Category Archives: COVID19

AT Education Post COVID – 653

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.

AT Education

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

AT Education, Madeleine Bozych, WFATT, COVID

Nick Lichti – Manitoba Canada

Hockey guy preferably with a pro hockey team

AT Education, Nick Lichti, WFATT, COVID

Anat – Israel

Entering her final year as part of the first class of Sports Medicine in Tel Aviv

AT Education, Anat Buhnik, WFATT, COVID

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 students
  • Revisit a lot of topics
  • Be flexible
  • Take your time with students
  • Students 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 yourself
  • Academics 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

AT Education and COVID-19

Athletic Training Education is a highly hands-on experience. With COVID19 and all the new restrictions, those hands-on experiences are a lot more difficult.Join the conversation as we speak with Athletic Training and Athletic Therapist students from 5 countries to see how education is changing for them.Thanks to Nick Lichti, Kate Aughey, Anat Buhnik and Madeline Bozych, John Ciecko, Jacob Resch and WFATT or World Federation of Athletic Training and Therapy.

Posted by Sports Medicine Broadcast on Tuesday, September 22, 2020

Contact Us

anatbuhnik@gmail.com

lichti-n@webmail.uwinnipeg.ca

kate.aughey2@mail.dcu.ie

madeleine.bozych@slu.edu

John Ciecko – @JohnCiecko

Jeremy – MrJeremyJackson on Twitter, and 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

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.

MioTech; AT Education

Patient-Reported Outcome Measures – 648

Have you tried installing Patient-Reported Outcome Measures into your practice as an Athletic Trainer?

PROMs just tell a story” – Dr. Lam

Patient Reported Outcome, Kenny 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:

Watch the episode on YouTube

Patient Reported Outcomes with Dr. Kenneth Lam

Ryan Pena of Dallas ISD asked to do a podcast with Dr. lam about PROs.This topic helps to continue our recent interview of Dr, Zachary Winkleman about Patient-Centered-Approach to AT Service.Post your questions here and join us for the live show Thursday, May 7th, at 9 am CT.

Posted by Sports Medicine Broadcast on Thursday, May 7, 2020

Contact us

Dr. Lam @kennyLam_

Ray Olivo@RayOlivo20

Brian Columbe

Jeremy Jackson

Ryan Pena – @RyanPena75 or @DallasSportsMed

Sponsors

Frio Hydration – Superior Hydration products.

MioTech – meeting all of your sports medicine supply needs

PhysicalTherapy.com – use promo code “1FREECOURSE” to start for free

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.

FrioHydration; frio hydration; Get Frio; Best in class; Waterboy; wisstech; hydration station; sports medicine broadcast; Jeremy Jackson; Rob McFarlin

Chinese Olympic Experience – 647

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.

Chinese Olympic Experience

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.

Chinese Olympic Experience

Some people just have a good story to tell.Adam Stoyanoff worked with the Chinese Olympic Teams and was in a foreign country when the coronavirus started raging.Join John Ciecko as we hear some of his stories.

Posted by Sports Medicine Broadcast on Thursday, May 14, 2020

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.

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

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.

Krampade – An Intro – 646

Krampade claims to stop cramps through science. John Ciecko, Sofia Mata, and I provide some anecdotal evidence.

Krampade

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:

Krampade Live Q & A

Posted by Sports Medicine Broadcast on Friday, March 27, 2020

Contact Us:

Sean Murphy

John Ciecko

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

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.

COVID19 RTP Recommendations – 639

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.

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

COVID19 RTP Guidelines explained

COVID19 is changing everything we do as medical professionals.Join Bart Peterson and Jennifer Rheeling to discuss the newly released COVID19 Secondary School Athletic Trainer Committee guidelines. This will be SportsMedicineBroadcast.com/COVID19RTP for links and contact info.COVID-19 Return-to-Sport Considerations for Secondary School Athletic Trainers – https://www.nata.org/sites/default/files/covid_19_return-to-sport_considerations_for_secondary_school_ats_1.pdfTelehealth Guidelines for the Secondary School Athletic Trainer – https://www.nata.org/sites/default/files/telemedicine_guidelines_for_the_secondary_school_at_0.pdf

Posted by Sports Medicine Broadcast on Thursday, 4 June 2020

Resources:

COVID19 RTP Document

Telemedicine

Contact US:

Jeremy Jackson

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

Frio Hydration – Superior Hydration products.

MioTech – meeting all of your sports medicine supply needs

PhysicalTherapy.com – use promo code “1FREECOURSE” to start for free

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.

Presidential Discussion – 634

NATA Presidential candidates Kathy Dieringer and Katie Flanagan join Cari Wood in answering some member-driven questions.

Presidential Debate, presidential discussion, Katie Flanagan, Kathy Dieringer, Cari Wood, NATA, President, election, 2020, COVID19

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% caucasian
  • Other 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 Go4Ellis
  • Be flexible and keep growing your skills
  • We need to think forward
  • Reach out to the NATA for additional resources

KD: We do not even know what is coming

  • We are great at responding and shifting
  • Advocate for yourself
  • Maximize 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 NATA
  • My 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 exam
  • Creative thinking will be required

Secondary Schools – 

KD: It is where athletes are introduced to the AT for the most part

  • Collecting Data
  • Medical Autonomy
  • Pointing towards available resources
  • Monthly 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 alike
  • Need to be flexible and know the situation to make them successful in that setting
  • Investigate 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 problem
  • Have 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 do
  • The introduction to health professions is VERY important
  • Caution about teaching students skills that should only be practiced by and LAT BOC person
    • Student 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”

Presidential Discussion

Your 2020 NATA Candidates join the SMB for a round of answering your questions.Submit your questions here, via messenger, or via email to info@sportsmedicinebrodcast.com

Posted by Sports Medicine Broadcast on Thursday, May 7, 2020

Contact us:

Jeremy Jackson

Cari Wood – cari.wood@redmondschools.org

Kathy Dieringer – kidier@ddsportsmed.com

Katie Flanagan – FLANAGANK@ecu.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

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.

MioTech, Presidential Discussion, NATA President, 2020 Election, Kathy Dieringer, Katie Flanagan