Establishing a Business and Testing

In AT Inventors part 2 Jay and Elysia discuss establishing a business and product testing.

Some of the topics we discussed include:

  1. Establishing Business
  1. 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.

  1. Articles of organization
  1. 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?

  1. 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

  1. Funding vs bootstrapping your business financial needs
  1. How do you manage a business partnership? Do you want a business partnership
  1. 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?

  1. Method of selling product (direct, wholesale, etc)
  1. Where is all the money going? Proper accounting and continual costs
  1. 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.

  1. Why people always ask about how much money you make, how many units you sell and if you are a million dollar company
  1. 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.

  1. 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.

  1. Testing
    1. The MVP-Mean Viable Product
  1. How do you choose a product line and different tiers of quality
  1. When to diversify and when to stay focused on your product line
  1. Do you have multi-purpose materials or interchangeable parts
  1. Is your product safe, allergy free, structurally sound or have a shelf life
  1. How do you manage broken products?

E: Don’t make broken Products!!!

It is part of the process..my eyes are on everything, so i am quality control

“If the recipe is working don’t change it”

Honor your warranty but protect yourself.

Do not always apologize for things…say thanks for waiting instead of sorry I am late

J: I wish I could be all in on quality control.

Materials are important

I can not re-make the whole product to fit the needs of one person.

  1. Is it hype or is it real- managing people who want product for free and offer false promises

E: some people are upset that they don’t want to afford it.

Is this really going to be a good partnership or is it smoke and mirrors.

I do not have any paid nice words people…they all bought the product and decided to say something positive

J: via social media, I get at least a message a week…everyone has to pay.

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.

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.

Doctorate Degree as an AT

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/ATEfficiency
Jeremy – SportsMedicineBroadcast.com/About

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.

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.

PhysicalTherapy.com; 1freecourse; continued; Physical therapy

What is the DAT – Doctorate of Athletic Training

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.

DAT

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

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.

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.

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

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.

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

Strangest?

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 – https://www.motorsportspt.com/contact

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

AT Dads 1 – Relationships

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

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.

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.

AT Dads; Hands Free
Water,
We freaking love these hands free units from FrioHydration

Emerging Setting with Max Mahaffey

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 College
  • Worked in Alexandria, Louisianna for 2 years with an independent minor league team and as a physician extender
  • Went back to Lousianna college to work as an AT
  • Went back to school and got his masters at the University of Houston
  • Worked as the Baseball AT after graduating
  • Got 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?

  • HPI
  • Exam
  • Initial assessment / DDx
    • Answer questions
  • Confer with Doctor
  • Plan
    • Imaging
    • HEP vs PT
    • RTP protocol
    • Orthos referrals
    • In-office procedures

Pros and Cons of Physicians Practice Setting

Pros

  • Work closely with doctors
  • Set schedule vs athletics
  • Had freedom to pick “regular AT” per diem
  • Wide variety of patients
    • Pediatric
    • Youth
    • Geriatric
  • A lot of concussions 

Cons

  • Public’s lack of knowledge of an AT
  • Difficult/ rude patients
  • They are not there to see Max
  • A lot of concussions
  • A lot of the same stuff
    • neck/back

CPT Codes

  • ICD vs CPT
  • 97110 Therapeutic Exercise for 15 minutes
    • Codes are not profession-specific

Financial Impact

  • Worth and Value
    • Worth – the monetary cost of the service
    • Value – is the perceived worth
  • ATs can increase efficiency by performing the non-billable tasks and freeing up the Doc for the billable tasks.
  • Pecha et al study
    • Increase of $200-$1200 per day increase
  • In Max’s clinic study over 6 months, this value would have been about $16,000
    • Patient satisfaction survey

    Sugarland Skeeters experience:

    • He has been there since the inaugural season
    • Mostly veteran players trying to get back to affiliated ball

    Facebook video

    Contact Us

    Max

    Jeremy

    Financial Supporters

    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.

    JOhn Harmon; Candice Teunis; Wrist and Thumb; Frio Hydration; NATA

    Path to Leadership

    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.

    Path to Leadership; Rick Cox

    “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 AT
    • was satisfied for a while as an assistant
    • Realized 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 himself
    • Makes small changes

    How did he do it?

    • A lot of reading, but not focusing on a single person
    • Simon Sinek
    • Ryan Holiday
    • Military 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 clinician
    • I 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 Coxrcox2@suffolk.edu @Suffolk_AT

    John Ciecko – @John Ciecko

    Jeremy – @MrJeremyJackson

    Encourage them to buy more shirts for you…

    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.

    Armed Forces Athletic Trainer Michael Hooper; path to leadership; John Ciecko

    Patient-Centered Approach to AT Services

    Dr. Zachary Winkleman is leading his students to provide Athletic Training services from a Patient-Centered Approach.

    Complete the course work to earn Category A CEUs sponsored by Methodist Healthcare Sports Medicine of San Antonio – SportsMedicineBroadcast.com/CEU

    Patient centered approach, patient based care.

    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

    1. Welcome the patient
    2. Use their name
    3. Introduce yourself and ID your role
    4. Ensure patient readiness
    5. Remove barriers to communication (sit down) – removes the powerful struggle
    6. Ensure comfort and put the patient at ease
      • A patient had been sexually assaulted in the prayer pose…therefore any sort of rehab in that pose triggered her.

    Step Two

    1. Indicate time available
    2. Forecast what you would like to happen during the visit
    3. Obtain list of all issues the patient wants to discuss
    4. Summarize and finalize

    Step 3

    1. Start with open-ended questions
    2. Use non-focused skills (silence and non-verbal encouragement)

    Step 4

    1. Echo the patient’s words back
    2. Request
    3. Elicit emotional story (allow them to tell you their story

    Step 5

    1. Summarize
    2. Check accuracy
    3. Indicate the style
    4. Ask 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.

    patient centered approach

    Watch Patient Centered Care on Facebook

    https://www.facebook.com/sportsmedicinebroadcast/videos/484200482258173/

    Jeremy Jackson

    Michael MacPherson – michael@sujibfr.com

    Lisette Guerrero

    Dr. Zacahary Winkleman – WINKELZ@mailbox.sc.edu

    Jeremy JacksonMrJeremyJackson on Twitter and Facebook

    Ray Olivo – rayolivo1@gmail.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.

    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.

    patinet centered approach

    Complete the course work to earn Category A CEUs sponsored by Methodist Healthcare Sports Medicine of San Antonio – SportsMedicineBroadcast.com/CEU

    Negotiating Benefits – 651

    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

    Negotiating Benefits; Susan Taah

    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 Why
    • President of the student AT program for 2 years
    • Worked 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 data

    Susan 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 issue
    • They did not have coaching
    • She started a heat acclimatization program
    • Weight 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 employers
    • Be flexible and willing to help
    • Going the extra mile now shows the need for others in the future
    • Long term health
    • Insurance
    • Risk 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.

    •  great
    • Write 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 responsibility
    • After 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?

    • Salary
    • Moving
    • CEUs
    • Schedule
    • License / certification
    • Lunch break
    • 40 hour weeks
    • Per 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:

    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.

    Hoist logo; rapid hydration

    International Clinical Coordinators – 629

    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 JacksonEMAIL ME

    Show me the money

    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.

    International Clinical Coordinator; clinical coordinators