SPORTS MEDICINE: CHAPTERS 1 & 2
What does it required to become an ATC
4 years of college, Masters Degree, and take BOC
Preferred Provider Organization
A PPO is a managed care organization consisting of Physicians, hospitals, and other health care providers. With a PPO the client does not need a referral from a primary care physician to see a specialist. There is an established network of providers contracted through the client's insurance carrier; going out of network will increase cost of care for patient.
Health Insurance Portability and Accountability Act (HIPAA)
A federal regulation establishing national standards for health care information to protect personal health information
Physical Fitness program
A method of exercise designed to prepare an individual to become physically able to do the activities he or she wishes to do in daily life, without causing undue physical stress.
Physician Assistant (PA)
A mid level health care practitioner who works interdependently with physicians to provide diagnostic and therapeutic care.
National Athletic trainers association
A not-for-profit organization with more than 35,000 members nationwide that is committed to the advancement, encouragement, and improvement of the athletic training profession.
Certified Strength and Conditioning Specialist
A professional member of the sports medicine team who evaluates existing levels of fitness and athleticism, along with helping to increase the strength and endurance of an individual or team while promoting an healthier lifestyle.
Certified Strength and Conditioning Specialist (CSCS)
A specialist who designs and implements safe and effective strength and conditioning programs.
National Strength and Conditioning Association Certified Personal Trainer (NSCA-CPT)
A specialist who designs and implements safe/effective strength and conditioning programs.
Patient Autonomy
Ability and right of patients to make independent decisions regarding their medical care.
Certified Athletic Trainer
Allied health care professional educated and trained in the prevention, assessment, treatment, and rehabilitation of injuries.
ASCM
American College of Sports Medicine
Informed Consent
An ethical principle that research participants are told enough to enable them to choose whether they wish to participate.
Physical Therapy Assistant
An individual who has earned a 2-year associate's degrees and in involved in clinical tasks, such as patient care and recording treatments under the direct supervision of a physical therapist.
Duty of Care
An individual who has the responsibility of caring for an injury
Physical therapy aide
An individual who is not licensed but is able to perform clerical tasks under the direct supervision of a physical therapist or physical therapy assistant.
Classes you have to take
Anatomy Physiology Nutrition
Physical Therapist (PT)
Assists persons with musculo-skeletal problems to restore function & prevent disability. Perform treatments that require special training and work in specialized practices and locations.
Physical Therapy Assistant (PTA)
Assists the physical therapist, assists in developing treatments under the supervision of PT.
Standard of Reasonable Care
Assumes that an individual is a person of reasonable and ordinary wisdom
ATC
Athlete Trainer Certification
Circle of Care
Athlete in Motion Injury Immediate Treatment Rehabilitation Athlete in Motion
The person who combines knowledge and hands on skill to increase athletes safety
Athletic Trainer
Medico-legal Concerns
Concerns that cross the boundaries of what is medical and what is legal.
What areas of specialization are encompassed under the general heading of sports medicine?
Example: Sports Medicine Doctor Physical Therapist
Negligence
Failure in following standard of care by failing to provide care, providing too much care (outside of your scope of training), providing inappropriate care, or failing to prevent problems.
A division of the sports medicine team that evaluated existing fitness levels
Fitness Instructor
American College of Sports Medicine (ACSM)
Founded in 1954, promotes the idea that athletes require a broadly trained physician. "Sports medicine specialists" used to be a marketing tool, now requires excessive training.
Health Maintenance Organization
Group health care plan that provides a predetermined, prepaid medical care benefit package.
Team Physician
Helps maximize function and minimize time away from sports. Refer patients to primary care physicians, monitor progress.
-Inadequate supervision of the athlete or patient -Inadequate training of the athlete or patient -Improper or inadequate medical treatment by one or more members of the sports medicine team -Faulty equipment or facilities -Sexual harassment, discrimination, or other inappropriate behavior by one or more members of the sports staff
In the field of athletic training this damage or loss usually results from one of what situations:
National Academy of Sports Medicine (NASM)
It was founded in 1987. It provides education and credentials for fitness, sports performance, and sports medicine professionals.
liability
Legal responsibility to perform duties in a reasonable and prudent manner
Torts
Legal wrongs committed against a person
ethics
Morals; a set of principles or values that influences behavior.
List of professional sports medicine organizations
NATA NSCA ACSM
What is required to become a personal fitness instructor?
NSCA/ ACSM- get online certification
1.Members shall respect the rights, welfare, and dignity of all. 2.Members shall comply with the laws and regulations governing the practice of athletic training. 3.Members shall maintain and promote high standards in their provision of services. 4.Members shall not engage in conduct that could be construed as a conflict of interest or that reflects negatively on the profession.
National Athletic Trainers' Association Code of Ethics
Shared Decision Making
Parents and students (as appropriate) must be included in the medical process helping to make plans and decisions.
List some personal characteristics that are required in the career of sports medicine
People Skills Compassion Healthy Body
Sports Medicine
Prevention and treatment of injuries sustained in athletic events.
malpractice
Professional misconduct or lack of professional skill that results in damage to the patient; negligence by a professional, such as a physician, nurse, certified athletic trainer, or coach.
Family Educational Rights and Privacy Act (FERPA)
Protects a student's educational records and is specific to educational institutions that receive federal funding. Once the student reaches 18 years of age or attends a postsecondary institution, he or she becomes an "eligible student" and all rights formerly given to parents under this organization transfer to the student.
A branch of sports medicine that deals with the prevention of sports injury
Sports Medicine
1.Do not allow a patient, client or athlete to begin any program without obtaining a signed informed consent and liability release. 2.Agree upon fees/costs and put them in writing before the start of services. 3.Make sure adequate facilities are available for both male and female athletes. 4.All efforts should be made not to be alone in a room with an athlete or patient to avoid the suggestion of inappropriate behavior. 5.Keep detailed notes about all professional activities. 6.Become familiar with the products and supplies used. Read all manufacturer warnings and disclaimers, and make sure the athletes or patients are aware of them. 7.Develop an emergency action plan for every sport.Make sure everyone understands their role in the emergency action plan so that they will be prepared to act when the need arises. 8.Consider all the sports involved in the athletic program, not just the ones that are conducted on a court or field, when developing emergency action plans. 9.Follow appropriate procedures on all injury assessments. 10.Ensure supervision of all athletes during treatment modalities, whether in the clinic or on the sidelines, and make sure those performing the treatment modalities are aware of any health conditions the athlete may have, such as diabetes or asthma 11.Educate the coaches regarding up-to-date training techniques. 12.Conduct pre- and post-season reviews of past years and seasons, and learn from both the positive and negative events that occurred. 13.Create a daily approach to safety. Make a daily checklist for key items of concern. 14.create a safety committee 15.know personal limitations 16.Be aware of changes in standards of care and any other changes that affect your field of work.
Steps you can take to avoid legal wrongdoing include what?
Athletes Circle of Care
Teaches and directs athlete activity, teaches athletes to compete without injury.
Commission on Accreditation of Athletic Training Education (CAATE)
The agency responsible for accrediting entry-level (undergraduate and graduate) athletic training educational programs.The mission of the CAATE is to provide comprehensive accreditation services to institutions that offer athletic training degree programs and verify that all CAATE-accredited programs meet the acceptable educational standards for professional (entry-level) athletic training education.
Commission on Accreditation of Athletic Training Education
The agency responsible for the accreditation of 350+ professional athletic training educational programs.
Sports Medicine
The branch of health care that deals with evaluating athletes and preventing and treating injuries. These athletes can range from wheelchair basketball players to the extreme skier.
Board of Certification
The certifying organization for the athletic trainer.
Athletic Training
The division of sports medicine that deals with the care and prevention of athletic injuries and the management of the training methods used by professional or amateur athletes and the active population.
athletic training
The division of sports medicine that deals with the care and prevention of athletic injuries and the management of the training methods used by professional or amateur athletes and the active population.
Beneficence
The ethical tenet that the physician has a responsibility to act in the patient's best interest.
negligence
The failure to give reasonable care or to do what another prudent person with similar experience, knowledge, and background would have done under the same or similar circumstances.
Assumption of Risk
The individual, through expressed or implied agreement, assumes that some risk or danger will be involved in the particular undertaking. In other words, a person takes his or her own chances.
-Interpreting referrals from other health care providers -Preforming evaluations on a patient -Making decisions about treatments, procedures, or activities -Planning patient care Independently providing athletic training services -during team travel -Making "return-to-play" decisions
The licensed/certified athletic trainers, coaches, and administrators must not ask the athletic training student aides to engage in what activities?
Family Physician
The primary physician in the care of the athlete; works in the cooperation with the team physician.
Liability
The state of being legally responsible for the harm one causes another person
Therapeutic Modality
The use of heat, cold, or electrical stimulation to produce an increase or decrease in blood flow.
The use of heat, Cold or electrical stimulation to increase of decrease blood flow
Therapeutic modality
Dual Relationships
This is socializing, group affiliation, friendship, dating, sexual activity, family, bartering, employment, interactions between clients and professional personnel.
true
True or false: assumption of risk means that an individual assumes responsibility for the risk he or she takes while participating in the sport
assumption of risk
Voluntarily and knowingly assumes the risk of an activity through an expressed or implied agreement, but does not forgive a person of reckless conduct.
What elements do trainers need to consider prior to helping an athlete recover?
What sport do they play What kind of Injury Pain tolerance
Malfeasance (act of commission)
When an individual commits an act that is not legally his/hers to perform
Act of Omission (Nonfeasance)
When an individual fails to perform a legal duty
Misfeasance
When an individual improperly does something they have the legal right to do.
Conflicts of Interests
a manifestation of moral hazards in which one party in a financial contract has incentives to act in its own interest rather than in the interest of the other party
tort
a wrongful act resulting in injury to another's person, property, or reputation, for which the injured party is entitled to seek compensation
Certified Athletic Trainer (ATC)
allied health care professional educated and trained in the prevention , assessment , treatment, and rehabilitation of injuries.
no
are all initiation rituals illegal?
-be a college graduate and complete coursework in a NATA approved curriculum -pass a national training exam
as part of obtaining NATA certification, you must?
Injury/Illness Prevention and Wellness Protection Clinical Evaluation and Diagnosis Immediate and Emergency Care Treatment and Rehabilitation Organization and Professional Health and Well-being
athletic training practice domains are?
Human Anatomy Human Physiology Chemistry Biology Physics Statistics and Research Design Rehabilitation Exercise Physiology Kinesiology/Biomechanics
basic and applied sciences of the CAATE
no
can a STUDENT TRAINER allow an athlete to return to play after injury?
team physician
captain of the sports medicine team is...?
Athletic training students (ATSs)
college students who are enrolled in an athletic training curriculum and are supervised by a certified athletic trainer.
Non-maleficence
do no harm
yes
do the laws for athletic training and fitness instruction vary from state to state?
PS aide
doesn't work with the patent compared to the Assistant
preferred provider organization
health care plan the allows people to choose their own medical providers
when an athlete becomes injured, they are entitled to certain patient rights during the course of treatment like being treated with respect and receiving reasonable continuity of care. Assures that the health care system is fair and it works to meet patients' needs • Gives patients a way to address any problems they may have • Encourages patients to take an active role in staying or getting healthy
how does the patient's bill of rights apply to a person?
yes
is a patient's medical record confidential?
no
is point fixing and gambling legal?
-Knowledge of assessment and management of injuries -Providing and maintaining safe and effective equipment and facilities -Instructing the athlete or client in safety procedures and methods to minimize injury -Planning and executing an appropriate response for medical emergencies -Taking reasonable steps to provide medical assistance when required -Preventing the athlete or client from returning to participation if there is risk of aggravating the injury -Maintaining confidential medical records -Mandated reporting
legal responsibilities of sports med team
Risk Management and Injury Prevention Pathology of Injuries and Illnesses Orthopedic Clinical Examination and Diagnosis Medical Conditions and Disabilities Acute Care of Injuries and Illnesses Therapeutic Modalities Conditioning, Rehabilitative Exercise Pharmacology Psychosocial Intervention and Referral Nutritional Aspects of Injuries and Illnesses Health Care Administration
professional content of the CAATE
-info about past injuries can be an important tool in the prevention of future injuries -because athletes assume the risk of injury when they participate in a sport -because the info can provide important information regarding an athlete's treatment in the event of injury
proper record keeping is important because...
risk managment
reduction of the potential for injury
yes
should sports medicine professionals have malpractice insurance?
public
sports medicine is a ______________ medicine
physiology
study of the function of the body
Confidentiality
the act of holding information in confidence, not to be released to unauthorized individuals
Board of Certification (BOC)
the certifying organization for the athletic trainer
standard of care
the degree of care, skill, and diligence an equally qualified caregiver in the profession would provide in similar circumstances
National Athletic Trainers' Association (NATA)
the professional membership association for certified athletic trainers and others who support the athletic training profession.
-activating EMS -organizing insurance forms, parental consent forms, and supply forms -preparing for practices and games by setting up water and first aid areas -Taping, bandaging, or bracing the athletes and fitting any protective equipment -Overseeing rehabilitation or use of therapeutic modalities, including anything from helping with an exercise program to a whirlpool treatment -Administering first aid to injured athletes after taking a recognized first aid course -Activating the emergency medical services
the student athlete trainer can help in what areas?
anatomy
the study of the structure of the body
battery
the unlawful touching of an individual without consent
assumption of risk
voluntarily and knowingly assumes the risk of an activity through an expressed or implied agreement, but does not forgive a person of reckless conduct
Dependability/time management Adaptability/organizational skills Critical thinking/problem-solving skills Leadership/communication ability Good judgment A sense of humor/people skills Good physical health Passionate about sports and helping others
what are characteristics of a successful athletic trainer?
ligitation
what determines liability?
Supervision Aid Facilities Equipment
what does the acronym S.A.F.E. stand for?
Physicians, physician assistants, nurses, physical therapists, physical therapy assistants, athletic trainers, chiropractors, and physical therapy aides,
what examples of careers in sports med field
exercise the ultimate in good ethics and integrity, not allowing decisions to be influenced by personal or professional motives. behavior should be founded on scientific judgement
what is the ethical role of the team physician?
negligence
what is the most common type of lawsuit involving athletic training injuries is...?
primary risk
what type of risk is anything that negatively impacts the health of the athlete or client
secondary risk
what type of risk is risk to the staff or organization of liability for injury
code of ethics
written standards for conduct, or behavior, and moral philosophy are know as a...?