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  • New

    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:
    Advanced

    Domain(s):

    • Domain 5: Health Care Administration and Professional Responsibility

    CEUs:
    1.0 Category A

    Keywords: 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.

  • New

    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.

    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:
    Essential

    Domain(s):
    Domain 3: Critical Incident Management 
    Domain 5: Health Care Administration and Professional Responsibility

    CEUs:
    0.75 Category A

    Keywords: Emergency action plans, development, catastrophic injury, emergent, care, healthcare administration



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    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).

  • New

    The transition following unanticipated and involuntary exit from sport is described as disruptive and traumatic. Understanding the patterns of psychological response for athletes no longer able to compete due to career-ending injury, health condition, or concussion is essential to patient care. Medically disqualified athletes experience a range of emotional responses such as grief, identity loss, depression, anxiety, and suicidal ideation. This presentation will address the psychological and social domains for athletes experiencing MDQ, implications for loss of athletic identity, and risk of related mental health concerns. Emphasis on research and practical methodology to support these athletes in their transition.


    This is an encore presentation from NATA 2022 in Philadelphia, offering a second chance to experience the event's valuable content and insights.

    Abstract:
    The transition following unanticipated and involuntary exit from sport is described as disruptive and traumatic. Understanding the patterns of psychological response for athletes no longer able to compete due to career-ending injury, health condition, or concussion is essential to patient care. Medically disqualified athletes experience a range of emotional responses such as grief, identity loss, depression, anxiety, and suicidal ideation. This presentation will address the psychological and social domains for athletes experiencing MDQ, implications for loss of athletic identity, and risk of related mental health concerns. Emphasis on research and practical methodology to support these athletes in their transition.

    Learning Objectives:

    • Identify the three domains of experience that characterize the injured athlete’s journey. 
    • Examine most recent data reflecting trends in psychological response and the mental health concerns following medically-forced exit from sport, as identified in Sidelined USA’s 2020 original IRB approved research study. 
    • Explain components of a healthy psychological adjustment following medical disqualification as referenced in Brown & Hogg’s Model of Healthy Transition Following Career-Ending Injury. 
    • Discuss ways athletic trainers can support the medically disqualified athlete in six key areas: grief and identity loss, social support, coping strategies, affiliation/competence, rebuilding motivation, and mental health concerns. 
    • Identify free support resources available through NATA-sponsored nonprofit Sidelined USA.

    Level:
    Essential

    Domain(s):
    Domain 1: Risk Reduction Wellness and Health Literacy 
    Domain 2: Assessment Evaluation and Diagnosis 
    Domain 3: Critical Incident Management 
    Domain 4: Therapeutic Intervention 
    Domain 5: Health Care Administration and Professional Responsibility

    CEUs:
    1.0 Category A

    Keywords: mental health, coping, healthy adjustment, medically disqualified athlete

    Jordan Anderson, MS, ATC

    Jordan is an athletic trainer with NorthShore University Health System, working under Dr. Carrie Jaworski. Previously, Jordan served as a staff athletic trainer at New Trier Township High School in Northfield, IL. Jordan received his master’s in athletic training from Illinois State University in May 2013. During that time he served as a graduate assistant for ISU’s football team. Prior to that Jordan received his bachelor’s degree in Kinesiology from Northern Illinois University where he served as the president of the student athletic training club. In between schools Jordan interned at Northwestern University with their football team in the spring of 2011. Jordan currently resides in Evanston, IL. He also serves in capacity with the IATA Secondary Schools Committee, and has worked with the IATA and GLATA Young Professionals Committees. Outside of the IATA, Jordan serves as the Secretary for the Sidelined USA Board of Directors, an organization dedicated to serving the community of permanently sidelined athletes.

    Christine Pinalto

    Christine Pinalto is the co-founder and Executive Director of Sidelined USA. The organization was founded by Christine and her son, Cade Pinalto, a teen athlete sidelined by a heart condition. They identified a lack of resources available for sidelined athletes and their parents and together, they started Sidelined USA to support these athletes in making the mental shift toward acceptance and to inspire them to re-engage with the sports world through alternate avenues.

    Because athletes who have been medically disqualified are at high risk for further mental health implications, providing ATs with special resources to support a healthy psychological recovery is extremely valuable. Sidelined USA serves as a knowledge base for ATs and a place to refer their MDQ athletes for specialized support.

    Through Sidelined USA’s program, permanently sidelined athletes and their families are offered free coping resources, social support, and mentorship opportunities.

Recommended Based on Your Interests:

  • Treatment strategies based on recent evidence and best practices will be demonstrated, allowing the attendee to effectively integrate the information into a post-operative rehabilitation program. The presenters will also share evidence to support the use of manual treatment techniques to address concomitant pathological conditions (joint mobility, spinal alignment, myofascial pain) associated with shoulder dysfunction.

    Abstract:
    Treatment strategies based on recent evidence and best practices will be demonstrated, allowing the attendee to effectively integrate the information into a post-operative rehabilitation program. The presenters will also share evidence to support the use of manual treatment techniques to address concomitant pathological conditions (joint mobility, spinal alignment, myofascial pain) associated with shoulder dysfunction.

    Objectives:

    • Participants will be able to based on the available evidence, develop a non-operative rehabilitation program for patients with SLAP lesions., 
    • Participants will be able to explain best practices for the clinical evaluation of athletes with a SLAP lesion., 
    • Participants will be able to interpret results of clinical and diagnostic testing, and explain the common surgical procedures utilized., 
    • Participants will be able to develop an appropriate post-operative rehabilitation program based upon the available evidence.

    Level:
    Essential

    Domains:
    Domain 2: Assessment Evaluation and Diagnosis
    Domain 4: Therapeutic Intervention

    CEUs:
    1.75 Category A

    Keywords: Superior labral anterior posterior, shoulder, rehabilitation, SLAP lesion, treatment

    James Onate, PhD, ATC, FNATA

    Dr. Jimmy Onate joined The Ohio State University in January 2010. He earned his PhD in Human Movement Science from the University of North Carolina at Chapel Hill in 2002 with a focus in biomechanics and motor learning. He has been an academic research faculty member interested in all aspects of human movement relative to injury prevention and performance optimization since 2003. He currently serves as the director of the PhD program in Health and Rehabilitation Sciences, chair of graduate studies in Health and Rehabilitation Sciences, a co-director of Ohio State's Sports Medicine's Movement Analysis & Performance (MAP) research program, a research scholar for the National Federation of High School Sports Medicine Advisory Committee, and a research consultant to Naval Special Warfare groups based in Virginia Beach, VA.His main research focus lies in developing functional motion assessment research that bridges the gap across research to clinical systems to allow for evidence-based outcomes for aiding individuals to sustain optimal health and performance throughout their careers and lives.

    Research Focus

    The specific aims of his research are focused to answer specific issues related to lower extremity injury, in particular anterior cruciate ligament (ACL) injury, pre-participation examinations and human performance optimization. Funding for his work has been provided through the National Institutes of Health, Office of Naval Research, United States Special Operations Command and Naval Special Warfare Development Group for evaluating lower extremity injury in collegiate athletes and the development of physical performance models in military soldiers. The interaction of these two areas initially seems distinct, yet his approach to the questions lies along the fundamental concept of creating a parsimonious screening approach for evaluating injury risk and performance enhancement for physically active individuals, utilizing the movement assessment information to develop an instructional feedback approach to enhance performance and prevent injury and to integrate these two approaches into an implementable scientific model-driven approach to aid physically active individuals throughout their careers and lifetime to optimize health and performance. Dr. Onate acts as a key component in building the bridges between exercise and performance areas relative to all aspects of personalized health care in the hopes of developing proactive integrative approaches for wellness-based medicine aimed at optimizing lifelong health and performance.

  • 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 Diagnosis

    CEUs:
    0.75 Category A

    Keywords: 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.

  • 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 Diagnosis

    CEUs: 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.