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To provide appropriate medical care for secondary school athletes, athletic trainers should educate athletes on nutrition, hydration, dietary supplementation. Vitamin D is an important factor in the overall health of athletes. Vitamin D deficiency is common, especially among ethnically diverse athletes. Increasing knowledge on Vitamin D deficiency and sufficiency can help athletic trainers educate athletes on the significance of Vitamin D with injury prevention and athletic performance. Cultural competence is essential for providing patient centered care. Cultural practices, traditions, and religion can intersect with athletic training. Athletic trainers can navigate medical considerations with traditional and western worlds.
This is an encore presentation from NATA 2022 in Philadelphia, offering a second chance to experience the event's valuable content and insights.
Abstract:
To provide appropriate medical care for secondary school athletes, athletic trainers should educate athletes on nutrition, hydration, dietary supplementation. Vitamin D is an important factor in the overall health of athletes. Vitamin D deficiency is common, especially among ethnically diverse athletes. Increasing knowledge on Vitamin D deficiency and sufficiency can help athletic trainers educate athletes on the significance of Vitamin D with injury prevention and athletic performance. Cultural competence is essential for providing patient centered care. Cultural practices, traditions, and religion can intersect with athletic training. Athletic trainers can navigate medical considerations with traditional and western worlds.Learning Objectives:
- Discuss vitamin D and the impact of deficiency within ethnically diverse patients
- Review the sources and benefits of vitamin D
- Identify the latest research and ways to integrate vitamin D in the secondary school setting
- Discuss culture, tradition, and religion and their impact on athletic training practices
- Identify appropriate behavior and expectations when working with student-athletes and coaches who identify as “fa’afafine”
Level:
EssentialDomain(s):
Domain 1: Risk Reduction Wellness and Health LiteracyCEUs:
1.0 Category AKeywords: cultural competence, patient-centered care, vitamin D, nutrition, deficiency, DEIA, secondary school, ethnically diverse
Florence Wasko, MS, ATC
Florence Wasko has been a certified athletic trainer for the American Samoa Department of Education for over 10 years. Florence oversees all ASDOE sports that cover 9 schools and their student-athletes, created standards of care and concussion protocols for Athletic Division, and is responsible for injury care, prevention, diagnosis, and rehabilitation of all sports injuries sustained by ASDOE student-athletes.
Mark D'Anza, MEd, LAT, ATC
Mark D'Anza, MEd, LAT, ATC, serves a variety of roles in his home state of Nevada. He works for the Clark County School District as an AED Project Facilitator, teaches as an adjunct faculty member at the University of Nevada, Las Vegas, works as an athletic trainer for Dignity Health Physical Therapy and is the lead AT Spotter in Las Vegas for the National Football League. Mark serves on the Sports Medicine Advisory Committee in Nevada. As a member of the Far West Athletic Trainers’ Association, Mark is the Secondary School Athletic Trainers’ Committee Chair and a member of the Scholarships Committee and the Ethnic Diversity Advisory Committee.
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Law may not be the first thing an athletic trainer considers, but the changing landscape of the law and society is having a major impact on the profession. Recent lawsuits involving the standard of care have put athletic trainers in the legal crossfire. This session will provide an overview of legal principles that affect the athletic training practice, including HIPAA, state privacy laws and laws regarding carrying/dispensing medications. It will also provide an overview of professional liability issues and a discussion on recent legal issues and trends that affect the practice.
This presentation was recorded at NATA 2022 in Philadelphia and featured in our 2023 Encore.
Abstract:
Law may not be the first thing an athletic trainer considers, but the changing landscape of the law and society is having a major impact on the profession. Recent lawsuits involving the standard of care have put athletic trainers in the legal crossfire. This session will provide an overview of legal principles that affect the athletic training practice, including HIPAA, state privacy laws and laws regarding carrying/dispensing medications. It will also provide an overview of professional liability issues and a discussion on recent legal issues and trends that affect the practice.Learning Objectives:
- Explain the basis of a malpractice lawsuit
- Understand strategies to avoid malpractice litigation
- Explain the basis of the U.S. legal system
Level:
AdvancedDomain(s):
- Domain 5: Health Care Administration and Professional Responsibility
CEUs:
1.0 Category AKeywords: legal, risk management, administration, lawsuit, privacy laws, professional liability
David Cohen, ATC, Esq
David S. Cohen, MS, ATC, Esq. is the General Counsel of Tempus Ex Machina, Inc., a sports technology startup, a partner with the law firm of Daniel, Ebeling, Maccia, and Cohen, and Founder/CEO Major League Business LLC. With Tempus Ex, he provides strategic business, administrative, and legal advice and service to a quickly scaling sports technology startup. Cohen built and served as Head of Player Operations of the Alliance of American Football and for five years as the General Counsel of the Tampa Bay Buccaneers in Tampa, Florida. He is a licensed California attorney and a National Athletic Trainers Association Certified Athletic Trainer. Before joining the Buccaneers, David spent nine years overseeing the legal department for Angels Baseball LP and AM830 KLAA and nine years working as an Athletic Trainer in the Baltimore Orioles, Boston Red Sox, and Montreal Expos organizations. His peers in the Association Corporate Counsel (ACC) selected him as a 2013 “Top 10 Thirty-Something,” and the Professional Baseball Athletic Trainers Society honored him as the "2001 Minor League Baseball Athletic Trainer of the Year". He was a 2014, 2016, and 2017 Tampa Bay Business Journal Top Corporate Counsel Awards finalist. David is a 2015 inductee of the West Virginia University College of Physical Activity and Sport Sciences Hall of Fame. While working in-house for the Angels and Buccaneers, David was responsible for drafting and negotiating legal and business terms of contracts with sponsors, vendors, employees, season seat holders, and suite licensees. He oversaw all organizational litigation and has significant experience managing complex and class action lawsuits. David also oversaw human resources, security, insurance, compliance, and privacy functions for the Buccaneers. David earned a B.S in Exercise Physiology/Athletic Training and an M.S, in Community Health Promotion from West Virginia University School of Medicine in Morgantown, West Virginia. He also holds a Juris Doctor from California Western School of Law in San Diego, California. David also completed Major League Baseball Scouting Bureau’s Scout Development Program. David is a leader in the ACC and is currently Chair of ACC’s Network Leadership Counsel. In the past, David served as President of ACC’s Tampa Bay Chapter, Chair of the ACC Sports & Entertainment Committee, Vice-Chair and Secretary of ACC’s Network Leadership Counsel, as well as ACC-SoCal Chapter Vice-President, Board of Directors Member and Chair of its In-House Counsel Conference Committee. He was also a leader in the Tort, Trial, and Insurance Practice Section of the American Bar Association (TIPS). He served two years as the Student Liaison to the TIPS Council and was a leader of several task forces, general committees, and standing committees.
Kacie Kergides, Esq
Kacie Kergides is an associate in Montgomery McCracken’s Institutional Response Practice Group as well as its Catastrophic Sports Injury Defense Practice Group. Kacie concentrates her practice on Title IX investigations and advising, institutional response to sex and/or gender-based harassment and misconduct and the adjudication of student, employee and management disputes, and sports injury cases including traumatic brain injury (TBI) litigation. In addition to handling investigations and litigation in both practice areas, Kacie counsels athletes, schools, and sports organizations on sports-related injuries such as concussion and TBI, provides guidance on the management of sport-related injuries and Title IX complaints, and advises these institutions on minimizing and managing risk.
Tamara Gaw, MS, ATC, Esq
Tammi Gaw is the Founder and Executive Director of Advantage Rule, a consulting group focused on athlete health and safety, with an emphasis on amateur athletes' rights. As one of only a handful of professionals licensed as both an attorney and an athletic trainer, Tammi's career has included in-house counsel positions, non-profit management and board participation, and C-suite level work with integrated planning for large and medium scale sporting events. Tammi is an international speaker on issues around sports business, law, medicine, and social justice, and is based in Washington, DC.
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The 2024 NATA position statement provides updated recommendations for emergency action plan development and implementation. The new position statement outlines recommendations for optimizing patient outcomes, development, implementation and response. This program will incorporate opportunities within the recording for participants to pause the recording and complete an active learning activity. The activities will include participants reviewing their own emergency action plan with a checklist and then a workbook to help them get started to improve their EAP.
This presentation is part of the Executive Council for Education’s 2025 Strategic Issues in Athletic Training District Lecture Series.
Abstract:
An emergency action plan (EAP) is a written document indicating the preparations and onsite emergency response for any type of injury in the pre-hospital setting. An EAP is developed to respond to any type of catastrophic injury and should not be injury/illness specific. The original Emergency Action Plan position statement was published in 2002 and many advancements to emergency planning have been made since then. Unfortunately, less than 10% of athletic trainers surveyed stated they have comprehensive EAPs (inclusive of the components outlined in the 2002 position statement). Further, we often hear athletic trainers using incorrect terminology when referring to their EAP vs policies and procedures. The 2024 NATA position statement provides updated recommendations for emergency action plan development and implementation. The new position statement outlines recommendations for optimizing patient outcomes, development, implementation and response. This program will incorporate opportunities within the recording for participants to pause the recording and complete an active learning activity. The activities will include participants reviewing their own emergency action plan with a checklist and then a workbook to help them get started to improve their EAP.Learning Objectives:
- Understand the landscape of emergency action plans, including being able to summarize the current literature on EAPs
- Analyze their organization’s EAP for the inclusion of best practices using a checklist
- Apply the knowledge gained to begin to improve their organizations through a workbook approach to improving component adoption
Level:
EssentialDomain(s):
Domain 3: Critical Incident Management
Domain 5: Health Care Administration and Professional ResponsibilityCEUs:
0.75 Category AKeywords: Emergency action plans, development, catastrophic injury, emergent, care, healthcare administration
Created in collaboration with the NATA Foundation Educational Resources Committee.
Samantha Scarneo-Miller, PhD, ATC
Dr. Samantha Scarneo-Miller serves as an Assistant Professor and Program Director for the Master of Science in Athletic Training in the Division of Athletic Training, School of Medicine at West Virginia University. Her overall research goal is to prevent unnecessary deaths from participation in sport through the administration of healthcare administration documents. Ultimately, she aims to make it easier for athletic trainers to save more lives.
She has published over 50 research articles in various areas with a majority of her research focusing on emergency action plans and policies and procedures. Dr. Scarneo-Miller has presented at several state, district and national meetings and is also a recipient of several grants including a NIH Loan Repayment Award.
Dr. Scarneo-Miller received her bachelors degree from the University of New Hampshire, and graduate degrees from UConn. She also served as the Vice President for the Korey Stringer Institute. She and her partner, Jelan, live in Morgantown with their sons Jrue and Jovi and dog Milo.
Yuri Hosokawa, PhD, ATC, FACSM
Waseda University, Japan
Yuri Hosokawa is an Associate Professor at the Faculty of Sport Sciences, Waseda University, Japan. Her research interests include prevention and education of sudden death in sport, establishing best practices in road race medicine, developing regional-specific heat guidelines for exertional heat illness prevention, and developing heat acclimatization guidelines for tactical athletes. She is also partaking in research projects in biometeorology to promote interdisciplinary research across physiologists, climatologists, and public health researchers.
Dr. Hosokawa served as a member of the International Olympic Committee Adverse Weather Impact Expert Working Group for the Olympic Games Tokyo 2020 and led the effort to implement best practices for prehospital care of exertional heat stroke in Japan. She established and coordinated prehospital exertional heat stroke management plans for seventeen disciplines during the Olympics and five disciplines during the Paralympics that were deemed high risk for exertional heat stroke. Tokyo Games marked Japan’s first mass-sporting event to implement evidence-based exertional heat stroke prehospital care. Hosokawa’s effort set the standard for future athlete medical service and showcased the expertise of athletic trainers in Japan.
Dr. Hosokawa currently serves as a heat advisor for the Japan Coast Guard, Fifth Regional Coast Guard, to optimize the resilience of the special rescue team. She is also a member of the Expert and Advisory Board of the World Athletics’ World Academy for Endurance Medicine and the World Lacrosse Medical Commission.
Dr. Hosokawa received her bachelor’s degree in Sport Sciences from Waseda University in 2011, her master’s degree in Athletic Training from the University of Arkansas in 2013, and her doctoral degree from the University of Connecticut in 2016. She then completed a postdoctoral fellowship at the Korey Stringer Institute (2016–2017) and worked at the Ritsumeikan University as an Assistant Professor in the College of Health and Sport Science (2018–2019).-
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There are over 100 different physical examination tests described to evaluate the shoulder. Confusion exists with regard to not only the proper technique but the validity of commonly used tests. In today's fast paced environment evidence based accuracy and efficiency when examining athletes is very important. This presentation will review the proper technique and statistical validation, and relevance of the best tests based on current literature. The discussion will include a demonstration of an efficient sequence and algorithm incorporating all necessary tests to complete a thorough and comprehensive examination of the shoulder.
Abstract:
There are over 100 different physical examination tests described to evaluate the shoulder. Confusion exists with regard to not only the proper technique but the validity of commonly used tests. In today's fast paced environment evidence based accuracy and efficiency when examining athletes is very important. This presentation will review the proper technique and statistical validation, and relevance of the best tests based on current literature. The discussion will include a demonstration of an efficient sequence and algorithm incorporating all necessary tests to complete a thorough and comprehensive examination of the shoulder.
Objectives:- Participants will be able to describe the history and proper indications for the most commonly used shoulder exam tests.,
- Participants will be able to explain basic statistical terms (i.e., sensitivity, specificity, diagnostic accuracy) to describe the validity of physical exam tests.,
- Participants will be able to describe the proper technique for performing shoulder exam tests.
Level:
Advanced
Domains:
Domain 2: Assessment Evaluation and DiagnosisCEUs:
0.75 Category AKeywords: shoulder, examination, tests, diagnostic, pitching, throwing,
Steve Jordan, MD
Dr. Steve Jordan is a board certified, fellowship trained orthopaedic surgeon. Dr. Jordan earned his Medical Degree from Medical University of South Carolina. Dr. Jordan specializes in sports medicine; however, he takes a special interest in shoulder injuries, throwing injuries, ACL reconstruction, and Tommy John reconstruction. Dr. Jordan is the Team Physician for both Washington High School and Chipola College.
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History of prior injury is the strongest risk factor for future lower extremity injury. In addition, a large portion of secondary injuries occur during the first 2-3 months following return to sport. Thus, there is a gap in determining when an individual is ready to safely return to sport following initial injury. Individuals who pass a comprehensive return to sport testing battery are at lower risk for subsequent injury once returning to sport. As such, the development and utilization of a comprehensive return-to-sport testing battery can help determine one´s readiness to safely return to sport. This presentation will discuss the key components of…
This presentation is a replay from NATA 2019 in Las Vegas, offering a second chance to experience the event's valuable content and insights.
Abstract:
History of prior injury is the strongest risk factor for future lower extremity injury. In addition, a large portion of secondary injuries occur during the first 2-3 months following return to sport. Thus, there is a gap in determining when an individual is ready to safely return to sport following initial injury. Individuals who pass a comprehensive return to sport testing battery are at lower risk for subsequent injury once returning to sport. As such, the development and utilization of a comprehensive return-to-sport testing battery can help determine one´s readiness to safely return to sport. This presentation will discuss the key components of an evidence-based return to sport testing battery following lower extremity injuries.
Objectives:- Participants will be able to describe the changes in injury rates following initial lower extremity injury and subsequent return to sport.,
- Participants will be able to describe the known risk factors for secondary injury following initial lower extremity injury.,
- Participants will be able to utilize validated return to sport testing that can determine an individual´s readiness to return to sport.,
- Participants will be able to discuss the role of training load monitoring and management in the return to sport process following lower extremity injury.
Level:
Advanced
Domains:
Domain 1: Risk Reduction Wellness and Health Literacy, Domain 2: Assessment Evaluation and DiagnosisCEUs: 1.0 Category A
Keywords: knee, injury, lower extremity, return to sport, ankle, leg, testing
Darin Padua, PhD, ATC
Darin A. Padua is the Associate Provost for Academic Operations of the University of North Carolina at Chapel Hill. As an academic leader, he works to listen, collaborate, and empower others to work as a team towards our shared mission, vision, and priorities.
The Joseph Curtis Sloane Distinguished Professor of Exercise and Sport Science, Padua has been a member of UNC’s faculty since 2001. He teaches courses in biomechanics, human anatomy, and kinesiology with a focus on injury risk mitigation and optimizing human performance. Throughout his career, Padua has mentored fellow faculty, along with hundreds of graduate and undergraduate students. He served as chair in the Department of Exercise and Sport Science from 2013 to 2023.
With more than 25 years of experience, Padua is an internationally recognized scholar and is the Co-Director of the Musculoskeletal Injury Prevention (MOTION) Science Institute. His research revolves around prevention of musculoskeletal injuries, such as ACL rupture, by studying the role of movement quality and biomechanics as injury risk factors and intervention targets. He has published over 200 peer-reviewed articles, and his work has been funded by the National Institutes of Health, the National Athletic Trainers’ Association, and the American Orthopaedic Society for Sports Medicine. He
He received the Young Investigator Award by the National Athletic Trainers’ Association (2006) and was later awarded the O’Donoghue Sports Injury Research Award for the most outstanding sport injury related research paper by the American Orthopaedic Society for Sports Medicine (2008). He attained Fellow status in the National Academy of Kinesiology, the National Athletic Trainers’ Association, and received the Most Distinguished Athletic Trainer Award. His career research achievements were recognized by the by the National Athletic Trainers’ Association with receipt of the Medal for Distinguished Research (2017).
Padua earned a B.S. in athletic training from San Diego State University, M.A. in exercise and sport science/athletic training from the University of North Carolina at Chapel Hill, and PhD in sports medicine from the University of Virginia. Born and raised in Visalia, California, he lives with his wife Jody and three daughters in Durham, NC.
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Knee pathologies are common complaints for athletes and active patients presenting to athletic trainers for assessment and intervention, and though often not as complex as other joints in the body (ie, shoulder or hip), can present significant diagnostic challenges when imaging techniques are not readily or immediately available. Common traumatic disorders of the knee include forces that impact the menisci, ligaments, bones, and associated joints (ie, patellofemoral, tibiofemoral), while overuse injuries involving the patellofemoral joint, surrounding tissues (ie, IT Band), patellar tendon and tibiofemoral joint can challenge the unsuspecting diagnostician, as well. Undiagnosed, or improperly diagnosed knee conditions can also lead to lifelong disability and/or profound decreases in…
Abstract:
Knee pathologies are common complaints for athletes and active patients presenting to athletic trainers for assessment and intervention, and though often not as complex as other joints in the body (ie, shoulder or hip), can present significant diagnostic challenges when imaging techniques are not readily or immediately available. Common traumatic disorders of the knee include forces that impact the menisci, ligaments, bones, and associated joints (ie, patellofemoral, tibiofemoral), while overuse injuries involving the patellofemoral joint, surrounding tissues (ie, IT Band), patellar tendon and tibiofemoral joint can challenge the unsuspecting diagnostician, as well. Undiagnosed, or improperly diagnosed knee conditions can also lead to lifelong disability and/or profound decreases in health-related quality of life and functional enjoyment. Unsuspecting or inexperienced clinicians in all branches of sports medicine, if not careful can naively rely on special test results in isolation, or upon medical imaging for a working or final diagnosis, which includes false positive and negative results, increases overall healthcare costs, and/or cause unnecessary delays in treatment or return to participation. Experts in medical research have confirmed that accurate diagnoses come from the history portion of the exam in over 80 to 90% of cases and that individual physical exam test results should be viewed with suspicion in isolation. The focus of this presentation is to present the athletic training profession a review of physical examination special tests for common knee injuries and conditions, while also introducing or reviewing the evidence behind each test's respective diagnostic accuracy. In so doing, an overview of diagnostic accuracy terms and principles will be presented, followed by available diagnostic accuracy dates for each test presented in order for clinicians to become more aware of the strengths and limitations of tests commonly used to help assess athletic injuries of the knee.
Objectives:
- Participants will be able to state the fundamental principles and terms associated with diagnostic accuracy of physical examination tests, including sensitivity and specificity, positive and negative likelihood ratios, positive and negative predictive values, and overall utility scores.,
- Participants will be able to identify the most useful, evidence-based physical examination tests for assessing various conditions of the knee.,
- Participants will be able to recognize and incorporate the best-evidence tests in times of acute and chronic assessment of common knee injuries.,
- Participants will be able to apply use of pooled tests in order to more accurately assess various orthopedic conditions of the knee in athletes and active patients.
Level:
Advanced
Domains:
Domain 2: Assessment Evaluation and DiagnosisCEUs:
1.25 Category AKeywords: knee, orthopedic, menisci, ligaments, bones, joints, patellofemoral, tibiofemoral
Paul Geisler, EdD, AT Ret.
Associate Dean Geisler is a native of Lakeville, MA and current resident of Boston, MA. A certified athletic trainer since 1987 with over 15 years of varied clinical practice and 23 years' experience directing athletic training education programs at Georgia Southern University and Ithaca College. He is deeply interested in the development and assessment of the medico-clinical thinking processes of novice and experienced clinicians, the development of adaptive expertise in clinicians, progressive curriculum design, capability-based education, and meaningful programmatic assessment. He has over 170 national and international presentations and publications on clinical and educational based subjects in athletic training and health professions education to his credit. He is a member of the European Board of Medical Assessors, and past member of the Association of Medical Education, Europe.
As a scholar, he is the recipient of two manuscript awards from the Journal of Athletic Training and the Athletic Training Education Journal. For his many professional contributions, he has been the recipient of the NATA Athletic Training Service Award and NATA Most Distinguished Athletic Trainer Award. As an educator, he was awarded the NATA Executive Council on Education's Sayers "Bud" Miller Distinguished Educator Award in 2021 and has received two Dean's Awards for Excellence & Innovation in Teaching, a Dean's Excellence Award for Diversity and Inclusion in Teaching and Learning, and the all college Faculty Excellence Award, all from Ithaca College.
He admits to being an enthusiastic but slow road cyclist, an amateur shutterbug of nature and wonder, an aspiring wine snob and amateur foodie, and an unabashed promoter of equal rights, freedom, justice, and authentic democracy for all living beings. Susan, his life partner and wife of 34 years and he are fulfilled parents of two amazing young men – Nicholas, a writer living in Los Angeles, CA and Benjamin, a photographer and artist living in Brooklyn, NY.
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Master Preceptor Level Two - Module Five-
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