Goal Setting for Patients

Goal Setting can be awkward…”What do you mean what do I hope to get out of coming here today?”

I am trying to have a more Patient-Centered Approach to Athletic Training Services, but I have not found a good way for me to ask the questions that the students understand.

As a licensed AT and practicing PT Daria Oller knows the value of goal setting. She joins Ray Olivo and John Ciecko to try and make me less awkward…Good Luck.

What is “patient goal setting in rehab”?

Looking at objective measures

  • ROM
  • Strength parameters 
  • Rep or weight count
  • Pain is an important measure – you can include subjective measures
  • Do not say “the patient will be better”
  • Use the SMART concept
    • Specific; Measurable; Attainable; Realistic; Time-Bound 

Working on them together

Recognizing them as a total person

Continually listening

How is it affecting the quality of life?

What is not “patient goal setting in rehab”?

If you take the patient out of the equation you are showing your ego… “I want the patient back playing in two weeks..”

A big failure is removing the patient from the equation

Having coaches dictate when an athlete or parent can return to play.

Daria: LongCOVID – I want to get back to running, walking, dancing.  I am stubborn and would do them but then was just crashed out.

How I have asked:

“What is your goal for today?”

“What are you hoping to get out of coming in today”

“What are you wanting to hear after the evaluation?”

Thoughts on asking these goal-setting questions?

With kids, it may just be awkward because they are answering them for themselves the first time

  • There are therapy goals and then daily goals
  • They should still tie into what the overall goals are

John: Relationship building

  • A majority of people will not know what their goals for the day are.
  • What is the real question?
    • Realistically you are talking about the history
    • “How are you doing today?”
    • “What have you learned today?”
  • You use those things as clinicians to help them define their goals.

Remember the history and relationship with the kid and consider that as you are asking the “goal” question.

  • We do not use a lot of objective goals because we do not have to report it, but they can be useful in motivating.

“How can I help you today?”

Ray Olivo – on helping patients set goals for their healthcare

Continue to ask questions to figure out who they are as a person rather than an injury

“How can we work together to get you to your goal?

Daria – the psychosocial is such a huge piece as well.

Some goal-setting is defined by statements such as: “I want to get on the floor with my kids/ grandkids and play but the pain is preventing it.”

Trying to document for insurance forces Daria to put all of the pieces together.

  • Are there stairs in your apartment
  • It sounds like you are saying this, this, and this.  How can we work together to get better?

Example of “Goals” for athletes

Ankle sprain

  1. Walk pain-free
  2. Jog pain-free
  3. Run pain-free
  4. Practice pain-free
  5. Return to play

Instead of “Here is what you are going to do today.” 

Maybe try:

“Here is what I feel like we need to work on how do think we can accomplish that?

John – I like to look at it as a department view

“What are our professional goals”

  • We write them out and put them on the wall and it leads everything we did

You still need to have a goal as an AT to guide the patient’s recovery.

Celebrate small goals

In the secondary setting where we potentially see them every day, what should this look like?

John – The target – “what is your bullseye?”
Work backward from the outer rings to see how they get to the bullseye.
We keep soap notes and rehab sheets out for all of our athletes. Rehab charts are on the back of the soap notes.

WRITE THINGS DOWN

Daria – know the target and work out from there
8 weeks walking pain-free
So what steps can we use to get you there at 2 weeks, 4 weeks, and 6 weeks?

Ray– having them see their goal is important
Let’s take a picture of your ankle daily and compare it
Or lets video you walking and running
Each athlete is by appointment currently and they have an agenda for the day.
Ask them what their plan is

Other tips for implementing the patient goal setting in rehab?

Daria: Long-standing pain – the goal is not being pain-free, but finding distractions to keep his mind off his pain.

Certain hobbies and activities and helping him build those into their life and improving the ability to perform those tasks.

Ray: There are many ways to do goal setting.

IT’S ALL ABOUT THE PATIENT

John: Practice what we preach.

How are your goals going to help your patient population?

If you are good at setting your own goals it will show in your practice

https://www.facebook.com/980579115403772/videos/411065410067494

Got tips for us?

Daria Oller – @OnTapPhysio

Ray Olivo

John Ciecko

Jeremy Jackson

Goal Setting Resources

Setting Quality Goals – use the promo code “1FreeCourse” to earn some 2 CEUs related to the discussion.

Financial Supporters

Frio Hydration – Superior Hydration products.

MioTech – meeting all of your sports medicine supply needs

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

DragonflyMax – one-stop EMR

HOIST – no matter your reason for dehydration DRINK HOIST

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

PhysicalTherapy.com; 1freecourse; continued; Physical therapy

Chinese Olympic Experience – 647

Ever wondered what it is like to have a Chinese Olympic Experience…and then get interrupted by a global pandemic/

Adam Stoyanoff joins John Ciecko to share his odd path to working with the Olympic kayaking team of China.

Chinese Olympic Experience

Where did Adam get his start?

I have been fortunate to observe and be part of many different things…some may seem wrong, but that is a closed-off perspective.

Assistant coaching at Boling Green University for 3 years – spent time with all sports

Worked with local high schools as a contract S&C coach

Then went out on his own as an independent contractor with 2 high schools and college.

This increased his diversity and ability to adapt his skills.

Then went to Boston to lead an afterschool program for 2-5th graders – larget challenge as you have to keep changing to keep them interested.

Learned it was important to keep contact and build relationships with parents so the kids and parents are doing and talking about the same thing.

Next job was to Dallas, Texas

Opened his eyes to see “there is always a reason why”

Did not spend his life thinking “How can I build my resume?”

He got a phone call from the Chinese canoe association that was training in Waco, about 1-2 hours from Dallas. That lead to him becoming a coach more than a coordinator.

Juataga Portugal was their training site and also made the canoes they were using.

Lived on the training compound with the athletes

More about his Chinese Olympic Experience

Coaching vs coordinating

Coordinating is more like the AD role – dealing with all of the wants and needs

It will stress your relationship building skills

As the coordinator, you are in a service position and making sure everyone has everything they need and want.

“Rocky 4 was a documentary right?” – John Ciecko

But really that is what life is like, someone is always watching you and videotaping

You should always act as if there is a camera on you.  Even in your moments of weakness.

“What are you doing when nobody is looking – definition of Integrity”

You have to stop, observe and listen to understand why a person may be acting a certain way

Chinese athletes are taken out of school at 12-13 years old to be an athlete.

Lessons Learned

The coaches who are and were doing well put their ego aside and were there to serve and help.

Calm and stillness with a few deep breathe

Do not take it personally when a Serbian coach yells at you for setting a plate down to loud and disturbing their athlete.

He was working with professional athletes…professional kayakers who wee making millions

I can get you that info, I need to find the best way to get that to you safely.

https://www.facebook.com/sportsmedicinebroadcast/videos/1126643737710753/

Contact Us

Adam – Instagram

John – Twitter

Jeremy – Twitter

Want to be able to make moves like Adam?

School loans and other debt prevent a lot of people from taking the job they long for.

Check out Financial Peace University from Dave Ramsey and change your family tree. If you do the work and stick to the plan it works every time.

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

Frio Hydration – Superior Hydration products.

MioTech – meeting all of your sports medicine supply needs

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

DragonflyMax – one-stop EMR

HOIST – no matter your reason for dehydration DRINK HOIST

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

Going Fully Digital with EMRs – 620

Hesitant about going Fully Digital with your EMR?

John Ciecko has been hesitant, mostly about what it looks like to go fully digital, so we set up a meeting of the minds.

Going Fully Digital with EMR; DragonFly Max; John Ciecko; Danny Barringer; Chris Dean

Have you been thinking about moving from paperwork to an EMR in your athletic training practice?

If you answered yes, you will want to listen to today’s show.  Both Danny Barringer and Christopher Dean recently switched to EMR’s and today on pod they will highlight the benefits and help you navigate the roadblocks.

Why should AT’s move to this fully digital model?

Ease, portability, security, and accessibility.  As AT’s we are often not seated at our desk during the day.  Moving to an EMR allows us to access information as well as enter information whenever and wherever we need to.

How did you decide which EMR to utilize?

It’s important to research the available EMR’s but before you even get to that point identify what is important to you and your stakeholders in the EMR’s capabilities.  

Danny researched and found that DragonFly Max offered everything he needed as an outreach director at a hospital with multiple schools and sports.

Chris was introduced to NextGen when the orthopedic practice merged with a hospital that already utilized an EMR.  While NextGen didn’t have a lot of what he felt AT’s needed, the IT department was able to customize NextGen to make it more useful for the athletic trainer.

How do you get buy-in or navigate roadblocks with implementing an EMR?

Communicate the why, talk about liability and the lack of protection paper offers and remind them that one HIPPA violation would cover the cost of an EMR. 

What is one thing you both love about the EMR’s you are using?

One thing both Danny and Chris agreed upon is the dictation feature that is found in both DragonFly Max and NextGen.  They both appreciate the ability to dictate a note or eval info no matter where they are.

Can EMR’s assist with the PPE collection?

Absolutely!  In DragonFly Max you can take a photo of the PPE and upload it into each student-athletes profile.  NextGen allows you to internally or externally upload a PDF of the PPE into a student athlete’s file.

What’s one recommendation for AT’s who are wanting to make the switch to EMR’s.

Research all the EMR’s available and find one that has everything you need.  Remember that Standard Of Care is EMR now. EMR’s can help AT’s prove relevance and value.

Watch on Facebook

https://www.facebook.com/sportsmedicinebroadcast/videos/1077200165808191/

Considering an EMR?

DragonflyMax has so much to offer you at a price that you can not beat.

Contact Us

Danny Barringer – Danny.Barringer@surgerypartners.com

Chris Dean – cdean@sportsmedicinefairbanks.com

Jeremy JacksonHost of The Sports Medicine Broadcast

John Ciecko – jciecko@bloomfield.org

Alisha M Penningtonalisha@theatvantage.com

Mike McKenney – m.mckenney@northeastern.edu

Mike Hopper – Mike.Hopper@bishoplynch.org

Clint Sanders – clint@dragonflyathletics.com

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

Frio Hydration – Superior Hydration products.

MioTech – meeting all of your sports medicine supply needs

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

DragonflyMax – one-stop EMR

HOIST – no matter your reason for dehydration DRINK HOIST

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

Dragonfly; Fully Digital; EMR; EHR; Danny barringer; John Ciecko; Chris Dean

Compex Live – 617

We have been testing the units and now Brandon Hearn – Product Guru for Compex – joins the Sports Medicine Broadcast to discuss Compex live. We have lots of questions and he has lots of answers.

The Compex is not Complex” – Brandon Hearn

Do you have a Compex Unit?

We plan to have another discussion down the road but what tips, tricks, or uses have you found for helping athletes (yourself included) to recover and heal using NMES units like Compex?

What questions do you need answers to?

Compex Live; Compex Edge, NMES; AT Uses; Brandon Hearn

Want a sweet deal?

During our Compex live podcast, Brandon extends a pretty sweet deal towards the end of the show for podcast listeners. You can get one of the upper-level units for a base unit price.

Buying through an approved vendor?

MioTech has great prices and great customer service.

Current prices for the units discussed:

  • Fix Massage Gun – $165
  • Theragun G3Pro – $599
  • Marc Pro – $655
  • Compex Edge 2.0 – $140

Best use ideas to get started?

If you are brand new to (or taken an extended break from) exercise then START SLOW…

John, Sofia, myself and Coach Caballero all went way too heavy to start.

We were struggling to walk, tie shoes or do most things normally. SO BE WARNED!!!

Using squats as an example:

  • Hook the pads up as shown on the Compex website for the area you are trying to target.
  • Turn the device on
  • Select Resistance
  • Select the muscle group
  • leave the radiator image on

The top 2 uses for the devices:

  1. Clearing of lactic acid in 7 minutes or less on the blood flow or warmup setting.
  2. Increase muscle recruitment to improve training sessions.

Another great use for the device is pre and post-surgery. hooking the device up quad and hamstring simultaneously. This way they are all firing at the same time without movement. Decreasing muscle atrophy and improving long term outcomes.

Compex pads are expensive…

DON'T buy cheap ones on amazon. Brandon says the pads are more expensive to provide a better product and provide more safety. The cheap pads can actually cause burns to the skin if the adhesive is missing.

I bought some and we are going to test it out on ourselves…not on patients.

Two other safety features we learned about during the Compex Live session:

  1. Biphasic current means the electricity goes into and out of the body through the pads.
  2. You can not charge the device while operating it.

John, Sofia, Coach Caballero and I really tested these things out.

https://www.facebook.com/sportsmedicinebroadcast/videos/628606361230260/

See the demo on Facebook

https://www.facebook.com/sportsmedicinebroadcast/videos/191100292243521/

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

Frio Hydration – Superior Hydration products.

MioTech – meeting all of your sports medicine supply needs

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

DragonflyMax – one-stop EMR

HOIST – no matter your reason for dehydration DRINK HOIST

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

Compex Live

Diversity and Inclusion in AT Leadership – 615

Ever been the only white person in the room? How about your college program?

Eva Martinez says as a brown woman in Athletic Training she longs to see more diversity and inclusion in leadership. She wants to see people like her in leadership.

Diversity and Inclusion; Eva Martinez; Marco Nunez

What is your Diversity and Inclusion story?

Have you been excluded from conversations because you did not fit the mold for the current leadership style?

Are you like Sofia and never really felt excluded or like there was a ceiling to your ability?

Do you get fired up when someone makes an off-color comment, let it slide or find a way to educate?

Diversity and inclusion; John Ciecko;

Find the Similarities

Sometimes people make comments because they are intentionally hurtful, but sometimes they are just ignorant.

I said something about going to a polish festival and used the word “polak” while talking to my wife. I read a book where the main character was Polish and referred to himself as a “Polak” so I thought it was normal…until she told me the word is derogatory.

If I had said this to a polish person it may have ended very differently.

Continuing to use the term after learning the meaning would be intentional. I have only used the term to tell the story since that day.

In your quest for Diversity and Inclusion be quick to extend grace and offer a chance for education and change.

Watch the talk on Facebook

https://www.facebook.com/sportsmedicinebroadcast/videos/192284961862124/

Contact Us

Marco Nunez – marcoanunez@msn.com

Eva Martinez – emart430@fiu.edu

John Ciecko – jciecko@bloomfield.org

Jeremy Jacksoninfo@sportsmedicinebroadcast.com

Resources

Brown Eyes & Caramel Thighs Podcast

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

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.

Go4Ellis Update – 609

In another Go4Ellis update, founder Ellis Mair discusses some big news.

Ellis and her team were able to double not only the number of states using her online platform which connects Athletic Trainers to per diem work but also double the number of Athletic Trainers using the platform.

Always ready for a fun conversation, John Ciecko sits down with Ellis on the podcast live from NATA Las Vegas and discusses this accomplishment and many more.

Go4Ellis Update, ellis mair, John Ciecko, Las Vegas, NATA, Go 4 Ellis

Ellis states that attending 8 of the 10 NATA district conference meetings and reaching out to every state head explaining the background, goals, and mission of Go4Ellis has certainly helped grow the platform.  

She also explains working from the top to bottom approaching leadership first is critical to communicating the vision and educating. However, working from the bottom up and reaching out to AT’s in certain communities to build growth in each state was important too.

What exciting new partnerships are happening with Go4Ellis?

A new partnership with US Lacrosse began this year requiring a mandatory AT per every 3 fields at every US lacrosse event.  

A partnership with Players Health EMR allows AT working these lacrosse events to create injury reports. These injury reports are then able to collect data for epidemiology reports being researched by MedStar.  

What makes Go4Ellis beneficial to the athletic trainer and the profession of Athletic Training as a whole?

Athletic Trainers are able to work per diem to earn extra money when they are available or when they may be facing additional upcoming expenses. 

But by increasing the presence of Athletic Trainers’ at a variety of athletic events, including most recently a rise in Quidditch events, Go4Ellis helps increase exposure athletes have to Athletic Trainers’.

We also ontinue to educate National Governing Boards of a variety of youth sports on the importance and necessity of an AT at all of their events and give us as Athletic Trainers’ an opportunity at each per diem event to educate and advocate for our profession. 

Can you only make money by working an event?

No, through their 4werks.com referral system, AT’s can refer an organization or event to Go4Ellis for coverage and if the event runs that AT will receive a check for 125.00.

What are Ellis’ future goals for this next year?

Increase the number of operators of events, AT’s involved as both operator’s and per diem and partner with more NGB’s. 

Be actively working in all 50 states.

Renew partnerships with the NATA and become more involved in data collection on the field. 

Work the Players Health EMR into their app.  

Need more Go4Ellis info?

If you would like to contact Ellis Mair feel free to email her at Ellis@go4ellis.com  As you’ll hear during the podcast, she is really good about returning emails quickly.

Contact us:

Jeremy JacksonHost of The Sports Medicine Broadcast

John Ciecko – jciecko@bloomfield.org

Alisha M Penningtonalisha@theatvantage.com

Mike McKenney – m.mckenney@northeastern.edu

Mike Hopper – Mike.Hopper@bishoplynch.org

Clint Sanders – clint@dragonflyathletics.com

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

Frio Hydration – Superior Hydration products.

MioTech – meeting all of your sports medicine supply needs

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

DragonflyMax – one-stop EMR

HOIST – no matter your reason for dehydration DRINK HOIST

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

Appropriate Medical Care “PASS” – 607

Bart Peterson and Larry Cooper join John Ciecko to discuss how we can ALL strive for Appropriate Medical care in our settings.

One way the NATA is working to improve the practice of secondary school athletic trainers is through a new online tool launched in 2019 called PASS (Some features require NATA login credentials). 

Today on the podcast John talks with Bart and Larry about the online tool they helped create through an entire year of data collection, research and collaboration.

Appropriate Medical Care Best Practices

What is PASS?

PASS is an online tool available to secondary school athletic trainers that are NATA members.  The tool takes the AT through 12 standards with narratives and annotations that can help ensure that can help elevate the care at a secondary school and ensure that you are practicing at the highest level.

Who should use PASS and how should it be used?

Bart and Larry encourage all secondary school AT’s to login and process through the PASS system.  Their goal is for at least 20% of all HS AT’s participating in PASS so that they can then pull of data of each state and assess where each state is meeting the standard and what needs improvement.

They recommend that an AT take approx 1 month to go through each standard and at the end of the year (12 standards) each secondary school will have a comprehensive collection of their policies, procedures, EAP’s and other administrative information.

How can an AT use PASS to move towards appropriate medical care?

The standards provided in PASS will ensure the AT is practicing at the highest level of care.  Each standard includes evidence and case law for compliance.

The standards are also a great tool to present to stakeholders within your school to encourage change.  For example, there is a standard of clean and safe facilities. If you as an AT are struggling to get your AT room and equipment cleaned properly, this standard can be taken to a stakeholder in the district and will help them understand the need for and importance of clean facilities.

The PASS system is also a great way to transition between AT’s in your school.  All EAP’s, policies, etc are stored on the PASS sight for the next AT at that high school.

We are already a NATA Safe School.  Should I still do PASS?

Bart and Larry encourage even Safe School Award winners to process through PASS.  “If they have already been awarded the Safe School Award, they have probably already completed 70-80% of PASS.

Bart’s dream is to have Safe Schools and PASS connect so that AT’s are not only participating in PASS but also apply for the Safe Schools Award.

What is the end product of PASS?

Elevated care within the secondary setting and moving from a model where a non-medical professional evaluates the AT to a medical model where the health care team works together to not only evaluate the AT but also to evaluate all the policies and procedures with the high school.

Got Questions??

Send us your specific questions to AppropriateMedicalCare@sportsmedicinebroadcast.com so we can respond individually or address it publicly if needed.

Watch the LIVE interview on Facebook

https://www.facebook.com/sportsmedicinebroadcast/videos/457502371494089/

Contact us:

Bart Peterson – arizatc@cox.net

Larry Cooper – coopatc1@gmail.com

Jeremy JacksonHost of The Sports Medicine Broadcast

John Ciecko – jciecko@bloomfield.org

Alisha M Penningtonalisha@theatvantage.com

Mike McKenney – m.mckenney@northeastern.edu

Mike Hopper – Mike.Hopper@bishoplynch.org

Clint Sanders – clint@dragonflyathletics.com

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

Frio Hydration – Superior Hydration products.

MioTech – meeting all of your sports medicine supply needs

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

DragonflyMax – one-stop EMR

HOIST – no matter your reason for dehydration DRINK HOIST

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

Appropriate Medical Care, MioTech, John Ciecko, PASS, Bart Peterson, Larry Cooper

Only One You – 596

Join us as we read the children's book Only One You

“It’s time,” Papa said. 
“I think it is,” Mama agreed.
“Time for what?” Adri asked
Papa’s voice softened, “To share some wisdom.”

Only One You, John Ciecko, Mila, Linda Kranz, Jeremy Jackson, Leadership in AT

Welcome to AT Leadership

In the book Only One You life lessons abound.

“Always be on the lookout for a new friend.”

John and Jeremy have no connections 4 years ago. Just social media friends.

We have grown to be trusted friends. I would let John stay at my house for a week if he was in Houston.

I have begun texting a group of guys each week so that I am being intentional about building relationships. I schedule that text early in the week so that I know it is going out.

“Look for beauty wherever you are, and keep the memory of it with you.”

For John, this page of Only One You reminds me to keep the memory of the good moments or wins or championships for when times are tough (tough teams, injuries, coaches, etc.)

This line speaks to me to not take pictures of everything, but be in the moment and take a picture in my head. create the moment instead of focusing on the perfect shot

“Blend in when you need to. Stand out when you have the chance.”

John: Leadership Capital – Know when to speak up but know when you sit back and listen. For me, those that stand out have egos. This never helps with relationship building.

“Let others speak your praise” – Kevin Parker

“Find your own way. You don’t have to follow the crowd.”

Jeremy: When I started in 2012 there was maybe one other sports medicine podcast focused on Athletic Trainers. I did not sit back and wait for someone else to start one. From October 2013 through October 2019 there have been over 524,00 downloads of the Sports Medicine Broadcast.

Blaze a path as an athletic trainer. Get unique certifications, specialize and set yourself apart.

“Personal development as professional development.” – Kent Games

“Know when to speak; know when to listen.”

This goes back to “blending in” Speaking is important but only after you have all the information. Listening is the most important aspect of leadership.

Mark Knoblauch told me: “The ATs who get angry and get into arguments are the ones who are usually inexperienced and have a need to prove themselves.”

Or there is the Fight Club quote: “Most people do not really listen they only wait for their turn to speak.”

Only One You, John Ciecko, AT Leadership, Go 4 Ellis, Ellis Maer

“No matter how you look at it, there is so much to discover.”

Both John and Jeremy agree “One of the things I’ve learned doing this podcast is that; there is always more to learn. Every time I think I've figured things out, I realize there’s something else I need to know.

“If you make a wrong turn, circle back.”

John likes this quote from Only One You. He knows mistakes happen in our daily and professional life. Leat's learn from them and “circle back.”

Repeat podcast guest Brandy Currie says reflection is key and she does it daily.

Then there was the time my son dropped a googly eye into his ear…our circling back was to buy an otoscope.

“If something gets in your way, move around it.”

Jeremy: Usually when I am given a rule my first thought is how can I get around this… not always the best way of thinking, but I tend to look for other options.

John: Realize things change, schedules change, obstacles will occur but relax, detach, adapt and overcome.

This is another opportunity to reflect and circle back on how things can change and listen to all of the details before speaking.

“Set aside some quiet time to relax and reflect every day.”

John: This is one of the most important things to me in that every day I get time to myself. Most of the time I have to make it whether that’s getting up at 4am to work out or scheduling time on my calendar to actually sit and read. We also covered this with “Learn to Say No” and Prioritize and Execute.

John LOVES to read, so sometimes he wakes up early, goes to the gym and rides the bike so he can sit and read

“Appreciate art. It’s all around you!”

Have fun during games, enjoy the small things and enjoy when your athletes achieve their goals.

“Make wishes on the stars in the nighttime sky.”

John: Have a vision, set goals create your value.

Jeremy: Take time to look up and see the stars.  The small things that are always there. Do not look past what is in front of you.

My wife does this with our youngest…just sits back and watches.

I often ask my family to not say I can not wait until “_______” is over. there is way too much to miss.

Closing out Only One You

“‘Thanks for listening,” mama said. 

“We hope you will remember.” Papa winked and whispered, “We know this is a lot for you to think about.” 

Adri did a backward somersault and smile. He was excited to go out into the world with what he had just learned. “‘Wait for me!” he shouted to his friends.

Before he swam away, he turned back to his parents and said, “I will remember.” 

Mama kissed Adri on the top of his head. 
“There is only one you in this great big world,” she said. “Make it a better place.”

Check out the Facebook Live stream

https://www.facebook.com/sportsmedicinebroadcast/videos/581359085937581/

Thanks to each of our AT Leadership Guests

sportsmedicinebroadcast.com/LeadershipMythology

sportsmedicinebroadcast.com/LearningToSayNo

sportsmedicinebroadcast.com/LeadershipFailures

sportsmedicinebroadcast.com/Heroes

sportsmedicinebroadcast.com/LeadershipMyths

sportsmedicinebroadcast.com/LeadershipSeries2

Contact Us

John Ciecko – @JohnCiecko

Jeremy Jackson

Let our financial supporters know you listen

Frio Hydration – Superior Hydration products.

MioTech – meeting all of your sports medicine supply needs

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Only One You, John Ciecko, AT Leadership, Jeremy Jackson, Linda Kranz

Leadership Myths – 595

“Today, when leadership is discussed, we usually purport to be discussing what leaders do, rather than what they say, as if this were a more clear-eyed approach. The truth is that when we look closely, we see leadership as much in what our leaders symbolize as in what they accomplish. 

Whatever the case, our obsession with leadership seems to be constant, if not growing.

The mythology of leadership, however, will be a growing source of frustration if we don’t come to some more clear-eyed sense about why this is so and why it matters to us.”

A quote from ‘Leaders; Myth and Reality’ a cornerstone as we discuss Leadership Myths.

What about Leadership Myths?

We wrongly believe that what happened in one leadership instance can be replicated in another. This leads to the three myths, which helps us navigate the understanding of leadership.

The first of the three is the “Formulaic Myth.”

  • Ignoring the reality that leadership is contextual, we feel that leaders stick to a strict checklist, leading to success.

The Second is The “Attribution Myth”

  • When we view leaders in hindsight we see that their vision or mission can far outweigh those that surround the leader themselves.

Third Leadership Myth: Results Myth

  • Delivering results is all that's required for positions of power and accolades

About Tory Lindley

Tory has been a guest on the SMB during his presidential bid, at Convention in New Orleans, Discussing Strategic Alliance, and recently with Alisha Pennington in Las Vegas

Leadership Myth, Tory Lindley

2011 Hall of Fame inductee into Illinois ATA

Published over a dozen times

GLATA Awards – Golden Pinnacle

Head AT of the year

Tory and his wife Beth have three children: Jonah, Evan and Genevieve and a dog, Myles (Tory’s morning running partner).

Is the “Formulaic Myth” is effective in leading others?

Neither John nor Tory believes this method produces good consistent leadership. Tory feels the opposite is true for him.

Leadership needs to be based on the people group and the topic.

Knowing your audience or followers is critical to the success of leaders. The leader is believed to be only marginally more important than the quality of the followers.

What is Leadership Culture?

Tory does not like to use the word “culture” because it is often not clearly defined. Instead, he talks about the environment you create around you.

It is essentially the same concept but with clearly defined actionable steps to improve and grow the team.

Define What You Value

Does your “culture” define what you value?

Does it reward and celebrate achievement?

Is it clear?

Is it scalable or reproducible?

Do the actions of your community continually remind you of your expectations and the environment you are creating?

Watch the interview on Facebook

https://www.facebook.com/sportsmedicinebroadcast/videos/1951776521591667/

Contact Us:

Tory Lindley – tory@northwestern.edu

John Ciecko – @JohnCieko on Twitter

Jeremy Jackson

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Learning To Say NO – Kent Games – 589

Learning to say no can literally set you free. A friend of mine typically responds to requests with, “However I can help.” As Athletic Trainers, we are in the service business, so we tend to say YES to everything.

I was asked recently, “Jeremy, would your coaches fight for you to stay employed here?”

I am trying to find ways to be helpful and to build relationships without taking on someone else's job responsibilities. I am learning to say no. But am I learning to say no gracefully?

Kent Games; Kenneth Games; Learn to say know; learning to say know; John Ciecko; Leadership; Sports Medicine Broadcast

About Dr. Kenneth Games

On his website, Kent Games describes himself as a breakthrough, leadership, and transformation coach. 

After nearly ten years working in healthcare and higher education, he decided to fulfill his vision and pursue a career helping others identify and fulfill their life's dreams, desires, and visions.

Learning to say no; kent games; John Ciecko; Dr. Games; Leadership; Sports Medicine Broadcast; Jeremy Jackson

Learning to Say No

For many, leadership may imply the imposition to say yes.
Yes to new tasks. 
Yes to new projects. 
Yes to more jobs and gigs. 

Last year we learned with the Dichotomy of Leadership that a hard line on one topic can cause you to burn the candle at both ends, resulting in burnout.

Tribe of Mentors – Tim Ferriss

A Tim Ferriss podcast highlighted the “no” responses to his invitation to participate in his book Tribe of Mentors.

Tim asked hundreds of entertainers, athletes, CEOs, speakers and guests what makes them tick. 

His “no” responses were so graciously worded, that he put them in the book anyway! It was a way to highlight how some power brokers eloquently decline invitations to projects.

John reads a couple of these responses throughout the podcast.

What are some practical steps?

Dr. Games discusses the importance of acknowledging the invitation and showing gratitude, as evidenced in his automatic email reply.

Learning to say no; kent games; ; auto responder; prioritize; dichotomy; gratitude

John Ciecko also discusses how he recently took his email app off his phone to allow him to be more present.

For John and Dr. Games, this contributes to a reduced feeling of anxiety because he is not constantly checking and waiting for something to pop up.

In the AT facility

“I can give you five minutes of my time right now. If you need more than that, you will need to come back in one hour (or when the practice rush is over).”

After hearing this, I discussed how we can implement it into our daily practice to better serve each athlete who trusts us with their care.

Why YOU should Learn To Say “No”

To give your attention and energy to the situations that deserve it.

If an opportunity does not line up with your “why” and your value system then gracefully say no.

Contact us:

Dr. Kent Games – Kenneth.Games@indstate.edu
Twitter: @GamesKenneth
Instagram: @KentGames

John Ciecko – jciecko@bloomfield.org
Twitter – @JohnCiecko

Jeremy Jackson

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HOIST – no matter your reason for dehydration DRINK HOIST

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