COLLEGE OF CHARLESTON

PEHD 375: CLINICAL EDUCATION EXPERIENCE IN ATHLETIC TRAINING

LEVEL 1 (1 CREDIT)
SPRING 2005

Instructor: Michelle Futrell, MA, ATC, SCAT

Office Location: 130D Johnson Center

Office Hours: Monday-Thursday 1-2 pm, or by appointment

Contact Numbers: 953-8245 (W) 475-1128 (C)

Email: futrellm@cofc.edu

Class Website: Hosted by Web CT

Prerequisites: PEHD 245, acceptance into the ATEP

Course Description:
This course is designed to provide students the opportunity to develop specific didactic competencies and clinical proficiencies in the area of athletic training. Emphasis will be placed on level specific knowledge and clinical proficiency acquisition, development, and demonstration. This course must be repeated four times in a progressive sequential order for a total of nine credits ( 1 credit the first level and 2 credits for the remaining 4 levels). Successful completion of the previous course (level) is required for enrollment in the subsequent course (level).

Objectives:
Students should successfully fulfill the following competencies, which were taken from the "Competencies in Athletic Training", a list of 191 competencies which define the educational domains used in preparing entry-level athletic trainers. The Commission for Accreditation of Allied Health Education Programs (CAAHEP) requires all students in an accredited Athletic Training Education Program to meet all 191 competencies.

Upon successful completion of this class the student should be able to:

A. Demonstrate knowledge of:

1. the history and development of athletic training and sports medicine in the United States
2. the history of the National Athletic Trainers' Association, including significance historical events and contributions of influential leaders.
3. the goals and objectives, professional activities, Code of Ethics, and organizational structure of the National Athletic Trainer's Association.
4. current activities and requirements pertaining to the professional preparation, credentialing (certification/licensure), and continuing education of athletic trainers in the United States
5. availability of continuing education opportunities and resources for Certified Athletic Trainers.
6. the purposes, objectives, and professional activities of major medical/paramedical organizations and other professional sports medicine groups in the United States.
7. contemporary issues and problems confronting athletic training/sports medicine and their affect on athletic health care in the United States
8. the tasks required for entry-level proficiency of athletic trainers within the major domains of the NATA Role Delineation Study.
9. theoretical concepts. knowledges, and technical skills comprising the subject matter of athletic training (ie: Competencies in Athletic Training).

B. Possess an appreciation for:

10. the moral and ethical responsibility to conduct safe athletic programs and to minimize injury/illness risk factors to the fullest extent possible.
11. the importance of developing and implementing a thorough and comprehensive injury/illness prevention program.
12. the need for cooperation among administrators, coaches, athletic trainers, parents, and athletes in the implementation of effective injury/illness prevention programs.

C. Demonstrate clinical proficiency in the:

13. collection and interpretation of climatic data through the use of appropriate instruments.
14. identification of observable clinical signs typically associated with common athletic injuries/illnesses including structural deformities, edema, discoloration.
15. application of first aid procedures for closed soft tissue injuries including the use of pressure bandages, ice, and elevation
16. use of short distance transportation methods including walker assists, manual carries, transfer from ground/floor to stretcher/spine board, and stretcher carries.
17. measurement and fitting of ambulation aids and instruction in the use of common crutch/cane gaits.
18. application of special protective devices and taping, bandaging, and wrapping procedures.

TEXTS:

Taber's Cyclopedic Medical Dictionary (19th Edition) FA Davis

NATA-BOC NATA-BOC Role Delineation Study (3rd edition) FA Davis

Rozzi, S. College of Charleston Athletic Training Education Program, Policy and Procedure Manual.

Rozzi, S. College of Charleston, Athletic Training Education Program, Program Competencies and Clinical Proficiencies Manual.

REQUIRED TECHNOLOGY:

v Internet, Word Processing, Email, WebCT, Web Page/Portfolio Production, and Publication Software

The technology listed above can be accessed in the College of Charleston computer labs located in the JC Long Building, Addlestone Library, and various other campus locations. If you do not know how to use any of the above noted computer applications you should arrange an appointment with the course instructor to schedule tutoring.

WEB CT: This course will be administered using WebCT. The syllabus, various assignments and course announcements will be posted on the course page for student access. Students should use this email to contact the instructor and other members of the class. The instructor will attempt to check this email at least twice each day, but at a minimum once per day to respond to any questions you might have.

ATTENDANCE: You are expected to attend all class meetings. If extreme circumstances necessitate an absence, you will be held responsible for the class material covered during your absence.

ASSIGNMENTS:
You will be notified at least one week in advance if there is a change in a test date, lecture series date, or assignment due date. Please note that if you miss a scheduled assignment you will earn zero (0) points for that particular assignment. No make-up assignments will be given, unless written documentation is obtained from the Office of Undergraduate Studies. If you know you will be unable to attend an examination, lecture, or other class requirement due to an excused absence (ie: athletic participation, religious holiday, etc) you must notify the instructor at least ten days prior to the absence.

EVALUATION CRITERIA:

Class Components	Points Allotted
Lecture Series Prep Assignment/Attendance	40 pts (4 @ 10 pts each)
Mini-Projects	80 pts (4 @ 20 pts each)
Professional Shadowing Project	20 pts (1 @ 20 pts each)
Professional Portfolio	35 pts (10 pts @ MidTerm & 25 pts @ End of Semester)
Final Practical Examination	50 pts
Class Components Total	225 pts
Field Experience Components
Clinical Proficiencies: 1^st 25%	25 pts
Clinical Proficiencies: 2^nd 25%	25 pts
Clinical Proficiencies: 3^rd 25%	25 pts
Clinical Proficiencies: 4^th 25% **	25 pts
Field Experience Performance Evaluation	40 pts
Field Experience Hours	60 pts
Summative Report	25 pts
Field Experience Components Total	225 pts
Total Points	450 pts

** PLEASE NOTE: DUE TO RECOMMENDATIONS FROM THE JRC-AT, FAILURE TO COMPLETE ALL CLINICAL PROFICIENCIES REQUIRED FOR THIS CLINICAL EDUCATION LEVEL WILL RESULT IN AUTOMATIC FAILURE OF THIS COURSE.

FINAL COURSE GRADE:
The final grade will be assigned based solely upon the total number of points earned. No other factors will be considered. The grades will be assigned according to the following tables:

A	90-100%	405-450 pts
B+	85-89%	383-404 pts
B	80-84%	360-382 pts
C+	75-79%	338-359 pts
C	70-74%	315-337 pts
D	65-69%	293-314 pts
F	<65%	<293 pts

CLASS COMPONENTS:

LECTURE SERIES PREPARATION ASSIGNMENTS/ATTENDANCE (4 @ 10 Pts Ea): Students will be required to attend each of the Sports Medicine Lecture Series lectures. 5 pts will be awarded for each lecture attended. Additionally, students will be given an assignment related to the upcoming lecture.  This assignment will allow the student to familiarize themselves with the lecture content prior to lecture attendance in order to improve understanding and foster meaningful discussion.  This assignment will be due and discussed in class on the Monday prior to the upcoming lecture and will be worth 5 pts. Please consult the SSMA WebPage (www.cofc.edu/~rozzis) for lecture series dates, times and locations.

MINI-PROJECTS: (4 @ 20 pts each): Five mini-projects will be given over the course of the semester to coincide with and enhance learning related to the topics discussed over the course of the semester. These will consist of individual as well as group projects. Information regarding each individual project will be given when the project is assigned in class and via WebCT.

PROFESSIONAL SHADOWING PROJECT: (1 @ 20 pts): Each student will choose a professional to shadow in one of the following disciplines: Emergency Medicine, Physical Therapy, General Medicine, Orthopedics, Strength & Conditioning. Prior to completing the shadowing experience, the student should present their choice to the instructor for approval. The student must spend a minimum of 8 hours shadowing the professional they have chosen. Following completion of the shadowing experience the student should turn in to the instructor a typed summary of the cases observed as well as their overall impression of the experience.

PROFESSIONAL PORTFOLIO (35 pts: 10 pts @ MidTerm and 25 pts@ End of Semester): Students will be required to complete a professional portfolio detailing their professional experiences (conferences and workshops attended as well as community service (i.e. Laura Griffin Run, High School Preparticipation Examinations ) throughout the semester. Additionally, this portfolio will contain an updated professional resume along with individual professional goals and a plan for goal achievement.

FINAL PRACTICAL EXAMINATION (50 pts): At the end of the semester students will be tested on the clincial proficiencies completed during the semester and on those clinical proficiencies completed in previous semesters.  Each student will be responsible for scheduling an examination time with the course instructor.

*Extra Credit:  Students may observe an orthopaedic surgery procedure and submit a one page brief case study and summary of their experience (5 points).  Students may only receive credit for two surgery summaries.

FIELD EXPERIENCE COMPONENTS:

CLINICAL PROFICIENCIES (25 pts for each 25%): Students will be assessed on each of the Level 3 clinical proficiencies as they appear in the College of Charleston Athletic Training Education Program, Policy and Procedure Manual. Students will receive a GRADE the first time they attempt to complete a clinical proficiency.  The grade will be in percentage form (ie: 97% correct, 77% correct).  Students are required to earn at least a 90% success rate to pass the clinical proficiency.  Students will be required to re-test on a clinical proficiency until the 90% passing rate is achieved.  It will be the responsibility of the student to ensure his/her proficiencies are routinely evaluated by working closely with the assigned clinical instructor. Students will be required to turn in the cover sheets for Level 3 clinical proficiencies according to the schedule below: ** PLEASE NOTE: DUE TO RECOMMENDATIONS FROM THE JRC-AT, FAILURE TO COMPLETE ALL CLINICAL PROFICIENCIES REQUIRED FOR THIS CLINICAL EDUCATION LEVEL WILL RESULT IN AUTOMATIC FAILURE OF THIS COURSE.

Clinical proficiencies will be graded in 25% increments. Grades will be determined based on the grade recorded on the cover sheet for the first attempt of the proficiency.  In the event that more than 25% has been completed for any given due date, the first 25% completed will be used to calculate the grade. Failure to complete the required 25% will result in a 0 for each uncompleted proficiency up to the required 25%.

1^st 25% of Clinical Proficiencies Completed: February 4
2^nd 25% of Clinical Proficiencies Completed: March 4
3^rd 25% of Clinical Proficiencies Completed: April 1
4^th 25% of Clinical Proficiencies Completed: May 2

FIELD EXPERIENCE PERFORMANCE EVALUATION (40 pts): Based on the "Student Athletic Trainer Evaluation by Clinical Instructor" form located in the A.T.E.P. Policy and Procedure Manual

FIELD EXPERIENCE CLOCK HOUR REQUIREMENT (60 pts):
Students will be required to complete at least 150 hours and NO MORE THAN 300 HOURS of athletic training clinical education and field experience under the direct supervision of a NATA Certified Athletic Trainer. This experience will be conducted according to the College of Charleston Athletic Training Education Program, Policy and Procedure Manual.   The following table defines the clock hour restrictions and limitations based on the time during the academic semester when field experience hours are completed:

FIELD EXPERIENCE TIME PERIOD	CLOCK HOUR RESTRICTIONS  and LIMITATIONS
Preseason Athletic Team Practices and Competitions  Defined by those occuring prior to official first day of academic classes at C of C	No limit on daily field experience hours
Athletic Team Season (Practices/Competitions)  Defined by those occuring during official CofC academic semester	Maximum of 250 clock hours/academic semester
Weeks During Official C of C Academic Semester When Student is NOT  Assigned an Athletic Team	Minimum of 6 clock hours/ week
Official CofC Final Examination Period  Defined as last day of classes until last official final examination	No field experience hours may be completed during      this time period

The following point system will be utilized when awarding points for the Field Experience aspect of this course:

150-300 hrs	60 pts
125-149 hrs	48 pts
100-124 hrs	36 pts
75-99 hrs	24 pts
50-74 hrs	12 pts
< 49 hrs	0 pts

SUMMATIVE REPORT (25 pts): At the conclusion of the clinical education students will write a 2-3 page report detailing their clinical education experience. Further instructions for this assignment will be distributed in class and provided on WebCT.

HONOR SYSTEM:
IT IS EXPECTED THAT EACH STUDENT IN THIS CLASS WILL CONDUCT HIM OR HERSELF WITHIN THE GUIDELINES OF THE HONOR SYSTEM. ALL ACADEMIC WORK SHOULD BE DONE WITH THE HIGH LEVEL OF HONESTY AND INTEGRITY THAT THIS INSTITUTION DEMANDS. Please consult the College of Charleston Student Handbook for specific details of responsibility, penalty and appeal.

COMPETENCIES: Below you will find a list of the educational competencies, by domain that will be covered in this course. The course schedule also lists the competency addressed in each class period.

Risk Management and Injury Prevention

Cognitive Domain

19-Identifies basic legal concepts and considerations associated with protective equipment, including product and personal liability.

20-Accesses and interprets the rules and regulations established by the associations that govern the use of protective equipment.

Affective Domain

1-Accepts the moral, professional, and legal responsibilities to conduct safe programs to minimize injury and illness risk factors for individuals involved in physical activity.

2-Acknowledges the importance of developing and implementing a thorough, comprehensive injury and illness prevention program.

3-Understands the need for cooperation among administrators, athletic personnel, certified athletic trainers, parents/guardians, other health care professionals, and athletes and others engaged in physical activity in the implementation of effective injury and illness prevention programs.

4-Appreciates and respects the role of athletic personnel and supervisors in injury and illness prevention programs.

10-Understands the values and benefits of correctly selecting and using prophylactic taping and wrapping or prophylactic padding.

11-Appreciates and respects the importance of correct and appropriate fitting in the use of protective equipment.

12-Appreciates and respects the principles and concepts of home, school, and work place ergonomics.

Pathology of Injuries and Illnesses

Affective Domain

1-Appreciates that an understanding of pathology is essential to care for athletes and others involved in physical activity.

Assessment and Evaluation

Psychomotor Domain

17-Uses appropriate terminology in the communication and documentation of injuries and illnesses.

Acute Care of Injuries and Illnesses

Psychomotor Domain

20-Fabricates, applies, adjusts, and removes commonly used immobilization devices.

21-Fabricates, applies, adjusts, and removes special protective equipment (braces, special pads, modified taping procedures).

Affective Domain

2-Appreciates the legal, moral, and ethical parameters that define the scope of first aid and emergency care, and values the proper role of the certified athletic trainer in providing this care.

8-Advocates the principles of proper splinting techniques to prevent further injury.

11-Values the proper positioning and securing of a person with a suspected spinal injury onto a spine board or body splint, including preparatory positioning prior to placement of the spine board or body splint, as critical for prevention of further trauma.

12-Appreciates the need for leadership and teamwork when using a spine board or body splint.

13-Respects short-distance transportation techniques as a crucial means of moving and injured person.

14-Supports the application of cryotherapy, elevation, and compression as primary care for a non-threatening injury.

15-Accepts the approved aseptic and sterile methods for cleaning, treating, and bandaging wounds and for disposing of biohazardous waste.

Psychosocial Intervention and Referral

Affective Domain

7-Recognizes athletes and other physically individuals as deserving of quality professional health care.

8-Accepts the individual’s physical complaint(s) without personal bias or prejudice.

Health Care Administration

Cognitive Domain

22-Recognizes and appraises emergency action plans, which include on-site care, notification of emergency medical services (EMS), location of exits, and other relevant information, for the care of acutely injured or ill individuals.

26-Assembles and emergency action plan for all settings that includes on-site care, notification of EMS or appropriate personnel, and location of exit and evacuation routes.

27-Selects sideline emergency care supplies and equipment that are necessary and appropriate for the setting.

31-Describes the necessary communication skills for interaction with physicians, allied health care providers, caretakers, and others who work closely with the certified athletic trainer.

33-Differentiates the roles and responsibilities of the certified athletic trainer and other medical and allied health personnel to provide care to athletes and others involved in physical activity.

37-Explains the protocol that governs the referral of patients to medical or paramedical specialists and other health care providers.

41-Identifies the current developments, missions, objectives, and professional activities of other allied health and medical organizations and professions.

42-Understands the NATA Code of Professional Practice and the NATABOC Standards of Professional Practice.

Affective Domain

1-Appreciates the roles and responsibilities of medical and allied health care providers, and respects the systems that each provider works within.

2-Appreciates the roles and functions of various medical and paramedical specialists as well as their respective areas of expertise in the acute care of injuries and illnesses to athletes and others involved in physical activity.

3-Values the need for sideline emergency care supplies and equipment as deemed necessary for all athletic training settings.

5-Accepts the value of a common medical language and terminology to communicate within and between the health professions.

12-Recognizes the certified athletic trainer’s role as a liaison between athletes, physically active individuals, caretakers, employers, physicians, coaches, other health care professionals, and any individual who may be involved with the care provided by the certified athletic trainer.

Professional Development and Responsibilities

Cognitive Domain

12-Able to access the professional objectives, scope of practice, and services of other health care providers.

14-Properly interprets the role of the certified athletic trainer as a health care provider, and provides information regarding the role of the certified athletic trainer to athletes, the physically active, parents/guardians, athletic department personnel, and others.

Psychomotor Domain

2-Demonstrates the ability to construct a resume.

Affective Domain

1-Accepts the professional responsibility to satisfy certified athletic trainers’ continuing education requirements.

2-Appreciates the need for and the process and benefits of athletic training regulatory acts (registration, licensure, certification).

3-Realizes that the state regulatory acts regarding the practice of athletic training vary from state to state.

4-Understands the consequences of noncompliance with regulatory athletic training practice acts.

6-Defends the moral and ethical responsibility to intervene in situations that conflict with NATA standards.

8-Advocates the NATA as an allied health professional organization dedicated to the care of athletes and others involved in physical activity.

9-Respects the role and responsibilities of the other health care professions.

10-Appreciates the dynamic nature of issues and concerns as they relate to the health care of athletes and others involved in physical activity.

11-Defends the responsibility to interpret and promote athletic training as a professional discipline among allied-health professional groups and the general public.

12-Accepts the responsibility to enhance the professional growth of athletic training students, colleagues, and peers through a continual sharing of knowledge skills, values, and professional recognition.

Tentative Meeting and Assignment Schedule: This schedule is subject to change due to class progress.

Competencies: Denotes the specific competency addressed by the content covered in each class period.

DATE	ASSIGNMENT	Competencies
January 14	Orientation to PEHD 375 Types of Medical Documentation	3: P17 11:A5
January 20	Mandatory PE Department Meeting: Silcox Gym (Social Time 4:15-5pm AT Major Meeting 5-6p)
January 21	No Class Meeting: Mini-Project #1: Documentation Due	3:P17 11:A5
January 28	Writing SOAP Notes & Comparison of Information Contained in Different Types of Documentation	3:P17 11:A5
February 4	25% of Clinical Proficiencies Due Lecture Series Prep Assignment #1 Due Lecture Series Prep Discussion Creating a Professional Portfolio (Guest Lecturer: Mendi Begnini)	12:A8,A9,A10,A11,A12
February 10	Lecture Series #1 (See SSMA WebPage for Topic, Time & Location)
February 11	NATA-BOC CEU Requirements NATA Code of Professional Practice NATA-BOC Standard of Professional Practice	11:C42 12:A8,A9,A10,A11,A12
February 13,14, 15	ATEP Reaccredidation Site Visit
February 18	Lecture Series Prep Assignment #2 Due Lecture Series Prep Discussion NATA Code of Professional Practice &NATA-BOC Standard of Professional Practice Cont’d NATA Code of Ethics	11:C42 12:A8,A9,A10,A11,A12
February  24	Lecture Series #2 (See SSMA WebPage for Topic, Time & Location)
February 25	Mid-Term Portfolio Due Mini-Project #2: Code of Ethics/Professional Practice Debates	11:C42 12:A8,A9,A10,A11,A12
March 4	50% of Clinical Proficiencies Due Keys to a Great Resume	12:P2
March 11	SPRING BREAK!!
March 18	Lecture Series Prep Assignment #3 Due Lecture Series Prep Discussion Policy & Procedure Manuals	11:C31
March 24	Lecture Series #3 (See SSMA WebPage for Topic, Time & Location)
March 25	Emergency Action Plans & Referral Protocols	11:C22,C26,C27,C31,C37,A3
April 1	75% of Clinical Proficiencies Due (No Fooling J) Mini-Project #3 Comparison of P&P/EAPs Due Advanced Protective Equipment & NOCSAE	1:C19,C20,A1,A2,A3,A4,A10,A11 4:P21
April 8	Lecture Series Prep Assignment #4 Due Lecture Series Prep Discussion Splinting & Casting	4:P20,A8
April 14	Lecture Series #4 (See SSMA WebPage for Topic, Time & Location)
April 15	Advanced First Aid Scenarios	2:A1 4:A2,A11,A12,A13,A14,A15 11:C27,C31,A2,A3,A12
April 22	Shadow Project Due Sports Medicine Team (Shadow Project Discussions)	1:A3 4:A2 10:A7,A8 11:C31,C33,C41,A1,A2,A5,A12 12:C12,C14,A8,A9,A10,A11,A12
April 27-May 4	Assignments Due: 1) Practical Final Examination (schedule appointment w/instructor), 2) Summative Report, 3) 100% of Clinical Proficiencies Must be Completed (Turn in CI Cover Sheet), 4) Field Experience Evaluation, 4) Professional Portfolio, 5) Mini-Project #4: CEU Folder, and 6) End of Semester Individual Meetings with Dr. Rozzi