adopted at birth in 1967 from a single mother
Born Christmas day and was moved through foster homes to help hide the paper trail.
Jennifer’s mom was a nurse and her dad was a teacher
Mom took her to medical workshops once she showed an interest in the medical field.
Her mom passed away in 2008 and her dad began searching for info on her bio mom.
Has not connected with her bio parents.
“Mamma Rheeling” has taken children into her home to unofficially foster and give them a safe place to stay.
Her goddaughter lives with her now
Adoption opens her up to compassion
She has always known she was adopted.
Speak to prospective adoptive parents.
Jennifer - Being a parent is something that comes from your heart. It is hard either biological or adoptive.
If you want to make it work then you will find a way to.
Deanna - I love God and in turn I love people.
Kelsey - Fostering can be hard. There will be trauma
We would not be who we are today without someone stepping in.
Watch Adopted ATs on Facebook
https://www.facebook.com/980579115403772/videos/381220533183664
Contact us:
Deanna - dmelancon@brortho.com
Kelsey - grahamke@pryorschools.org
Jennifer - jennifer.rheeling@gmail.com
Jeremy - info@sportsmedicinebraodcast.com
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When I stepped into the "Head" Athletic Trainer role after 12 years here I thought I had earned leadership credibility. I had, it just did not go as smoothly as I assumed.
Kevin Parker and John Ciecko discuss the book About Face by General Hackworth
“Personal gifts like intellect or charisma help. But neither are required enough to be a leader. Physical appearance, poise, and outward self-confidence can be confused with leadership - for a time. I saw many new lieutenants arrive to battalions and fail to live up to the expectations their handsome, broad-shouldered look generated. Leaders walk a fine line between self-confidence and humility. People are born; leaders are made.” - McChrystal
“You can read all kinds of books you want and you can make all kinds of plans you want, but when you get out in the field, those books and those plans might not meet the eye of the situation you find there. So you just have to roll with it.” - Hackworth
Kevin Parker joins again after last seasons Heroes as Leaders - https://sportsmedicinebroadcast.com/heroes-as-leaders/
- In discussing earned leadership, what is your favorite part of About Face?
Kevin - when he took over the battalion in Vietnam and transformed them into a well-oiled fighting machine.
Everyone wants to be the transformational leader that people write stories about...but this is where you miss the whole point of the book.
Why a book about war to teach lessons in AT?
You take care of your peopleID problems and the people to handle those problems...then give them resources to deal with them.
- Learning leadership - the wrong way
“Grab at the coattails.” - p. 60
The Army was no more warriors than it was clerks trying to get the army out there.
Rather than earned leadership people surrounded themselves with people that were going to agree and help support your decision.
There was no one there to help prevent them from not making critical decisions.
Hackworth’s willingness to accept clear honest feedback is ultimately the best for the organization.
Be wary of an echo chamber
“Figures don’t lie.” - p. 601
300% input of Ranger School...but that was because we went from 0 to 3…
If you want to lie to get ahead you lose your leadership capital in the end.
Hackworth was all about not sugarcoating things. He wanted to clearly disseminate info up and down the chain in the same manner.
You have to tailor your message to each person, but it’s the same message.
To the athlete: the outside of your ankle hurts
To the Doctor: his lateral malleolus is the affected area
Rehab - do they know what they are doing and why...so you could walk away and they can continue.
Don’t be that person “he is great at rehab but has terrible bedside manner...”
DO YOUR ACTIONS MATCH WHAT YOU ARE SAYING?
“Measuring up” p. 778
- Learning leadership - Honesty and morality
“Study of Vietnam” p. 614
The tactical know-how of senior officers has ended in a condition of not knowing how to fight but a bunch of corporate office managers.
The soldiers are focused on advancing to the next level rather than leading the people below them.
“Never ask a subordinate to do a task you are not willing to do”
Maybe you show up at 6 am to help with COVID screening a few times
Does the AD need to be at every practice every day??? Nobody wants that.
In every organization, there is someone who is promoted one level beyond their competence
From Facebook: Richard Cox It reminds me of when Jocko would scramble guys' radios to make sure that they all knew how to fix them because he wanted everyone in the platoon to be able to do everyone else's job.
“Westmorelands understanding from Napoleon.” p. 737
“The interview - forest from the trees” p. 777
“Issues and Answers” with Howard Tucker from ABC
Did the upper echelon of the army ever become changed on the war...did they learn from their mistakes?
Data collection is pretty easy now a days with all of the EMR options. We have plenty of data, but making it tell a story is different.
Scott Mullett founder of AT Efficiency has crunched our numbers so we can show you what you can do with them.
Daria Oller has researched epidemiology and wants to help turn those numbers into actionable items so that we can change the patterns of injury.
How our Data Collection is answering Admin Questions.
Dollar Value saved the district:
Ask your stakeholders what numbers they want to see.The cost of injury for athletes that have gone to the hospital to receive some treatment is $709Direct cost $168,000Indirect cost $527,000There is not a value or cost for them not participating as they are not getting paid to playThese costs are associated with parents' missed work and transporting kids to doctors.Who are you saving money for?In high school, it is parents, not the district.Only 9.9% of injuries at the Penn state campers were sent to the hospitalHealthy Camp studies show 60% of injuries go to the doctorADD a “requires doctor visit” buttonDocument people who went to the ER and the outcomes.This could be used to help establish a chain of care to get the kids the appropriate care they need.They increased salary due to the research from the Penn State camps
Treatments per week or day or month:
Average of 300 interactions per month
Does your Data Collection show preventative practices?
Add an indicator saying “prevention” to improve data collectionThis may take a few years of data to see if the numbers are going up and down.You can also compare to national researchWE NEED an incoming freshman onboarding program to prevent injuries.Educate the coaches7/12 football concussions were freshmanMaybe head impact monitoring could help
How debilitating are the injuries
The way our data collection was set up is hard to tell.- We do have a "Requires Surgery" button but do not always click it.- We do not have a graded severity scale- We will add the "Time Loss" button to our daily treatment logs
A few questions we could not answer with our Data Collection
Costs of supplies per kid for strength and conditioning versus rehabOther services providedAthletic Training Facility hours/visits per week in healthy versus non-healthy athletes
Tips and improvements from Scott and Daria
Tips from Scott:
Some of the gaps: narrow it down with preventative programsStart smallGet little victoriesDemonstrate the importance of staying healthy
Tips from Daria:
Establish your goal(s).Have clear operational definitions.Have objective measures to quantify prevention strategies.Look to the epidemiology literature.Go beyond large numbers. Consider if your documentation system is helping you capture the needed or desired variables.
Watch instead on Facebook.com/SportsMedicineBroadcast
https://www.facebook.com/sportsmedicinebroadcast/videos/407100297119732/
Contact Us
Daria Oller
Scott Mullett
Jeremy Jackson
Resources
“The First Decade of Web-Based Sports Injury Surveillance: Descriptive Epidemiology of Injuries in US High School. . .” J Ath Train. 2018 53(8) - 53(12), 2019 54(1) - 54(2).
Non-Time-Loss and Time-Loss Softball Injuries in Secondary School Athletes: A Report From the National Athletic Treatment, Injury and Outcomes Network (NATION). J Athl Train. 2020;55(2)
Injury Incidence in Youth, High School, and NCAA Men's Lacrosse. Pediatrics. 2019;143(6).
Trends in Emergency Department Visits for Contact Sports-Related Traumatic Brain Injuries Among Children - United States, 2001-2018. MMWR Morb Mortal Wkly Rep. 2020 Jul 10;69(27)
Work-Related Injury and Management Strategies Among Certified Athletic Trainers. J Athl Train. 2018;53(6)Catastrophic High School and Collegiate Cheerleading Injuries in the United States: An Examination of the 2006-2007 Basket Toss Rule Change. Sports Health. 2019;11(1)
Conflict Resolution is a learned skill. John Ciecko was scared of conflict. By leading the leadership series here on the SMB we have walked through a lot and conflict resolution is a big part of leadership.
Patrick Ohaver was a supervisor for an AT outreach program and had a fair share of conflict to resolve.
This discussion is based off an article by Dr. Jordan B Peterson about becoming a peacemaker
Facts are facts. Opinions about the facts differ. It is therefore the job of the peacemaker to bridge the gap between opinions, and in that manner, bring about reconciliation. The job of the peacemaker is to establish an accord that allows the facts themselves to become a matter of agreement. To do that, however, the peacemaker has to be able to see the facts that lead to peace. The peacemaker threatens, with the threat of peace, because peace means change.”- Jordan Peterson
https://images.theconversation.com/files/138826/original/image-20160922-22533-1a7n230.jpg?ixlib=rb-1.1.0&q=45&auto=format&w=754&fit=clip
How can the peacemaker bridge sides of an argument?
How can the facts themselves differ? And if they do differ, how can the gap between men who have adopted antagonistic stances towards one another be bridged? They must want peace, more than security, more than charisma. That means that the peacemaker must be able to sell them something more valuable than victory, more valuable than success. That means the peacemaker must know what it is, that is more valuable than victory. It is for this reason that the peacemaker must be a man of the uncharted seas.”
When we find ourselves in conflict how can we sift through the facts?
John’s situation: Coach was asking questions and seemed to be questioning him and how the situation was handled.
John allowed his opinion of the facts to be more important.
“Relax” usually amplifies the conflict
Amygdala hijacking - emotions get the thought process all jacked up
Is it better to rush or be patient with an opinion or judgement?
“Everyone must therefore have a voice. The peacemaker, however, must even listen to the damned. He does not know what the facts are, and even the damned might therefore have something valuable to say. When the facts themselves are in dispute, however, there is nothing left but patience. The invisible becomes visible of its own accord, in accordance with its own frame of time, and there is no pushing when the direction to push cannot be established.”
Everything in athletics has to be done right now...so we are in conflict with peacemaking situations as we have no patience to work with.
We do not have to fix it now, we can wait for a day.
The more you are able to pull the facts out the more you can heal.
The facts give it a direction
When it comes to resolution is speed over vision, or vision over speed more important?
“Peace must therefore be a journey – and a journey to an unspecified destination. The peacemaker is a guide, in a country whose topography remains uncertain. As a guide, he has to be going somewhere – but where? Speed is a virtue in the local environment. If the direction is uncertain, however, then speed may be a vice.”
Most of the time it is vision over the speed
Clifton’s strength finder - https://www.gallup.com/cliftonstrengths/en/252137/home.aspx
If you are pretty certain route “A” is better than route “B” than use facts and allow hem to make the decision
If you continue to go back and use the vision over speed you build capital with the people you work with.
This allows you to use the get this done now statements.
What does it take to become a true person of conflict resolution?
“The man with a disharmonious household cannot serve as a peacemaker… The man who is afraid of war cannot serve as a peacemaker. Peacemaking must be a vocation, and not an occupation.”
Peacemaking can not be your job title, but it needs to be part of your life.
Muriel, Wyatt, Marisha, Jasmine and Alyssa are Native American Athletic Trainers. They join John Ciecko and Jeremy Jackson to teach about their background, stories, and experiences.
Muriel's Native American Background:
I attended several undergraduate programs in my journey. I was a non-traditional student who returned to pursue my undergraduate in 2009 at the University of New Mexico-Gallup branch campus. After I completed my AA-Assoc. of Business Administration, I transferred to the main campus in Albuquerque, NM in 2013. There I completed my BS in Athletic Training in May of 2018 with a minor in Business Administration.
During my undergraduate journey, I managed to work a full-time job, have my two boys who are now 9 and 15 years old, and take care of my family of four. It was certainly difficult trying to juggle being "Mom, Wife, Student AT" all at the same time and commuting weekly back and forth to home, but I knew ever since I was about six or seven years old Athletic Training was what I wanted to do, although at the time I had no idea the profession existed
Alyssa's background and schooling
My last two years of high school introduced me to my first Athletic Trainer (JD Burgess). A late tour senior year to Fort Lewis College introduced me to Athletic Training/Sports Medicine as a major so I immediately applied and began my education at Fort Lewis College in Durango, CO. I graduated in 2007 and was able to pursue my Masters at A.T. Still University in Mesa, AZ. I graduated in 2009 and went back to Durango to work at the Head AT at Durango High School as a part of Mercy Regional Medical Center. I stayed there until 2015 when my husband and I took a year off to travel and move back to Hopi. After that I set up an AT program at the local high school. There have been a lot of road blocks
Marisha's Life as a Native American
Marisha Little, LAT, ATC currently works as the graduate assistant to the University of West Florida Athletic Training Program and as a PRN athletic trainer in the Sports Medicine Outreach department of Andrews Institute. She graduated with her Bachelor of Science in Athletic Training from the University of West Florida and is currently working on her Master of Science in Health Promotion. She is the recipient of the Bobby Gunn Award from the Southeast Athletic Training Association, the Legacy Scholarship of the Athletic Trainers Association of Florida, and the Memorial Scholarship of the Southeast Athletic Training Association. Marisha served on the National Athletic Trainers Association Student Leadership Committee from 2018-2019 and currently serves on the Public Relations and Marketing Committee of the Athletic Trainers Association of Florida.
A little about Wyatt
Wyatt's first exposure to AT was in undergrad as a potential PT student. Changed paths when he was applying for PT school.
Masters of public health from GWU
He left the tribe to get the experience off the reservation to be able to get more perspective.
Currently back on the reservation as a wellness program specialist for Native Americans.
Jasmine's Story:
Descendent of trail of tears
I come from a long line of strong, resilient, compassionate, indigenous women, so it was only natural that I want to help others. When I was in high school, at Culver City High School, we had a sports medicine program and I was introduced to the field. I went on to get my AA in Kinesiology at El Camino College and then graduated in 2016 from Azusa Pacific University with my BA in Athletic Training. My career started with working for West Coast Sports Medicine and Team to Win, which is a non-profit sports medicine clinic for the local high schools, that are typically in under-served and systematically oppressed communities. I then started my life at Lawndale High School as the ATC.
After my first year there, with the help of my Principal Dr. Rodas, Athletic Director Demetre Howard,
Shauna Ericksen is doing her Ph.D. work on the Psychological Risk factors that contribute to injury.
Eli Kassab joins the Sports Medicine Broadcast again as we discus mental health.
Shauna, you are quite active and adventurous, what are some of the ways you stay active?
I was moving from Oregon to Montreal and decided to make a mountain biking trip out of the journey.
Moab is legendary and so we decided to do it. Coming down off a boulder I got off balance and landed on a tree hanging over the cliff. Sprained my knee in the process.
Did a self-evaluation and realized I needed to ride down the mountain. I had to cut the trip short, luckily I was headed to work an AT event where my colleagues evaluate the injured knee.
What got you into the Psychological Risk Factors of injury prevention?
Shauna joined a free course online to grow her mindfulness and improve happiness.
Shauna had been asked to deliver a mindfulness talk to her colleagues.
It is all about the history of our stressors (upbringing, previous injuries, health, nutrition)
Has the mindfulness translated to your practice?
It helps in her coaching and one on one strength training.
It allows her to pick up on emotion and open up the dialogue.
Allows them to critically think about and process the stresses
“How is work going at home”
“Are your parents able to help?”
“I traveled around with a hypnotist for a summer”
Halloween at the theme park -> went to a hypnotist show
Shauna was the volunteer
Mom ordered some hypnotist CDs
Mom offered Shauna’s assistance
Then traveled with her for a summer.
She may have been one of the biggest influences in the career choice and style of treating athletes with a mental IQ.
Making it commonplace to talk about emotions was huge for me as a practitioner
“Why can you not just tell me something is wrong” - coaches treat them differently when they are injured or hurt physically or emotionally.
I have seen athletes go from 0-100 in their head really quick...oh no, I’ll never play again…
Let’s not skip straight to the end of the book and read chapters 1, 2, 3.
We need to use our tools to help them focus on the here and now.
We have to be cautious with our playful banter and acknowledge their perceptions.
Encourage them to be open and honest with their emotions about the injury.
How are you using that in your practice as an Athletic Trainer?
It is extremely important for us as ATs to look at mindfulness.
It is not everyone’s strong suit but we can learn to be emotionally mindful
Teach them to express their factors without being judgemental.
We need to practice mindfulness and good mental health practices.
Discuss some of the more interesting/shocking finds
Last year I wrote a critically appraised paper and submitted it about the psychological risk factors.
4 constructs and how they correlate to injury outcomes.
Some research has ID’ed at-risk athletes but are geared towards all athletes not just the ones at risk.
The realm of intervening to reduce injury risk is all new.
video, cognitive awareness, imagery are tools used to help reduce injury.
Overuse injuries are the most common associated with Psychological Risk Factors.
How long was the research for that paper?
Started in January and submitted in July
Have you seen anything with COVID and Psychological risk factors?
It has changed a lot, data is not as accurate since people are not playing sports, not exposed to the AT staff, practicing on their own
The initial thought would be reduced injury risk due to lower volume.
Instead, we shifted to treat this as an official offseason to train them to use mindfulness, sleep, eat, and hydrate properly.
There is a catastrophe mindset and we do need to implement the mindfulness.
My biggest goal is going to be how can I help other AT to incorporate these into their injury practices.
If John Ciecko was not leading up the chain when COVID hit Bloomfield Hills High School would likely not be back to sports as safely or quickly as they were.
Patrick Ohaver joins John in discussing how we can lead up the chain even when it is not easy.
Image from: https://www.youtube.com/watch?v=51ZxYMZEKbw
Due to COVID a lot of things have changed. What is the current state of Sports where you are?
Off-season conditioning in May / June
Onsite training forced the Sports Med Staff to shift to screening protocols. Some days were long but we screened over 3,000 athletes.
John reached out to his contacts, Kurt Andrews at KC Sporting, and found what they were doing that worked really well.
August 12 was the start date for football
The state decided to start in phase 2 of the NFHS modified plan
Pretty much everyone was practicing outside.
They were able to block off parts of campus and then adjust as needed to create a more secure setting for them.
The state continues to change the requirements.
Lots of long days re-evaluating
Math is confusing: 10% capacity up to a cap, then you divide that by 6 feet
Swim team practiced outdoors.
They decided to cancel football for the fall and allowed some spring sports...but Spring sports in March in Michigan are a nightmare
HOW CAN WE PROVIDE AN EQUITABLE EXPERIENCE FOR ALL SPORTS?
Governor issued another executive order.
Patrick Ohaver:
July they were in stage 4 of 5
Indiana never planned to postpone football
His school decided to be more conservative and practiced outside.
Soccer played two games then started playoffs.
Individual school boards were left to plan.
Discuss the conversations you were involved in once the talks started happening.
Jamie Woodall’s document for the UIL set the standard for a lot of places
Relationship building is key - John has been building them for years
He has a group text with the principal, school board president and superintendent...that is a position of influence.
The school shifted to two cohorts:
Monday/Tuesday is group 1
Thursday/Friday was group 2
Cleaning was Wednesday Saturday
Where have you been able to lead up the chain?
Patrick - I will work by the hour and we can compact all of the practices into a 4-hour window each day.
School covered his liability insurance
Then he switched hospital systems to keep care flowing without interruption.
Pre-planning and “medical timeout” helped prevent a catastrophe
John - consider your team in the building…
Your custodial staff needs to have a seat at the table too. Involve the leaders of every group that is affected.
Get the team doctor involved in how care will change.
What does an event venue change look like?
My first internship in college taught me about making friends with secretaries and our custodial staff.
How do you see this impacting sports long term?
We are seeing a philosophical change in ideas...how important is this game when it comes to community health???
We are looking more at a big picture now rather than minute details.
We need to look and consider how this affects the mental health of students and athletes.
High school sports are important to emotional health, but is this game this week worth the risk???
Athletic Trainers are Health Care Providers
COVID highlighted the superstars on social media
What do I do if I do not have that seat at the table?
Start from here and build community
You can force your way into the door or build relationships.
There is a time and place to be abrasive and a time and a place to cultivate.
John had to learn how to ask to be at the table.
The more trust you earn the more respect you will get and the closer to the head of the table you will sit.
“How dare they not have me, John Ciecko, the medical expert here at the board meeting!!!”- John Ciecko
What are we looking forward to in the 2020 Leadershi...
The AT Wolfpack was born out of a need to communicate and commiserate.
The founding members join the SMB to discuss the origin, what is has become, and where they think it might grow into.
What’s the deal with these late-night Wolfpack zoom calls?
With fewer people we get a little deeper in our feelings...or maybe just discussing the state of AT
Someone joins today, what can they expect to cover tonight?
In the word of Josh Dawsey - “Zooms are like a box of chocolates, you never know what you are gonna get”
Paul - we may start talking about ankle sprains, jump to Bar-B-Que then to concussions on to whiskey, then back to ankle sprains. And they are all related somehow.
How did this start?
Thomas and Ed were meeting with people on ATTalks and then COVID sent Tom home without the internet.
They needed something to get them together and then... Ed sent out a tweet to see who would be interested and 40+ people responded.
What have been the benefits?
Connection - lots of people have connected as they have traveled with teams, for personal reasons or related to moves.
We are building a network of ATs whose main connection is friendship.
It is a safe space. Some ATs have jumped in, taken the mic for a rant for 10 minutes, ended up in tears, received some connection and virtual hugs, and then been able to move on.
Jumping into a group of 100+ ATs can be intimidating. Speak to that person
Sit back and watch, or just jump right in.
Plenty of people sit and listen and watch until they have something to say or add.
Nobody is looking for perfection or a professional presentation.
Jeremy is an example:
Jumped on a call after a run and left the camera on...shirtlessUsed thy massage gun on one of the kids with only the mic on and said “you can use this on my feet next” then you hear the massage gun.Laying on the couch with the baby shirtless for the skin to skin contact.
I set the bar pretty low...of course so that others will feel welcome..”At least I wasn’t shirtless like Jeremy…”
What have you struggled with in growing or maintaining it?
Getting back to work has made it slightly more difficult as Tuesday and Thursday nights tend to be game nights for ATs.
There is not a structure or leader, just the more active members help to keep it regulated.
Where is it headed?
To Orlando for NATA 2021 then who knows.
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AshTapesAnkles
Paul Rupp - https://twitter.com/OaktonHSATP
Thomas - https://twitter.com/thomasjbarkoski
Ed - https://twitter.com/EdWozATC
Jeremy - MrJeremyJackson on FB and Twitter
SMB Supporters
For Dr. Natalie, Running Medicine came from a passion for running, experience as a Physical Therapist, and a furlough during COVID.
Dr. Natalie Niemczyk is an accomplished runner: finishing race distances in running and triathlon events including 5ks, 10ks, Half Marathons, Marathons, Sprint Triathlons, Olympic-Distance Triathlons, and Half and Full Ironmans over the past 11 years!
Additionally, she is a Certified Strength and Conditioning Specialist, Certified Running Technique Specialist, as well as a Certified Canine Rehab Practitioner and RRCA Run Coach.
What made you decide to get into running medicine?
Passion of mineExperience within the field as a runnerWanted to channel my focus on one specialtyValue in finding specialistsBuilding knowledge in one topic vs. generalized practitioner
How much does being a practitioner of running help your ability to treat patients?
It lays the whole foundation
“Running a marathon, I know that pain at mile 24”
"I had a tonsillectomy at age 8, then a c-section...I have been healthy.
It has taken over a year for me to get back to normal after that surgery.
“It’s weird, but I kinda like getting hurt so I can relate to what they are feeling”
- Todd Sabol
Todd's coupon code for the WHOOP band
What courses do you recommend to healthcare professionals looking to enhance their ability to treat runners?
The Science of Running Medicine: University of MichiganHarvard Sports Medicine: Running MedicineCSM: Physical Therapists ExpoPOSE Method Course: RTS CertificationMedbridge CoursesBryan Heiderscheit, Irene Davis, Richard Willy, Chris PowersMountain Land Running SummitStrength and Conditioning Specialty
Common misconceptions and technique mistakes in runners.
There’s one form out there that is universal and works for everyone! Everyone is different!!!Forefoot vs. Heel Strikers 180 cadence myth
What are your goals for Revolution Running Physical Therapy in five years?
So excited to have a one-stop-shop for runners where they can receive physical therapy, injury prevention education, gait analysis and movement assessments and coaching all for runners, all under one roof! I also want to welcome runners at any level, including recreational runners, beginners, pregnant runners and elite.
5 years: Have another therapist on board with the same passion, a rev running sponsored team, become better known and trusted within the community and be runners go to, get my hand into some running research!
Embrace Race: elaborate on this event and who benefits from it
EmbraceRace is an organization that was created by parents of all different backgrounds and nationalities, and they provide webinars, articles, and resources for parents to help raise children that are inclusive, understanding, and brave about race. My buddy Jen from EliteFeats and I created this Virtual 5k & 10k to raise money for EmbraceRace-- you can complete the race between October 24th-November 1st!
Sign up at elitefeats.com!
https://www.facebook.com/sportsmedicinebroadcast/videos/775224103263082/
Contact Us
Instagram: @natalie.dpt & @revrunningpt
Todd Sabol - @ToddSportsMed
Jeremy
Let's continue to grow together
Dr. Zachary Winkleman is leading his students to provide Athletic Training services from a Patient-Centered Approach.
Consider the Social Support system -
Hey do you want me to talk to your family...or do you have someone you want me to call.
By doing everything for the patients you are enabling them and preventing them from owning their own health care.
Walk them through the process instead of doing it for them.
Do your patients understand what you are saying...or handing them?
The average reading level of America is 6th grade….So all of our forms need to be revised to that reading level
An affluent suburb may not appear to have health literacy issues, but you need to look at the support system and handle this individually.
Consent and assent are both important.
Set and agree upon goals in your patient centered approach
SMART goals - what do want to get out of the appointment today?
Sometimes they only want to know they are OK...not how to get better.
You can give them options.
1 - do exactly what I say
2 - part of what I say
3 - none of what I say
Your choice but the outcomes will be...for each
Coordination - our job is coordinating NOT EXECUTING
Making sure patients feel powerful and not powerless.
Fear and anxiety may not be more prevalent, but they are more willing to talk about it.
PHq9 and screen patients is a good tool
Communicate - What do you normally ask during your evaluation.
5 step interview - patient centered approach
Step One
Welcome the patientUse their nameIntroduce yourself and ID your roleEnsure patient readinessRemove barriers to communication (sit down) - removes the powerful struggleEnsure comfort and put the patient at easeA patient had been sexually assaulted in the prayer pose...therefore any sort of rehab in that pose triggered her.
Step Two
Indicate time availableForecast what you would like to happen during the visitObtain list of all issues the patient wants to discussSummarize and finalize
Step 3
Start with open-ended questionsUse non-focused skills (silence and non-verbal encouragement)
Step 4
Echo the patient’s words backRequestElicit emotional story (allow them to tell you their story
Step 5
SummarizeCheck accuracyIndicate the styleAsk permission to touch
The Golden rule does not really work...you are not the patient, their experiences are not yours.
Shift your mindset one piece at a time. Choose one thing to implement in your practice.
8% of athletes believe the AT could not make a health status decision without the coach.
Twitter question:
Talk with parent and determine the goal and reasoning
Educate about the bigger picture
Discuss with patient
Do not put yourself on opposite teams as the patient/parent.
When we teach people
A common question we ask is “do you have any questions?” Try instead a teach-back method - repeat these steps back to me as you understand them.
Watch Patient Centered Care on Facebook
https://www.facebook.com/sportsmedicinebroadcast/videos/484200482258173/
Dr. Zacahary Winkleman - WINKELZ@mailbox.sc.edu
Jeremy Jackson - MrJeremyJackson on Twitter and Facebook
Ray Olivo - rayolivo1@gmail.com
Orthopedic Trauma is one of the newer settings an AT can work while being employed in the physicians practice setting.
Daniel Ruedeman joins Sandy Harris and me to discuss what Orthopedic Trauma is and how Daniel is setting the stage for AT growth in the field
Daniel, where are you working right now?
University of Colorado/ UC Health
Orthopedic Trauma
Limb restoration - Patients with non-union fractures
Infections
Prevent amputations
Osseointegration - interactive way to help amputees with their artificial limbs
Doing AT for about 20 years
Daniel has worked in the PT, college and secondary setting
“I do not want patients to come in and have just a doctor appointment. I want it to be a relationship and a positive experience.”
He was the first one hired in the hospital setting at UC Health
When they first hired him they did not know what his role was and he was able to build that from the ground up
What was the transition like from the traditional setting?
Started with him shadowing the physician
That lead to a team focused approach so nursing, MA, AT, Doc all communicating the same thing to patients
Being the pilot AT Daniel was able to set the stage for bringing on an AT and the office manager connected them.
Departments like Oncology was asking how they could get an AT to work with them.
He was also an office manager at a private practice between clinical sites and his current setting.
What does a week look like in the Orthopedic Trauma center?
Works 4/10s
40 patients between 7-2
Taking brief history
Allows the med students to do the exams
Preps the patient for what to expect
Schedule next appointments
Scheduling and setting up PT
Home exercise programs
Off Tuesday
Wednesday is half office time / half clinic
Thursday/Friday are full of clinic time
Trauma doesn’t stop during COVID
Tell us more about your Orthopedic Trauma job setting
They use EPIC for the EMR.
Daniel feels the open line of communication is important.
The whole team is important.
He touches base with each of his professionals almost daily
What are you seeing in Orthopedic Trauma?
Sees a lot of tibial plateau fractures
Do not do spine or hand stuff
“Any student that does a rotation or internship with me, I want them to Look at the x-ray and understand the injuries, but also think through the process of how the injury happened.”
What do you not love about Orthopedic Trauma?
Constantly building relationships
Life balance has become a key focus
Daniel leaves work at work
How does Sandy create life balance?
It is tough since they are both ATs and host an AT podcast
They do have a dog
Do you have a hard close time?
There are no rain delays or extra innings in the OT center
They schedule their last patient at 3:30 so they have time to get out by 5:30
He has flexibility to leave at 4:30 or earlier if needed
He was furloughed during COVID and then switched to hourly. Now he has to watch his hours.
What are some of the cool tools you see?
Worked on a leg ring like Alex Smith used.
Got to see a rod running through a pelvis
Discuss the talks you do across the country and where someone should search to learn more?
COPA
ATPPS
Email Daniel for more
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What does AT education look like now from a student's perspective? What changes both positive and negative have come from the pandemic?
World Federation of Athletic Training and Therapy (WFATT) has put together a global group of students to share their take on on AT Education post COVID-19.
Tell us about you
Kate - should be doing her internship at the University of Pitt but is at home in Dublin
Possible masters in physio or research in AT
Madie - St. Louis University in her 5th and final year
Dream Job - D1 Sports in US
Nick Lichti - Manitoba Canada
Hockey guy preferably with a pro hockey team
Anat - Israel
Entering her final year as part of the first class of Sports Medicine in Tel Aviv
What has been challenging about the transitions associated with AT Education and COVID-19?
Anat - nobody expected it
Hard to pay attention at home
Difficult to test on different bodies without risking exposure
Taught her to be a self-learner
Learned to be more sophisticated in the way she learns
Maddie - Went home for Spring Break and was not prepared for learning home
Wifi Issues
Learned the back over zoom
Had to get help from her family for her practical skills
Studying at home with 5 other people in the house
Kate - Gained independence learning
Looking forward to getting back to face to face.
Nick - U of W hands-on exams have been postponed without an official date for completion…
It is basically a waiting game right now
Masks at your placements make communication harder. It hides expressions.
Gloves for all assessments can make it harder to palpate an area.
Lost a lot of jobs and volunteer opportunities due to COVID - very frustrating.
What do the leaders in AT education need to know from YOU?
Maddie -
Every expectation and experience...throw it ou the window. Seek feedback from studentsRevisit a lot of topicsBe flexibleTake your time with studentsStudents need to extend grace as well
Kate -
They know we need practical experience and are patient.Keep in mind each student will adat differently
Anat -
Do not be so hard on yourselfAcademics in general should take advantage of this opportunity to improve teaching and learning skills both in-person and virtual.
Nick -
Professors have been role models during this time.Been available for questions and transparent
“We are still very eager to learn, even virtually”- Nick Lichti
Try to replicate the structure of a typical AT class into the virtual format.Do demos over zoom rather than just talking over lecture slides
How have you seen a change in roles in AT in your area?
Kate: AT is still unheard of and fighting for a place at the table in Ireland
Athletic Therapists are still treated as personal trainers
Anxiety drove Kate to contact her local club teams where she was able to learn a lot more during the pandemic by putting herself out there than she did in college.
“It is kinda a blessing in disguise”
Maddie - a new appreciation for AT, I learned more of the administrative side. In college, we focus so much on the clinical skills
Worked with the preceptor being in the meetings and advocating for the students
Worked as a screener for COVID
Loved seeing how her preceptor advocated for the overall health.
Grew in understanding
Jonathan Burch at SLU
Morgan Jasperton
Nick - "I watched some ATs step-up and volunteer on the front lines."
Continued working with the hockey team as part of the screening team.
More spare time - allowed Nick to look into other areas of improving himself and his AT education. He is currently studying for the CSCS exam.
You also begin to appreciate in person classes and exams.
Anat - Sports Therapy is not acknowledged by the Minister of Health so we are still limited.
Worked with some COVID related patients as well
https://www.facebook.
I was killing it. Getting up early, training hard, studying, working. once I got injured I lost my identity and could not gain mental clarity. - Todd Sabol shares his story on the Sports Medicine Broadcast
Susan Taah knows negotiating benefits is the only way to work one job and maintain a quality of life. So she did.
Now she joins Jared Plummer to share her story on the Sports Medicine Broadcast
Where did Susan start?
Working at a beer and wine distributor - so in industrial AT.
Susan knew she wanted to make her living solely off of her job, not having to do side jobs.
She knew starting off that she was making at least 40k so she skipped out on several sub 30k jobs.
What triggered you to go into the industrial setting?
Start with WhyPresident of the student AT program for 2 yearsWorked with Volvo truck plant in Dublin Virginia and doing a health fair type event My why was always preventing injuries
Even though healthcare is part of the job benefits the distribution plant workers were oddly cut off from healthcare
That first salary met my needs and I did not have facts.
Sometimes it is not the right time to advocate. Sometimes you just have to gather facts and dataSusan Taah
What is next in negotiating benefits?
Have a list of things you are accomplishing and want to accomplish at work.
Projects were a big part of what she did.
Heat illness was a huge issueThey did not have coachingShe started a heat acclimatization programWeight charts like in football training camp
She presented the results an findings at her company conference
The company already has a dollar value for loss of man hours, hospitalization, workers compensation. Use them.
What are the factors you feel like you need to put together to illustrate your point?
Documentation - Susan can calculate costs based on the cost of hospitalization, loss of productivity. Expertise - tell them about an area you are an expert in. ie. hydration or injury prevention
What does this look like in COVID times?
For her current job she had one phone call and two video interviews.
Advocate for why you are the one worth picking and why you are the one.
Have a timeline for when you are going to get certain certifications they will need.
What about times like right now where so many ATs are unemployed?
Show your value, your worth, know the important metrics to your employersBe flexible and willing to helpGoing the extra mile now shows the need for others in the futureLong term healthInsuranceRisk management
Did you drop a bomb or hint at your compensation package?
She was advocating through the process of her previous job
Money talk was saved towards the end so they are bought in and invested.
Give the reasons first, then you are less likely to need to defend the request.
These are the things I have implemented, these are projects I am working on, this is the value I am bringing.
greatWrite an elevator pitch - maybe 4 sentences - practice it.I have looked over the offer, but it will not be adequate to cover the cost of living and change in responsibilityAfter they hung up Susan thought “I am done”Have your number ready in salary format and hourly.Moving Bonus - she did not negotiate this as it was a one-time payment.
Hours
Population you see (only this facility, only one school, no weekends)
Mileage
What are Industrial setting negotiating benefits items?
SalaryMovingCEUsScheduleLicense / certificationLunch break40 hour weeksPer diem or help
Special thanks to my guest intro by Jonah
Facebook version of Negotiating Benefits
https://www.facebook.com/sportsmedicinebroadcast/videos/309758317004679
Contact us:
Susan Taah
Jared Plummer
Jeremy Jackson
Partners:
Understanding why youth burnout of sports is a question Dr. Jennifer Etnier says comes back to coaching.
https://smile.amazon.com/Coaching-Love-Game-Practical-Athletes-ebook/dp/B07XH9FPK2/ref=sr_1_1?dchild=1&keywords=jennifer+etnier&qid=1598497524&sr=8-1
Who is Dr. Jennifer Etnier?
A Fellow of the American College of Sports Medicine and the National Academy of Kinesiology. Former the President of the North American Society for the Psychology of Sport and Physical Activity and Editor of the Journal of Aging and Physical Activity. The principal investigator of the Physical Activity and Alzheimer’s Disease 2 study at UNCG.
You talk about sports, but do you even play them?
She plays pretty much all sports
Soccer is the family favorite, but in the days before the interview, she was out water-skiing and playing tennis...so yes she plays
How can we avoid contributing to athlete burnout?
ATs can really help in preventing this, here are a few ways.
Educating athletes about being in tune with their own bodyEducating about overtraining - leads to higher stress hormonesKnowing the ability to get over a plateau and encouraging them throughBeing a confidant/peer/friend
Talk more about the confidant role:
If you have a sports psych they should be the main contact.You can really point them in the right directionSometimes the battle is with the parentsWe are already knowledgeable of the needs and burnout, but outside of sports can really play a role...acknowledge, normalize, what does bring you joy… let’s bring those things back into sport.EDUCATE, use every toolKnow that if I push too hard they may burn out of ALL physical activity.Avoid sports specialization
After the interview, Sofia, my co-worker, said the coach was the reason she quit playing sports in college. She did not feel she could talk to the coach without retribution. Half of the team left because of the abusive style of the coach.
In your NYT article, published earlier this year, you detailed the lack of “quality” coaches at the youth level. What do you think youth organizations could do now, and in the future, to promote higher quality coaching?
Organizations like SportsMedDiscussion that help educate
FUN - people play sports because it is fun...if it is no longer fun it is because of the people in it
Focus on process, not the outcome when a kid says:
“Oh my coach only cares about winning”
They figure it out quickly, if you focus only on winning then they learn there is no point of playing unless you are winning.
Even at the professional level this is true, focus on the process.
FUN and the Process
With respect to the effects that COVID has had on the mental health of student-athletes (young and old), what do you feel are the most important principles that should govern the way we approach coaching?
Dr. Etnier reminds us: Do not cross the line - if you are not a mental health professional do not take on that role
Find joy and fun in our lives
I have never dealt with depression, but in May of 2020 I was dealing with some
Calling friends on the phone.
“Isn’t it great that we are back together” - maybe you need to help amplify
How do we teach “process”
Mental imagery is a great tool if you can teach it
Goal Setting is important
Setting up short term goals that move you to long term goals can help prevent burnout...small victories
Have coaches provide positive feedback not just negative.
From a coaching standpoint: How do you suggest dealing with the kid who isn’t necessarily the “most talented” or “least attentive”? How do you get them to buy-in?
Only as strong as your weakest link the top athletes are going to get the attention, but the bottom half of the order can strike out and kill the rally.
If we all get better than we as a team will have more success than we did last year.
Equitable vs equal is an important shift
What are some suggestions you have for compliance t...
Have you tried installing Patient-Reported Outcome Measures into your practice as an Athletic Trainer?
“PROMs just tell a story” - Dr. Lam
Brian Columbe from Texas Luthern University and Dr. Kenny Lam join the Sports Medicine Broadcast today to help discuss what they are and how we can add them to our practice to add value to our services. This podcast was at the request of Ryan Pena, long time listener and Athletic Trainer in Dallas ISD
What are PROMs or Patient-Reported Outcome Measures?
Are there different types of PROMs?
Short form 36
Common body region measure - uses FAM
Single item measure - one item questions - numeric pain rating score.
May not be sensitive enough for our patients but the numeric pain scale relates to their understanding.
What is the current state of PROM use in AT?
Fairly low about 26% of regular usage in AT
PT / OT is 30 - 40% so we are close to similar disciplines.
Usually higher with higher support staff groups
General lack of familiarity with PROM
What are the major barriers related to their routine use?
The main barrier is changing routines, habits, and culture.
Incorporating it into notes
What is your goal? Use that and the single-item measures to set clearer exercises.
SCAT5 is a PROMs
How do we demonstrate the need for this to admin?
Increases difficulty when bringing in the AD or admin as they may not know or care.
As far as improving the situation, it is truly a case by case basis.
How do you reflect on these PROMs?
Allows you to formalize the impact
ATs are good at asking about the whole person.
We have not systematically assess those components across patient care
Formal single item measures every time a patient comes in.
Share some examples and stories of this being used?
Single item measure is a great place to start
START SIMPLE, build momentum, and expand from there.
Maybe - this year we are only going to focus on ankles and give the FAM for every ankle.
Resources:
https://natajournals.org/doi/pdf/10.4085/1062-6050-171-19 - article by Dr. Lam
Related Podcasts:
https://sportsmedicinebroadcast.com/patientrelatedoutcome/
https://sportsmedicinebroadcast.com/briancoulombespats16/
Watch the episode on YouTube
https://www.facebook.com/sportsmedicinebroadcast/videos/245191343508872/
Contact us
Dr. Lam @kennyLam_
Ray Olivo - @RayOlivo20
Brian Columbe -
Jeremy Jackson
Ryan Pena - @RyanPena75 or @DallasSportsMed
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Ever wondered what it is like to have a Chinese Olympic Experience...and then get interrupted by a global pandemic/
Adam Stoyanoff joins John Ciecko to share his odd path to working with the Olympic kayaking team of China.
Where did Adam get his start?
I have been fortunate to observe and be part of many different things...some may seem wrong, but that is a closed-off perspective.
Assistant coaching at Boling Green University for 3 years - spent time with all sports
Worked with local high schools as a contract S&C coach
Then went out on his own as an independent contractor with 2 high schools and college.
This increased his diversity and ability to adapt his skills.
Then went to Boston to lead an afterschool program for 2-5th graders - larget challenge as you have to keep changing to keep them interested.
Learned it was important to keep contact and build relationships with parents so the kids and parents are doing and talking about the same thing.
Next job was to Dallas, Texas
Opened his eyes to see “there is always a reason why”
Did not spend his life thinking “How can I build my resume?”
He got a phone call from the Chinese canoe association that was training in Waco, about 1-2 hours from Dallas. That lead to him becoming a coach more than a coordinator.
Juataga Portugal was their training site and also made the canoes they were using.
Lived on the training compound with the athletes
More about his Chinese Olympic Experience
Coaching vs coordinating
Coordinating is more like the AD role - dealing with all of the wants and needs
It will stress your relationship building skills
As the coordinator, you are in a service position and making sure everyone has everything they need and want.
“Rocky 4 was a documentary right?” - John Ciecko
But really that is what life is like, someone is always watching you and videotaping
You should always act as if there is a camera on you. Even in your moments of weakness.
“What are you doing when nobody is looking - definition of Integrity”
You have to stop, observe and listen to understand why a person may be acting a certain way
Chinese athletes are taken out of school at 12-13 years old to be an athlete.
Lessons Learned
The coaches who are and were doing well put their ego aside and were there to serve and help.
Calm and stillness with a few deep breathe
Do not take it personally when a Serbian coach yells at you for setting a plate down to loud and disturbing their athlete.
He was working with professional athletes...professional kayakers who wee making millions
I can get you that info, I need to find the best way to get that to you safely.
https://www.facebook.com/sportsmedicinebroadcast/videos/1126643737710753/
Contact Us
Adam - Instagram
John - Twitter
Jeremy - Twitter
Want to be able to make moves like Adam?
School loans and other debt prevent a lot of people from taking the job they long for.
Check out Financial Peace University from Dave Ramsey and change your family tree. If you do the work and stick to the plan it works every time.
Krampade claims to stop cramps through science. John Ciecko, Sofia Mata, and I provide some anecdotal evidence.
Our experience with Krampade
Jeremy -
Tasted it. it tastes and feels like cloudy or salty water should.
I have never had an athletic related cramp so I can not vouch for the effectiveness
My wife tried it to validate the Menstrual cramp claim. She honestly hated it but she is not an active athlete or intense workout person.
My boys will drink it but it does not go down smooth.
With a little getting used to it i think players could get past the salty taste.
Jeremy's Athlete
Senior Male soccer player with a serious history of cramping during games.
he felt the product helped prevent him from cramping but drinking the whole bottle of water + Krampade left him feeling heavy.
With some fine tuning in intake and nutrition I think the athlete could really benefit from the product.
Sofia's experience
Personal - had a hard time drink it due to the salty nature. Did not feel the menstrual cramps were affected by drinking it either.
Sofia's Athlete using Krampade
Varsity female soccer player goes down with cramps. Sofia administers the Krampade and within minutes the athlete is back up and running like nothing happened.
John Ciecko's thoughts -
One swig in and one swig out...if you are not ready for the saltiness then you will spit it back out like he did.
Contraindications -
Heart or kidney issues check with your doctor
Dietary contraindications -
nope...but two 4ks back to back will create osmotic diarrhea
Watch our Krampade talk on Facebook:
https://www.facebook.com/sportsmedicinebroadcast/videos/2312673835502763/
Contact Us:
Sean Murphy
John Ciecko
Jeremy Jackson
We are ordering Smart Cuffs by Smart Tools to provide Blood Flow Restriction training to our patients. Sofia has taken the course and we are excited to add this tool to the high school. First, we have some questions for Nick and Ed.
"BFR is the ultimate biohack and tricks your body into “thinking it is doing a heavy load without the heavy load”Ed LeCera
Talk about the Gen 3 BFR cuffs that are fully automatic.
Gen 1 cuff in 2017 was kinda a POS
But they quickly learned that was not best practice
Multi-chamber system does not allow for limb occlusion.
The new systems are single chamber which are much more effective.
5 sizes of the cuffs that are over 4 inches
External doppler was chosen because it is close to the computer monitored systems
SmartToolsPlus is focused on taking what the expensive units do and making it affordable and compact.
Currently Two models of Smart Cuffs: commercial and consumer
It auto measures the LOP
3 steps, inflates in 45 seconds
The manual model is available, but the system auto senses occlusion and auto shuts off.
Keep it connected for autoregulation of pressure.
What is in Level 1 Smart Tools Training?
Level 1 is a rehab or clinical-based training that is from scratch.
It focused on getting the cuffs on and doing a hands-on workshop.
Discuss the recommended frequency and duration of treatment.
It depends on the goal.
You can train multiple times per day as there is not any damage being done
One study showed D1 basketball players - 11% increase by using the cuffs on walking programs.
2-3x per week is as effective over the long run
I always have to ask about my elderly parents and grandparents. How can Smart Tools be used with them safely?
Ischemic preconditioning - getting ready for surgery and being under a tourniquet
Cellular swelling protocol is great for reducing swelling. As the limb starts to swell from the cuff, then the cells start to reabsorb the fluid which leads to muscle protein synthesis without the muscle damage
Lots of growth factors start moving
Bottom Line: We want to drive growth hormone
https://www.facebook.com/sportsmedicinebroadcast/videos/516565245698745/
Smart Tools Resources
We currently have a Spring Sale going on. 25% off and free shipping SmartCuffs Basic and Personal sets (code: smart25): https://www.smarttoolsplus.com/detail.cfm/id/76/name/smart-cuffs
Our Level 1 live courses booked for this year: https://www.smarttoolsplus.com/courses/index.cfm/level/1-day-bfrOnline course for $59 How to Train Clients Online: A Guide to Virtual BFR Training : https://www.smarttoolsplus.com/online-courses/
Contact Us
SmartToolsplus.com - email preferred
Joel - athletictrainingchat.com
Jeremy / Sofia - info@sportsmedicinebroadcast.com
- Do Not workout on EMPTY
- RECOVER After a Workout
- Stay HYDRATED
3 key tips and other talking points for fueling athletic performance with Mandy Tyler
Dr. David Schmidt and Marc Powell discuss Why Athletic Trainers are so important.
What was your first interaction with an Athletic Trainer?
He did not have an AT in high school
Dr. Schmidt's first experience was as a resident
He learned why Athletic Trainers are crucial...on field evaluations.
How did you and Marc Powell meet?
Marc called Dr. Schmidt pretty much everyday...then it became a habit.
Now he looks forward to the regular interaction.
Why are ATs important from the physicians standpoint?
unique skill seton field evaluation
Share some stories
Dr. Schmidt always took the phone calls... every dayHe was a mentor and allowed me to grow as an Athletic TrainerDr, Schmidt endorsed Marc and really pushed him forwardMarc can not shoot a deer
Did you intentionally mentor Marc Powell?
well, I did not have a choice...
I really try to treat all ATs the same
Dr. Schmidt wants each AT to know that are not an island. You are not practicing all alone.
What is an important to growth as an AT?
We need to continue to push the envelope for ATs
insurance recognition is critical
Push it forward with each setting - Tactical, Industrial, Collegiate, Secondary
How can a young AT build a similar relationship?
ListenPay attentionAsk Questions
What makes a good team physician?
Accessibility
Ability to get athletes in quickly
What are you currently doing to advance sports Medicine
PreventionLoad ManagementUnderstanding the importance of recovery
Thoughts on Why Athletic Trainers are important?
Always seek to get better and tools to your tool box.
Explain who we are...just keep talking.
Contact Us:
Marc Powell - mpowell@trinity.edu
Dr. David Schmidt - Contact Marc
Jeremy Jackson - www.SpoprtsMedicineBroadcast.com/about
Email the companies that help keep this going and say thanks
Dr. Podell says concussions are treatable. I have traditionally heard you do not treat a concussion, instead you manage it.
Join Dr. Podell for a discussion live from the Trinity University Sports medicine Workshop 2020.
Cervical Strain is Treatable - 3 min
Neck issues can play a big role in prolonged headaches.
Location of headaches may correlate to the c-spine that has been affected.
Role of Myodural connection - 5 minutes
“Effect of the Suboccipital Musculature on Symptom Severity and Recovery after Mild Traumatic Brain Injury”: http://www.ajnr.org/content/37/8/1556
Study done in 2016 on myodural bridge and its connection to post-concussive symptoms, may suggest that treating suboccipital musculature early on may reduce post-concussive headaches and/or other symptoms.
Neck strengthening and conditioning - 6-9 min
Neck girth and strength = reduced impact to the head and neck
Strength exercises must be done in all planes!
“The effects of rest and treatment following sport-related concussion: a systematic review of the literature”
https://bjsm.bmj.com/content/47/5/304.long
Studies revealed that those who reported pre-season baseline symptoms had an increased risk for concussions during the season.
“Sex Differences in Head Acceleration During Heading While Wearing Soccer Headgear”
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2582549/
The study revealed that soccer females wearing headgear had greater head acceleration compared to males who had a slight decrease in head acceleration. This suggests that headgear may not be appropriate for all athletes.
Measuring Neck Strength - 10 min
“Neck Strength: A Protective Factor Reducing Risk for Concussion in High School Sports”
https://link.springer.com/article/10.1007/s10935-014-0355-2
This study showed that “smaller mean neck circumference, smaller mean neck to head circumference ratio, and weaker mean overall neck strength were significantly associated with concussion.”
Vestibular balance is also treatable - 15 min
BESS/ Sway app / Force plate
Balance work = decreased risk of lower body injuries relating to prior concussions
Vestibular-ocular - 17 minutes
“Does it feel unstable to you?” “Rocky boat”
Are they experiencing vertigo?
Increased s/s if they were previously experiencing motion sickness
Vestibular-ocular issues are a “major source of fatigue, headaches, and cognitive problems
Vestibular Ocular Motor Screen (VOMS);
smooth pursuits, horizontal and vertical saccades, horizontal vestibulo-ocular reflex, near point convergence, visual motion sensitivity
Home exercises; Eply/Brandt-Daroff exercises and gaze stabilization
Beginning vestibular therapy at two weeks will greatly impact and help during post concussion recovery
Training for professionals in vestibular rehab techniques is available
CAUTION!
v-o issues may cause difficulties while driving, showering, and going downstairs
Ocular-Motor exercises 24-28 min
Newer technology;
SyncThink, RightEye, and Oculogica (FDA approved)
Home program “Eyecanlearn” (http://www.eyecanlearn.com/).
Cognitive - 29min
Baseline assessments can be viewed as more of a luxury than a necessity.
Computerized testing;
Impact, C3 Logix, and CNS Vital Signs
Important qualities needed;
“Appropriate psychometric properties, interpretation by a qualified professional, and an appropriate environment and motivation are key factors.”
They can be more useful in RTP clearance than as a diagnostic tool.
Symptom Reporting - 31 minutes
Post-Concussion Symptom Scale can be helpful in individualizing treatment and rehab.
Psychological / Emotional - 33
Some individuals experience;
Increased anxiety levels and withdrawal (missing school, work, sport)
Depression and Poor sleep (may cause an increase in s/s)
Autonomic Dysfunction - 34 min
Damage of the long fibers that connect the brain stem and ...
Matt Holland joins us on the podcast today from Trinity University to talk about the Thrower’s Elbow.
Why do we see so many elbow injuries in throwers?
“A great deal of stress is placed on the elbow with throwing, particularly in the late cocking and acceleration phase. The forearm musculature has a limited ability to help with the stress load so the bone and ligaments of the elbow absorb a significant amount.”
Also contributing to the rise of injuries is the early commitment of young athletes to year-round baseball, especially in the south. As well as great rehab that doesn’t address mechanics or the importance of core and lower extremity strength as well as balance.
Are there factors that can be indicative that an athlete may suffer an elbow injury?
Rotator cuff weakness, altered scap position, altered throwing mechanics, GIRD and not using the core or lower extremity during throwing contribute to the elbow being injured. Dr. James Anderson states, “the #1 cause of elbow injuries is bad mechanics, and the #2 cause is overuse. Combine those two factors and you are doomed.”
UCL tears aren’t the only injuries we see in the elbow. What other ones might we come across?
Triceps tendonitis is common among throwers. Most often this is an overuse issue and athletes recover quickly with rest.
Flexor tendon tears can occur but are incredible frequent especially in younger throwers.
Valgus extension overload can cause repetitive abutment of the olecranon. It is important to look at mechanics here and ensure that there isn’t a UCL injury causing this.
Little League elbow is very similar to a UCL tear. However the weakest link in a skeletally immature body is the growth plate so this becomes injured instead of the UCL. The key to healing this is rest, rest and more rest coupled with parent education.
How important is rest with elbow injuries?
In a recent study published in 2019 the thickening of the UCL and the increased joint space of the elbow found in thrower’s experiencing elbow pain returned to normal on imaging after rest. However, if these athletes had GIRD that wasn’t addressed, that correlated with a continued increased joint space in the elbow.
What questions should we ask an athlete who comes to us with elbow pain?
What position do you play or combination of positions?
What is your volume of play?
Do you take time off?
Where is your motion does it hurt?
This question is of particular importance because if the pain is happening during the maximum external rotation found in late cocking it is usually a UCL issue.
What are the rehab guidelines post-TommyJohn surgery?
Protect the graft for 6 weeks and return normal strength to not only the elbow but to the shoulder, core and lower extremity. Focus on balance and at the 4-5 month mark throwing can begin. It is a long process because once throwing is started that is how we strengthen the ligament with little stressors. Throwing should include working on mechanics but stressing the ligament a little bit followed by rest. It’s also important to note the type of revision done because some revisions like the modified Jobe move the nerve and this becomes important to know while doing soft tissue work.
Does the UCL reconstruction have favorable Return-to-play?
Yes! 90% of post-surgical patients return to normal throwing biomechanics post-surgery.
What is important to remember regarding elbow injuries in the throwing athlete?
Great rehab is important but it doesn’t help if it is coupled with poor mechanics and it is critical that we have continued conversations with parents educating them on detrimental effects of year-round throwing in high volume without rest.
High loads with high-speed movements
Angular velocity of the shoulder is anywhere between 7 to 8 thousand degrees per second as the shoulder does from max external rotation to an internal rotated position.
Dr. Ralph "Bud" Curtis goes live with Easy Shoulder Evals from Trinity University's Sports Medicine Symposium 2020.
About Dr. Curtis:
15 Years as being recognized as a Texas Super Doctor. Dr. Curtis has been recognized every year since 2005.Fellowship-trained shoulder surgeonBoard of Directors, THSCA Professional Development Curriculum30 years, UIWUIW Sports Hall of FameShoulder consultant: S.A. Spurs, UTSA, Trinity Univ., UIWHall of Honor THSCAHall of Honor Southwest Athletic Trainers AssociationAuthor of multiple book chapters on shoulder injuriesAdjunct Professor, Department of Orthopaedics, UT Health
HAVE A SYSTEM
Needs to be quick and reproducible
Make sure it is age-based and know what is most likely for each age group
Understand traumatic vs non-traumatic
HS to the college level is most likely instability
Sitting fashion helps them relax
Try not to fight them
Find out the background before ever touching the patient
Then the provocative tests
Sulcus test
Load and shift - generalized laxity, not traumatic instability
Neer impingement test is a pretty lousy test
Hawkins impingement test
Anterior apprehension for anterior instability
Posterior instability including the jerk test
AC joint pathology is going to be painful so it confuses the test
Palm down O’brien’s test for SLAP
Anterior dislocation - check to see if there is good smooth motion internally and externally
Posterior instability the converse is true.
These often get missed because they look normal until follow up with ortho.
Once dislocation is reduced check for full internal and external rotation.
ANTERIOR INSTABILITY - 18 minutes
Look at ROM
Click test is something that can be beneficial
RCT -
Empty can is often normal due to deltoid
Arm inside external rotation
Stinger / Burner
C5/C6
Deltoid weakness
External rotators weak
Possibly weak biceps
C7 cervical disk
Strong delts and biceps
Triceps are totally weak
C8 is ok (can keep fingers spread)
Watch the Easy Shoulder Evals Facebook live video
https://www.facebook.com/sportsmedicinebroadcast/videos/626240638142999/
Resources
Other shows from Trinity University's Sports Medicine Symposium 2020
Contact Us
Jeremy Jackson
Shawn Ready
Have you prepared your COVID19 RTP plans?
Bart Peterson and Jennifer Rheeling join the SMB to discuss the current recommendations and considerations created by the NATA Secondary Schools Athletic Trainer Committee to help you create your COVID19 RTP.
We need to reconsider EAPs to include social distancing guidelines.
What about lightning...now, where will they go?
Know what phase of COVID19 RTP you are in from the local public health department.
Know the terminology and how its is defined:
Phase 2 is groups of 50. Is that on the field or altogether outside at once?
Covid response team
Who is on yours?
They need to know what the plan of action is if you have a room full of kids and one test positive with temps or signs and symptoms.
ATs are a key component in risk mitigation
Being part of the decision-making process is important.
We also have to know how we are going to take care of the over 55 population...coaches, teachers, and officials.
Communication with the school nurse is crucial and this is a great way to build the bridge.
Cleaning Supplies
Districts may need to buy them out of another fund or fund next years purchases now even though budgets have not opened
Hydration
NO water sources until phase 3
Illness Reporting - start with the state, including local, report up the chain.
Telemedicine -
Congress made this easier during COVID19
Need consent each time you do a telemedicine video
Can not cross state lines
Document as normal
Know your platform
Make sure that this is not occurring in a bedroom
Facebook Video of the COVID19 RTP talk
https://www.facebook.com/sportsmedicinebroadcast/videos/563648741015093/
Resources:
COVID19 RTP Document
Telemedicine
Contact US:
Jennifer Rheeling email - jennifer.rheeling@gmail.com
Jennifer on Twitter
Bart Peterson - email - arizatc@cox.net
Bart on Twitter
Help them keep supporting the podcast
NATA 2020 presidential Election has Candid Candidates
Chad and Kevan host Candid Athletic Training where they take a look at Athletic Training very candidly.
Kathy and Katie are used to answering questions about Athletic Training and fixing what is broken. We wanted to have some very Candid Candidate discussions to help you know your next NATA president.
Why would your undergraduate mascot make the best Athletic Trainer
KF: Beaver: adaptable, ferocious, make a phenomenal home from out of nothing, leaves everything better than it found it.
Being a team player, quietly getting things done under the radar
KD: Longhorn - Magnanimous animal
Quiet, slow-moving; large and graceful
If you get in the ways of the horns you will regret it.
Rehab specialty: Administration - quiet, contemplative
FMK
KD:
K - Cat D - I want it to be applicable and pertinent
M - EBP - a lifelong commitment to learning
F - Lecturing - it is a rush to share that knowledge
KF:
F - Cat B
M - EBP
K - the Cat D
What will you miss most about the COVID19 2020 convention cancellation?
People, socials, energy, relationships
Mount Rushmore 4 things you feel young ATs will face and need to be prepared for
KD:
Give your self a break...there is a lot to learnProfessional CommunicationContinue to learnAdvocacy and showing your value is CRUCIAL
KF:
Follow your contract - Do not give your time away for freePolicies - have those ready and follow themYou Are Enough…Mentor over Data
How do you negotiate time for yourself?
KF: your first job is the only one where you might not negotiate...after that it is on you
KD: We are not training our students to negotiate.
How are you going to best get your objectives communicated to people?
KF: NATA News
Be responsive to the people
Be everywhere
KD: Diversity in mediums
Being willing to reach out on all of the different mediums.
Kathy prefers face to face or phone call, but currently have to respond and react.
Opinions on the dangers and benefits of Social Media
KF: uses it as a positive outlet
FB, Twitter and IG
It is irresponsible to hide behind the account
It is a good source of what ATs are thinking and feeling
KD: Hardest thing is to keep up with all of the platforms
SM can really help reach people
It is really easy to anonymously complain...but is your message getting through if you are hiding.
“We learn the most from people who are unhappy”
Hats - Clinicians, educators, legislation
KD: We all have some of those roles with a focus
Feels it is more regarding settings vs roles
KF: I do all three of them
The researchers are valuable
Retention Rates in AT
KF: became members of American Advisors for allied health professionals
The continued growth of opportunityIt is a barge, so we can not turn on a dime
KD:
Supply and demandNegotiate contractsCan we improve life balance in the traditional setting.Non-traditional settings will likely bring the secondary setting up due to economics
Watch Candid Candidates
https://www.facebook.com/sportsmedicinebroadcast/videos/2841586455950336/
Contact Us:
Kathy Dieringer
Katie Flanagan
Candid AT
Previous podcast with your candidates:
Presidential Discussion
Dr. Jason Magonye and Dr. Shawn Scott put together an Upper Extremity Neuro Eval session at the Trinity University Sports Medicine workshop.
Complete the CEU course FREE from Methodist San Antonio
Be familiar with the nuero anatomy of the upper extremity
Cranial nerves - remember they are contra lateral
Dermatomes - sensory innervation to the upper extremity
If it is intact distal, it is intact proximal. Start distal and work proximal
Brachial Plexus - 11 min
Latisimus dorsi is the ladder climbing muscle
Subscapular - don’t let them pull their hands off their belly
Supraspinatus - starts abduction until the deltoid takes over.
Hornblower test - teres minor
Ulnar nerve (C7/C8-T1)
Median Nerve (C5-C8, T1) tip of fingers, the palm of the hand
Anterior Interosseous Nerve (AIN) 22 min
Radial nerve - extension nerve (C5-T1)
Posterior interosseous nerve - supinator
Most of the extensors
Nerve Entrapment -24 min
When nerves get entrapped they get irritated.
IF YOU CATCH THEM EARLY YOU CAN PREVENT THE NERVE DESTRUCTION PROGRESSION.
If they are having weakness then we need to really push to have that person looked at
Median nerve entrapment
Pronator syndrome is similar to carpal tunnel syndrome.
Carpal tunnel - positive tinels or phalens
Pronator teres syndrome.
Catch the rest in the podcast or on Facebook.
Do not be afraid to ask your athlete to provide copies of imaging and reports.
Case #1
16-year-old football player who presents with bilateral hand pain. Pushed from behind during a game and landed face down with his hands in front of his body.
During further questioning of his hands symptoms he states that both of his middle fingers were tingling.
Due to the fact that the patient is experiencing bilateral symptoms, you must go to the source in which would be the spine (C7 nerve)
Ulnar nerve splits the 4th digit.
If you have someone who presents with tingling and numbness on the inner aspect of the hand you know that is C8.
Radial nerve does not go to the tip of the fingers.
Case #2
Saddle bronc rider came off his horse and landed on his head. He walked out of the arena and did not complain of neck, head, or arm symptoms. After driving from Colorado to Texas he went to the sports medicine room stating that he had started to experience bilateral middle finger tingling sensations.
Worse thing to do when you have bilateral symptoms, trauma, and numbness and tingling would be to compress the neck.
Range of motion, neurological testing, and gentle palpation are appropriate to perform in the exam. Orthopedic testing would not be appropriate for this exam.
During exam in both case 1 and 2:
Flexion/extension movements caused finger sensations.
Palpation produced “unusual neck pain” at this point your exam is done
Both cases were referred for immediate cervical xrays.
Case #1 Xray findings: Flexion tear drop fracture of the C5 vertebral body with grade 1-11 retrolisthesis of C5 and C6.
Both of them had surgery the next day.
Catch the rest on the podcast or watching the Facebook videos.
https://www.facebook.com/980579115403772/videos/483133775723461/
https://www.facebook.com/980579115403772/videos/522437448480094/
What do you know about Dance Medicine?
Jatin Ambegaonkar joins Sarah Gill live in the expo hall in Las Vegas during the 2019 NATA Convention.
What are y'all doing at George Mason
Started in 2007 with a strong dance program, but no medical support.
Documentation!!!! This showed it needed a more a attention and resources for the performing arts facility
Clinical and research area fed off each other
Aesthetic Athletes
How does this impact the way you work with the athletes?
It changes a lot of things...nobody cares what an NBA player looks like jumping and landing.
These athletes need to know their maximum and work below that...what is the maximum you can perform and still maintain your game face
It needs to look effortless and easy
We as AT are tasked to knowing when to push through and when to back off. Jatin, how do we know where the line is?
They need to recognize the 5 signs of inflammation
Heat
Swelling
Redness
Loss of function
Pain
Only 28% of dance athletes have specific healthcare access
We are focusing on empowering them to know when and how to reach out
How is your interaction with your instructors, choreographers?
Similar to a coach, but possibly a stronger bond to coach than the health care provider
Talk some more about your SMART lab
Collaborative endeavor: Sports Medicine Assessment Research and testing lab
15 years old now
Performance improvement across the life span of physically active people
Determine the quality of life the patient desires
Looking at dance to reduce the risk of obesity in middle schools
Focuses on benefiting the athletic community as a whole.
Recommendations for a small school or dance medicine clinic?
The buy-in is more important than the actual facility or equipment.
KEY - recognize who these people are and what the demands placed on their body
Pilates reformer
A full-length mirror is very important for this crowd.
Standard basic injury care gear
What does return to activity after concussion in the performing visual arts
No consensus yet
Focus on return to learn
Mimic the athletics model - warm-up at a symptom-free, gradual return to participation.
Most concussions for dance are in training rather than the performance which is the opposite of athletics.
Early Return to Activity -
Issues with the cognitive portion
Take-Home Points
Recognize there is a need for the healthcare of this population.How to speak their language and listen to themTreat them as a whole person rather than an ankle injury or knee injuryAllowing them to work around the team decreases the social isolation and improves recovery more in this population
Does Jatin Dance?
At weddings he can get down and enjoys himself...even if others do not. It is about having fun
Not everybody needs to be a good performer to dance.
Other Dance Medicine podcasts
Dance Medicine with Daria & Carina – 457
https://www.facebook.com/sportsmedicinebroadcast/videos/433302290586766/
Jatin - jambegao@gmu.eduFacebookTwitter
SmartLabs on Twitter
Sarah Gill - On IG @SarahGillATC
Do you personally have a Diagnostic Accuracy cutoff in terms of diagnostic factors to determine if you would use the test?
No, but if there are multiple tests available I look at the most accurate ones. I do not really like it when clinicians do every test available just because.
Are we image happy?
X-ray, MRI, Ultrasound - it is visual, so it gives us something to see
But blood tests do not really give us that. It has to be done against controls.
Having every injury get an MRI would be great, but it is cost-prohibitive for a lot of people
“If we are sending every patient to get an ultrasound image, then why are we there?”
Talk about treating the patient vs treating the image or diagnostic test.
In Athletics, the nice thing is most injuries are life-threatening.But for internal injuries MRIs are lifesavers.
It is hard to argue with an x-ray showing a fracture
What is the conversation you would have with parents before the season begins about your confidence in your evaluations and role at the school?
If I think we can treat them here we will if I think they need imaging I will refer them to our team doctor and he can order the images.
Mention this though: “a non-sports medicine doctor will likely default to out two weeks” once they do that we are obligated to follow that before beginning rehab and return to play work.
Is there any uncertainty in using diagnostic accuracy values in Athletic Training?
YES! There is untold value - the new ATs have learned this but it is a new development in AT education.
How do we make Diagnostic Accuracy Language more universal?
It is growing as we have more and more ATs learning about it as part of their education.
More talks at conventions with catchy names
When would you not focus on diagnostic accuracy measures?
In short, yes you can go with your gut and try a few other tests when things seem off.
How do you get students to buy-in?
This is how you win arguments.
If someone questions you and your evaluation you Have numbers and research to back it up...this usually will end the argument.
Make them understand it is not just statistics.
Some orthopedic tests have minimum research or no reported value, where does proof of the value come in?
Yes, you can still do the test if there is a value that is not reported.
Usually, this requires MRI proof.
Some conditions do not have a good test
https://www.facebook.com/sportsmedicinebroadcast/videos/626642927854955/
NATA Presidential candidates Kathy Dieringer and Katie Flanagan join Cari Wood in answering some member-driven questions.
Jill A. asks - Licensing in California - what’s the plan?
Katie Flanagan (KF): We need to pull back, circle the wagons and reconsider it
Kathy Dieringer (KD): It has gotten to the Governor’s desk multiple times...then vetoed but it does not pass due to politics. There is no lack of effort, but there are organizations working against us.
Continue to be persistent
Chris P - How will we work to expand Diversity in our field?
KF: Tripled our membership in 20 years but only increased diversity 3%
Diversity wins
KD: Diversity makes us stronger
NATA membership stat is about 80% caucasianOther than the board our leadership does not reflect this number
Jeff K - What suggestions do you have for ATs to sustain viable employment due to the lack of sports?
KF: The secondary setting is hugely important and is a portion of what we do.
Use Go4EllisBe flexible and keep growing your skillsWe need to think forwardReach out to the NATA for additional resources
KD: We do not even know what is coming
We are great at responding and shiftingAdvocate for yourselfMaximize your skillset“Can I teach something else?”
Adam - What is the presidential plan for AT growth in rural areas?
KD: All about advocacy, collaboration with NFHS, principals...going to those meetings and getting facetime with those folks.
KF: Empower the local people and walk alongside them.
The NATA may be facing some financial difficulties due to canceling the annual convention. How do you see that affecting the membership?
KD: Convention is a revenue producer, many ATs have been laid off.
What are the financial implications? this has to be considered.Past treasurer of NATAMy business background will serve us well in this situation
KF: NATA has been very financially responsible and relies on several checks and balances.
NATA Offered ACES prep exam for the students getting ready for BOC examCreative thinking will be required
Secondary Schools -
KD: It is where athletes are introduced to the AT for the most part
Collecting DataMedical AutonomyPointing towards available resourcesMonthly calls with chairs of committees and workgroups “What is working and not working?”
KF: they have rural and urban school settings and her students get to experience different settings.
The AT becomes the gatekeeper for the small schools and urban schools alikeNeed to be flexible and know the situation to make them successful in that settingInvestigate equal representation for each type of secondary school
Should we teach Sports Medicine in high schools:
KF: ATs are now has a seat at the table on the high school medical education
I could not do my job without my students...that creates a problemHave them help collect data to show the need for help.
KD: HS ATs have a skill set of teaching
They are our preceptors...its what they doThe introduction to health professions is VERY importantCaution about teaching students skills that should only be practiced by and LAT BOC personStudent ATs were attending to the kid with a spleen injury...he almost died.Perception is difficult when people think the students can do your job
Final Presidential Discussion remarks
KF: “I do not want to pretend to know everything.”
KD: “The most important thing is to be unified as a profession moving forward”
https://www.facebook.com/sportsmedicinebroadcast/videos/2859018704153260/
Cari Wood - cari.wood@redmondschools.org
Kathy Dieringer - kidier@ddsportsmed.com
Katie Flanagan - FLANAGANK@ecu.edu
Dr. Surya Mundluru discusses Dislocation Management in Young Athletes with Ray Olivo live from the Memorial Hermann Sports Medicine Update
Intermittent fasting and Ramadan tips are important considerations Athletic Trainers need to know about and be prepared to care for.
John Ciecko joins Registered Dietitians Kyla Cross and Melanie Battaglia to give some specifics and general considerations.
John has put together this letter for his coaches and athletes
Ramadan Tips for Diet
It has been widely recommended that athletes partake in multiple meals throughout the day in order to maintain the energy necessary to participate in athletic events. Most Muslims will automatically adjust their meal frequency to two meals in a 24 hour period, the Suhoor (early breakfast) which takes place at dawn and the Iftar which takes place just after sunset. The challenge is created as student-athletes find it more difficult to eat healthier meals as each Iftar is generally composed of meals that are high in fat, sugar, and salt. It should be noted that meals at both Iftar and Suhoor generally meet the daily caloric needs for student-athletes they may lack proper nutrients that are essential for optimal performance.
Since the daily caloric value is generally met by student-athletes it is important to pay particular attention to the macronutrients (fats, carbohydrates, and protein) consumed. It has been recommended that foods high in both fat and protein are consumed during Iftar and that foods high in carbohydrates and low in glycemic index are consumed during Suhoor in order to provide adequate fuel for the day.
Hydration
Lack of fluid intake throughout the day can create significant risks for those who participate in physical activity during Ramadan as most athletic events take place while Muslim student-athletes are fasting. A common occurrence for student-athletes is to ingest large quantities of fluids during hours of allowed fluid intake. This practice can prove ineffective as it will induce urine loss as well as disrupt sleep. It is recommended to drink water frequently in shorter intervals with solid foods during meals to aid in digestion and water retention. Another recommendation is to drink water with a marginal amount of salt and/or electrolytes prior to dawn to improve water retention and stores. Sugary and caffeinated drinks should also be avoided as they can cause further dehydration.
Sleep
Disruption in sleep will cause daytime fatigue and poor concentration. Coupled with a new fasting cycle, student-athletes may find it difficult to maintain a level of physical performance prior to Ramadan. Student-athletes are recommended to maintain a minimum of 8 to 9 hours of sleep a night. Since meals that break the fasts can often disrupt sleep cycles, student-athletes are encouraged to partake in naps in which they can obtain between 1.5 to 2 hours of sleep in the afternoon when able to in order to negate the effect of nocturnal sleep loss.
Considerations for Coaches and Medical Emergencies
Coaches and staff must always be aware of and sensitive to all student-athletes needs both religious and non-religious. It is important during this time that coaches routinely collect feedback from student-athletes but not to do so in a way that draws attention to a student who is practicing a religious observation. It is also important for the student-athlete to make the coaches aware of their practice, as fasting during Ramadan without knowledge can be misconstrued as a lack of effort or performance without the knowledge of these recommendations.
One consideration to keep in mind is the early days and weeks of a new fasting cycle, is the disruption of a student-athletes ability to self regulate their body temperature during activity without the use of fluids. Student-Athletes will have access to cooling towels during athletic events as well as small cooling tubs in the Athletic Training Room. Student-Athletes are able to rinse their mouths with water in an attempt to stave off thirst but in the event that a medical emergency is believed due to...
Paradigm Shift in ACL Rehab is eligible for BOC Category A CEUs - start here
Paradigm Shift in ACL Rehab advertismentDownload
Rehabilitation for Anterior Cruciate Ligament Reconstruction (ACLR) has for years followed the time-based approach progressing athletes to the next step based solely on how far they are out from surgery. Research has shown that criteria based protocols, where each athlete only progresses once they reach a specific goal improves outcomes in patients, specifically athletic populations. (cited research) In this course, participants will learn and discuss different methodologies for athletic trainers to use determining rehabilitation advancement for patients returning from ACLR.
Outline
Why do we say that at 6 weeks every ACL should be able to do a partial squat and be at 90 degrees flexion?
Adrian Peterson only needed 6 months…he rehabbed 25 hours per week
Navarro Bowman had Failure To Thrive and was 12 months +Normal rehabilitation is about 9 months but often they athlete still lacks full function at this point and they are not totally comfortable with their kneeLet’s look at it similar to school…you pass the test you move on…you fail the test you get held back.150,000-200,000 ACL surgeries per year.How are we doing a disservice to our patients using a time-based rehab program?NFL bases their timeline on RTP for week ONE readiness
What are the parameters for RTP?
Each phase should have criteria before advancing:
Physician approvalPublished researchBiological healing
Tissue healing – know the biological clock and tissue remodeling for each surgery
Graft type fixationOther ligaments involvedMeniscal repairMicrofracture probabilityPublished literatureValidates rehabilitation protocolWidespread use by the paraprofessionalLooking at specific criteria for return to play
Watch the video inside the course or on Facebook
https://youtu.be/PcJiTAnguac
Contact us:
Bubba Wilson
Jeremy Jackson - info@sportsmedicinebroadcast.com
Check out the sponsor of the SMB
As medical providers, Athletic Trainers need an understanding of Cannabis Basics to provide the best options for their patients.
We also need to know and understand the differences between HTC, Weed/ Marijuana and Cannabis / CBD
Dr. Jeff Konin is the country's leading authority on Cannabis in AT.
What does Cannabis mean to us in the healthcare setting
2-5min
Cannabis is now legal in 33 states, so it’s already here and we need to educate ourselves about it
“There’s something there.”
We continue to learn more, and it is already being used medicinally for multiple afflictions
In the 70’s classifications of drugs came about, and cannabis was classified as a Schedule I drug (along with heroin and LSD)
It’s classification limited studies over the years
There’s a 3 step process through the government to study cannabis, but it takes 6-10yrs to get approved and about $50,000
Plant forms of cannabis
5-7:15min
Some portions of cannabis are non-psychogenic
Hemp can be extracted from THC and is .3% of the THC
Hemp is the largest product exporter and importer from other countries (makes paper, gasoline oil, fabrics, colognes, etc)
The 2018 Farm Bill was put out by president to allow agricultural growth of hemp (extracted from the plant) in particular
CBD and THC have made a such a difference in many people’s lives, that it “can’t possibly be just the placebo effect”
CBD vs THC
7:15-9:15min
There are different portions of the plant, when extracted
CBD comes in the form called cannabinoids, which come in 200-300 various versions and have different properties and potentially different benefits
Some of these cannabinoids are also found in other plants such as rosemary and thyme
The PLANT works with a system in your body that already exists, the “endocannabinoid system” and has ZERO psychogenic effects
THC comes in multiple forms, and how you put them in your body determines the effects it has
THC will cause psychogenic effects
Edibles and/or lotions take longer to get into the system and have longer-lasting effects (CBD or THC)
From a medicinal aspect, people believe hybrid is the most beneficial as it causes an “entourage effect” (synergistic effect)
Some effects
9:15-11min
THC is not addictive or a gateway drug
0 deaths from THC overdose reported
In some chronic young smokers, there’s a short-term condition called Cannabinoid Hyperemesis Syndrome https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3576702/
Long-term adult smokers may have secondary psychosis due to use, and long-term smokers may accrue damage to lungs
With patients that we are working with, the use of THC/CBD would be more for the short-term benefits
More information about the use of Cannabis?
11-12:15 min
The advocation of these products to minors should not be done because of the lack of research, although there are specific laws for minors and medicinal use
Literature suggests these products should be used for people 25 yrs or older so that the brain is fully developed
Laws are being driven by consumers who are electing pro-cannabis officials
Laws are changing rapidly in favor of cannabis use (decriminalization)
How do we know which CBD products are legitimate?
12:15-14 min
CBD products are similar to supplements as they are not federally regulated
There have been studies that prove some products on the market are 100% illegitimate
It’s legal for companies to say products are “90% proprietary” meaning we only know 10% of what’s actually in the products
Everything on the market could be a hybrid, so there’s no guarantee that a CBD product does not contain THC
Hybrids in the sport world may be problematic, and as a medical professional our recommendations should be conservative
What are some of the uses of Cannabis?
14-15:10 min
There are legal drugs on the market approved by the federal government
Did you know the BOC is working with Clinical Coordinators internationally?
The World Federation of Athletic Training and Therapy or WFATT coordinated this podcast so we can what AT education looked like before COVID19 and how these clinical coordinators are making the transition.
Left to right: Valerie Pelleck, Jeremy Jackson, Luzita Vela, Adam Naylor. Aoife Burke
Who are the International Clinical Coordinators?
Luzita Vela, Ph.D., AT - University of Virginia
Aoife Burke, Ph.D., AT - Dublin City University
Valerie Pelleck - University of Winnipeg
Adam Naylor University of Bolton
What does AT Education normally look like?
At Dublin City University they normally run an injury and rehab clinic for athletes and students. The AT students participate in the clinic as part of their rotations as well as sports team affiliation.
Bolton University in England looks similar to the program run by Aoife Burke in Ireland. They have a clinic for students and athletes and sports rotations.They use the term Sport Rehabilitation instead of Athletic Trainer.
Valerie Pelleck feels the majority of her programs students were done with their practical portions and have been able to transition to online easy enough. In Canada they go by Athletic Therapist instead of Athletic Trainer.
Luzita Vela at UVA us the clinical coordinator for what most Americans know as a 2-year master's degree.
What are the benefits to transitioning to online learning?
Adam Naylor thinks we have to re-assess efficiency.
the switch has likely helped students focus on their knowledge and understanding as well as the utilization of literature.
We can be more directive in the online learning process
In Ireland, Aoife Burke feels it has increased the availability of health care as their system is not as robust or developed.
Some of the other issued discussed:
How are students being encouraged and enabled to be hands-on?
What have been the chief concerns expressed by your students?
Discuss options are your programs considering to make up for lost contact-hours?
What is your national organization doing to accommodate for certification exams given the anticipated delay in graduation?
How is your institution managing to assess practical competencies if face to face opportunities are no longer available?
Watch the video on Facebook
https://www.facebook.com/sportsmedicinebroadcast/videos/651998662251624/
Contact us
Luzita Velta, Ph.D., AT - University of Virginia
Aoife Burke, Ph.D., AT - Dublin City University
Valerie Pelleck - University of Winnipeg
Adam Naylor University of Bolton
Jeremy Jackson - EMAIL ME
Show me the money
Amidst COVID 19 and all the shutdows everyone has had a season cut short.
Cari Wood has been monitoring mental health for a few years at Redmond High School. In a recent podcast, we discussed what this looked like for her.
Cari also has a high school senior who is living out all of the things we are discussing.
Now with COVID 19 Robert Andrews has been releasing some articles on how we can help deal with this as parents, athletes, Athletic Trainers, and coaches.
Here are the Season Cut Short talking points:
1) Normalize the first week or two. Look at this as a holiday for the first week or so. Athletes suddenly find themselves at home with little to no schoolwork, no structured workouts, and no competitions.
Let them sleep in for a while. I see so many athletes who are sleep deprived of their rigorous schedules. The grind of training, school, homework, and competitions has left many athletes with serious sleep deprivation. I see athletes that are 40 to 60 hours a month behind in their needed sleep! And we wonder why athletes seem to struggle so much with anxiety and get overwhelmed so easily.
Give them time to get caught up. You will see they will be able to better handle the curveball they have been thrown. They will handle stress, downtime, the experience of being disconnected from their sport and lack of exercise much better with adequate sleep.
2) Have regular family meetings to discuss how everyone is doing, where are they doing well, where are they struggling and where they need help.
Your kids will resist at first, but if you do a good job of modeling openness and vulnerability and lead a structured meeting, they will learn to value this time together.
The family meetings are also good times to discuss expectations around chores, schoolwork, training and any other topic the family needs to focus their attention on.
3) Help your kids create a written planner for their schoolwork and training schedules. Our athletes are used to structure. They need structure and discipline in their lives. Especially now! In this planner have them lay out their training schedule. You might ask, “what training schedule?” Find out the most important strengths they need to conserve to be ready to get back in the gym or on the court or in the pool.
Some might need flexibility, others strength and conditioning. It is time to get creative.
I spoke to a gymnast the other day who committed to do an hour and fifteen minutes of stretching at 2:00 p.m. six days a week. Her mother ordered her a rug to use since they have hardwood floors. I have seen videos of kids doing conditioning work on the roofs of apartments in New York City. Go for walks, bike rides, play tennis.
4) Empower them to take responsibility. There are two key traits that determine what level of development we obtain in our lives. One is the capacity to experience empathy and the other is the ability to take personal responsibility for our lives. This is a great time for them to step up and learn personal responsibility and accountability.
Another suggestion is to have your athlete find an “accountability partner”. This is someone that they can check in with every day to discuss how their workouts are going, if they did them or did not, and why, and if they need support or need to be challenged to stay committed to the agreement they made with themselves and others.
I can guarantee you that the athletes that take responsibility for themselves mentally, emotionally, physically and spiritually will be the ones who make the best comebacks when their respective sport fires back up again.
5) Connect with others. Today more than ever, we have the ability to connect with each other. Have your kids step beyond texting and set up Join Me or Vimeo groups with their friends and teammates. This will go against their nature to communicate via text, but it is critical that they learn how to reach beyond that and make meaningful att...
Comment on Facebook the places AT has taken you or you hope will take you. SportsMedicineBroadcast.com/Facebook
Celebrating National Athletic Training Month with AT Poetry
Athletic Training is a practice routed in science, but like any good practitioner there is art, or maybe AT Poetry, in the way it is performed.
Some people are kind, loving and get nicknamed "Mom" or "Dad"
Athletic Trainers can be are strict, rigid, and efficient.
My student aides call me "Uncle Jack, " while most athletes call me "Jackson"
So to work on my AT art-form, i wrote a little poem
https://www.instagram.com/tv/B9rmNgfn8K5/?utm_source=ig_web_copy_link
What is your style?
The personal style of patient-care truly is an art form that should get better over the years.
I am not much into arts and poetry so I figured I could use some help from other ATs in gaining some culture.
Alisha M Pennington, Chad and Kevan from Candid AT, Joel Ludeke of Athletic Trainer Chat, and Ryan Stevens of the cATalyzing Podcast all joined up to read some AT poetry submissions, talk #NATM2020, and catch a small break from the COVID19 pandemic
Ode to AT from Thomas Barkoski
Time to Advocate Far and NearI'm An Athletic Trainer and This Is My LifeBuckle Up, Cause I Work All Day and All NightWe Start In The Concussion ClinicAnd This Will Take A MinuteTell Me What Happened?When Did The Symptoms Start?There's Voms, Sway, Impact, and Some Other PartsThen Off To The SchoolLots To Be DoneTie Your Shoes, It's Time To RunBasketball, Wrestling, Swimming, Baseball, Track, and softballGive Me Some Coffee For The Long HaulEvals, treatments, educationInjury Prevention and documentationIt's All HealthcareIt's What Athletic Trainers DoHappy National Athletic Training MonthFrom Me to You
Sarah Baulch and Herd Sports Medicine
Fall in Texas is hotSpring in Texas is quite coldOne thing that is constant, ATs are on the goFrom the football field to the basketball court to running circles on the trackThere’s one thing you can count on, ATs will have your backWe can splint your broken elbow, diagnose your concussion too, rehab that sprained ankle and get you back to playIt doesn’t matter what jersey you wear, or what sport you want to play, Athletic trainers truly care, and might just save the day
Megan Mormile
March is a great month for many reasons: Spring sports, sunshine, it comes with the season. But for Athletic Trainers it means one thing: National AT Month is here, and it’s time to sing! What is an AT, you ask? Don’t know? Let me tell you: We’re allied health professionals, but I’m not through: We cover, we watch, we listen, we care We’re known for taping ankles, but it doesn’t stop there: We help prevent injuries, in all sorts of ways. Through preventative rehabs, and keeping up with the craze. We’re trained in evaluation, assessment, and diagnosis Of pretty much anything that comes with a prognosis. Injury on the field? No worries, don’t fear: Athletic trainers can handle emergency situations with care. Rehab? No problem. Modalities? No sweat. Athletes get care, and are ready to jet. Last but not least, the professional part: ATs handle admin and organization with heart. We’re here for your athletes, day in and day out: Hopefully now, you know of our clout. So come check us out, and see what we do: Ask us some questions, and maybe bring some coffee, too. HAPPY NATM!!!!!
https://www.facebook.com/sportsmedicinebroadcast/videos/2772840399502212/
The Haiku by Ryan
Athletic TrainerFixes people. Rises to the occasion. And gets really tired.And it doesn't show.
Watch the live version of AT Poetry on Facebook
https://www.facebook.com/sportsmedicinebroadcast/videos/562103797757510/
Help me keep the podcast coming
Compex sent our prizes to the Authors of the AT Poetry submissions we included in the show.
What's the role of Imaging and Sports Injuries
Dr. Manickam "Nicks" Kumaravel, MD shares what the current and future role of imaging and sports injuries are at the Memorial Hermann Sports Medicine Update.
Dr. Mark Knoblauch shares the mic as we are live in Katy, Texas learning.
What is a normal day like for radiologists?
Most are sitting in front of a computer looking at images, coming up with a diagnosis, and sending them back.
Dr. Nicks has a unique set up as he has a viewing room in the middle of the ortho floor. He regularly gets out of the office to interact with doctors and patients.
He, at times, even scrubs in with the surgeons to help and learn.
How much info are you usually given with the images to make a diagnosis?
Usually one or two lines at most. This is part of the reason he gets out of the office to see and interact with the doctors.
"Garbage in gets garbage out" plays true in imaging and sports injuries too.
Are there specialties in radiology as well?
Absolutely, If Dr. Kumaravel were to get a neuro MRI he would be sending it right along.
Where are we headed with Imaging and sports injuries?
Clinical Skills need to be an emphasis in radiology education. We are moving away from using clinical skills and he believes it is showing in the results.
Continued improvement and growth. we are now able to see bone marrow edema with CT scans
Ultrasound is the next big wave in the United States. It is becoming an extension of the physical exam.
The hardest part about an AT using the US machine is knowing what it means and interpreting the results.
Cinematic renderings are amazing to see as well.
Watch the presentation on Facebook
https://www.facebook.com/sportsmedicinebroadcast/videos/872909889725750/
Dr. Kumaravel
What is WFATT?
The World Federation of Athletic Training and Therapy or WFATT exists to ensure access to athletic healthcare is a global phenomenon.
The World Federation Mission Statement
The WFATT provides leadership to advance the international interests of its members for the common goal of optimal health care for physically active populations.
Vision Statement
Athletic Training & Therapy will be recognized as an essential part of multidisciplinary healthcare teams worldwide.
About Dr. Glen Bergeron
He started at the University of Manitoba in 1970 with a PE degree and went on to masters of exercise science with a focus on Athletic Training.
Dr. Bergeron was one of the first people to write the certification exam for Canada Athletic Trainers / Therapists
He worked at the University of Winnipeg and again at Manitoba. He later returned to the University of Winnipeg to become their program director.
During those years he has been constantly involved with many different aspects of the Canadian Athletic Therapist Association.
Being involved in WFATT
The World Federation is an "organization of organizations"
If you are a member of one fo the organizations that are currently members, then you can be a part of it too.
Anyone with skills or talents they think may benefit the organization should contact the organization and see how they can help.
What about the WFATT World Congress?
The World Congress exists to disseminate info and promote the world federation.
The 2019 congress had over 350 attendees in Tokyo Japan.
The focus is to help empower the community to see what effect and impact Athletic Training and Therapy can have on your community. How can it help move the profession forward?
https://www.facebook.com/sportsmedicinebroadcast/videos/504136520299056/
Contact Us
WFATT - Website: TwitterFacebookLinkedIn Instagram YouTube
Dr. Erin Hassler - sportzfactory.com
Jeremy Jackson - Email me
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Doctor Angie Curtis, MD, MPT fits into the Minority Women Doctors category but has a unique path.
Her original plan was to be a doctor.
Obstacles arose and she chose Physical Therapy school.
Before she could get established as a PT she knew she needed to go after her dream of becoming a Sports Medicine Doctor.
Challenges facing Minority Women Doctors
Doctor Curtis did not present on becoming a doctor as an African American woman. But a previous conversation in the hallway sparked an interest in me to learn more and help grow to understand.
I know I have preset judgments and biases based on where and how I was raised.
I also know that I am responsible for my actions and choices. I can not blame anyone else for the way I view or treat others.
Have you judged Minority Women Doctors too soon?
Dr. Curtis has been overlooked and ignored because she is a black female, dressed like a doctor, carrying clipboard and stethoscope. The nurse in scrubs was a male so he was obviously more "doctorly"
She has not allowed this to make her bitter but continues to grow and improve patient care and open doors for the women behind her.
Dr. Curtis's presentation on Facebook
https://www.facebook.com/sportsmedicinebroadcast/videos/412618899593881/
Contact Us
Dr. Angie Curtis
Biologics may decrease the epidemic of Tommy John surgery
Dr. Eric Makhni discusses how biologics have shown up to 67% efficiency in repairing the UCL and preventing reconstruction or repair.
Team physician for the Detroit Lions, Bloomfield Hills High School, and Oakland University as well as a consultant for the Angles, Dr. Makhni knows the body and injuries.
One of his best traits is his ability to talk to patients and help them understand the injury and healing process. Being a great physician is important, but communicating that to patients is equally valuable.
What common injuries are we seeing in youth-related to sport specialization and overuse?
Tommy John surgery is the big one - a partial or full-thickness tear of the Ulnar Collateral Ligament (UCL).
Pitchers are the most frequent but catchers are right behind them in the frequency of UCL injuries.
Stress fractures are also common among middle-school-age (10-13) athletes
What do you think are some contributing factors?
YEAR-ROUND SPORTS (single sport) are by far the worst culprit for overuse injuries.Kids are throwing harder at younger ages.Poor mechanics.CORE ACTIVATIONWeighted ball routines
Discuss the evaluation process
Look at the age of the athleteListen to their complaintsis it fatigue or painconstant or only after pitchingAsk more questionsDetermine the patient's goalsPerform any manual tests needed
What new surgical procedures are being used?
If possible the surgeon should try to repair the UCL with internal bracing. The recovery time is significantly decreased.
Biologics such as PRP and Amniotic stem cells can be used in partial tears.
The use of Biologics, for the most part, is not covered by insurance, so if you are going to travel that road make sure you discuss it with your doctor and find one who knows baseball and the demands.
Watch the Biologics and Surgical repair of the elbow Facebook live
https://www.facebook.com/sportsmedicinebroadcast/videos/199143471164310/
Dr. Eric Makhni - www.EricMakhniMD.com
John Ciecko - @JohnCiecko
Jeremy Jackson - @MrJeremyJackson on twitter and Instagram
Sponsors
Previous episode discussing PRP and Biologics
Stem Cells and their Use – 610
Hesitant about going Fully Digital with your EMR?
John Ciecko has been hesitant, mostly about what it looks like to go fully digital, so we set up a meeting of the minds.
Have you been thinking about moving from paperwork to an EMR in your athletic training practice?
If you answered yes, you will want to listen to today’s show. Both Danny Barringer and Christopher Dean recently switched to EMR’s and today on pod they will highlight the benefits and help you navigate the roadblocks.
Why should AT’s move to this fully digital model?
Ease, portability, security, and accessibility. As AT’s we are often not seated at our desk during the day. Moving to an EMR allows us to access information as well as enter information whenever and wherever we need to.
How did you decide which EMR to utilize?
It’s important to research the available EMR’s but before you even get to that point identify what is important to you and your stakeholders in the EMR’s capabilities.
Danny researched and found that DragonFly Max offered everything he needed as an outreach director at a hospital with multiple schools and sports.
Chris was introduced to NextGen when the orthopedic practice merged with a hospital that already utilized an EMR. While NextGen didn’t have a lot of what he felt AT’s needed, the IT department was able to customize NextGen to make it more useful for the athletic trainer.
How do you get buy-in or navigate roadblocks with implementing an EMR?
Communicate the why, talk about liability and the lack of protection paper offers and remind them that one HIPPA violation would cover the cost of an EMR.
What is one thing you both love about the EMR’s you are using?
One thing both Danny and Chris agreed upon is the dictation feature that is found in both DragonFly Max and NextGen. They both appreciate the ability to dictate a note or eval info no matter where they are.
Can EMR’s assist with the PPE collection?
Absolutely! In DragonFly Max you can take a photo of the PPE and upload it into each student-athletes profile. NextGen allows you to internally or externally upload a PDF of the PPE into a student athlete’s file.
What’s one recommendation for AT’s who are wanting to make the switch to EMR’s.
Research all the EMR’s available and find one that has everything you need. Remember that Standard Of Care is EMR now. EMR’s can help AT’s prove relevance and value.
Watch on Facebook
https://www.facebook.com/sportsmedicinebroadcast/videos/1077200165808191/
Considering an EMR?
DragonflyMax has so much to offer you at a price that you can not beat.
Contact Us
Danny Barringer - Danny.Barringer@surgerypartners.com
Chris Dean - cdean@sportsmedicinefairbanks.com
What does the Athletic Sholder look like in 2019?
Dr. Stephen Simonich, MD joins us today to talk about the athletic shoulder from the Memorial Hermann Sports Medicine Update.
Ever wondered how to explain the rotator cuff as a secondary stabilizer in the GH joint to either your athlete or their family? Dr. Simonich has the perfect analogy.
He tells his patients that it is like if I were to take a big exercise ball in my right arm and pull it into my chest. My chest would be the socket, the exercise ball my humeral head, my arm would be the rotator cuff and my hand the tendons of the cuff. That demonstration can help show how difficult it is for the rotator cuff to stabilize the joint.
What are the two types of shoulder dislocations, where do you see them and how should we treat them?
TUBS (Traumatic Unilateral Bankart Surgical) and AMBRI (atraumatic multidirectional bilateral rehab rarely inferior capsular shift) are the two types of dislocations.
You will see TUBS is most often in contact or collision sports like football or rugby. AMBRI is seen often in swimmers especially at the end of a long season.
Post a TUBS dislocation and relocation Dr. Simonich likes to use the apprehension test as an indicator of further treatment. He also uses athlete age (young athletes have a high rate of recurrence) individual goals, sport played and level of participation as indicators for surgery. Surgery reduces the high rate of recurrence in young athletes.
What are the types of AC joint separation and how do you treat them?
AC joint separations are relatively easy to see and cause biplanar instability. There are 5 types with Type I and II requiring conservative treatment, Type III going either way but trending non-operatively and Type IV V VI requiring reconstruction with a joint tie-down.
Clavicle fracture treatments have changed throughout the years due to research. What does the current research say?
Prior to 06’-07’ most clavicle fractures were treated non operatively. Research was introduced in two studies in those years that saw a better union rate with fixation in the clavicle post-fracture and surgeons began to surgically treat and fixate.
In 2017 a new study showed that while the rate of union is still higher in clavicle fractures with fixation, fixation doesn’t improve shoulder function nor does it decrease limitations in the shoulder. Dr. Simonich will put a plate to fixate the clavicle on an athlete with shortening, displacement, or comminution because they get faster healing rates, are more predictable and can get them back to their sports.
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Previous episodes discussing the Athletic Shoulder:
The Athletic Shoulder: What You Need To Know – 394
Shoulder Rehab Tips – 494
Shoulder Anatomy – 489
Today on the podcast Robbie Jenkins from Rapid Reboot talks all things compression therapy in our Compression Roundtable.
What is Rapid Reboot?
Rapid Reboot is a company that specializes in dynamic compression technology that gives you more value for your money.
Robbie and the team at Rapid Reboot felt like there was a unique opportunity to add more to the market of compression therapy. They worked to offer more applications and educate on the many opportunities compression therapy has to benefit our athletes.
What benefits does compression therapy offer?
Most often people think of compression therapy in terms of recovery. Robbie explains that there are many more uses for dynamic compression. Compression can be beneficial to fluid replacement, lymphatic drainage, injury prevention, and pre-workout, pre-game.
How do you educate on the treatment of the lymphatic system since it is a delicate system that doesn’t require a great deal of pressure?
The lymphatic system is unlike other systems in the body in that it doesn’t pump. Evidence doesn’t support using tight as possible to treat it. Robbie recommends that you use well below 100mmHG of pressure if there is a lymphatic issue. However, for healthy individuals that don’t have lymphatic issues you can have 200-300mmHG of pressure combined with sped-up cycle times.
Are there contraindications for the use of dynamic compression therapy?
Yes. DVT, blood clots, as well as post-cancer patients, are contraindications to utilizing compression therapy. DVT is a different scenario as compression therapy is contraindicated if a DVT is present, however, compression therapy has been shown to prevent DVT’s. Surgeons often prescribe compression therapy immediately post-op to prevent the formation of them.
Robbie reminds us that Rapid Reboot is FDA approved and regulated for over the counter use.
What research is available or what is the best practice for the use of compression therapy?
Physicians that Rapid Reboot has spoken to highlight how dynamic compression can help with venous return and how important that is to the cyclical nature of our vascular system.
Robbie finds that with the fluid gathering that tends to happen in our lower extremities due to gravity that the Lower Extremity boots are most beneficial to the entire body, though he loves the hip attachment, as well as probably most beneficial to athletes as all utilize the lower body.
What is one thing Robbie wants AT’s to know regarding dynamic compression therapy?
Don’t put it into one box. Dynamic compression therapy has many benefits, can be used multiple times per day and is safe to use for as long as you want. Pre/post workout and games, prevention as well as post-injury, tight muscles or DOMS are many of the uses for this therapy.
Watch the live stream:
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Previous Compression Roundtable conversations
Recovery Pump with Brian Carberry
Call to Action
Instagram us with your favorite uses of compression products @SportsMedicineBroadcast
Check out these awesome Frio Hydration units that can literally pay fro themselves
We tested them on ourselves, used them with patients, tried to do dumb stuff so we could aska nd answer questions. The Compex Live session was super helpful to improve our understanding and application of the devices
Thrower’s elbow is an injury that AT’s and coaches deal with frequently. What do we need to know as we interact with young throwers?
The more you throw and the higher velocity you throw at increases your risk for injuries. As AT’s and coaches, we need to not only be aware of the rules that are in place to protect these young athletes we need to follow them and encourage parents who may have their kids participating in multiple leagues to stay within the guidelines. The bottom line is the AMOUNT MATTERS.
What should we do when a throwing athlete begins to complain about pain?
When complaints begin we need to take them out. Shut them down from throwing and begin evaluating what might be going on. Remember that in developing youth, growth plates are the weakest link. Rest when the pain starts to prevent an injury in the growth plate.
We hear about the dreaded curveball and why it shouldn’t be thrown by young athletes. Is this accurate?
We need to change how we think about the curveball. Any speed off-speed pitch will decrease the forces on the elbow and shoulder. The more you throw at an increased speed the higher your risk moves. It’s not the curveball that is the problem, it is the fact that most young people don’t have the correct mechanics to throw it.
What about asymmetry? We are told to expect it in throwing athletes. At what point should we be concerned?
When you see a greater than 15-20 degree difference between the throwing and non-throwing hand there is a significant increase risk of injury.
If the athlete has this significant difference but isn’t experiencing pain or throwing mechanics haven’t changed, you don’t have to shut them down but you should be working to get them around 10 degrees of motion between their throwing and non-throwing arms. It’s also important to remember that throwing slows down progress on the range of motion games.
Should we change our thinking on surgical vs non-surgical treatment of shoulder injuries and thrower's elbow?
It really is a case by case basis. Young athletes with acute large tears probably should get a surgical consult. More chronic injuries in a little bit older throwers might choose rest to get them pain-free or to finish out their career. It’s not cut and dry one way or the other but needs to be evaluated case by case.
What are the biggest barriers to recovery post-injury?
The number one barrier is compliance with treatment. Staying on top of them and encouraging them to continue with the rehabilitation even once they’ve become pain-free. Compliance with prevention is also difficult. They need constant reminders and encouragement to follow through.
Are there any prehab thoughts from athletes awaiting UCL repairs?
Braces that prevent valgus and restrict 10-100 degrees are recommended. Controlling pain and inflammation pre-surgery and reducing the stiffness in the joint is helpful. The athlete can continue to exercise if they are pain-free and using symptoms as their guide.
Is there anything else AT’s should know regarding throwing injuries?
Young kids are at increased risk because of their growth plates and mechanics. Be their advocate, and follow the rules.
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Related episodes
Here are other podcasts related to elbow injuries
Ever been the only white person in the room? How about your college program?
Eva Martinez says as a brown woman in Athletic Training she longs to see more diversity and inclusion in leadership. She wants to see people like her in leadership.
What is your Diversity and Inclusion story?
Have you been excluded from conversations because you did not fit the mold for the current leadership style?
Are you like Sofia and never really felt excluded or like there was a ceiling to your ability?
Do you get fired up when someone makes an off-color comment, let it slide or find a way to educate?
Find the Similarities
Sometimes people make comments because they are intentionally hurtful, but sometimes they are just ignorant.
I said something about going to a polish festival and used the word "polak" while talking to my wife. I read a book where the main character was Polish and referred to himself as a "Polak" so I thought it was normal...until she told me the word is derogatory.
If I had said this to a polish person it may have ended very differently.
Continuing to use the term after learning the meaning would be intentional. I have only used the term to tell the story since that day.
In your quest for Diversity and Inclusion be quick to extend grace and offer a chance for education and change.
Watch the talk on Facebook
https://www.facebook.com/sportsmedicinebroadcast/videos/192284961862124/
Contact Us
Marco Nunez - marcoanunez@msn.com
Eva Martinez - emart430@fiu.edu
John Ciecko - jciecko@bloomfield.org
Jeremy Jackson - info@sportsmedicinebroadcast.com
Resources
Brown Eyes & Caramel Thighs Podcast
Partners
Secondary school AT? Then you should be familiar with and completed the ATLAS Project survey.
Today on the podcast John Ciecko catches Larry Cooper and Rob Huggins for an update on the ATLAS (Athletic Training Location and Services) program which started in 2015 as a joint initiative between the Korey Stringer Institute and the NATA.
The ATLAS project is designed to track to AT services, improve communication between athletic trainers and produce research for the advancement of the profession of Athletic Training in the secondary school setting.
What are the updates from ATLAS?
Rob reports that ATLAS has had a successful year. Over 13,488 schools are reporting AT services in the US and that is 66% of schools. Over 16,000 AT’s have completed surveys in the last 2 years and they are finding an increased response rate from AT’s and schools.
Why the increased response from Secondary AT’s?
Larry believes that the BOC adding a reminder at the end of our reporting document is aiding in more AT’s taking and re-taking the survey. State levels continuing to push it at the grassroots level are also helping.
The state of Florida is only 70 schools away from 100% participation, and the goal is for every state to reach that level.
How does ATLAS help AT’s in the secondary setting?
Data collected and reported from ATLAS to the individual states is helping push legislation through for things like AT presence at every school and cold water immersion tubs.
“ATLAS supports the policy initiatives that are making even bigger impacts in this country than this project is.”
Aside from the numbers of which schools have AT’s, what else do we learn from these surveys?
We are learning about how socioeconomic status affects the likelihood of an AT being at a high school. In the EATA Districts 1 and 2, there are 10 times greater odds of AT services in upper-class areas versus lower class and a 4 ½ time greater odds in middle versus lower class areas.
This information can help states or districts get AT services in those areas and present to those who have high stakes in youth athletics (NFL, NBA, NHL, MLB) and together we can come up with creative solutions to manage this public health crisis.
Has ATLAS had a direct effect on legislation?
Absolutely! Recently in Arkansas, there was legislation brought forward threatening the practice act in that state for AT’s. Jason Cates used that data while sitting with his legislator to show him the actual numbers of students, teachers, and families that would be affected if this law was passed and that data helped the legislator block the bill.
What is the future goal of ATLAS?
We would like to have 100% participation in the ATLAS survey and we would like the data we collect to drive AT services throughout the country so that every school has an AT.
Rob encourages everyone in the secondary setting to please complete and update the survey each year. He believes that ATLAS “can make the biggest impact in what is arguably the largest area for growth in our profession, secondary schools.”
If you have questions please reach out to Rob via email at robert.huggins@uconn.edu or Kelly.coleman@uconn.edu Their goal is to return emails in 24-48 hours.
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Ever wondered if every athlete should get an EKG? Or if caffeine is really as bad for the heart as you thought?
Today on the podcast, Dr. Mark Knoblauch sits down with pediatric cardiologist Dr. Elizabeth Wang and talks about any other information surrounding pediatric cardiology.
Dr. Wang is a born and raised Texas girl who did her undergrad at Texas A&M and got her medical degree from The University of North Texas. She did her pediatric residency and fellowship at UT Houston and is still there today.
Dr. Wang enjoys Pediatric Cardiology and refers to herself and others in this field as glorified electricians and plumbers. She is particularly interested in the athletic population because of the physiologic response to exercise.
When should an athlete see a pediatric cardiologist?
If there is no family history and the athlete is otherwise healthy and not reporting any symptoms then I educate them to remain hydrated drinking at least ½ their body weight in water per day and more if they are exercising, I encourage them to get 9-11 hours of sleep per night and to eat well including vegetables.
If symptoms are present, (ie deep pressure in chest, dizziness, passing out or palpitations) or symptoms appear or worsen with exertion then I recommend parents seek out a pediatric cardiologist.
Pediatricians and other general practitioners are vital in finding and referring abnormalities. Good physical examinations along with screening for hypertension and other abnormalities help differentiate who needs a referral to a pediatric cardiologist.
Are there drinks and other substances you recommend athletes avoid to help their hearts?
Dr. Wang absolutely recommends that athletes avoid caffeine, energy drinks, vape pens and other drugs. “If I go out of business because everyone stopped drinking caffeine and vaping then I am okay with that and I have done my job!” An otherwise-normal heart can go into arrhythmia with substances found in drugs and/or caffeine, so Dr. Wang recommends all her patients stay away from these and get more sleep.
What is your response to the thought that every athlete should get an EKG especially since there is a study sighting that Italy requires it?
Dr. Wang explains the particular study stating this is out of a small region in Italy that is very homogenous. This doesn’t apply to the US which is a large and very diverse population. EKG’s are a valuable tool but it doesn’t catch everything. There are false positives on EKG’s that can cause immense stress and thousands of dollars of follow up tests that eventually show a healthy heart, and there are normal EKG’s that aren’t followed up with the right questions about symptoms and exertional symptoms that can have a problem. There are rare abnormalities that don’t show up on a routine EKG and require a very well trained eye on an echocardiogram to diagnose. EKG’s are useful but we need to follow the guidelines for what does and does not require more testing.
If an AT suspects a cardiac issue and is worried about oxygen saturation is it best to check the lips and nail beds for capillary refill?
Dr. Wang believes that best practice is to check the gums and the tongue instead of the lips and nail beds. She explains that if an athlete is panicked or worried it can stimulate the parasympathetic nervous system and that can produce the blue lips or decreased capillary refill. “The gums and the tongue are most indicative of what your central oxygen saturation is.
Are there any closing thoughts you’d like to share?
“Please don’t be a stranger. I love interactions so please get a hold of me if you have any questions.” You can email Dr. Wang at Elizabeth.W.Wang@uth.tmc.edu
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Are you interested in creating Sports Medicine Content? Todd Sabol’s niche is Instagram. You can find him @ToddSportsMed
Calista Kelly creates for PhysicalTherapy.com where she is the managing editor.
I host the Sports Medicine Broadcast.
Sponsored by: Blubrry Podcasting – Launch your Podcast the Blubrry Way
Why do we do it? Each of us creates content to grow patient care. We work out of our strengths to improve our chosen profession. But all that is useless if you are not authentic.
Todd says – Do it because it helps others and spreads positivity in a world that looks for negativity.
Where do you get started? Calista Kelly, managing editor fo PhysicalTherapy.com, says these are her normal places when looking for content creation:
- Online searches
- Local and national conferences
- Networking with presenters
- Course evaluations
She likes for all courses to start is with the learning objectives to keep course concise and congruent.
Sports Medicine content needs to be impactful immediately.
Presenters need to be knowledgable about the subject but also be able to speak well and make adjustments on the fly.
Todd Sabol agrees and adds to just start posting and not worry about being perfect. If you are passionate and look to serve others then you are going to have people who mock you but that’s ok
What holds people back from Creating Sports Medicine Content? Physical Therapy, like Athletic Training, is so broad that the first set of courses were really hard to determine. They did not want to leave out some folks. As they have grown they have gotten deeper into niche markets and courses.
Remember to ask “How can I add value?”
Focus on one idea or technique at a time
Todd figured out he needed a calendar to mix things up. Without this, he would create only one type of Instagram post.
Finding what people want can be really hard as well.
How to Create “Great” content? Great is subjective, because it’s not what you want to talk about, it’s what the consumer wants.
Everything needs to be cohesive – start with course objective or learner outcomes and then work from those.
How do you know what people want when creating content? * Course evals – look for repeat answers * How packed courses are at the conference * Watch behavior * What are hot topics * Look at social media
Know the nature of each platform Facebook sees a lot of clinical questions
Twitter seems to be a lot of posts without as much clinical reasoning
Instagram – appeals to the younger crowd and people looking for quick information
Think about the consumer you are appealing to.
TikTok is almost always 15secs – mostly younger audience.
What are your most important factors in getting your content out there? Appeal to the need for authentic human connection.
Tips for maximizing your own digital learning time: Do it on personal time…maybe exercising or grocery store
Todd likes to just search for it, usually on Instagram. He will normally test the exercises out on himself several times before using them with patients.
Do your own research and clinical reasoning
Video the client on their phone and say here is your home exercise program. This is great as they will be able to hear your verbal coaching as well.
Get the most by picking what you specifically want to learn, not just taking a course because it is there.
If that course does not cover it find a different one.
Call to Action Follow Todd on Instagram and get your one free course on PhysicalTherapy.com by clicking the link.
And get your free 30 days with Blubrry by using the code BLU008
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Contact Us: Calista Kelly – ckelly@physicaltherapy.com
Todd Sabol – @toddsportsmed on social media
Jeremy Jackson – click the about page on Sports Medicine Broadcast
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Mike Hooper has spent the last 16 years serving as an athletic trainer in the armed forces. Specifically, the Department of the Navy. Today on the podcast, he joins John Cieko and discusses what drew him to the military setting as an AT.
How did Mike end up in the Armed Forces after a career that took him through a variety of settings including secondary, collegiate and professional? He grew up around the military and served himself for a short time in the armed services. “I saw injuries, experienced some injuries and I looked at it (serving as an AT in the armed forces) as a good opportunity to be a much-needed resource within the community.”
What does he enjoy about this emerging setting? Mike finds working in the armed services as an AT extremely rewarding. He sees it as a bigger cause with a global perspective. It really is life vs death.
What are the challenges of working in this setting? Mike believes that your only limitations are between your ears. An injury is an injury in any setting, however, he highly recommends that you ingest all you can through observation and that will help you develop treatment strategies that you can tailor and modify. Mike’s goal is to learn something new every day and pass it on to those who may take his place someday.
What is the future of AT in the Armed Forces? Mike feels that AT in the military is taking off like an Indy Car. It may have taken a few years to gain traction but they have gone from approximately 50 AT’s in 2003 to over 300 today.
“We (AT’s) fit in to maximize the effectiveness of the team.”
How is the military setting different? In many ways, Mike believes it is the same. AT’s are generally caring and emotionally attached to their profession.
However, you want to give everything you have and exhaust every opportunity to help the guy who will save others. You are treating men and women who essentially have the mentality of taking a bullet or jumping on a grenade for their fellow team members. It’s hard to say no when you see the sacrifices they make.
What are some of the stories you have been a part of? Mike has seen and experienced so many success stories. Success stories and triumphs that help him wake up with a different mentality in the morning.
In many settings, you don’t see a lot of gunshot wounds or amputees but we do in the armed services. Mike is thankful that the NATA is beginning to highlight the emerging settings within the profession and prepare students for these settings.
How can we get more information? Visit the COPA website for military information or visit the Armed Forces Athletic Training Society website. Ask any military AT who would love to answer your questions.
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Contact us: Jeremy Jackson
Mike Hooper – Email
Jeremy Jackson – Host of The Sports Medicine Broadcast
John Ciecko – jciecko@bloomfield.org
Alisha M Pennington – alisha@theatvantage.com
Mike McKenney – m.mckenney@northeastern.edu
Mike Hopper – Mike.Hopper@bishoplynch.org
Clint Sanders – clint@dragonflyathletics.com
These people LOVE ATs and help the SMB pay the bills: Frio Hydration – Superior Hydration products.
MioTech – meeting all of your sports medicine supply needs
PhysicalTherapy.com – use promo code “1FREECOURSE” to start for free
Donate and get some swag (like Patreon but for the school)
DragonflyMax – one-stop EMR
HOIST – no matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second-year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Frio Hydration – Superior Hydration products.
MioTech – meeting all of your sports medicine supply needs
PhysicalTherapy.com – use promo code “1FREECOURSE” to start for free
Donate and get some swag (like Patreon but for the school)
DragonflyMax – one-stop EMR
HOIST – no matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second-year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
What are stem cells and how are we using them in the knee? Today on the SMB, we are joined by Dr. Evan Meeks who helps educate us on stem cells and their use.
Dr. Meeks explains that stem cells are found within the body and they can change into other types of cells. They can be used to treat musculoskeletal injuries (ie regrow muscle, ligament or cartilage) However, Dr. Meeks cautions us that stem cells are a “new and budding area that has theoretically huge potential for the future but the science is still in the early stages.”
What can make you a good candidate for stem cell therapy? Type and degree of injury are important factors when considering stem cell treatment as well as the patient’s age.
How are patients prepped for this procedure? The best preparation we can give a patient is to educate them and to manage their expectations.
Are there ethical issues regarding stem cell treatment? The main ethical concern is embryonic stem cells. However, currently, it is illegal to use embryonic stem cells for treatment. They are only used for research. Dr. Meeks cautions that embryonic stem cells are unsafe right now. They can turn into any type of cell and we can’t control it.
As secondary school athletic trainers will we encounter this often? Dr. Meeks explains that it is pretty rare since or population is younger and still heals well. He does say occasionally it can be used to help surgical outcomes with meniscus repair or bone stimulation.
What is Dr. Meeks’ prognosis for stem cell usage for the next 10-20 years? “It will be the new frontier for musculoskeletal medicine.”
What one thing should AT’s know regarding stem cell treatment? Dr. Meek’s feels stem cell treatment is the new pitch count in athletic training. We must educate and disseminate the correct information.
About Dr. Meeks Dr. Evan Meeks is an assistant professor in the Department of Orthopedic Surgery at McGovern Medical School at The University of Texas Health Science Center at Houston (UTHealth).
Dr. Meeks specializes in sports medicine with an emphasis on arthroscopy and minimally invasive techniques to treat injuries of the shoulder, hip, and knee. During his training, Dr. Meeks worked extensively with professional and college teams in the Houston area, including the Houston Texans, Houston Rockets, Houston Astros, Houston Dynamo, and the University of Houston athletic program.
As a former college athlete, Dr. Meeks has the unique ability to see injuries from the perspective of both the athlete and the physician.
Contact us: Jeremy Jackson
Dr. Evan Meeks – Evan.G.Meeks@uth.tmc.edu
Jeremy Jackson
Shawn Ready – shawnreadyatc@gmail.com
Ray Olivo – rayolivo1@gmail.com
Dr. Mark Knoblauch – maknobla@Central.UH.EDU
Dr. Layci Harrison – lharris5@Central.UH.EDU
Bob Marley – Bob.Marley@uth.tmc.edu
These people LOVE ATs and help the SMB pay the bills: Frio Hydration – Superior Hydration products.
MioTech – meeting all of your sports medicine supply needs
PhysicalTherapy.com – use promo code “1FREECOURSE” to start for free
Donate and get some swag (like Patreon but for the school)
DragonflyMax – one-stop EMR
HOIST – no matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second-year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Frio Hydration – Superior Hydration products.
MioTech – meeting all of your sports medicine supply needs
PhysicalTherapy.com – use promo code “1FREECOURSE” to start for free
Donate and get some swag (like Patreon but for the school)
DragonflyMax – one-stop EMR
HOIST – no matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second-year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
In another Go4Ellis update, founder Ellis Mair discusses some big news. Ellis and her team were able to double not only the number of states using her online platform which connects Athletic Trainers to per diem work but also double the number of Athletic Trainers using the platform.
Always ready for a fun conversation, John Ciecko sits down with Ellis on the podcast live from NATA Las Vegas and discusses this accomplishment and many more.
Ellis states that attending 8 of the 10 NATA district conference meetings and reaching out to every state head explaining the background, goals, and mission of Go4Ellis has certainly helped grow the platform.
She also explains working from the top to bottom approaching leadership first is critical to communicating the vision and educating. However, working from the bottom up and reaching out to AT’s in certain communities to build growth in each state was important too.
What exciting new partnerships are happening with Go4Ellis? A new partnership with US Lacrosse began this year requiring a mandatory AT per every 3 fields at every US lacrosse event.
A partnership with Players Health EMR allows AT working these lacrosse events to create injury reports. These injury reports are then able to collect data for epidemiology reports being researched by MedStar.
What makes Go4Ellis beneficial to the athletic trainer and the profession of Athletic Training as a whole? Athletic Trainers are able to work per diem to earn extra money when they are available or when they may be facing additional upcoming expenses.
But by increasing the presence of Athletic Trainers’ at a variety of athletic events, including most recently a rise in Quidditch events, Go4Ellis helps increase exposure athletes have to Athletic Trainers’.
We also ontinue to educate National Governing Boards of a variety of youth sports on the importance and necessity of an AT at all of their events and give us as Athletic Trainers’ an opportunity at each per diem event to educate and advocate for our profession.
Can you only make money by working an event? No, through their 4werks.com referral system, AT’s can refer an organization or event to Go4Ellis for coverage and if the event runs that AT will receive a check for 125.00.
What are Ellis’ future goals for this next year? Increase the number of operators of events, AT’s involved as both operator’s and per diem and partner with more NGB’s.
Be actively working in all 50 states.
Renew partnerships with the NATA and become more involved in data collection on the field.
Work the Players Health EMR into their app.
Need more Go4Ellis info? If you would like to contact Ellis Mair feel free to email her at Ellis@go4ellis.com As you’ll hear during the podcast, she is really good about returning emails quickly.
Contact us: Jeremy Jackson
Jeremy Jackson – Host of The Sports Medicine Broadcast
John Ciecko – jciecko@bloomfield.org
Alisha M Pennington – alisha@theatvantage.com
Mike McKenney – m.mckenney@northeastern.edu
Mike Hopper – Mike.Hopper@bishoplynch.org
Clint Sanders – clint@dragonflyathletics.com
These people LOVE ATs and help the SMB pay the bills: Frio Hydration – Superior Hydration products.
MioTech – meeting all of your sports medicine supply needs
PhysicalTherapy.com – use promo code “1FREECOURSE” to start for free
Donate and get some swag (like Patreon but for the school)
DragonflyMax – one-stop EMR
HOIST – no matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second-year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Frio Hydration – Superior Hydration products.
MioTech – meeting all of your sports medicine supply needs
PhysicalTherapy.com – use promo code “1FREECOURSE” to start for free
Donate and get some swag (like Patreon but for the school)
DragonflyMax – one-stop EMR
HOIST – no matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second-year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Brien currently has 50 Athletic Training related projects in his cue for publishing books.
As a kid Brein loved reading the Snowshoeing Through Sewers series, Todd is currently loving David Goggins’s books. I only remember reading one book as a kid and it was pretty much the same as the Adam Sandler movie “Click”
We previously discussed writing and publishing books with Dr. Knoblauch and Dr. Konin: sportsmedicinebroadcast.com/Publishing-A-Book/
Background on Brien and Publishing Books * SLACK Incorporated has publishing roots that extend back to 1923. We are a 300 employee health care information provider/publisher located in southern New Jersey. * Our company entered the Athletic Training market in the mid-nineties with a goal of publishing textbooks for athletic training students, faculty and staff (Jeff’s books some of the first) We do some resources for practicing ATs too. * Brien joined the company in 2005 with a marketing background. Entered into acquisitions in 2007. He has been managing the AT line since about 2010. Brien also manages the OT, SLP and in the past, has managed the PT line as well.
The publishing business is acquiring, developing, and publishing books. It all starts with acquiring authors, proposals, and manuscripts. Acquisition is the lifeblood of a publishing company. Without a steady stream of new content, the publishing company would cease to exist
Brein Cummings – 2019 on the Sports Medicine Broadcast
Where do we start? Lots of people have Ideas about publishing books, but it not common at all for someone to put those ideas down on paper in an outline format.
Another important part of publishing a book is the MARKET NEED
At SLACK Inc. Brien helps potential authors share their ideas, write the manuscripts and get the ideas over to the editors.
What if I am not a university Ph.D. AT Faculty? Most of the authors Brien works with are AT Faculty as they usually are the ones doing research to contribute to textbooks. However, there is still a lot of opportunity for the AT in the secondary setting to contribute and add value in publishing books.
Many specialty products look to people other than ATs to contribute to their books. For example, When discussing ankles the author may seek out the advice of an orthopedic surgeon.
An Athletic Trainer in the secondary setting with experience creating community buy-in, Admin approval, building consistently good programs, designing and opening new AT facilities all might be asked to write a section or chapter.
How can YOU contribute? Been an expert in your field. If you are really good at, let’s say, podcasting then begin podcasting, present at conferences about podcasting, write blogs and print articles about podcasting. Be known for your knowledge about and being able to teach about podcasting.
Just replace “podcasting” with your expertise area
John Ciecko has presented, written about and been interviewed about Vaping. He is becoming known as a great resource for the harmful effects of vaping.
What if I do not fit the “textbook author” mold? SLACK Inc. focuses on Textbooks.
Human Kinetics – publishes some different style books.
There are other options, the key is to find one that fits your needs and you fit into their ecosystem. YOu have the power to choose what is best for you as an author.
I have my idea, what is the next step in publishing books? Contact Brien and have a conversation about your idea. He can get a feel for your needs as well as the needs of the company and give insight to the current market.
Next, you would submit the required background info
Then, Brien would send it to marketing and it would go to a peer-review process to ensure you and the company fit together.
How do I know you won’t steal my book idea? “Longevity and trust is the best possible asset you can have as a publisher. People talk and if word gets out that you are stealing ideas then the author will not go with you.”
However, working in a niche market of AT there have been some simultaneous book ideas.
As a smaller publisher SLACK focuses more on the relationship than the bottom line.
What else can I do to get and stay on your radar? * Present, write, speak about your topic * Get involved with similar projects * Become a proposal reviewer * Continue to find ways to positively interact with the company and community * Positive reputation and social media following also help you stand out
What if I have already been rejected? * Do not take it personally. * Keep going * Keep fine-tuning * Find other ways to deliver your content. * Find ways to increase the reader’s engagement and experience
Brien loves publishing books with Athletic Trainers Some of the reason AT s a great to work with include:
- Full of energy
- Younger side of healthcare
- Lots of new ideas
- Constantly improving the professional level of students
- Proactive and aggressive
Brien’s favorite project so far? Case scenarios book for ATs – provides real-world scenarios for ATs that would not be taught in classrooms. if nothing else it creates a jumping-off point for conversation.
Book Publishing Resources Healio.com
SLACK Inc.
Contact Us Brien Cummings: bcummings@SlackINC.com
Todd Sabol: @toddsportsmed on IG, Twitter and FB
Jeremy Jackson – @MrJeremyJackson on Twitter, FB, IG
Sponsors who love what ATs are doing Frio Hydration – Superior Hydration products.
MioTech – meeting all of your sports medicine supply needs
PhysicalTherapy.com – use promo code “1FREECOURSE” to start for free
Donate and get some swag (like Patreon but for the school)
DragonflyMax – one-stop EMR
HOIST – no matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second-year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Bart Peterson and Larry Cooper join John Ciecko to discuss how we can ALL strive for Appropriate Medical care in our settings.
One way the NATA is working to improve the practice of secondary school athletic trainers is through a new online tool launched in 2019 called PASS (Some features require NATA login credentials).
Today on the podcast John talks with Bart and Larry about the online tool they helped create through an entire year of data collection, research and collaboration.
What is PASS? PASS is an online tool available to secondary school athletic trainers that are NATA members. The tool takes the AT through 12 standards with narratives and annotations that can help ensure that can help elevate the care at a secondary school and ensure that you are practicing at the highest level.
Who should use PASS and how should it be used? Bart and Larry encourage all secondary school AT’s to login and process through the PASS system. Their goal is for at least 20% of all HS AT’s participating in PASS so that they can then pull of data of each state and assess where each state is meeting the standard and what needs improvement.
They recommend that an AT take approx 1 month to go through each standard and at the end of the year (12 standards) each secondary school will have a comprehensive collection of their policies, procedures, EAP’s and other administrative information.
How can an AT use PASS to move towards appropriate medical care? The standards provided in PASS will ensure the AT is practicing at the highest level of care. Each standard includes evidence and case law for compliance.
The standards are also a great tool to present to stakeholders within your school to encourage change. For example, there is a standard of clean and safe facilities. If you as an AT are struggling to get your AT room and equipment cleaned properly, this standard can be taken to a stakeholder in the district and will help them understand the need for and importance of clean facilities.
The PASS system is also a great way to transition between AT’s in your school. All EAP’s, policies, etc are stored on the PASS sight for the next AT at that high school.
We are already a NATA Safe School. Should I still do PASS? Bart and Larry encourage even Safe School Award winners to process through PASS. “If they have already been awarded the Safe School Award, they have probably already completed 70-80% of PASS.
Bart’s dream is to have Safe Schools and PASS connect so that AT’s are not only participating in PASS but also apply for the Safe Schools Award.
What is the end product of PASS? Elevated care within the secondary setting and moving from a model where a non-medical professional evaluates the AT to a medical model where the health care team works together to not only evaluate the AT but also to evaluate all the policies and procedures with the high school.
Got Questions?? Send us your specific questions to AppropriateMedicalCare@sportsmedicinebroadcast.com so we can respond individually or address it publicly if needed.
Watch the LIVE interview on Facebook
https://www.facebook.com/sportsmedicinebroadcast/videos/457502371494089/
Contact us: Jeremy Jackson
Bart Peterson – arizatc@cox.net
Larry Cooper – coopatc1@gmail.com
Jeremy Jackson – Host of The Sports Medicine Broadcast
John Ciecko – jciecko@bloomfield.org
Alisha M Pennington – alisha@theatvantage.com
Mike McKenney – m.mckenney@northeastern.edu
Mike Hopper – Mike.Hopper@bishoplynch.org
Clint Sanders – clint@dragonflyathletics.com
These people LOVE ATs and help the SMB pay the bills: Frio Hydration – Superior Hydration products.
MioTech – meeting all of your sports medicine supply needs
PhysicalTherapy.com – use promo code “1FREECOURSE” to start for free
Donate and get some swag (like Patreon but for the school)
DragonflyMax – one-stop EMR
HOIST – no matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second-year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
Frio Hydration – Superior Hydration products.
MioTech – meeting all of your sports medicine supply needs
PhysicalTherapy.com – use promo code “1FREECOURSE” to start for free
Donate and get some swag (like Patreon but for the school)
DragonflyMax – one-stop EMR
HOIST – no matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second-year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
How do you prefer to communicate? Does that style match the people you are working with?
Can you grow in your communication, make improvements, be more clear?
I struggle to communicate I like to keep to myself, do my thing and not bother you unless I need something. Usually, when I do I am pretty cut and dry. I do not like to pretend to be interested or make small talk. However, this often appears I am only talking to you if I need something, and have no interest in you or your day, life, struggles, and joys.
Podcasting has helped me learn.
Marriage has helped me learn.
Conflict has helped me learn to communicate.
How can you grow?
Larry Cooper is a returning podcast guest and an old school AT (he is already retired). He joins Cari Wood and Todd Sabol as we find common ground between the new AT and the old.
Cari and Larry came up with a list of topics based on the most common complaints they see on AT social media.
Top 10 Communicate to Grow areas 1. Coaches (last min changes, late-night texts/calls, don’t send athletes to you)
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Parents (ER trips for no reason, don’t trust you, come on the field when kid hurt)
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Officials (Don’t appreciate your safety concerns, flirt/demeaning, powertrips)
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Athletes (Exaggerate everything, get info wrong or don’t do it, don’t show up)
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Spectators (interject advice, stand in front of you, don’t know what we do)
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School Staff (take supplies, send you PE kids, let kids in AT room, unlocked)
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Athletic Director (doesn’t back you, no communication, low budget)
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Colleagues (no communication, unprofessional on social media, don’t help your kids at games)
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Teams/Sports (SB-cheers from the dugout, Track – shin splints, Cheer – drama, etc)
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Social Media (people who disclose too much, extreme responses that the commenter would never actually do, negativity toward the profession, etc)
Watch the conversation on Facebook
https://www.facebook.com/sportsmedicinebroadcast/videos/425732194789412/
Contact Us Larry Cooper – coopatc1@gmail.com
Cari Wood – cari.wood@redmondschools.org
Todd Sabol – ToddSportsMed on Social Media
Jeremy Jackson – MrJeremyJackson on Social Media
Keep the content coming Frio Hydration – Superior Hydration products.
MioTech – meeting all of your sports medicine supply needs
PhysicalTherapy.com – use promo code “1FREECOURSE” to start for free
Donate and get some swag (like Patreon but for the school)
DragonflyMax – one-stop EMR
HOIST – no matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second-year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
In episode 135 - Tragedy, Death, Grief, Healing we were fresh off the loss of an athlete in which we performed life-saving skills. We desire for each school to have an action plan in place to help the Athletic Trainers and coaches deal with the loss for the next 6 months, not just the next week.
Here is our action plan for you to submit to your district and have on file or in place before a catastrophic injury occurs.
Action Plan
Show Notes 190
Contact Bubba:
Twitter @ATCLATBubba
Email
Dr. Josh Yellen