Leadership AT Home

John Ciecko and Dr. Matt Kutz share what they are doing to take leadership at home seriously.

Leadership at home, Matt kutz, John Ciecko

How do we Develop Leadership AT Home?

Intentionally scheduling my time is critical for me.

Johns daily schedule

When during the day are ATs practicing leadership most?

ATs tend to stop practicing leadership when they are not in their AT role.

Leadership is not something we put on and off, it something we are.

Leadership is something we take with us everywhere we go.

Dr. Kutz homeschooled because he wanted to teach them some very specific skills

Americans are one of the only cultures that do not celebrate life milestones

“Communication is a result of something else, not a goal”

– Dr. Matt Kutz

When kids come into the picture your values change.

Management shines best when the situation has occurred before.  It really struggles when a situation is novel.  That is when Leadership shines.

V.U.C.A. leadership world.

Authoritarian leadership is not dictatorship. “It is ok to say, Do this because I said so.”

“As your team and relationships grow, the techniques you use early on do not work later on.”

Favorite resource for raising kids?

Becoming a modern-day knight

Kids had to do book reports to earn money it was a great way to expose them to skills and knowledge.

  • TIME is the best resource
  • Own your mistakes and apologize

What Comes Next

A fun song from the musical Hamilton, “What Comes Next” is the line we are focused on for the start of the 2021 leadership in AT podcast series.

Thanks Patrick Ohaver for putting it all together.

King George; What Comes Next

What comes next?? 

You have wanted to move up to a leadership position in the company, the school, or even a professional organization.

Just as a young America made the leap into independence, now you are given the opportunity to lead.

That is the question on this episode..

Do you know how hard it is to lead?

Patrick– As Former supervisor for a hospital Outreach based program I was given the task of leading approximately 25 athletic trainers. Some of these athletic trainers were my peers and that in itself is a difficult part to lead your own peers.I really resonated with this song in Hamilton as I knew it would be difficult to lead however I did not realize the full extent until I was in that situation. It is difficult to lead and not just your peers but to lead a cohesive group of athletic trainers.

 I was fortunate enough to have mentors that were in leadership positions and I observe them through my career taking mental notes on what I would do in certain situations how I would overreact how I would respond however I learned so much during my tenure as the supervisor of Athletic Training Services and dealt with a lot of specific leadership challenges. 

Patrick — Another point in King George's song what comes next really struck me was when your people say they hate you don't come crawling back to me. Now as a recovering people pleaser, I strive to make everyone feel Equitable and try to look for the win-win. However, during my time I discovered win-win just doesn't work out sometimes. When you have to lead a large group you are not going to please everyone now. I would not say that my employees “hated me “ however some decisions that were made did not meet with high favor.

I can recall a time when we sent out an employee satisfaction survey. It was a sort of 360-degree look at our leadership team.

 Through the eyes of the employees and I was expecting an overall positive response however, the amount of negative response was shocking and really caused a point of reflection and revaluation of my leadership style and our leadership team’s style.

 I was fortunate enough to work with two other athletic trainers in the leadership team. We assisted each other and each had our own strengths and weaknesses in the leadership team. However, that employee survey was a watershed moment for me and my leadership style.

Have you had an employee survey or an evaluation done on you that was not what you expected and did it change your outlook?

George Washington states – “Winning was easy, leading is harder”-

This point in the musical also echoes a similar thought that getting to the top may be easy however leading is harder.

Leading your peers is very difficult. We can look back at a recent Facebook post in the Secondary School group where an employee was ranting to her “friend” who was in an administrative position about the organization. I am not sure what was said or how it was said however the other party deemed it necessary to inform her superiors and her subordinate was reprimanded.

There's a good book called “From buds to boss” by Guy Harris and Kevin Eikenberry.  It's a good book and help me get some perspective in my early supervisory times.

Being the boss isn't all Fame and Glory. Some people want that prestige and that title however, if you're not prepared, then it may be more of a detriment than an aid.

Call to action:

Were you ever on your own?  I recently heard from a long-time listener Caleb who was out in China as an AT and he was on his own for a while.  Share your story with us.

Contact Us

Patrick – Twitter

John – Twitter

Jeremy – Twitter

These people LOVE ATs and help the SMB pay the bills:

Frio Hydration – Superior Hydration products.

MioTech – meeting all of your sports medicine supply needs

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

Donate and get some swag (like Patreon but for the school)

DragonflyMax – one-stop EMR

HOIST – no matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second-year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Leadership Curriculum in AT

Is Leadership Curriculum a good way to learn to lead? Can it be added to our current AT course requirements?

Leadership Curriculum

How do we develop leadership in AT?

Curriculum is the hardest way to learn leadership – there is an absence of the practice of AT

“We tend to protect them from the leadership process in their clinical experiences”

The only way it can work is if we integrate them together into the clinical experience.

Trial and error – best most effective and efficient way

Observation

JBY: It is more outcome-based.  It is easy to track clinical outcomes.

There are so many types of leadership.

Situational leadership or contextual leadership is critical.

In the current BOC practice areas, only about 2 of 8 deal with sports

How do we develop good leaders?

What makes a good leader?

Are we putting people in the right places to lead?

Energy bus

The military does this really well

They capitalize on the problem-solving process.

If you look at the CAATE and look at the math, .05% of ATs are in leadership as program directors.

MK: we need to be better at recognizing the reality there is a small percentage of us in leadership roles.

  1. We need to train the program directors
  2. Increase the exposure of our students

If we think adding clinical skills to our profession is going to change our profession we are sorely mistaken.

People want to know how we can help improve and all we have to offer is a new way to tape an ankle…

The BOC states we have to have skills in leadership…not knowledge of…

We have to be able to change hats.

We are 20 years behind compared to other healthcare professions as far as leadership.

Nursing is by far the leader in my opinion in the leadership curriculum.

We are making a big mistake as a profession by not putting more eggs in this basket.

Can we teach it at the MAT level? How do we measure such an objective subject? 

MK: We get scared when we go to the literature.

Leadership is not like a clinical skill

It is not a checkbox item.

Instead of a concrete objective, there should be a certain number of leadership exposures per semester.

Develop a leadership philosophy.

JBY: New 2020 standards have shifted towards outcomes.  How are you documenting them?

Checking the boxes is a managerial task, not a leadership task.

Self Assessment – SWAT analysis – how did I move this pile of beans to the other pile.

Operationalizing Leadership is hit or miss.

The MAT is designed for an AT student to ENTER the profession.

Some of the ways we have it is an AT Student Society

We have liaison positions in our program.

Being on a committee at various levels.

When everything is outcome-based how do we say “Leadership was performed”

MK: I hand out sticky notes and ask and ask them to put 3 words for each LEAD

That leaves us with hundreds of words dealing with leadership.

Now we need to make an operational definition from all of these words.

It depends is a real answer as long as you are not using it as a cop-out.

Leadership is a philosophical construct versus a hard skill.

MK: Leadership is not volunteerism

JBY: Education is a business

The student is our customer product and asset…it is so unique.

Why is PA more acceptable than AT in the medical community?

What is your responsibility as a program director? Differences between programs

JBY: When students come in I tell them I am interested in people who are looking to be leaders and agents of change.  We will make you into good ATs, but we need you to be the change.

The leader needs contextual intelligence to be really good.

Management is checking the boxes

Leadership is influence

MK: At FIU we focus on helping them answer the “it depends” question.

We are developing leadership behaviors to influence the world, not just AT.

We need to add value to SOCIETY as a whole.

Leadership definition:

MK: leadership is not being the most productive person in the room…it is someone who navigates complexity.

Check out our 2021 Leadership Series

What Comes Next – Lessons From Hamilton the Musical

Leadership AT Home

Make Your Bed

Amy Hamilton

Contact Us:

Dr. Matt Kutz

Dr. Josh Yellen

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

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.

ACL Injury Risk Reduction

Risk Reduction is the key to preventing ACL injuries. Chris “Tex” McQuilkin joins us to share how Power Athlete HQ is building better movers.

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

https://www.facebook.com/sportsmedicinebroadcast/videos/299113867774673/

Movement is going to be our common language

HELPING PEOPLE UNLOCK THEIR ATHLETIC POTENTIAL.

Empower your performance

Non-Contact Injury Risk Reduction

Athleticism will be the focus

Create a common language between coaches, strength coaches, parents, and athletes

Primal Movements

  • Vertical push
  • Vertical Pull
  • Horizontal Push / Pull
  • X-Squat
  • Y- Lunge
  • Z- Stepup

In sports, none of the movements are isolated, but in the weight room, we train them as isolated planes.

The frontal plane is the back injury prevention lane

Create a systematic approach

Demands of Sport

  • Reverse engineer the sport

Athlete Assessment

  • Identify potential and limitations
  • DO NOT DO 1 REP MAX with HIGH SCHOOL ATHLETES
  • Limiting factors – what happens to their head, their core during the lift

Develop a Program

  • Based on your individual needs
  • DON’T take the college program for top recruits at D1 school

Injury Prevention – 27 minutes

We need valuable scalable tools that use common language so the coaches can correct it easily without the Medical Professional there

Train them to see movement

Stu McGill’s Big 3

Assessment – each set and rep in the weight room should be used to assess.

Integrate correctives into a program

ACL Injury Prevention Model

ACL Tear Mechanism

  • Quad dominance
  • Ligament dominance
  • Asymmetry
    • Leg dominance – plant leg or kick leg
    • Jump tuck test
      • Looking for one hitting the ground first
  • Trunk Dominance
    • Trunk leaves the center of gravity and compromises the muscle is the largest problem that is modifiable
    • Can not jump and land repeatedly in the same spot

Athlete Assessment

  • Trunk
    • Heavy Barbell – relative
      • Deadbug and spiderman
      • Add 5lbs each session to the 3×5
  • Primal X-Y-Z
    • Show where they are weak withing the lunge or step-up
  • Frontal Plane
  • Transverse Plane
    • Can you separate knees from shoulders?

Corrective Exercises

  • Reeducation
    • Teaching them how to move
  • Warmups
    • Best chance to implement corrective exercises.  Work within the window of their normal warmups
  • Accessory Work

Neuromuscular reeducation – 41 minutes

  • Quad Dominance – use: Power Athlete SeeSaw Walk
  • Ligament Dominance – triplanar arch…have them work barefoot and do toe yoga stuff
  • Asymmetry – Symmetry training
  • Trunk Dominance – Trunk Strategy – overload and give them the opportunity to make adjustments

Phases of Neuro reeducation

  1. Alignment
  2. Force Reduction
  3. Force Production – Coaches often jump to this because it is easy to put in a spreadsheet and “showoff”
  4. Isometric Force – 
  5. Protective Force – 
  6. Overload – show you can move well then we add load

Principle of specificity

The Warmup

Rename it if you need to so they take it seriously

Why – enhance athleticism

  • Every day is a way to get really good and master your movement
  • Psychological gives you a chance to get a feel for the athletes and how the day will go.

Risk Reduction through Anatomy Warmups

  1. Pre-warm up warmup – do a lap/motion without lollygagging
  2. Iso-Stability – establish a posture and then challenge it
  3. Feet and ankles
  4. Primal Movements
  5. Combining primal movements
  6. Energy systems – what does the game call for…represent the highest demand they will see in competition
  7. X-factor

Training vs Competition

  • Avoiding talking about ACL injury prevention before the game, but build it into the normal warmup
  • Be mindful of your words

Injury Prevention Integration  – 57 minutes

Accessory Work

Why – work mitigating factors

  1. Structure
  2. Remodeling – never accept flat feet
    1. We can remodel arches
    2. Tri-planar arch development
  3. Hypertrophy – increasing the cross-sectional mass
  4. Inter/INTRAmuscular Coordination

I need it difficult in a controlled environment so that I can trust they can handle it in an uncontrolled one.

Execution

Look

How can we have these conversations without taking over?

  • Knowledge
  • Experience
  • Ego
  • Identify what the coach’s limiting factor is and appeal to that factor.
  • Always be adding to “their” program
    • “I noticed people standing around during squats I think (your interventions) could benefit some of the other ankle issues…”
  • If the coach is into working out you can show instead of telling

https://powerathletehq.com/tag/see-saw-walk/

Watch the ACL Injury Risk Reduction Presentation

https://www.facebook.com/sportsmedicinebroadcast/videos/299113867774673/

Contact us

Tex – @McQuilkin

Shawn – @ShawnReady_atcJeremy – @MrJeremyJackson

Resources

Foot Work – Matt Zanis on Power Athlete HQ

Triplanar Arch development

Active foot isometrics

Academy.powerathleteHQ.com

Email, message, or otherwise let them know you are listening

Frio Hydration – Superior Hydration products.

MioTech – meeting all of your sports medicine supply needs

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

Donate and get some swag (like Patreon but for the school)

DragonflyMax – one-stop EMR

HOIST – no matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second-year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Logistics and Production

AT Inventors 3 is focused on Logistics and Production for your product to help improve the practice of Athletic Trainers EVERYWHERE.

Logistics and Production

Production

Origin of production, taxes, and duties

Cost per unit and minimum orders

Payment options with vendors

How do you price your product

E: dial in all of your costs and then add 15% in case of overages.

A lot of people do not understand this statement, but it's good to shoot for 5X to cover all the other expenses we talked about. Rent, insurance, time, labor…

Really slim margins do not offer you any protection.  Everyone needs to make their money. 

Using the SanDisk memory card example – the card is the same shape and size as it changes storage capacity but the price keeps going up.

Stay focused and do not spread yourself too thin.

E: Shipping can be a big experiment as well. Saving one inch could save you lots of dollars.

J: Everyone liked the custom cardboard boxes but they cost more…

E: I was going to pay $90 for 10 stickers…I decided to go with a vinyl sticker cutter instead…it has been well worth the time and investment.

Passive income streams are another option we did not really cover.

What is your relationship with your vendors?

How do you handle quality control and setbacks from vendors

J: As someone who does not have access to a lot of warehouses I had to prototype to troubleshoot quality control and how they handle the load.

I used SGS as a third party inspection company

How involved do you want to be with production?

Do you want to learn a new trade or use a vendor for production

J: Is it worth your time and money to pay someone or do you need to learn how to do this.

E: Look at efficiency and what you really want – do you want to learn how to sew.

How do you keep things in stock or when do you know you need to purchase more

Just in time manufacturing, WIP or large batches of inventory

Where do you store large batches of inventory?

  • Elysia, please answer this one. I do not want people to look into my supplier because of my partnership with the warehouse

Logistics

How will the products arrive to you?

Will you ship your product and storage

Order fulfillment systems

How involved do you want to be from start to finish?

Websites, credit card processing, and fees 

J: Affordability was the key – square seemed to be the best fit for me now.

They are a one-stop shop for me.

E: I got a quote from a company to build a custom site with everything I want for $14K

There were not as many eCommerce sites available

I felt I would be stuck with that with minimal support.

We went with an eCommerce site and used the money to get exactly what we wanted.

With your website try to answer every customer service question with an article or video so that you can reduce the personally answered questions.

J: The best part of upgraded eCommerce sites is REPORTS.

Marketing options for trade shows, social media, influencers or grassroots

J: I did not do any marketing, I established a relationship with ATs first using Instagram.

E: The personable story is what everyone likes

Always answer the phone with a smile.

If you put a video on YouTube you do not actually own it but YouTube does.

Google ad words – someone will outbuy your “word”

Variety is actually good, not everyone likes Starbucks

How do you manage daily business operations and unforeseen events?

What is the critical path, doubling back on your work or pure avoidance

E: What is the most important thing you need to get done today at this moment – I do not open an email unless I am ready to answer it.

Do the things you least like first to get them out of the way.

Write yourself an abundance check – kind of like a self-fulfilling prophecy.

Check out the first two in the series:

AT Inventors 1

AT Inventors 2

Contact us:

Jeremy Jackson

Elysia Tsai – info@SI-Boards.com

Jay – @NexusSportsMed on IG

These people LOVE ATs and help the SMB pay the bills:

Frio Hydration – Superior Hydration products.

MioTech – meeting all of your sports medicine supply needs

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

Donate and get some swag (like Patreon but for the school)

DragonflyMax – one-stop EMR

HOIST – no matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second-year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

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.

Contact us:

Jeremy Jackson

These people LOVE ATs and help the SMB pay the bills:

Frio Hydration – Superior Hydration products.

MioTech – meeting all of your sports medicine supply needs

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

Donate and get some swag (like Patreon but for the school)

DragonflyMax – one-stop EMR

HOIST – no matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second-year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

These people LOVE ATs and help the SMB pay the bills:

Frio Hydration – Superior Hydration products.

MioTech – meeting all of your sports medicine supply needs

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

Donate and get some swag (like Patreon but for the school)

DragonflyMax – one-stop EMR

HOIST – no matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second-year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Mental Health EAP

Do you have a Mental Health EAP? Do you have a athletic injury EAP?

Dr. Hector Lopez of SMASA shares some of the tips for building a mental health EAP for Athletic Trainers

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

Have you planned what to do in the event of a suicide threat or attempt?

The secondary setting is harder because we are dealing with minors

A good understanding of mental health

Video from YouTube – For NCAA student Athletes’ Mental health: a more educated approach

NCAA Sports Science Institute mental health awareness

According to the WHO it is a state of wellbeing in which the individual realizes his or her own abilities.

Mental illness refers to diagnosable mental disorders and health conditions

There is a stigma that it is a weakness

Myths about Mental health:

  • Children do not get mental health issues – 75% begin before age 24
  • Personality weakness or character flaws cause them
  • I can not do anything for a person with mental health problems

Examples:

  • Anxiety
  • Eating disorders
  • Major depression
  • PTSD
  • Adjustment disorder
  • Social anxiety
  • Bipolar disorder
  • Substance abuse
  • Co-existing learning disabilities
  • ADHD
  • Autism spectrum
  • Chronic Medical illness
  • Bullying
  • Hazing
  • Relationship Abuse
  • Sexual Assault
  • Gender Dysphoria
  • Unexpected Pregnancy
  • Gambling
  • Undiagnosed medical issue
  • Stressors affecting athletes
  • Team culture
  • Pressure to perform
  • Balancing demands

Identifiers for a mental health EAP

ID based on performance

Injury causes isolation or forced retirement

Burnout due to early specialization

Poor performance

“I can’t show weakness”

Dealing with injured athletes:

Listen

What does the injury mean to the athlete?

What is your team and AT Clinic culture?

Educate about the diagnosis

Correct any misinformation

Provide a road map for recovery

“Dr. google is a big problem in my world”

An emotional response to an injury is normal

Sadness

Isolation

Irritation

Lack of motivation

Anger

Frustration

Changes in appetite

Sleep disturbance

Disengagement

Response to injury

Stress can lead to increased injury, muscle tension, poor concentration, and performance

Can trigger depression

Problematic emotional responses

Persistent symptoms

Worsening symptoms

Excessive symptoms

Summary of possible symptoms

Barriers to care:

Stigma

Poor understanding

Difficulty willing to express

Lack of time

Denial

Fear

Worried about it affecting play

Not accessible

Facilitators:

  • Increased awareness
  • Social support
  • Encouragement from others
  • Accessibility
  • A positive relationship with staff
  • Confidentiality
  • Time
  • Integration into athlete life
  • Positive past experiences
  • Ease of expressing emotion

Treating injured Athletes

  • Rapport is key
  • Supportive culture
  • Respect privacy
  • Acknowledge and understand their identity may be tied to athletics
  • May be the first injury for them
  • Be on alert for red flags

Mental Health EAP TIPS

Interview the athletes away from other athletes or with another staff member if possible

Ask open-ended questions

If the concern is self-harm be blunt

Actively listen and allow them to talk without interruption

KNOW YOUR ATHLETE

RED FLAGS

Any talk of self-harm or suicide

Talking about hopelessness and empty

Making a plan for killing themselves

Talking about great guilt or shame.

Suicide hotline

www.nimh.nih.gov/sucideprevention

5 steps graphic

Identifty an Emergency

  • maintain safety for yourself and others
  • Call for help
  • Talk in a quiet place where you can defuse the situation
  • Do not leave the student alone but do not place yourself in danger
  • Develop policy and procedure and practice them

KOWN YOUR LIMITS

Your responsibility is to recognize and refer

Prevention

  • PPE
    • Are you stressed
    • Do you want to weigh more or less
  • Open-ended questions – 
    • are you sad, do you feel hopeless, do you feel safe
  • What are the protocols at your institution
    • Emergency scenarios
    • Keep names and numbers accessible
    • What about after hours?
    • National suicide prevention hotline
      • 800-273-TALK
      • Text – “help” to 741741

Resources on NCAA website

NATA has a list of resources as well

Sports Science Institute through NCAA

What your school says “we don’t talk about that?”

Start the conversation – they may not know

Use the models that are published

If you are going to bring a problem forward, bring a solution.

Lean heavily onto your team physician.

Get someone’s copy to help you build yours.

Do not be afraid to act…call 911 if need be.

Watch the Facebook live

Contact us:

Jeremy Jackson

Dr. Hector Lopez – hector.lopez@smasatx.com

Shawn Ready@ShawnReady_ATC

Jeremy Jackson@MrJeremyJackson

Get your CEUs

Financial Partners

Frio Hydration – Superior Hydration products.

MioTech – meeting all of your sports medicine supply needs

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

Donate and get some swag (like Patreon but for the school)

DragonflyMax – one-stop EMR

HOIST – no matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second-year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Sports Science and Medicine Converge

Dr. Paul Saenz shares how the San Antonio Spurs have used Sports Science to help their Sports Medicine.

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

Sports Science, Sports Medicine, dr. Paul Saenz

The Spurs have always been on a leading edge of performance have looked at best practices around the globe.

The sports medicine team consists of at least 10 positions with multiples at several of these positions.

ATs serve as the backbone and primary interface between the players and the medical team.

WHY monitor?

  • Direct Feedback
  • Injury prevention
  • Performance enhancements
  • Rehabilitation baselines

Key facets of Athletic Performance

Strength

Aerobic Capacity

Nutrition

Recovery – has replaced the word “rest” – its intentional

Psychological Wellness – they fill out these surveys onn a daily basis

What to Monitor with Sports Science

Games and Training – volumes and intensity

Player Strength and conditioning

Fatigue / Recovery

Player Availability ( injury incidence and prevalence)

Types of Loads

External – the physical load they have endured

  • Road cyclist – mean power output for given duration – 400 watts for 30 minutes

Internal – how have they responded physiologically

  • HR, RPE, Blood lactate, cortisol, testosterone, inflammatory biomarkers

External Load Monitoring

Time Motion analysis – GPS and digital video movement analysis

Accelerometer Data – 

  • Catapult system – GPS wearable system that monitors elapsed exercise time.

Neuromuscular function

The huge collection of data requires the skill to extrapolate and draw conclusions.

Internal Load Monitoring

RPE – Relative Perceived Exertion

Heart Rate Response

Biochemical

Weight

Adductor Squeeze

Dorsi-flexion lunge

Isometric lunge

RPE Scale

Self-determined assessment of exercise intensity

Correlates well with heart rate

Blood draws can be done during this time.

Cardio Recovery

Heart Rate Recovery – how quickly your heart rate returns to normal

Markers of fatigue vs fitness

Yo-Yo Intermittent Recovery Test

Salivary Biomarkers

testosterone /Cortisol markers of stress and recovery

Anabolic vs Catabolic state

Adductor Squeeze

Done with a blood pressure cuff

Very well documented with European teams

Recovery Methods

Light cardio

Massage

Cryotherapy –  whole body cryotherapy

– reduces edema and positive effects on the autonomic system

Pulsed compression –  NormaTec type

  • Convenient for air travel or post-game

Aquatic Therapy – 

AlterG

NordBoard

Measures ongoing hamstring health over the course of the season

Which Sports Science Tests to Choose?

Most relevant to your use

Practical implementation

Most reliable

Produce actionable intel

Key points to make it effective

Make sure your athletes understand

Make sure your coaches understand

Be consistent in implementation

Consider the data but make clinical decisions

What about electronic recovery units like Compex, MarcPro or Firefly

These are great options

Do not forget cold tubs or 

SLEEP

Stationary bikes

Group session in a pool

How do we apply the Sports Science data in our high schools?

Focus more on periodization of training.

COVID19 emphasizes the need for that.

The Yo-Yo test is simple and easily performed

Talking to your athletes individually

https://www.facebook.com/sportsmedicinebroadcast/videos/1123009438093307/

Contact Us:

Jeremy Jackson

Dr. Paul Saenzget a hold of Shawn Ready

Shawn Ready – @ShawnReady_ATC

Financial supporters that make the podcast possible.

Frio Hydration – Superior Hydration products.

MioTech – meeting all of your sports medicine supply needs

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

Donate and get some swag (like Patreon but for the school)

DragonflyMax – one-stop EMR

HOIST – no matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second-year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Sports Science

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

Sales Success as an AT

Casey Paulk has experienced Sales Success as an Athletic Trainer. Not because he was naturally gifted but because he knows what an AT is and does and continues to work hard to help meet the needs of Athletic Trainers.

Sales Success with Casey Paulk

What were some exposures you had to sales as a kid?

First time I had sales success was as an intern in the Texas Rangers AAA as a bullpen catcher.

I had to convince and prove to the staff I was qualified for the job.

I was able to help the Athletic Training staff more and the team more.

I also had to sell my services as an AT Skiatook Middle School as an AT and science teacher.  They had never had an Athletic Trainer before.

What was your first job ever?

Garage door warehouse grunt.

I worked in the Oklahoma summer heat hauling garage doors.

It was a grind and hard work.  It helped me succeed in my career as an Athletic Trainer and now in my career in sales with Sway

What does the life of an AT Sales Success person look like?

So now with my sales job I still work a lot of hours but I can set a few more boundaries.

I wake up early to check emails and line up my day.

Take care of personal business and spend time with the family.

Start making phone calls to Athletic Trainers (I do not call when they are sleeping or doing morning treatments)

Why do you love the sales side of AT?

Serving the Athletic Trainers and helping them return their athletes safely to participation.

I cover 14 states as a sales rep so I have a lot of phone calls and emails to get out.

The same process of evaluating an injury as an AT has helped me have sales success.

Athlete: “Hey, my knee hurts.”

AT: “Tell me what happened, when did it start hurting, what makes it better, what makes it worse?”

Athlete: answers questions…

Athletic trainer: perform tests and evaluates the next steps needed

Athlete: “I do not think that will work for me… or ok let’s do it”

It is the same with sales.

To the AT who is on the fence, what would you say?

Reach out to an AT in sales and tell them you are interested.

See if you can do some part time work in sales of any sort.

Go shadow Casey for a day or week and see what it is like.

There are jobs out there but unless you tell people you are looking for one they will not know.

Golden Rule for Sales Success:

Look to help and serve your customers and be sure you believe in the product.

Houston Methodist, Official Healthcare provider of Pasadena ISD just signed up with SWAY.    

Call to action:

Reach out to Casey Paulk at Sway for questions about sales, life in Oklahoma, or basically any product that can help your patients get better.

Watch the Facebook live conversation

Contact Us:

Casey Paulk – 918-688-8599

Email: casey.paulk@swaymedical

Jeremy – @MrJeremyJackson on FB, IG and Twitter

Sway Medical