Leading Up The Chain

If John Ciecko was not leading up the chain when COVID hit Bloomfield Hills High School would likely not be back to sports as safely or quickly as they were.

Patrick Ohaver joins John in discussing how we can lead up the chain even when it is not easy.

Image from: https://www.youtube.com/watch?v=51ZxYMZEKbw

Due to COVID a lot of things have changed.  What is the current state of Sports where you are?

Off-season conditioning in May / June

Onsite training forced the Sports Med Staff to shift to screening protocols.  Some days were long but we screened over 3,000 athletes.

John reached out to his contacts, Kurt Andrews at KC Sporting, and found what they were doing that worked really well.

August 12 was the start date for football

The state decided to start in phase 2 of the NFHS modified plan

Pretty much everyone was practicing outside.

They were able to block off parts of campus and then adjust as needed to create a more secure setting for them.

The state continues to change the requirements.

Lots of long days re-evaluating

Math is confusing: 10% capacity up to a cap, then you divide that by 6 feet

Swim team practiced outdoors.

They decided to cancel football for the fall and allowed some spring sports…but Spring sports in March in Michigan are a nightmare

HOW CAN WE PROVIDE AN EQUITABLE EXPERIENCE FOR ALL SPORTS?

Governor issued another executive order.

Patrick Ohaver:

July they were in stage 4 of 5

Indiana never planned to postpone football

His school decided to be more conservative and practiced outside.

Soccer played two games then started playoffs.

Individual school boards were left to plan.

Discuss the conversations you were involved in once the talks started happening.

Jamie Woodall’s document for the UIL set the standard for a lot of places

Relationship building is key – John has been building them for years

He has a group text with the principal, school board president and superintendent…that is a position of influence.

The school shifted to two cohorts:

Monday/Tuesday is group 1

Thursday/Friday was group 2

Cleaning was Wednesday Saturday

Where have you been able to lead up the chain?

Patrick – I will work by the hour and we can compact all of the practices into a 4-hour window each day.

School covered his liability insurance

Then he switched hospital systems to keep care flowing without interruption.

Pre-planning and “medical timeout” helped prevent a catastrophe

John – consider your team in the building…

Your custodial staff needs to have a seat at the table too. Involve the leaders of every group that is affected.

Get the team doctor involved in how care will change.

What does an event venue change look like?

My first internship in college taught me about making friends with secretaries and our custodial staff.

How do you see this impacting sports long term?

We are seeing a philosophical change in ideas…how important is this game when it comes to community health???

We are looking more at a big picture now rather than minute details.

We need to look and consider how this affects the mental health of students and athletes.

High school sports are important to emotional health, but is this game this week worth the risk???

Athletic Trainers are Health Care Providers

COVID highlighted the superstars on social media

What do I do if I do not have that seat at the table?

Start from here and build community

You can force your way into the door or build relationships.

There is a time and place to be abrasive and a time and a place to cultivate.

John had to learn how to ask to be at the table.

The more trust you earn the more respect you will get and the closer to the head of the table you will sit.

“How dare they not have me, John Ciecko, the medical expert here at the board meeting!!!”

– John Ciecko

What are we looking forward to in the 2020 Leadership series?

Conflict Resolution with Patrick Ohaver

Earned Leadership with Kevin Parker

Path to Leadership with Rick Cox

Documents created at BHS:

Modified step 2 protocol:

COVID Guidance for return to sports

https://www.facebook.com/sportsmedicinebroadcast/videos/2948565888704384/

Contact Us

John Ciecko

Patrick Ohaver

Jeremy Jackson

Keep the podcast alive…because it is not free

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

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 money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

MioTech; Conflict Resolution

AT Wolfpack – Time to Join

The AT Wolfpack was born out of a need to communicate and commiserate.

The founding members join the SMB to discuss the origin, what is has become, and where they think it might grow into.

What’s the deal with these late-night Wolfpack zoom calls?

With fewer people we get a little deeper in our feelings…or maybe just discussing the state of AT

Someone joins today, what can they expect to cover tonight?

In the word of Josh Dawsey – “Zooms are like a box of chocolates, you never know what you are gonna get”

Paul – we may start talking about ankle sprains, jump to Bar-B-Que then to concussions on to whiskey, then back to ankle sprains.  And they are all related somehow.

How did this start?

Thomas and Ed were meeting with people on ATTalks and then COVID sent Tom home without the internet.

They needed something to get them together and then… Ed sent out a tweet to see who would be interested and 40+ people responded.

What have been the benefits?

Connection – lots of people have connected as they have traveled with teams, for personal reasons or related to moves.

We are building a network of ATs whose main connection is friendship.

It is a safe space.  Some ATs have jumped in, taken the mic for a rant for 10 minutes, ended up in tears, received some connection and virtual hugs, and then been able to move on.

Jumping into a group of 100+ ATs can be intimidating.  Speak to that person

Sit back and watch, or just jump right in.

Plenty of people sit and listen and watch until they have something to say or add.

Nobody is looking for perfection or a professional presentation.

Jeremy is an example:

  • Jumped on a call after a run and left the camera on…shirtless
  • Used thy massage gun on one of the kids with only the mic on and said “you can use this on my feet next” then you hear the massage gun.
  • Laying on the couch with the baby shirtless for the skin to skin contact.

I set the bar pretty low…of course so that others will feel welcome..”At least I wasn’t shirtless like Jeremy…”

What have you struggled with in growing or maintaining it?

Getting back to work has made it slightly more difficult as Tuesday and Thursday nights tend to be game nights for ATs.

There is not a structure or leader, just the more active members help to keep it regulated.

Where is it headed?

To Orlando for NATA 2021 then who knows.

https://www.facebook.com/sportsmedicinebroadcast/videos/2704865483068065/

Contact Us

AshTapesAnkles

Paul Rupp – https://twitter.com/OaktonHSATP

Thomas – https://twitter.com/thomasjbarkoski

Ed – https://twitter.com/EdWozATC

Jeremy – MrJeremyJackson on FB and Twitter

SMB Supporters

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

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 money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

AT Wolfpack

Running Medicine with Dr. Natalie

For Dr. Natalie, Running Medicine came from a passion for running, experience as a Physical Therapist, and a furlough during COVID.

Dr. Natalie Niemczyk is an accomplished runner: finishing race distances in running and triathlon events including 5ks, 10ks, Half Marathons, Marathons, Sprint Triathlons, Olympic-Distance Triathlons, and Half and Full Ironmans over the past 11 years!

Additionally, she is a Certified Strength and Conditioning Specialist, Certified Running Technique Specialist, as well as a Certified Canine Rehab Practitioner and RRCA Run Coach.

What made you decide to get into running medicine?

  • Passion of mine
  • Experience within the field as a runner
  • Wanted to channel my focus on one specialty
  • Value in finding specialists
  • Building knowledge in one topic vs. generalized practitioner

How much does being a practitioner of running help your ability to treat patients?

It lays the whole foundation

“Running a marathon, I know that pain at mile 24”

“I had a tonsillectomy at age 8, then a c-section…I have been healthy.

It has taken over a year for me to get back to normal after that surgery.

“It’s weird, but I kinda like getting hurt so I can relate to what they are feeling”

– Todd Sabol

Todd's coupon code for the WHOOP band

What courses do you recommend to healthcare professionals looking to enhance their ability to treat runners?

Common misconceptions and technique mistakes in runners.

  • There’s one form out there that is universal and works for everyone! Everyone is different!!!
  • Forefoot vs. Heel Strikers 
  • 180 cadence myth

What are your goals for Revolution Running Physical Therapy in five years?

So excited to have a one-stop-shop for runners where they can receive physical therapy, injury prevention education, gait analysis and movement assessments and coaching all for runners, all under one roof! I also want to welcome runners at any level, including recreational runners, beginners, pregnant runners and elite. 

5 years: Have another therapist on board with the same passion, a rev running sponsored team, become better known and trusted within the community and be runners go to, get my hand into some running research!

Embrace Race: elaborate on this event and who benefits from it

EmbraceRace is an organization that was created by parents of all different backgrounds and nationalities, and they provide webinars, articles, and resources for parents to help raise children that are inclusive, understanding, and brave about race. My buddy Jen from EliteFeats and I created this Virtual 5k & 10k to raise money for EmbraceRace– you can complete the race between October 24th-November 1st!

Sign up at elitefeats.com!

https://www.facebook.com/sportsmedicinebroadcast/videos/775224103263082/

Contact Us

Instagram: @natalie.dpt & @revrunningpt

Todd Sabol@ToddSportsMed

Jeremy

Let's continue to grow together

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

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 money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

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/

Contact Us

Jeremy Jackson

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.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

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 money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

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 money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

patinet centered approach

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

Orthopedic Trauma – Daniel Ruedeman

Orthopedic Trauma is one of the newer settings an AT can work while being employed in the physicians practice setting.

Daniel Ruedeman joins Sandy Harris and me to discuss what Orthopedic Trauma is and how Daniel is setting the stage for AT growth in the field

Daniel, where are you working right now?

University of Colorado/ UC Health

Orthopedic Trauma

Limb restoration – Patients with non-union fractures

Infections

Prevent amputations

Osseointegration – interactive way to help amputees with their artificial limbs

Doing AT for about 20 years

Daniel has worked in the PT, college and secondary setting

“I do not want patients to come in and have just a doctor appointment. I want it to be a relationship and a positive experience.”

He was the first one hired in the hospital setting at UC Health

When they first hired him they did not know what his role was and he was able to build that from the ground up

What was the transition like from the traditional setting?

Started with him shadowing the physician

That lead to a team focused approach so nursing, MA, AT, Doc all communicating the same thing to patients

Being the pilot AT Daniel was able to set the stage for bringing on an AT and the office manager connected them.

Departments like Oncology was asking how they could get an AT to work with them.

He was also an office manager at a private practice between clinical sites and his current setting.

What does a week look like in the Orthopedic Trauma center?

Works 4/10s

40 patients between 7-2

Taking brief history

Allows the med students to do the exams

Preps the patient for what to expect

Schedule next appointments

Scheduling and setting up PT

Home exercise programs

Off Tuesday

Wednesday is half office time / half clinic

Thursday/Friday are full of clinic time

Trauma doesn’t stop during COVID

Tell us more about your Orthopedic Trauma job setting

They use EPIC for the EMR.

Daniel feels the open line of communication is important.

The whole team is important.

He touches base with each of his professionals almost daily

What are you seeing in Orthopedic Trauma?

Sees a lot of tibial plateau fractures

Do not do spine or hand stuff

“Any student that does a rotation or internship with me, I want them to Look at the x-ray and understand the injuries, but also think through the process of how the injury happened.”

What do you not love about Orthopedic Trauma?

Constantly building relationships

Life balance has become a key focus

Daniel leaves work at work

How does Sandy create life balance?

It is tough since they are both ATs and host an AT podcast

They do have a dog

Do you have a hard close time?

There are no rain delays or extra innings in the OT center

They schedule their last patient at 3:30 so they have time to get out by 5:30

He has flexibility to leave at 4:30 or earlier if needed

He was furloughed during COVID and then switched to hourly.  Now he has to watch his hours.

What are some of the cool tools you see?

Worked on a leg ring like Alex Smith used.

Got to see a rod running through a pelvis

Discuss the talks you do across the country and where someone should search to learn more?

COPA

ATPPS

Email Daniel for more

https://www.facebook.com/sportsmedicinebroadcast/videos/630276870965893/

Contact Us:

Financial Partners for the podcast:

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

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 money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

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

https://www.facebook.com/sportsmedicinebroadcast/videos/803349970438442/

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 Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

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 money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

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 money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

MioTech; AT Education

Mental Clarity – an intro

Todd Sabol has been working to gain Mental Clarity since he suffered a weight lifting injury about 18 months ago.

Mental Clarity

Fellow AT and host of The Eli Kassab Experience – Eli Kassab guest hosts this podcast and discusses some of his mental health struggles leading him to leave one position as an AT.

Mental Clarity; Eli Kassab

What is Mental Clarity to You?

Not feeling foggy, scattered, busy, angry, confused.

Todd, what mentally got you?

4 am workout crew

Lack of sleep (habitual)

Beats and Barbells

315 front squat did one rep, then passed out mid rep on the second one

Felt like a heart attack at softball practice one day.

Felt like his heart was beating out of his chest

Was driving a couple of hours each day

Would drive to the gym, sit in his car and then drive home because he could not mentally gear himself up to walk in

Cory Carpenter recommended Todd to do the “75 hard” with him

  • Follow a diet
  • Gallon of water
  • No cheat meals
  • 2 x 45-minute workouts
  • Take a progress picture daily

Before the injury, I thought I was tough mentally

Wake up early, train really hard, get back for grad school class, self-help podcasts and books… I was killing it

But the one injury caused the whole deck of cards to fall.

“YOU ARE BUILDING TRUST WITH YOURSELF”

Todd Sabol on completing “75 hard”

Constant building blocks…but that is how every building is built…from the bottom up with a solid foundation

He had some hecklers along the way, but that did not phase him

Running with Mindfulness

Walking through the snow talking to himself audibly as he was following the book.

Todd believes in the law of attraction – put kindness out and you will get that back eventually.

How did the long drives impact Mental Clarity – 

Fast food

Was this how you were escaping?

Burying himself in work and working out were his other two escapes.

How does your mental clarity affect our relationships?

Sharing your journey is healing

For you and your listener

I pour all of myself into my patient, my students, or clients.

I used this as a way to take care of them instead of myself.

FIND WHAT WORKS FOR YOU!!!

Pick something and go with it, and if it does not work, give it another shot and then alter your path as needed, but do not look for the quick fix.

Where are you at now compared to where you started?

It is really hard to compare since I was at that low point for most of my life.

“Hey Todd, you did X,Y,Z in spite of that thing”

Before grad school, he went to a therapist who said he should not go to grad school because of his ADHD.

The Body Keeps the Score

My communication and vulnerability have grown so much during this.

You are going to have some of those hard days…how do you get through them?

Movement – walks and talking to yourself

Meditation

Getting after it in the gym

Use your mental energy to refocus and get back on track.

Watch Mental Clarity on Facebook

https://www.facebook.com/980579115403772/videos/360121818480497/?__so__=channel_tab&__rv__=all_videos_card

Contact Us:

Todd Sabol

Eli Kassab

Jeremy Jackson

Podcast Partners

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

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 money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

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

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

HOIST – No matter your reason for dehydration DRINK HOIST

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Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

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Energy Drink Education – 650

Energy Drink Education; Brett Singer; Shawn Ready; Ray Olivo
https://www.facebook.com/sportsmedicinebroadcast/videos/2460115144109830/

Contact Us

Jeremy Jackson

Contact Us:

Jeremy Jackson

Shawn Readyshawnreadyatc@gmail.com

Dr. Mark Knoblauchmaknobla@Central.UH.EDU

Dr. Layci Harrisonlharris5@Central.UH.EDU

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These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

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 money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

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 money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

Frio Hydration – Superior Hydration products.

Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast

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 money, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Athletic Dry Needling – Save up to $100 when registering through our link.

Burnout in Athletics with Dr. Etnier – 649

Understanding why youth burnout of sports is a question Dr. Jennifer Etnier says comes back to coaching.

https://smile.amazon.com/Coaching-Love-Game-Practical-Athletes-ebook/dp/B07XH9FPK2/ref=sr_1_1?dchild=1&keywords=jennifer+etnier&qid=1598497524&sr=8-1

Who is Dr. Jennifer Etnier?

  • A Fellow of the American College of Sports Medicine and the National Academy of Kinesiology. 
  • Former the President of the North American Society for the Psychology of Sport and Physical Activity and Editor of the Journal of Aging and Physical Activity. 
  • The principal investigator of the Physical Activity and Alzheimer’s Disease 2 study at UNCG.

You talk about sports, but do you even play them?

She plays pretty much all sports

Soccer is the family favorite, but in the days before the interview, she was out water-skiing and playing tennis…so yes she plays

How can we avoid contributing to athlete burnout?

ATs can really help in preventing this, here are a few ways.

  • Educating athletes about being in tune with their own body
  • Educating about overtraining – leads to higher stress hormones
  • Knowing the ability to get over a plateau and encouraging them through
  • Being a confidant/peer/friend

Talk more about the confidant role:

  • If you have a sports psych they should be the main contact.
  • You can really point them in the right direction
  • Sometimes the battle is with the parents
  • We are already knowledgeable of the needs and burnout, but outside of sports can really play a role…acknowledge, normalize, what does bring you joy… let’s bring those things back into sport.
  • EDUCATE, use every tool
  • Know that if I push too hard they may burn out of ALL physical activity.
  • Avoid sports specialization

After the interview, Sofia, my co-worker, said the coach was the reason she quit playing sports in college. She did not feel she could talk to the coach without retribution. Half of the team left because of the abusive style of the coach.

In your NYT article, published earlier this year, you detailed the lack of “quality” coaches at the youth level. What do you think youth organizations could do now, and in the future, to promote higher quality coaching?

Organizations like SportsMedDiscussion that help educate

FUN – people play sports because it is fun…if it is no longer fun it is because of the people in it

Focus on process, not the outcome when a kid says:

“Oh my coach only cares about winning”

They figure it out quickly, if you focus only on winning then they learn there is no point of playing unless you are winning.

Even at the professional level this is true, focus on the process.

FUN and the Process

With respect to the effects that COVID has had on the mental health of student-athletes (young and old), what do you feel are the most important principles that should govern the way we approach coaching?

Dr. Etnier reminds us: Do not cross the line – if you are not a mental health professional do not take on that role

Find joy and fun in our lives

I have never dealt with depression, but in May of 2020 I was dealing with some

Calling friends on the phone.

“Isn’t it great that we are back together” – maybe you need to help amplify

How do we teach “process”

Mental imagery is a great tool if you can teach it

Goal Setting is important

Setting up short term goals that move you to long term goals can help prevent burnout…small victories

Have coaches provide positive feedback not just negative.

From a coaching standpoint: How do you suggest dealing with the kid who isn’t necessarily the “most talented” or “least attentive”? How do you get them to buy-in?

Only as strong as your weakest link the top athletes are going to get the attention, but the bottom half of the order can strike out and kill the rally.

If we all get better than we as a team will have more success than we did last year.

Equitable vs equal is an important shift

What are some suggestions you have for compliance to exercise/practice that coaches can use/we can use ourselves?

Revisit goals

Routine and Rut can get old

  • Is it always the same old thing?  Let’s mix it up

Make it so they want to come.

Always have something new as part of your routine

Play music

Picture wall

Change the location some – outside, hallway, gym

***it comes back to relationships***

Watch Dr. Etnier on Facebook

https://www.facebook.com/sportsmedicinebroadcast/videos/4602152389802502/

Contact Us:

Dr. Jennifer Etnier – jletnier@uncg.edu

Ray Olivo – https://twitter.com/RayOlivo20

Jeremy – https://twitter.com/MrJeremyJackson

Links and Resources

Article in NY Times

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