AT in the Capitalist Economy

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?

David Gallegos

Capitalism naturally balances a supply and demand imbalance in free markets so what is predicted of the profession was heavy in this model?  Too much supply? Too much demand?

If you want to hire an AT but can not since they are in other settings then institutions will need to pay more to get one and keep them.

Contact Us:

Dr. Kathy Dieringer:

Mike Stella: @mikestella_atc IG/Twitter

Jeremy – @SportsMedicineBroadcast on IG

Help keep the knowledge coming

Frio Hydration – Superior Hydration products.

MioTech – meeting all of your sports medicine supply needs – 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.

AT Moms Crushing It

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


22 year old and 19 year old

Married 23 years


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.


You can make it work if you are both flexible and understanding.

Cari – dropped down to 20 hours per week to raise her kids

Val – not being afraid to ask

In AT Dads Larry Cooper shared Pizza Fridays as a way to be involved with the family.  What routines or traditions have you used to stay involved with family life?

  • Ball boys and cheer escorts.
  • Kids went on some field trips with the team
  • Family dinners with coaches kids
  • Meals after games with coaches family

Who has been a mentor for you as an AT MOM?

Cari – I did not know anyone who was an AT mom, but I had friends who were in similar situations.

My parents were involved in the community and were busy but made it work.

Val – Shannon Courtney was the Head AT and program director while raising her young children.

Mickey Cuppett demonstrated how she was raising her family while being successful as an AT

My Mom as well did a great job.

Kelly – a coworker, Cindy, who was an AT and new mom.

Friends in similar situations in similar situations.

Contact Us:

Cari –

Val –

Kelly – @Cookie_Tuesday

Jeremy – @MrJeremyJackson

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 – 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.

Marc Pro

Single Mom ATs

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.

Single Mom AT

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


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


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

Contact Us:

Dr. Erin Hassler

Paula Cook 

Chakaia Miles – 

Dr. Teshondra Abner – @teshondraabner on IG and FB or

Jeremy –  SportsMedicineBroadcast

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 – 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.; 1freecourse; continued; Physical therapy

Maximizing Online learning – Brent Brookbush

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.

Brent Brookbush

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 –

Tanya @tewatc on Twitter & Instagram. or email:

Jeremy – IG: SportsMedicineBroadcast

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 – 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.

Women In AT 2

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 content that invigorates our members and challenges their daily practices in an empowering way. To us the phrase ‘empowering women empower women’ is highest goal. If we aren't meeting that – if we aren't finding ways to continuously empower and enrich or members then we aren’t meeting our mission.  

Has COVID changed anything for women in AT vs men?

COVID has impacted athletic trainers in very intense and unique ways, most often adding even more work to an already overloaded schedule. This has only compounded the discrepancies between the genders in our profession. When athletics were suspended the workload at home was still expected to happen – and any form of work-life separation went out the window. Once everybody went back to work, many female athletic trainers found themselves having to miss work if kids’ daycares or classes got put in quarantine. For those that were furloughed all of the PTO previously banked for things like maternity leave, or parent life, etc those were eliminated.  This carried over into our need to go to work, but our fear of bringing the virus home with us, when many of us remained the primary caregiver at home. Women in athletic training give their all to the safety of their athletes, and that intensified our work and preparation last summer, as we discussed COVID policies in our respective settings, and it intensified our stress and worry every day that we went to work.

Maternity leave vs no accrued PTO after furlough.

Megan – single female, when others have to go home to quarantine/take care of a child that has had school/daycare shut down then the single AT’s within the ATF have to help with coverage

How have you been able to help encourage equality through WAT?

WAT’s main purpose and reason for existing are to build each other up, to give each other support and a cheering section and a shoulder to cry on. In a (formerly) male-dominated profession, where many of us work alone, we need all of those things more than most jobs, because all athletic trainers feel beat down, and all of us need a listening ear. The push for equality comes from the support and the advocacy that we give each other in a profession that still isn’t equal for us. We are all part of a 9000-person team, with all the support, brains to pick, and camaraderie that a lot of us are missing at our jobs.

Call to action:

International Women’s day is March 8, 2021

Watch the Facebook version of Women in AT 2

Contact us:

Megan Smith –

Chelsea Lowe –

Maren Carroll –

Women in AT – 

Jeremy – @MrJeremyJackson on Twitter


Frio Hydration – Superior Hydration products.

MioTech – meeting all of your sports medicine supply needs – 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.

COVID Care with Paul

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


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.


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

Frio Hydration – Superior Hydration products.

MioTech – meeting all of your sports medicine supply needs – 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.

Amazon AT Allan

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.

Amazon AT

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 Package
  • Stability
  • Opportunity for advancement
  • Life 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. 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

Jeremy –

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 – 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.; 1freecourse; continued; Physical therapy

Employment Considerations

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.

Employment Consideration

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



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?


Typically from a hospital

Are you an at-will employee?

Will you be furloughed?


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


Hours are usually better regulated

But typically working year-round (finding more business)


When are you on the clock, when you leave the house or arrive on site?

Supervision of PRN ATs


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




HR may not know what you do and who you are. 

Make sure you have liability and physician oversight

Stark Law/referrals


  • No benefits / HR Access
  • Liability and physician orders are on your own

Immediate Supervisor

School District

  • Typically and Athletic Director (hopefully we are moving away from this)
  • Principal
  • Superintendent


  • You could be reporting to a clinician
  • Maybe a CEO or CFO
  • Contracted Schools ADs


  • Physician
  • Tournament Director
  • School AD

Location Specific Nuances

School District

  • Rural vs. Urban
  • Physician/clinical staff


  • Clinical space access
  • Multiple offices


  • Could but constantly changing

Contact Us:

Dr. Danny Barringer

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 – 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.

Marc Pro

Snocross – Amy Metiva

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

3-4 layers of tights

FXR boots wearing 1-3 pairs of socks

Gloves with hand warmers

I know from 6-10 pm I am going to be on the track for the night show.

Discuss how you work with the EMS crews to coordinate care.

We use the Polaris rapid response that has treads and is equipped with basically everything we need.

If they need a higher level of care than we can provide then we do a hot transfer and get them to the ambulance.

I have to coordinate my movements with the track boss.

“Amy to 4” is her call to go back to the trailer for medical.

We have 3-4 people on track most times unless there is an injury.

They are allowed to call a red flag for a medical stop if needed.

How have you used supplies in random or odd ways in Snocross.

Amy uses a lot of RockTape, but it comes down to knowing your riders.

Riders get blisters on their throttle hands.

They love colored pre-wrap so it matches their uniform better.

Amy sometimes modifies braces for the snocross racers.

It is hard to get anything else underneath their uniform so we can not use a lot of braces.

Can ATs volunteer?

COVID had eliminated the volunteer options

It is cold

You are in the trenches

Just reach out with plenty of time as she has to get permission.

You have to be serious because you are standing in the line of fire.


I love HOIST hydration for staying hydrated, but what do professional Snocross riders use?

Eat small – grapes, raspberries, lots of water

Avoids energy drinks, some coffee with collagen

Amy eats small meals and drinks Starbucks black ice tea

Soup and crackers are always great.

Almost everyone eats a bigger meal after the shows at night.

Watch Snocross with Amy Metiva on Facebook

Contact Us

Amy Metiva – email –

IG – AmyMetiva10

David –

Hunter – For the races: click live stream

IG – @hunterpatenaude

Jeremy – IG – SportsMedicineBroadcast

Support the podcast

Frio Hydration – Superior Hydration products.

MioTech – meeting all of your sports medicine supply needs – 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.

Amy Metiva, snocross, HOIST

Auto Racing Medicine – Julia Hines

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 hines; Motorsports PT; Auto Racing Medicine

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



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.

What is an adaptation you have used for race teams? (creative ways you used theraband to for support, brace you had molded…)

Things are too bulky usually for them.

So almost everything has to be minimalist.

The ACL patient had a brace that he could not wear so they had to try several options to make it work for him.  Ace wrap ended up too bulky, so they went to KT tape for the proprioceptive feedback.

What types of injuries do you see in auto racing medicine?

Mostly chronic issues


The driver was getting in the car and was struggling with forearm stiffness. They came to the pits for treatment and she was almost on the interview with him.

A neuroma in his foot from driving for 20 years.

Fun Stories?

The first AT in racing was a rodeo AT back in the 70s or 80s

Most of the rescue crews are fireman and EMTs

ATs can and do belong in those positions with proper training.

Call to action: Network but do not give your services away for free

Watch Auto Racing Medicine on Facebook

Contact Us:

Dr. Julia Hines –

Mike – @McKenneyATC

Jeremy – @MrJeremyJackson

Want to support the podcast?

Go through the schools RevTracker system and make a donation.

Once I receive the info I will send you some Sports Medicine Broadcast swag.

Hoist logo; rapid hydration