ATRG 6301 Practicum III in Athletic Training

(Effective Fall 2019)

This experiential learning course allows students to practice skills learned in their didactic courses under a clinical preceptor's supervision. Students must complete 300 clinical hours and assigned proficiencies. Proof of current PPD and CPR/AED certification and signed clinical agreement are required no later than 7 days after the first day of classes.

Credits

2,4,6

Prerequisite

ATRG 5221

Typically Offered

Demorest Campus: fall

Student Learning Outcomes

Alignment	Current Objective
CIP-8	Demonstrate the ability to recognize and refer at-risk individuals and individuals with psychosocial disorders and/or mental health emergencies. As a member of the management team, develop an appropriate management plan (including recommendations for patient safety and activity status) that establishes a professional helping relationship with the patient, ensures interactive support and education, and encourages the athletic trainer's role of informed patient advocate in a manner consistent with current practice guidelines.
AC-36	Identify the signs, symptoms, interventions and, when appropriate, the return-to-participation criteria for specific conditions.
CIP-4	Perform a comprehensive clinical examination of a patient with an upper extremity, lower extremity, head, neck, thorax, and/or spine injury or condition. This exam should incorporate clinical reasoning in the selection of assessment procedures and interpretation of findings in order to formulate a differential diagnosis and/or diagnosis, determine underlying impairments, and identify activity limitations and participation restrictions. Based on the assessment data and consideration of the patient's goals, provide the appropriate initial care and establish overall treatment goals. Create and implement a therapeutic intervention that targets these treatment goals to include, as appropriate, therapeutic modalities, medications (with physician involvement as necessary), and rehabilitative techniques and procedures. Integrate and interpret various forms of standardized documentation including both patient-oriented and clinician-oriented outcomes measures to recommend activity level, make return to play decisions, and maximize patient outcomes and progress in the treatment plan.
EBP-10 EBP-13 EBP-14	Students will apply and interpret clinical outcomes to assess therapeutic intervention efficacy, patient status, progress toward goals, using psychometrically sound outcome instruments and develop a relevant clinical question (e.g., PICO, PIO, or CAT) based on desired outcome (patient-based or clinician-based) and available evidence (patient-oriented or disease-oriented).
CE-7	Students will assess and interpret findings from a physical examination (including posture, gait, and movement patterns) that is based on the patient’s clinical presentation to identify participation restrictions (disabilities), activity limitations (functional limitations), and overall impact of the condition on the patient’s life and goals.
PHP-14	Students will assess weight loss and hydration status using weight charts, urine color charts, or specific gravity measurements to determine an individual’s ability to participate in physical activity in a hot, humid environment.
CE-21i CE-21j CE-21k CE-21l CE-21m CE-21n CE-21o CE-21p	Students will collect, assess, and interpret findings from a physical examination that includes:  Observation/inspection, palpation, muscle function assessment, osteokinematic joint motion, cardiovascular function, pulmonary function, gastrointestinal function, genitourinary function, ocular function, EENT function, and dermatological function.
AC-1 HA-18	Students will define the legal, moral, and ethical parameters that define the athletic trainer’s scope of acute and emergency care and differentiate their role, responsibilities, preparation, and scope of practice from other pre-hospital care and hospital-based providers within the context of the broader healthcare system
CE-15 CE-19	Students will demonstrate the ability to modify the diagnostic examination process and return-to-play decision according to the demands of the situation and patient responses and current status.
EBP-5	Students will describe and differentiate the types of quantitative and qualitative research, research components, and levels of research evidence and use a systematic approach to create and answer a clinical question through review and application of existing research.
HA-5	Students will describe basic healthcare facility design and create a floorplan that includes safe treatment and rehabilitation areas and efficient evacuation routes.
PHP-32 PHP-34 PHP-39	Students will describe contemporary nutritional intake recommendations, explain how these recommendations can be used for performance enhancement, preventing injury/illness, and maintaining a healthily lifestyle, perform a basic dietary analysis, and recommend appropriate general dietary intake to meet patient goals across the lifespan.
HA-16	Students will describe federal and state infection control regulations and guidelines, including universal precautions, for the prevention, exposure, and control of infectious diseases, and discuss how they apply to the practicing of athletic training.
TI-29 TI-30 TI-31	Students will describe how common pharmacological agents influence pain and healing, explain their  therapeutic use, general categories used for treatment, desired treatment outcomes, and typical duration of treatment, and optimize patient outcomes by communicating the importance of compliance, drug interactions, adverse reactions, and possible results of sub-optimal therapy for common diseases and conditions (asthma, diabetes, hypertension, infections, depression, GERD, allergies, pain, inflammation, and the common cold).
CE-23	Students will describe setting-specific (e.g., high school, college) and activity-specific rules and guidelines for managing injuries and illnesses.
HA-4 HA-7 HA-8	Students will describe the impact of organizational structure and strategic planning on the daily operations of a healthcare facility and create/implement a basic business plan that incorporates these concepts, procedures for revenue generation and reimbursement, recognition for the value of services provided by athletic trainers, operational and capital budgeting, and a needs assessment.
PHP-35 PHP-36 PHP-38	Students will describe the proper intake, sources of, and effects of micro- and macronutrients, fluids, and electrolytes on tissue growth/repair, performance, health, and disease.
PS-17	Students will describe the psychological and emotional responses to a catastrophic event, the potential need for a psychological intervention and a referral plan to various mental healthcare providers for all parties affected by the event.
PHP-47	Students will describe the psychological and sociocultural factors, signs, symptoms, and physiological and psychological responses of patients displaying disordered eating and devise appropriate management and referral strategies that are consistent with current practice guidelines.
HA-30	Students will describe the role and functions of various healthcare providers and protocols that govern the referral of patients to these professionals.
HA-3	Students will describe the role of strategic planning as a means to assess and promote organizational improvement and use its concepts as part of healthcare facility design.
PS-15 PS-16	Students will describe the roles of different mental healthcare providers, identify patients demonstrating psychosocial disturbances, and formulate a referral plan for a patient with mental health or substance abuse problems.
AC-31 AC-32 AC-33	Students will determine when a metered-dose inhaler is warranted based on a patient's condition and instruct/assist a patient in its use or that of a nebulizer in the presence of asthma-related bronchospasm.
PD-10	Students will develop educational healthcare programming specific to a target audience that uses appropriate multimedia tools to create a professional product.
CE-14	Students will differentiate between an initial injury evaluation and follow-up/reassessment as a means to evaluate the efficacy of the patient’s treatment/rehabilitation program, and make modifications to the patient’s program as needed.
PHP-33	Students will educate clients/patients on the importance of healthy eating, regular exercise, and general preventative strategies for improving or maintaining health and quality of life.
TI-24 TI-25 TI-26	Students will explain pharmacodynamic principles (receptor theory, dose-response relationship, placebo effect, potency, drug interactions, bioavailability, half-life, bioequivalence, generic vs brand name) as they relate to drug action, therapeutic effectiveness, patient choice, and dosing schedule.
CE-10	Students will explain and calculate diagnostic accuracy concepts including reliability, sensitivity, specificity, likelihood ratios, prediction values, and pre-test and post-test probabilities for selecting and interpreting physical examination and diagnostic procedures.
PHP-17e PHP-17f PHP-17g	Students will explain and discuss the etiology and prevention guidelines associated with the leading causes of sudden death during physical activity, including but not limited to: Cardiac arrhythmia or arrest, Asthma, Traumatic brain injury, exertional heat stroke, hyponatremia, exertional sickling, anaphylactic shock, cervical spine injury, and lightning strike.
TI-21	Students will explain federal, state, and local laws, regulations, and procedures for the proper storage, disposal, transportation, dispensing (administering where appropriate), and documentation associated with commonly used prescription and nonprescription medications.
PHP-42	Students will explain how changes in the type and intensity of physical activity influence the energy and nutritional demands placed on the body, describe the principles and validated methods to measure body composition, and assess a patient's body composition in relation to their health status or to monitor changes related to weight management, strength training, injury, disordered eating, menstrual status, and/or bone density.
CE-11 CE-12	Students will explain the creation of clinical prediction rules and apply them in the diagnosis and prognosis of various clinical conditions.
PHP-40 PHP-41	Students will explain the physiologic principles and time factors associated with the design and planning of pre-activity and recovery meals/snacks and hydration practices and identify those foods/fluids that are most appropriate for inclusion.
PHP-10 PHP-11	Students will explain the principles of the body’s thermoregulatory mechanisms as they relate to heat gain and heat loss, acclimation and conditioning, fluid and electrolyte replacement requirements, proper practice and competition attire, hydration, and environmental assessment.
PD-4	Students will explain the role and function of state athletic training practice acts and registration, licensure, and certification agencies and how to obtain and maintain those credentials.
HA-29	Students will explain typical administrative policies and procedures that govern first aid and emergency care and develop a comprehensive, venue-specific emergency action plan (EAP) for the care of common emergent conditions and injuries that includes disease control, medical authority notification, and a plan to prevent disease epidemics.
TI-22	Students will identify and use appropriate pharmaceutical terminology for management of medications, inventory control, and reporting of pharmacological agents commonly used in an athletic training facility.
HA-28	Students will identify components of a comprehensive medical record and differentiate between diagnostic and procedural codes when documenting patient care.
HA-15	Students will identify principles of recruiting, selecting, employing, and contracting with athletic trainers, physicians, and other medical and healthcare personnel in the deployment of healthcare services.
AC-36e AC-36f AC-36h AC-36j AC-36n AC-36o	Students will identify the signs, symptoms, interventions, and when appropriate, the return-to-participation criteria for:  sudden cardiac arrest, environmental illnesses, exertional sickling, rhabdomyolysis, internal bleeding, diabetic emergencies, asthma, anaphylaxis, local allergic reactions, epilepsy and other seizure disorders, shock, and toxic drug overdoses.
PHP-48 PHP-49	Students will identify which therapeutic drugs, supplements, and performance-enhancing substances are banned by sport and/or workplace organizations, explain the usage patterns and effects, and advise patients about possible disqualification and other consequences.
PHP-37	Students will identify, analyze, and utilize the essential components of food labels to determine the content, quality, and appropriateness of food products.
AC-5 CE-13	Students will obtain a thorough medical history that includes the pertinent past medical history, underlying systemic disease, use of medications, the patient’s perceived pain, and the history and course of the present condition appropriate for the patient's ability to respond.
TI-28	Students will practice assisting and/or instructing a patient in the proper use, cleaning, and storage of drugs commonly delivered by metered dose inhalers, nebulizers, insulin pumps, or other parenteral routes as prescribed by the physician.
AC-36c	Students will recognize the signs and symptoms of catastrophic and emergent cervical, thoracic, and lumbar spine trauma and demonstrate appropriate referral and physician return-to-play decisions.
CE-16	Students will recognize the signs and symptoms of catastrophic and emergent conditions and demonstrate appropriate referral and physician return-to-play clearance following traumatic and brain injuries (concussion, subdural and epidural hematomas, second impact syndrome, and skull fracture).
PS-4 PS-5 PS-6	Students will summarize and demonstrate effective interpersonal and cross-cultural communication and educational intervention strategies for patients and others involved in their healthcare to effect positive behavioral change and impact the patient's psychological and emotional well-being while protecting their privacy.
TI-23 TI-27	Students will use an electronic drug resource to locate and identify indications, contraindications, precautions, and adverse reactions for common prescription and nonprescription medications and describe advantages and disadvantages of their common administration routes.
CE-17	Students will use clinical reasoning skills to formulate an appropriate differential diagnosis for common illness/disease and orthopedic injuries/conditions.
PHP-15 PHP-16 CE-20j	Students will use otoscopes, urinalysis strips, glucometers, peak flow meters, and ophthalmoscopes as part of a clinical examination and determine if observed results are within normal limits or require referral.
PD-9 CE-20b CE-20e CE-21h CE-22	Students will use standard techniques and procedures (history taking, inspection/observation, palpation, functional assessment, special tests, neurological assessments, capsular and ligamentous stress testing, and joint play assessment) to complete a clinical examination for a common injury, condition, illness, or disease and interpret their findings to determine when referral is necessary.
CE-20f	Students will use standard techniques to assess neurological function and differentiate between normal and abnormal findings to discern any associated pathophysiology.
CE-20g CE-20h CE-20i	Students will use standard techniques to measure vital signs and other physiologic functions (pulse, blood pressure, respiration, oxygen saturation, pain, core temperature, heart/lung/abdominal sounds, peak flow) and differentiate between normal and abnormal findings to discern any associated pathophysiology.
CE-20	Use standard techniques and procedures for the clinical examination of common injuries, conditions, illnesses, and diseases.