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

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

Contact us:

Dr. Zacahary Winkleman –

Jeremy JacksonMrJeremyJackson on Twitter and Facebook

Ray Olivo –

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

Frio Hydration – Superior Hydration products.

MioTech – meeting all of your sports medicine supply needs – use promo code “1FREECOURSE” to start for free

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

DragonflyMax – one-stop EMR

HOIST – no matter your reason for dehydration DRINK HOIST

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

Marc Pro – Use “THESMB” to recover better.

patinet centered approach

Complete the course work to earn Category A CEUs sponsored by Methodist Healthcare Sports Medicine of San Antonio