The Umbrella of Sports
Medicine
Tony Milian, ATC , LAT
Manager, Sports Medicine
[U18] Sports Medicine
Memorial Hospital Miramar
What is my goal today?
The umbrella of sports medicine
– Orthopaedic Surgeon
– Physicians Assistant
– Physical Therapist
– Athletic Trainer
– Exercise Physiologist
– Strength and Conditioning Specialist
– Dietitian or Nutritionist
– Psychologists
What is Sports Medicine
the branch of medicine concerned with the
treatment of injuries or illness resulting
from athletic activities
princeton.edu
The branch of medicine that deals with the
effects of sport and exercise on the body,
especially the treatment of injuries so
received, and also studies the physiology
of exercise
wikipedia.org
Orthopaedic Surgeon
A medical specialty that focuses on
the diagnosis, care, and treatment of
patients with disorders of bones,
joints, muscles, ligaments, tendons,
nerves, and skin.
American Academy of Orthopaedic Surgeons, 2007
Orthopaedic Surgeon
Fractures and dislocations
Sprains and strains
Bursitis
Back or disks injuries
Arthritis and osteoporosis
Bone tumors, unequal leg length
Abnormalities of fingers, and toes
American Academy of Orthopaedic Surgeons, 2007
Orthopaedic Surgeon
Career Path:
– Complete 4 years of college
– Complete 4 years of medical school
– Complete 5 years of graduate medical
education
4 years of orthopaedic surgery
1 year residency
– Sports medicine
– Pediatrics
Accredited by the American Board of
Orthopaedic Surgery
American Academy of Orthopaedic Surgeons, 2007
Orthopaedic Surgeon
Common settings:
– Solo practitioner
– Orthopaedic groups
– Multi- specialty groups
Salary Range:
– $372,000 to $513,000
American Academy of Orthopaedic Surgeons, 2007
Physician Assistant
Provide diagnostic, therapeutic, and
preventive healthcare services, as
delegated by a physician.
United States Department of Labor, 2010
Physician Assistant
Take medical histories
Examine and treat patients
Order and interpret lab test, x –
rays, and make diagnoses
Suturing, splinting, and casting
Prescribe medications
United States Department of Labor, 2010
Physician Assistant
Career Path:
– Most who apply to physician assistant
programs already have a bachelor’s degree in
a scientific field.
– Most PA programs require previous healthcare
experience
Physical Therapist, Athletic Trainers, Nurces,
paramedics.
– 2 years in PA accredited program
– Pass test by the National Commission on
Certification of Physicians Assistants (NCCPA)
United States Department of Labor, 2010
Physician Assistant
Common Settings:
– Hospitals
– Clinics
– Physician practices
Salary Range:
– $75,691 to $91,439
United States Department of Labor, 2010
Physical Therapist
Healthcare professionals who
diagnose and treat individuals of all
ages, from newborn to geriatrics,
who have medical problems or health
related conditions, illnesses, or
injuries that limits their ability to
perform functional activities in their
daily lives.
United States Department of Labor, 2010
Physical Therapist
Common injuries seen by PT’s:
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Back and neck injuries
Sprains and strains
Fractures
Arthritis
Burns
Amputations
Stroke, multiple sclerosis
Cerebral palsy,
Injuries related to work or sports
United States Department of Labor, 2010
Physical Therapist
Common settings:
– Hospitals
– Outpatient clinics
– Private offices
Career path:
– Currently only graduate programs who are
accredited by the American Physical Therapy
Association (APTA) 2 years.
– Doctoral programs is the way of the future
3years.
United States Department of Labor, 2010
Physical Therapist
Salary range:
$65,597 to 76,363
United States Department of Labor, 2010
Athletic Trainer
Allied healthcare professional who
specializes in the prevention,
diagnosis, assessment, treatment,
and rehabilitation of muscle and
bone injuries.
United States Department of Labor, 2010
Athletic Trainer
First healthcare provider on the scene of
an injury
Must be able to recognize the injury
Evaluate the injury
Provide immediate care when needed
Provide rehabilitation programs
Administer rehabilitation treatments
Provide injury prevention education
United States Department of Labor, 2010
Athletic Trainer
Common Settings:
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Colleges and Universities
Professional teams
High Schools / teachers
Hospitals
Physician offices
Fitness and sports centers
Work hours
– HS / teacher 60 to 70 hrs / wk
– Colleges and universities 50 to 60 hrs / wk
Athletic Trainer
Career path:
– Bachelor’s degree from an accredited
university by the National Athletic Trainer's
Association (NATA)
– About 70% of ATC’s have masters degrees =
better advancement opportunities
– Requires a (BOC) certification and must pass a
board examination
United States Department of Labor, 2010
Athletic Trainers
Traditional Salary Range:
– $30,500 to 53,900
Head ATC College or University:
– $42, 450 to 61,137
Head ATC Professional Team
– $50,000 to over $100,000
United States Department of Labor, 2010
Exercise Physiologist
Improve patient’s quality of life, general
health, and fitness levels through the
creation of individual wellness programs
based upon their specific needs.
American Society of Exercise Physiologists, 2004
Exercise Physiologists
Instructors / directors of sports and
wellness programs
Researchers in sports medicine and
fitness programs
Exercise specialists in
cardiopulmonary rehabilitation
programs
Fitness instructors in resorts, and
fitness centers
American Society of Exercise Physiologists, 2004
Exercise Physiologists
Career path:
– Bachelor’s degree
– Many programs are now requiring a
master’s of science degree in exercise
physiology
– Programs must be accredited by the
American Society of Exercise
Physiologists (ASEP)
American Society of Exercise Physiologists, 2004
Exercise Physiologists
Salary Range:
– $39,088 to 50,314
American Society of Exercise Physiologists, 2004
Certified Strength and Conditioning
Specialists
Professionals who apply scientific
knowledge to train athletes for the
primary goal of improving athletic
performance
National Strength and Conditioning Association
Certified Strength and Conditioning
Specialists
Conduct sports – specific testing
sessions
Design and implement strength
training programs
Provide guidance regarding nutrition
Educate on injury prevention
National Strength and Conditioning Association
Certified Strength and Conditioning
Specialist
Common Settings:
– Fitness Centers
– College and Universities
– Professional Teams
– Sports Centers
National Strength and Conditioning Association
Certified Strength and conditioning
specialists
Career path:
– Must have a bachelor’s degree
– Pass the CSCS certification exam
– Accredited by the National Commissions
for Certifying Agencies (NCCA)
Salary range:
– $35,000 average
National Strength and Conditioning Association
Dietitians and Nutritionists
Dietitians and nutritionists plan food
and nutrition programs, supervise
meal preparation, and oversee the
serving of meals. They prevent and
treat illnesses by promoting healthy
eating habits and recommending
dietary modifications.
Unites States Department of Labor, 2010
Dietitians and Nutritionists
Assess patient’s nutritional needs
Develop and implement nutritional
programs
Evaluate and report the results
Manage patients with renal / kidney,
diabetic, or critically ill.
Manage healthcare facility, company,
or school nutritional departments
Unites States Department of Labor, 2010
Dietitians and Nutritionists
Common settings:
– Hospitals
– Large organizations
– Health and Fitness Centers
– Public health clinics
– Home health agencies
Unites States Department of Labor, 2010
Dietitians and Nutritionists
Career path for dietitian:
– Bachelor’s degree in dietetics from an
approved program by the American Dietetic
Association (ADA)
Career path for certified nutritionist:
– Not an accredited degree
– Must pass certification exam
– Usually is accompanied by another degree
Unites States Department of Labor, 2010
Dietitians and Nutritionists
Salary range:
– $41,060 to $61,790
Unites States Department of Labor, 2010
Psychologists
Psychologists study mental processes and
human behavior by observing,
interpreting, and recording how people
relate to one another and the
environment.
Sports Psychologists work directly with
athletes to increase motivation and
enhance performance
United States Department of Labor, 2010
Psychologists
Athletic consulting
Depression
Divorce
Death of a loved one
Confusion
Worrying
United States Department of Labor, 2010
Psychologists
Common settings:
– Clinics
– Schools
– Independent practice
Career path:
– Doctoral degree about 5 years of full time grad work.
– Mater’s degree about 2 years of full time grad work.
– Must be accredited by the American Psychological
Association (APA)
United States Department of Labor, 2010
Psychologists
Sports Psychologists have additional
training and experience in apply
psychology to sports and exercise.
Experience!!!
Salary range:
$54,100 to $115,720
United States Department of Labor, 2010
Thank you!
Tony Milian, ATC, LAT
Manager, Sports Medicine
954-538-5501
amilian@mhs.net