Rankin 3e, PPT Ch 04 (112.0K)

© 2006 McGraw-Hill Higher Education. All rights © 2006 McGraw-Hill Higher Education. All rights reserved. reserved.

Athletic Training ManagementAthletic Training Management

Chapter 4Chapter 4

The Sports Medicine TeamThe Sports Medicine Team


Chapter 3Chapter 3

Sports medicine:Sports medicine:– The provision, primarily, of medical or allied health

care to athletes, exercisers, recreational enthusiasts and others in the delivery of preventive, primary or rehabilitative care related to the prevention, treatment or rehabilitation of injuries and conditions related to sport, exercise or recreational activity, as well as the rendition of service and advice for fitness and training purposes to individuals who desire to engage in the aforementioned activities, related services or products to those who are interested or involved in sport, exercise or recreation even though in this latter sense, the term ‘medicine’ may be inherently inappropriate.


Who should be on the team?Who should be on the team?

Athletic TrainerAthletic Trainer

Team PhysicianTeam Physician

InternistInternist

Orthopedic SurgeonOrthopedic Surgeon

Family PhysicianFamily Physician

NeurologistNeurologist

RadiologistRadiologist

Ob/GynOb/Gyn

Physician’s AssistantPhysician’s Assistant

Dentist or OrthodontistDentist or Orthodontist

OphthalmologistOphthalmologist

OptometristOptometristEar, Nose, and ThroatEar, Nose, and ThroatPodiatristPodiatristAthletic Training EducatorAthletic Training EducatorPsychologistPsychologistEMTEMTSchool NurseSchool NursePhysical Therapist or PTAPhysical Therapist or PTANutritionistNutritionistOccupational TherapistOccupational TherapistCoachCoach


ContractsContracts

Written document binding an employer Written document binding an employer and employeeand employee

Some are quite detailed. One at a major Some are quite detailed. One at a major university states that the athletic trainer university states that the athletic trainer must perform in rehabilitation correctly or must perform in rehabilitation correctly or the university could be held to ridicule for the university could be held to ridicule for failing to return their injured athletes soon failing to return their injured athletes soon enough.enough.

Others are very generic.Others are very generic.


ContractsContracts

Written are favored in colleges and high Written are favored in colleges and high schools.schools.In high schools the contract is almost In high schools the contract is almost always a supplementary contract to a always a supplementary contract to a standard teacher’s contract, the same as for standard teacher’s contract, the same as for coaches and the debate coach and thespian coaches and the debate coach and thespian club advisor.club advisor.– A rule of thumb may be roughly the same rate A rule of thumb may be roughly the same rate

as the highest paid coach in each season, or as the highest paid coach in each season, or about 10% of base for Fall, 10% for Winter and about 10% of base for Fall, 10% for Winter and 5% for Spring.5% for Spring.


ContractsContracts

In clinic settings the contract usually will In clinic settings the contract usually will spell out the initial requirements for hire spell out the initial requirements for hire and reference the policies and procedures and reference the policies and procedures manual.manual.Clinics generally have a far more detailed Clinics generally have a far more detailed policies and procedures manual than in policies and procedures manual than in other settings.other settings.Some contracts are handshake Some contracts are handshake agreements with nothing in writing. These agreements with nothing in writing. These are legally binding, but open to are legally binding, but open to interpretation of the parties of interest.interpretation of the parties of interest.


ContractsContracts

In this day of HIPPA all team physicians need In this day of HIPPA all team physicians need to be under contract with the institution they to be under contract with the institution they serve. This can be a personal services serve. This can be a personal services contract with no money changing hands, but contract with no money changing hands, but without it the physician may be legally barred without it the physician may be legally barred from discussing a patient’s diagnosis and from discussing a patient’s diagnosis and treatment plan with the athletic trainer or treatment plan with the athletic trainer or coach unless the patient gives written coach unless the patient gives written permission. Once contracted, you are all part permission. Once contracted, you are all part of the same team.of the same team.


Practice SettingsPractice Settings

High schoolsHigh schools– The sports medicine team in the high school The sports medicine team in the high school

setting may be smaller than other venues due setting may be smaller than other venues due to many student athletes using family to many student athletes using family physiciansphysicians

Parents may prefer their family physicianParents may prefer their family physician

Makes effective health care difficult due to the Makes effective health care difficult due to the number of physicians from diverse backgroundsnumber of physicians from diverse backgrounds

HIPPA rules apply to what the physician may HIPPA rules apply to what the physician may discuss with the athletic trainer without written discuss with the athletic trainer without written permission of the parentpermission of the parent



– It is required to obtain permission to treat It is required to obtain permission to treat before non emergency treatment is given to a before non emergency treatment is given to a minorminor

– If an athletic trainer is in a licensure state they If an athletic trainer is in a licensure state they must have a team physician who must inspect must have a team physician who must inspect and sign off on all injury evaluation forms not and sign off on all injury evaluation forms not less than weekly.less than weekly.



– Dealing with minorsDealing with minorsConsent to treatConsent to treat

Discussions with parents of child’s Discussions with parents of child’s conditioncondition

Emergency treatmentEmergency treatment

– Smaller budgetsSmaller budgetsLess tapeLess tape

Fewer modalitiesFewer modalities



College\UniversityCollege\University– Resources largerResources larger– Dealing for the most part with legal adultsDealing for the most part with legal adults

FERPAFERPA

HIPPAHIPPA

Insurance issues with parent’s insurance yet lack Insurance issues with parent’s insurance yet lack of ability to discuss the medical problem with of ability to discuss the medical problem with parents without the athlete’s permissionparents without the athlete’s permission



– NCAA does not require certified athletic NCAA does not require certified athletic trainers at every practice site, but does trainers at every practice site, but does require someone be present who can require someone be present who can administer first aid and CPRadminister first aid and CPR

– In the many athletic conferences there is a In the many athletic conferences there is a conference rule that the home team must conference rule that the home team must provide an ATC for every home contest AND provide an ATC for every home contest AND must take care of the visitor’s injured if the must take care of the visitor’s injured if the visiting team does not have an ATC present.visiting team does not have an ATC present.



ClinicsClinics– Medical directorMedical director– Physical therapistPhysical therapist– Athletic trainerAthletic trainer– Billing for servicesBilling for services– Worker’s compWorker’s comp

In Ohio athletic trainers may perform worker’s In Ohio athletic trainers may perform worker’s comp services if registered with the state worker’s comp services if registered with the state worker’s comp boardcomp board



ProfessionalProfessional– In baseball start in the lowest minors and work In baseball start in the lowest minors and work

your way upyour way up– In NFL upper level students work summer In NFL upper level students work summer

camp’s and athletic trainers are hired from the camp’s and athletic trainers are hired from the camp rostercamp roster

– In the NBA you need to know someoneIn the NBA you need to know someone– In the NHL it is very helpful to be a CATA In the NHL it is very helpful to be a CATA

member. Many minor league ATCs are member. Many minor league ATCs are contracted through clinics. contracted through clinics.



Important to remember that in most pro Important to remember that in most pro sports, the minor league level is considered sports, the minor league level is considered a temp job, lasting only the preseason and a temp job, lasting only the preseason and competitive season. Many of these people competitive season. Many of these people work in clinics in the off season.work in clinics in the off season.

Limited opportunities for women.Limited opportunities for women.– One NFL assistant, 3 NBA assistants, no One NFL assistant, 3 NBA assistants, no

women in NHL, no women in AA, AAA or major women in NHL, no women in AA, AAA or major league baseball.league baseball.



OlympicsOlympics– Work as a volunteer for two week session in one of Work as a volunteer for two week session in one of

the Olympic training centers (Colorado Springs is the Olympic training centers (Colorado Springs is the biggest, Lake Placid, Chula Vista, CA, or the biggest, Lake Placid, Chula Vista, CA, or Northern Michigan University in Marquette, MI) Northern Michigan University in Marquette, MI)

– Team rosters picked from the volunteer listsTeam rosters picked from the volunteer lists– Multiple visits to the center are usually required to Multiple visits to the center are usually required to

move onto a travel rostermove onto a travel roster– USOC will provide dorm room and dorm food, you USOC will provide dorm room and dorm food, you

provide transportation to and from the center when provide transportation to and from the center when volunteeringvolunteering



– Should you be picked for international travel, Should you be picked for international travel, they will provide all transportation, food, and they will provide all transportation, food, and competition clothing. .competition clothing. .

Industrial settingsIndustrial settings– In traditional athletic training the athletic In traditional athletic training the athletic

trainer is the intermediary between the trainer is the intermediary between the athlete, coach, and team physician. athlete, coach, and team physician.



In the industrial setting the athletic trainer In the industrial setting the athletic trainer is the intermediary between the worker, is the intermediary between the worker, the supervisor, and the company the supervisor, and the company physician.physician.

OSHA has identified sprains/strains as OSHA has identified sprains/strains as 45% of injuries, fractures as 13% of 45% of injuries, fractures as 13% of injuries, and wounds and contusions at injuries, and wounds and contusions at 10% each.10% each.



Salaries are competitive with other settings.Salaries are competitive with other settings.

Benefits also include a consistent work Benefits also include a consistent work schedule, and may include changeover schedule, and may include changeover breaks, and holiday breaks.breaks, and holiday breaks.

Athletic trainers are employed in heavy Athletic trainers are employed in heavy manufacturing (steel mills, foundries) light manufacturing (steel mills, foundries) light manufacturing (assembly plants in many manufacturing (assembly plants in many different industries) and even prisons (staff, different industries) and even prisons (staff, not inmates).not inmates).



Athletic trainers may also get involved with Athletic trainers may also get involved with ergonomics, work-readiness conditioning, ergonomics, work-readiness conditioning, biomechanics, job-specific training.biomechanics, job-specific training.


Job DescriptionsJob Descriptions

Define the expected, allowed, and disallowed Define the expected, allowed, and disallowed roles an athletic trainer may attempt.roles an athletic trainer may attempt.

These roles should be in the policies and These roles should be in the policies and procedures manual.procedures manual.

First step in defining job descriptions is to First step in defining job descriptions is to define everyone who has a role on the sports define everyone who has a role on the sports medicine team.medicine team.

In this age of HIPPA, the team physician In this age of HIPPA, the team physician must be contracted. must be contracted.


Job DescriptionsJob Descriptions

Consultants should be listed in the policies Consultants should be listed in the policies and procedures manual.and procedures manual.Relationships must be fostered with EMS Relationships must be fostered with EMS professionals to help with roles.professionals to help with roles.– In many jurisdictions after a patient has been In many jurisdictions after a patient has been

turned over to the EMS, they have total turned over to the EMS, they have total jurisdiction over any and all procedures to be jurisdiction over any and all procedures to be used.used.

Detailed job description for each person Detailed job description for each person reduces confusion about responsibilities.reduces confusion about responsibilities.


Job DescriptionsJob DescriptionsDetailed job descriptions protect athletic Detailed job descriptions protect athletic trainers from administrators who choose to trainers from administrators who choose to distance themselves from an unpleasant distance themselves from an unpleasant situation by stating the problem was situation by stating the problem was caused by an athletic trainer acting outside caused by an athletic trainer acting outside their defined duties.their defined duties.

When the 1When the 1stst edition of this book was edition of this book was written we surveyed 20 athletic trainers in written we surveyed 20 athletic trainers in all practice settings around the USA and all practice settings around the USA and found only 2 with written job descriptions.found only 2 with written job descriptions.


Position AnnouncementPosition Announcement

A position announcement is sometimes A position announcement is sometimes also called a job description, leading to also called a job description, leading to confusion with the previous section.confusion with the previous section.

This announcement contains all of the This announcement contains all of the information about a position including information about a position including qualifications, responsibilities, duties, and qualifications, responsibilities, duties, and how to apply for the job.how to apply for the job.



Description of the position comes firstDescription of the position comes first– Nature of the employment agreement (FT, PT, staff, Nature of the employment agreement (FT, PT, staff,

faculty, clinic, clinic-outreach, etc.)faculty, clinic, clinic-outreach, etc.)– Proposed rank or level in the positionProposed rank or level in the position

Job ResponsibilitiesJob Responsibilities– Different in each placement setting, so sell the Different in each placement setting, so sell the

uniqueness of the position. Failure to communicate a uniqueness of the position. Failure to communicate a full understanding of the job will result in candidates full understanding of the job will result in candidates applying who do not fit and waste your resources applying who do not fit and waste your resources interviewing for a position they would turn down.interviewing for a position they would turn down.



Starting DateStarting Date– If the starting date is flexible, it should be noted in the If the starting date is flexible, it should be noted in the

announcement. Most dates are not flexible. An announcement. Most dates are not flexible. An example of a flexible date would be when we hired Dr. example of a flexible date would be when we hired Dr. Multer. She could not arrive until December, while our Multer. She could not arrive until December, while our position started in August. We agreed to a January position started in August. We agreed to a January start date in order to hire our choice.start date in order to hire our choice.

QualificationsQualifications– Degree (accredited ATEP or not), credential (ATC, Degree (accredited ATEP or not), credential (ATC,

license, etc.), experience (type of clinic, specific sport, license, etc.), experience (type of clinic, specific sport, etc.), instructor credential (CPR instructor, etc.) etc.), instructor credential (CPR instructor, etc.)



– It is It is commoncommon practice to list required credentials practice to list required credentials and then desired credentials. Only those meeting and then desired credentials. Only those meeting the required credentials may be hired, desired the required credentials may be hired, desired credentials help sort out the field to hire from.credentials help sort out the field to hire from.

SalarySalary– It is common practice to use a phrase like “Salary is It is common practice to use a phrase like “Salary is

commensurate with experience.” What this means is I commensurate with experience.” What this means is I will not tell you up front and may try to get you as will not tell you up front and may try to get you as CHEAP as possible.CHEAP as possible.

– It is your responsibility to find out salary information by It is your responsibility to find out salary information by doing local research BEFORE you get to a job interview.doing local research BEFORE you get to a job interview.



LocationLocation– This defines both where the job is set and the This defines both where the job is set and the

surrounding community.surrounding community.

Application ProceduresApplication Procedures– What information is required in the application (letter, What information is required in the application (letter,

transcript, resume, recommendations).transcript, resume, recommendations).– Closing dateClosing date

Hard date means no applications after that date may be Hard date means no applications after that date may be consideredconsidered

Soft date (Review of applications will begin January 15 and Soft date (Review of applications will begin January 15 and continue until the position is filled.continue until the position is filled.


SearchingSearching

Where to lookWhere to look– Depends on the settingDepends on the setting– Depends on the role the person will playDepends on the role the person will play

AdvertisingAdvertising– Must reach a desired pool of candidatesMust reach a desired pool of candidates

Equal Opportunity/Affirmative ActionEqual Opportunity/Affirmative Action

Prevents discrimination on the basis of anything Prevents discrimination on the basis of anything except job qualifications.except job qualifications.


SearchingSearching

– ADAADAAllows a written job description that describes the Allows a written job description that describes the duties actually performed in the positionduties actually performed in the positionEmployers establish the qualifications Employers establish the qualifications (knowledge/skills, experience, education, (knowledge/skills, experience, education, certifications, licenses, and other job-related criteria).certifications, licenses, and other job-related criteria).Those disabled individuals meeting the qualifications Those disabled individuals meeting the qualifications must be considered. Peripheral functions cannot be must be considered. Peripheral functions cannot be used to exclude disabled people.used to exclude disabled people.The law does NOT require that persons incapable of The law does NOT require that persons incapable of performing the job without harming others be allowed performing the job without harming others be allowed to do so.to do so.


SearchingSearching

– ADAADAFor more information on ADA contact:For more information on ADA contact:

– US Department of JusticeUS Department of Justice– Civil Rights DivisionCivil Rights Division– Coordination and Review SectionCoordination and Review Section– P.O. Box 66118 P.O. Box 66118 – Washington, DC 20035-6118Washington, DC 20035-6118


Where to AdvertiseWhere to Advertise

For athletic trainersFor athletic trainers– NATA Placement Center (membership NATA Placement Center (membership

required)required)– NCAA NewsNCAA News– Local newspaperLocal newspaper– Contact ATEPsContact ATEPs– Chronicle of Higher EducationChronicle of Higher Education– ACSM electronic job listingACSM electronic job listing– Human Kinetics electronic job listingHuman Kinetics electronic job listing– atcplacement, a Yahoo groupatcplacement, a Yahoo group


AdvertisingAdvertising

NATA National, District, and State NATA National, District, and State Meetings all have some placement areaMeetings all have some placement areaAt the 2004 annual meeting the placement At the 2004 annual meeting the placement desk handled 148 new job postingsdesk handled 148 new job postingsAt that time the total FT positions listed At that time the total FT positions listed with the Career Center was 355 with an with the Career Center was 355 with an additional 201 PT positionsadditional 201 PT positionsDuring June 2004 104 applications were During June 2004 104 applications were filed by 27 candidates for 87 positionsfiled by 27 candidates for 87 positions


RecruitingRecruiting

Can mean two thingsCan mean two things– Seeking people to apply for a positionSeeking people to apply for a position– Seeking volunteers or consultantsSeeking volunteers or consultants

You need to understand that athletic You need to understand that athletic training is still a small enough profession training is still a small enough profession that candidate pools, especially for that candidate pools, especially for college/university positions, can be college/university positions, can be established by phoning or contacting established by phoning or contacting peers and asking who they know who is peers and asking who they know who is good. You can never burn bridges.good. You can never burn bridges.


ScreeningScreening

After the applications are all in, the hiring After the applications are all in, the hiring committee must meet to establish two committee must meet to establish two things:things:– Who meets the written qualifications for the Who meets the written qualifications for the

jobjob– Who will be interviewed for the jobWho will be interviewed for the job


InterviewingInterviewing

Three phasesThree phases– Orientation or expectations-settingOrientation or expectations-setting

How the interview will proceed, what the position How the interview will proceed, what the position will entail, and describe the organizationwill entail, and describe the organization

– Experiential presentationExperiential presentationTest the candidates knowledge, strengths and Test the candidates knowledge, strengths and weaknesses and follow-up questionsweaknesses and follow-up questions

– Organizational sellOrganizational sellFour points: interest level of the work, security, Four points: interest level of the work, security, mentoring, and socialization.mentoring, and socialization.


Questions Legal and IllegalQuestions Legal and Illegal

Those conducting the interview must be Those conducting the interview must be aware of the legal consequences of the aware of the legal consequences of the questions they ask. (refer to Table 4-3 for questions they ask. (refer to Table 4-3 for examples or contact your Affirmative Action examples or contact your Affirmative Action Office or the US Department of Justice Office Office or the US Department of Justice Office of Civil Rights)of Civil Rights)

In general, questions dealing with the In general, questions dealing with the applicants qualifications and ability to perform applicants qualifications and ability to perform the job are legal, everything else is notthe job are legal, everything else is not


Who to InterviewWho to Interview

First step is to refer to the job description First step is to refer to the job description and eliminate those not meeting the stated and eliminate those not meeting the stated qualificationsqualificationsAfter the pool has been narrowed, other After the pool has been narrowed, other factors help to separate the pool into more factors help to separate the pool into more desirable and less desirable candidatesdesirable and less desirable candidates– Communication is an often overlooked skillCommunication is an often overlooked skill– Athletic trainers must interact with athletes, Athletic trainers must interact with athletes,

physicians, coaches, other allied health care physicians, coaches, other allied health care personnel, and athlete’s familiespersonnel, and athlete’s families



In the collegiate environment where an In the collegiate environment where an ATC may be hired to cover a specific ATC may be hired to cover a specific sport, experience in the sport is desirablesport, experience in the sport is desirable

In the high school environment a variety of In the high school environment a variety of athletic training experiences working with athletic training experiences working with both males and females is required. both males and females is required. – Additionally if the position is tied to a teaching Additionally if the position is tied to a teaching

position, having a teaching credential in an position, having a teaching credential in an open teaching area is necessaryopen teaching area is necessary



In clinic settings previous experience in In clinic settings previous experience in that setting is a positive, even if it was a that setting is a positive, even if it was a clinical rotation during the applicants clinical rotation during the applicants educational programeducational program

In professional settings, experience with In professional settings, experience with professional caliber athletes while in the professional caliber athletes while in the college setting may be a factorcollege setting may be a factor



Number of applicants in the final cut Number of applicants in the final cut usually between two and fiveusually between two and five

It is wise to delay rejection letters until It is wise to delay rejection letters until someone has accepted the position in someone has accepted the position in case no one can be hiredcase no one can be hired– Avoids embarrassment of rescinding a Avoids embarrassment of rescinding a

rejectionrejection


SelectingSelecting

After the final interview, an offer is made to After the final interview, an offer is made to the leading candidate the leading candidate – Hopefully the unanimous choice of the Hopefully the unanimous choice of the

selection teamselection team– If there is no unanimity, the job is usually If there is no unanimity, the job is usually

offered to the person with the greatest support offered to the person with the greatest support on the selection teamon the selection team

Some search committees will make a Some search committees will make a recommendation to the search committee recommendation to the search committee chair who will make the final decisionchair who will make the final decision


SelectingSelecting

In some settings the committee makes a In some settings the committee makes a recommendation to the supervising recommendation to the supervising administratoradministrator

In a case where a single best candidate In a case where a single best candidate cannot be identified, several names may cannot be identified, several names may be forwarded to the administratorbe forwarded to the administrator– In some institutions this is always the case In some institutions this is always the case

and the senior administrator picks his/her and the senior administrator picks his/her choice from among 2-3 candidateschoice from among 2-3 candidates


SelectingSelecting

In high schools and clinics a personnel In high schools and clinics a personnel department will usually make the job offer department will usually make the job offer based on input from the search committeebased on input from the search committee

One factor found again and again is that One factor found again and again is that the person who is most compatible with the person who is most compatible with the person having ultimate responsibility the person having ultimate responsibility for hiring usually gets the jobfor hiring usually gets the job

Rankin 3e, PPT Ch 04 (112.0K)

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