FLORIDA INTERNATIONAL UNIVERSITY
DEPARTMENT OF ATHLETIC TRAINING
PET 5405 Administration and Professionalism in Athletic Training
Student Name: ________________________
CHAPTER 1 FEEDBACK INSTRUMENT
Multiple choice. Select the BEST answer.
1. Steve is one of six assistant athletic trainers at a large state university. He has
been in his position for two years. Four of the assistants have more seniority than
he does. He wants to institute an AIDS education program for all studentathletes. Which of the following is most likely to help him gain approval for this
program?
a. personal power
b. position power
c. counterpower
d. authority
e. power
2. Steve went to a conference on AIDS education. He learned a great deal about
both the disease and how to prevent it in athletic populations. After he returned
from the conference, he organized an in-service for the other athletic trainers, the
coaches, and the athletic administration. Which of the following elements is most
likely to help Steve influence his colleagues to institute the AIDS education
program?
a. the zone of indifference of Steve’s colleagues
b. the honeymoon effect
c. Steve’s reputation as an expert
d. the legitimacy of the request
e. Steve’s ability to withhold critical information from his superiors
3. Steve’s request to fund and conduct the AIDS education program was denied.
He got mad and started looking for another job. He was eventually hired as the
head athletic trainer at a small college. Although he had many things to do to get
ready for his first season at his new job, one of the first things he did was to
establish his AIDS education program. Which management concept best
describes Steve’s actions in establishing the program?
a. transactional leadership
b. transformational leadership
c. organizational renewal
d. power
e. counterpower
FLORIDA INTERNATIONAL UNIVERSITY
DEPARTMENT OF ATHLETIC TRAINING
PET 5405 Administration and Professionalism in Athletic Training
Student Name: ________________________
4. Steve’s program was successful. He became known for his effectiveness as an
athletic trainer. He was invited to speak before the local Rotary Club chapter.
Which management role did Steve assume by accepting the speaking
engagement?
a. interpersonal role
b. liaison role
c. monitor role
d. disseminator role
e. figurehead role
5. One of the businesswomen at the Rotary meeting was so impressed with Steve
and his program that she asked him if he would be willing to field-test some of
her company’s AIDS education pamphlets and posters. Steve would be expected
to use the materials with the student-athletes in the AIDS program. The company
would conduct surveys to assess the effectiveness of the materials. Steve’s
program would receive the materials free in addition to a $2500 payment to be
used to improve the athletic training program. Which of the following
management roles best describes Steve’s actions in this case?
a. entrepreneur role
b. decisional role
c. disturbance handler role
d. spokesperson role
e. business role
6. Steve delegates the decision of how to spend the $2500 to his two assistants.
Sheri wants to purchase a new ultrasound unit. Martin wants to start a fund from
which educational materials like books, videos, and journal subscriptions can be
purchased. Both Sheri and Martin are very firm in their positions, and a
relationship that was cool to begin with is starting to turn ugly over this issue. If
Steve didn’t care about preserving either of his subordinates’ feelings, which
conflict management technique might he employ?
a. negotiation
b. competition
c. organizational structure changes
d. liaison persons
e. compromise
FLORIDA INTERNATIONAL UNIVERSITY
DEPARTMENT OF ATHLETIC TRAINING
PET 5405 Administration and Professionalism in Athletic Training
Student Name: ________________________
7. If Steve is interested in achieving a high-quality decision on how to spend the
$2500 while preserving the self-esteem of his assistants and improving the
atmosphere in the athletic training room, which process should he facilitate?
a. compromise
b. collaboration
c. negotiation
d. accommodation
e. cooperation by edict
8. With Steve’s help, Sheri and Martin eventually decided to recommend the
purchase of a computer program that helps students master the concepts of
ultrasound therapy. Steve thought that Sheri seemed a little less enthusiastic
than Martin about the decision. Since he wanted her to “buy in” to the idea, he
decided to assign her the task of scouting out the various ultrasound software
products at the upcoming convention. After she found the best product, she was
to place the order and arrange for installation on the athletic training room
computer. Which of the following actions is most likely to result in successful
implementation of the project?
a. Steve should assign a date for completion, check for satisfactory progress,
and insist on a report on the project completion date.
b. Steve should be courteous and respectful when asking Sheri to take on
the assignment.
c. Steve should express his confidence in the project when assigning the
project to Sheri.
d. Steve should be open to Sheri’s suggestions on how to implement the
project.
e. Steve should explain his rationale for assigning the task to Sheri.
9. Steve’s experience with Sheri’s and Martin’s difficulty in working together caused
him to change his management style. “In the future,” he decided, “I will just issue
orders to my assistants rather than allowing them to try to work things out for
themselves.” Which of the following management theories is best represented by
Steve’s new way of thinking?
a. Harrington Emerson’s “12 principles”
b. Frederick Taylor’s “scientific management”
c. Henry Fayol’s “unity of command”
d. Kurt Lewin’s “Field Theory”
e. Edwards Demings’s “Total Quality Management”
FLORIDA INTERNATIONAL UNIVERSITY
DEPARTMENT OF ATHLETIC TRAINING
PET 5405 Administration and Professionalism in Athletic Training
Student Name: ________________________
10. Which of the following methods should Steve employ to ensure that his orders
are effectively communicated to and understood by Sheri and Martin?
a. conference calls
b. e-mail
c. memos
d. staff meetings
e. telling Sheri and letting Sheri pass the information along to Martin
Short answer. Read the scenario and provide BRIEF BUT DESCRIPTIVE answers to
the questions.
After interviewing for a job in a large Texas high school, Jim, a certified athletic trainer
with 17 years of experience, decided he would accept the offer. His primary reason for
accepting the job was that he was burned out on NCAA Division I athletics. He thought
that the high school position would still give him the contact that he enjoyed with
athletes, but without all of the headaches of running a major university sports medicine
program.
Jim arrived in Texas in June. He wanted to have plenty of time to organize his new
program before the athletes came back in August. During the first week on the job, Jim
began to realize that there were a few questions he should have asked during his
interview. One of the things that Jim learned was that even though the sports medicine
program had an adequate budget, Jim was not allowed to order any equipment or
supplies without the written permission of his athletic director. When Jim presented a list
of supplies to be purchased for the next year, the AD approved only half the items. In
addition, the AD told Jim that he would have to purchase the items from the local
sporting goods dealer. Jim complained that he needed all of the items on the list and
that if he purchased everything from the local vendor, the school would end up spending
the sports medicine budget before Christmas.
Another problem that Jim faced during the first few weeks concerned his proposal for a
drug and alcohol education program for student-athletes. Jim wanted to involve all the
coaches and team captains in a preliminary workshop and then develop programs for
individual teams. When he presented his plan, the AD smiled and said, “That kind of
thing has been tried before, and it didn’t work then. I don’t see why it would work now.
Besides, we don’t have any serious problems like that in our school.”
When the athletes arrived in August, Jim quickly gained a reputation among the
students as a caring and competent athletic trainer. Injured athletes came to know him
as someone who would take good care of them and who could help them return to
action as soon as possible. The fall sports coaches also appreciated Jim’s talents and
FLORIDA INTERNATIONAL UNIVERSITY
DEPARTMENT OF ATHLETIC TRAINING
PET 5405 Administration and Professionalism in Athletic Training
Student Name: ________________________
expertise. They were thankful for the way he communicated with them and the hard
work he undertook to help keep their teams healthy.
11. In what ways did the honeymoon effect work for Jim in his new job? In what ways
didn’t it work?
12. Which of Jim’s early leadership actions were transactional? Which were
transformational?
13. Which management roles did Jim assume during his first few months on the job?
Which were most important in helping him establish preliminary relationships with
the various groups at his new school?
14. Jim is obviously having trouble working with his new athletic director. Which
conflict management strategies should he consider in attempting to work out his
differences? Given the personality style of the AD, what are some likely
outcomes of Jim’s conflict management attempts?
15. If you were in Jim’s position, would you have handled anything differently? What
alternative actions would you have taken?
FLORIDA INTERNATIONAL UNIVERSITY
DEPARTMENT OF ATHLETIC TRAINING
PET 5405 Administration and Professionalism in Athletic Training
Student Name: ________________________
CHAPTER 2 FEEDBACK INSTRUMENT
Multiple choice. Select the BEST answer.
1. Mary Wilson was the new athletic trainer for the Holland Public Schools. She was
responsible for two high schools and four middle schools. When asked to
describe her vision for sports medicine in her school district, she listed the
following elements:
A. Excellence in medical services
B. Prevention of injuries for the students of the school district
C. Continued improvement of the sports medicine staff
D. Establishment of a sports medicine newsletter
Which of the elements above are appropriate for inclusion in a vision statement?
a.
b.
c.
d.
e.
A and B only
A, B, and C only
C only
C and D only
D only
2. Which elements in question 1 are not appropriate for the vision statement of the
sports medicine program of the Holland Public Schools?
b. A only
c. A and C only
d. B and D only
e. C only
f. D only
3. The school board issued an order that all department heads must file a program
mission statement with the superintendent’s office. Mary wrote a mission statement
for the sports medicine program that included the following elements:
A. The goals of the program
B. The budget for each of the program’s subfunctions
C. The image Mary wanted the program to project
D. The capital improvements Mary wanted to make
E. The program’s philosophy
FLORIDA INTERNATIONAL UNIVERSITY
DEPARTMENT OF ATHLETIC TRAINING
PET 5405 Administration and Professionalism in Athletic Training
Student Name: ________________________
Which of the elements above are appropriate for inclusion in a mission
statement?
a.
b.
c.
d.
e.
A, C, and E only
A and D only
B and D only
C, D, and E only
all of the elements
4. Which of the elements of Mary’s mission statement in question 3 are inappropriate?
a. A and E only
b. B only
c. B, C, and D only
d. B and D only
e. D only
5. Although the school superintendent liked Mary and thought she was a good athletic
trainer, he thought her vision and mission statements were junk. He suggested she
involve the sports medicine program in a process of strategic planning to help her
clarify her goals. Which of the following people or groups are most likely to help
Mary identify the expectations of “outside interests” relative to her program?
a. parents
b. part-time coaches
c. school board members
d. athletic trainers at the local university
e. the high school principal
6. Which of the following people or groups are most likely to help Mary identify the
expectations of “inside interests” relative to her program?
a. student-athletes
b. the state high school athletic association
c. assistant athletic trainers
d. the state legislature
e. parents
FLORIDA INTERNATIONAL UNIVERSITY
DEPARTMENT OF ATHLETIC TRAINING
PET 5405 Administration and Professionalism in Athletic Training
Student Name: ________________________
7. Given the fact that the school superintendent has not provided a budget for Mary’s
strategic planning and that she typically works 12-hour days, which of the following
methods of collecting student-athlete feedback on the quality of sports medicine
services is most logical?
a. telephone surveys using her two assistants
b. suggestion boxes in the athletic training room
c. formation of planning committees with student-athlete membership
d. written questionnaires handed out in required physical education classes
e. focus groups with student-athletes
8. Which of the following strategic planning activities is likely to provide Mary with the
most information for establishing new priorities for the Holland Public Schools sports
medicine program?
a. procedure review
b. forecast of medical supply costs
c. WOTS UP analysis
d. process review
e. policy review
9. Which of the following must Mary develop in order to carry out the school board’s
vision with respect to athletic health and safety issues?
a. processes
b. procedures
c. policies
d. budgets
e. operational plans
10. Mary’s team physician is an old friend of the football coach. Although Mary thinks he
is a good physician who usually supports her program, she is concerned that the
close relationship with the coach occasionally compromises his objectivity. Which of
the following labels best describes Mary’s team physician?
a. opponent
b. bedfellow
c. ally
d. adversary
e. none of the above
FLORIDA INTERNATIONAL UNIVERSITY
DEPARTMENT OF ATHLETIC TRAINING
PET 5405 Administration and Professionalism in Athletic Training
Student Name: ________________________
11. Considering the levels of agreement and trust that Mary and the team physician
enjoy, which of the following strategies would Mary be wise to implement when
trying to gain her team physician’s support for various program initiatives?
a. Attempt to restate the physician’s likely viewpoint in a nonthreatening
manner.
b. Openly admit the shortcomings of any plans Mary might propose. Explain
the deficits right up front.
c. Explain to the physician the plans for the program, and try to persuade
him to lend his support to them.
d. Explain the value of the doctor’s support and the importance of
maintaining a good relationship. Ask what can be done to improve the
relationship.
e. Engage in a problem-solving dialogue with the physician to try to find
points of agreement.
12. Mary called a meeting of her staff to begin the planning for the medical coverage for
a conference swimming meet that the Holland Public Schools would be hosting in a
few months. Which of the following elements should not be included in the agenda?
V. Announcements
VI. Decisions
VII. Discussion
VIII. New Business
IX.
Reports
a. I & III
b. I & IV
c. II & V
d. II & III
e. IV & V
13. As part of her duties as medical coordinator for the league swimming
championships, Mary will host a one-day pre-meet conference for each of the
league’s athletic trainers. Which of the following topics is most likely to appeal to an
audience with a specific learning objective?
a. “Rehabilitation strategies for impingement problems in swimmers”
b. “Shoulder injuries”
c. “Swimming injuries”
d. “Shoulder injuries in swimming”
e. “Rehabilitation of shoulder injuries in swimmers”
FLORIDA INTERNATIONAL UNIVERSITY
DEPARTMENT OF ATHLETIC TRAINING
PET 5405 Administration and Professionalism in Athletic Training
Student Name: ________________________
14. Which of the following reasons for tracking clinical outcomes is likely to be the most
useful in Mary’s setting?
a. increased third-party reimbursement
b. justifying personnel and program operations costs
c. improved access to managed care contracts
d. improved Medicare audit performance
e. improved public confidence in the athletic training staff
15. Mary’s school superintendent recently hired a school improvement consultant to help
noninstructional personnel in the district improve the programs they are responsible
for. Which of the following components would be a likely focus for the sports
medicine program evaluation?
a. identification of the program’s strengths
b. a statement of the program’s effectiveness
c. comparisons with other high school sports medicine programs
d. an assessment of the level of achievement of the program’s goals
e. all of the above
16. In accordance with the school district’s rules, Mary plans to obtain bids from several
vendors for the program’s expendable supplies. She decides that if two or more
vendors quote the same price for a particular item, she will purchase the item from
the vendor that routinely exhibits at the district convention. This decision is an
example of a
a. procedure
b. process
c. practice
d. policy
e. rule
FLORIDA INTERNATIONAL UNIVERSITY
DEPARTMENT OF ATHLETIC TRAINING
PET 5405 Administration and Professionalism in Athletic Training
Student Name: ________________________
17. Mary is required to attend a district-wide meeting of the athletic staff every other
Tuesday. The athletic director presides over the meeting. Mary receives an agenda
prior to the meeting about half the time. The discussion is invariably sidetracked by a
coach who wants to talk about an issue not on the agenda. Few decisions are made,
and the ones that are made are frequently reversed or not implemented. Mary hates
these meetings. Mary decides she simply must give some advice on running an
effective meeting to the athletic director. Which of the following would be sound
advice?
A. Don’t meet.
B. Require that all decisions made at the meetings be rigidly enforced.
C. Allow discussion of agenda items only.
D. Circulate information in writing before the meeting.
E. Meet only at the beginning and the end of each semester.
a.
b.
c.
d.
e.
A only
B and C
B, C, and D
B and E
C and D
18. Most of the students in the Holland Public Schools have their health insurance
through a local HMO. A new orthopedic surgeon moved to town whom Mary was
very impressed with and whom she wanted to involve in the care of her injured
athletes. Unfortunately, the HMO would not provide the physician with a contract
until he could demonstrate positive patient outcomes. Which of the methods below is
most likely to provide the HMO with the assurance that the surgeon’s patients do
well after receiving care from him?
A. patient surveys
B. randomized clinical trials
C. patient chart documentation
a. A only
b. A and B
c. A and C
d. B only
e. B and C
FLORIDA INTERNATIONAL UNIVERSITY
DEPARTMENT OF ATHLETIC TRAINING
PET 5405 Administration and Professionalism in Athletic Training
Student Name: ________________________
Short answer. Read the scenario and provide BRIEF BUT DESCRIPTIVE answers to
the questions.
The chairperson of the Department of Physical Education and Athletics met Susan, the
college’s athletic trainer, in the hallway. After they exchanged the news of the day, the
chairperson said, “By the way, I’ve been working on the NCAA self-study, and one of
the sections deals with drug education programs and policies. I know we are just a
small college that doesn’t have many problems with drugs, but I can’t send this thing
over to the president without addressing this issue, especially in light of the emphasis
the NCAA places on it. Would you be willing to organize a program so that we can at
least meet the NCAA guidelines?”
“What would you want such a program to include?” asked Susan. “This could potentially
be a huge project.”
“You’re the expert,” replied the chairperson. “Let me know what you come up with.”
Susan had strong opinions on the use and abuse of alcohol and other drugs. Several of
her family members had been negatively affected by their use. She had plenty of
examples of how the use of alcohol had impacted her students. She decided that if she
was going to take on this program, she wasn’t going to allow any half-measures to be
adopted. She knew that for a problem as complex as drug and alcohol use among
college students, she was going to have to develop a comprehensive program in order
to be successful.
After checking with several other athletic trainers who had developed programs for their
schools, Susan began writing a proposal for the program. She decided to include the
following elements in the program:
 a standards-setting workshop led by a trained facilitator to help the coaches and team
captains develop their own rules and sanctions for alcohol and other drug use,
 a policy statement that addressed the college’s concern over the drug and alcohol
issue with procedures to provide an action plan to deal with the problem,
 a series of educational seminars and workshops for the student-athletes that would
form the bulk of the drug and alcohol education program, and
 a research study to determine the extent of the problem on campus and to determine
the effectiveness of the program.
The entire program would cost approximately $3000 for the first 18 months. Since the
department wouldn’t allocate any funds for the project, Susan wrote a grant proposal to
a local community foundation that covered the cost. Susan was pleased and confident.
After six months of planning, the program was finally ready to go.
FLORIDA INTERNATIONAL UNIVERSITY
DEPARTMENT OF ATHLETIC TRAINING
PET 5405 Administration and Professionalism in Athletic Training
Student Name: ________________________
19. How successful is the drug and alcohol education program likely to be based on
what you know of Susan’s planning effort? How would you have planned for this
program?
20. Who are the inside interests in this case? Who are the outside interests? How
are they likely to be affected by this program? How should they be involved in the
planning of the program?
21. How much support do you think Susan will be able to develop for the program?
What strategies should she use to develop support?
22. How should Susan evaluate the effectiveness of the program? What elements
should be included in the evaluation plan?
23. How should the policy that Susan wants to see adopted be written? Develop an
example of a process and a procedure that might support such a policy.
24. Develop a Gannt chart based on a one-year implementation schedule to illustrate
the timing of the steps for such a program.
FLORIDA INTERNATIONAL UNIVERSITY
DEPARTMENT OF ATHLETIC TRAINING
PET 5405 Administration and Professionalism in Athletic Training
Student Name: ________________________
CHAPTER 3 FEEDBACK INSTRUMENT
Multiple choice. Select the BEST answer.
1. Garth is an athletic trainer who works in a sports medicine clinic owned by a
huge national health care company. He frequently becomes frustrated because
of the many rules and regulations imposed by the parent company that seem to
interfere with patient care. Although he enjoys his work, he feels constrained by
company policy, which won’t let him conduct initial patient evaluations or develop
treatment plans. Which of the following terms most accurately describes the
organizational culture of the clinic that employs Garth?
a. personalistic
b. consensual
c. collegial
d. formalistic
e. participatory
2. What is the primary advantage of the organizational culture of the company
Garth works for?
a. Responsibility for decision making is well defined.
b. Formal authority is shared among the employees.
c. Employees usually agree with decisions because consensus is typically
developed.
d. Each employee is empowered to make his or her own decisions.
e. None of the above.
3. Garth and the other five athletic trainers report to the coordinator of outreach
services. The clinic’s seven physical therapists report to the coordinator of
physical therapy. Each of the coordinators reports to the clinic director. Which of
the following terms best describes the type of organization structure at Garth’s
clinic?
a. division by service
b. flat
c. matrix
d. division by function
e. hierarchical
FLORIDA INTERNATIONAL UNIVERSITY
DEPARTMENT OF ATHLETIC TRAINING
PET 5405 Administration and Professionalism in Athletic Training
Student Name: ________________________
4. Which of the following is the primary disadvantage of the organizational structure
in place in Garth’s clinic?
a. Conflicts over program priorities and staff responsibilities are likely to
exist.
b. Little emphasis on sharing ideas and teamwork is likely to exist.
c. High levels of interpersonal communication skill are required in order for
the organization to operate effectively.
d. Professional staff competency is likely to decline due to
compartmentalization of duties.
e. Power struggles are likely to develop.
5. Greg is becoming unsatisfied with his position. He decides to search for another
athletic training position, but he doesn’t want to leave the city in which he lives.
Which of the following job search methods is likely to be most useful for Greg?
a. Networking with family and friends
b. Cold calling local clinics and schools
c. Searching web-based employment databases
d. Using the placement service at the NATA convention
e. Contacting graduate school advisors for job leads
6. The coordinator of outreach services has resigned. Garth thinks he wants to
apply for the position. Which of the following documents will inform him best
about the qualifications and responsibilities of the job?
a. job description
b. position description
c. job specification
d. position vacancy notice
e. person specification
7. Garth applies for and receives an interview for the position. The clinic director
asks him each of the following four questions. Which are inappropriate?
I.
“I haven’t had much opportunity to work with you, Garth. Describe your
management style for me.”
II. “Tell me a little about yourself. Where did you grow up? Do you have a
wife and children? What do you do in your leisure time?”
III. “Why do you want this position? It’s going to require a lot more time than
your present job, and this may take you away from your family.”
FLORIDA INTERNATIONAL UNIVERSITY
DEPARTMENT OF ATHLETIC TRAINING
PET 5405 Administration and Professionalism in Athletic Training
Student Name: ________________________
IV.
“How would you handle a situation in which one of your athletic trainers
entered into a romantic relationship with a patient?”
a. I and IV only
b. II only
c. II and III only
d. III only
e. IV only
8. After the interview, Garth and two other co-workers who also interviewed for the
job get together over lunch. The conversation naturally came around to the
questions each was asked during the interview. Garth discovered that each
candidate was asked different questions. Is this a problem?
a. Yes. Hiring procedures should be standardized to improve validity.
b. Yes. The Fair Labor Standards Act requires uniformity in interviewing
procedures.
c. Yes. Hiring procedures should be standardized to reduce bias.
d. No. Different candidates have different strengths, and differential
questioning helps define these strengths.
e. No. Employers are free to ask any questions as long as they aren’t
intended to discriminate.
9. Garth gets the job. One of his first priorities is to help the athletic trainers under
his supervision improve their patient care skills. To do this, he feels he will have
to involve all the athletic trainers in evaluating their skills and then give them
detailed feedback on their level of improvement. He is concerned, however,
because he knows that the clinic director will hold him personally accountable for
the performance of each of the athletic trainers. Which of the following
supervisory models is most appropriate given Garth’s goals and the
organizational culture of the clinic?
a. production
b. clinical
c. developmental
d. inspection
e. a combination of all of the above
10. One of the things that Garth disliked about the previous coordinator of outreach
services was that he never evaluated the performance of the athletic trainers.
Annual pay increases didn’t seem to bear any relationship to the actual
accomplishments of each individual athletic trainer. Garth was determined to do
FLORIDA INTERNATIONAL UNIVERSITY
DEPARTMENT OF ATHLETIC TRAINING
PET 5405 Administration and Professionalism in Athletic Training
Student Name: ________________________
something about this. Which of the following actions is the most appropriate first
step?
a. set up a peer evaluation system whereby each of the athletic trainers is
asked to evaluate everyone else
b. ask each athletic trainer to do a self-evaluation
c. propose a merit pay system to the clinic director
d. develop a position description for each athletic trainer
e. develop an evaluation instrument
11. Garth eventually decides to implement a performance evaluation system based
on behaviorally anchored rating scales. Given the environment he works in and
the kinds of employees he supervises, why is this a good choice?
a. The athletic trainers will appreciate being evaluated on what they actually
do rather than on their personality characteristics.
b. The clinic director will appreciate the low cost and simplicity of the
evaluation system.
c. The athletic trainers will appreciate the opportunity to provide input into the
standards by which they will be evaluated.
d. The detailed description provided by the evaluation tool will help Garth
make comparisons among the athletic trainers he supervises.
e. None of the above accurately reflects the most important benefits of this
system.
12. Which of the following drawbacks of this evaluation system is most likely to
cause problems for Garth?
a. Garth’s evaluation is likely to be based on subjective opinions.
b. The athletic trainers are unlikely to cooperate with each other since the
evaluation system creates competition among them.
c. The system will be time consuming to develop.
d. The athletic trainers may be unhappy since the elements of the instrument
may not be related to their job responsibilities.
e. Athletic trainer shortcomings are more likely to be emphasized over
accomplishments.
FLORIDA INTERNATIONAL UNIVERSITY
DEPARTMENT OF ATHLETIC TRAINING
PET 5405 Administration and Professionalism in Athletic Training
Student Name: ________________________
13. Garth solicits a letter of recommendation from the outgoing coordinator of
outreach services in support of his application. Garth receives a two-page letter
that describes his enthusiasm, warmth, compassion, dedication, self-motivation,
and loyalty. How useful is this letter likely to be in helping the clinic director
evaluate Garth’s application?
a. Not very useful. Warmth and compassion will make it difficult for Garth
to make “tough” decisions.
b. Not very useful. Personality traits often do not reflect the quality of the
person’s work.
c. Useful. Personality traits like those listed in the letter are valid
indicators of workplace success.
d. Useful. These qualities are consistent with the values and mission of
the company.
e. Useful. The clinic director is likely to want someone with these
qualities.
14. Garth leads the staff through a process analysis study in an effort to reduce the
staff size to an absolute minimum. Though this process allowed the clinic to treat
all of its patients with a slightly smaller staff, the staff members were unhappy.
Which of the following is most likely to be the primary source of their
dissatisfaction with this process?
a. comparative national workload standards do not apply to the
circumstances of their clinic
b. new workloads were instituted too quickly and were not tracked over time
c. the new processes mandated by Garth forced them to give up some of
their professional autonomy
d. the number of tasks to be completed were reduced
e. the complexity of the tasks to be completed were reduced
Short answer. Read the scenario and provide BRIEF BUT DESCRIPTIVE answers to
the questions.
The new manager of the Wellness Center, a physician-owned sports medicine and
rehabilitation clinic, instituted a policy requiring all supervisors to evaluate their
employees and make recommendations for salary increases. This new program was an
attempt to implement a merit pay system into the center’s operations. In the past,
everyone had received an “across-the-board” increase without regard to how he or she
had performed during the past year.
FLORIDA INTERNATIONAL UNIVERSITY
DEPARTMENT OF ATHLETIC TRAINING
PET 5405 Administration and Professionalism in Athletic Training
Student Name: ________________________
Sandra Hotchkiss was the supervisor for the center’s six certified athletic trainers. Upon
receipt of the memo mandating the new policy, Sandra decided that she would simply
write a narrative describing each of the athletic trainers. She felt that such a narrative
would be a useful guide to the new manager in awarding pay increases since it would
provide her with in-depth analysis of the strengths and weaknesses of each athletic
trainer. The following are examples of the evaluations Sandra submitted:
Brian Robinson
Brian Robinson is one of the best athletic trainers employed by the center. He is
thoughtful, works well with the patients, has a cheerful personality, and gets along great
with the staff. Brian has received positive feedback from the athletic director at South
High School, where he is assigned during the fall and spring seasons. The athletes and
parents seem to like him, and there haven’t been any problems that I am aware of,
although I have only been out there a couple of times. My recommendation is that Brian
be given a salary increase of 5%.
Juan Diaz
Although I think that Juan is basically a pretty good athletic trainer, there have been
several problems over the past year. Juan just seemed to be in the middle of a couple
of controversies at Martin Luther King High. I know that King is an inner-city school and
that Juan has a lot of tough problems to overcome down there, but I just wish he could
deal more effectively with them so we wouldn’t have to spend time on them at the
center. Juan hasn’t been very effective in getting many referrals to the center from his
high school. As I mentioned earlier, although I think Juan does a good job as an athletic
trainer, I can’t recommend anything higher than a 3% increase for him this year.
Sandra was surprised three weeks later when, on the day after the salary increases
were announced, Juan stormed into her office and informed her that he was going to
sue both her and the center for discrimination based on negligent evaluation.
15. What were the strengths and weaknesses of the performance evaluation system
initiated by Sandra Hotchkiss?
16. How could the center’s new manager have approached the problem in a more
constructive and effective manner? How would this have affected Sandra? How
would it have affected Brian, Juan, and the other athletic trainers?
17. Describe the performance evaluation system you would have implemented if you
had been in Sandra’s position. What concerns, if any, would you express to the
new manager regarding the new policy?
FLORIDA INTERNATIONAL UNIVERSITY
DEPARTMENT OF ATHLETIC TRAINING
PET 5405 Administration and Professionalism in Athletic Training
Student Name: ________________________
CHAPTER 4 FEEDBACK INSTRUMENT
Multiple choice. Select the BEST answer.
1. Barb Grabowski is the facility manager at Total Sports Rehab, a wholly owned
subsidiary of Healthy Nation, Inc., a large health care company that owns
hospitals, rehab centers, and HMOs. Barb received a memo from corporate
headquarters informing her that all Healthy Nation subsidiaries would be shifting
from a spending-ceiling model to a zero-based budgeting system. What are the
likely advantages for Total Sports Rehab under this scenario?
a. better chance of receiving the funds needed for actual program expenses
b. better chance of keeping up with inflation
c. better chance of meeting monthly payroll and income requirements
d. better chance of matching expenses with expenditures
e. better chance of incorporating the budget with the strategic plan
After carefully analyzing the clinic’s needs for the next year, Barb constructed a
detailed report justifying each anticipated expense. She submitted it, along with the
following line-item budget, to Healthy Nation’s financial officer.
Object
Code
Account
Description
2180
Payroll
2198
02-03
Expense
03-04
Request
$450,000
$475,000
Supplies
$30,000
$30,900
2199
Debt on Building
$24,000
$23,050
3126
Utilities
$3,000
$3,100
3452
Staff Development
$10,000
$10,000
FLORIDA INTERNATIONAL UNIVERSITY
DEPARTMENT OF ATHLETIC TRAINING
PET 5405 Administration and Professionalism in Athletic Training
Student Name: ________________________
2. Assuming that the rate of inflation is 3%, which of the requests above is
excessive given the information you have?
a. Supplies only
b. Payroll only
c. Utilities only
d. Payroll and Supplies
e. Supplies and Utilities
3. If patient load increases by 10% over 02-03 levels, which of the following
accounts is most likely to be underfunded?
a. Supplies only
b. Staff Development only
c. Payroll only
d. Supplies and Payroll
e. Staff Development and Supplies
4. Healthy Nation’s financial officer told Barb that he would approve Total Sports
Rehab’s payroll request for 03-04. He insisted, however, that she make up the
difference between the requested amount and the 02-03 expense plus inflation
from other line items. Which area would be the easiest to cut in order to offset the
increased expense in payroll?
a. Supplies only
b. Utilities only
c. Utilities and Staff Development
d. Staff Development and Supplies
e. Debt on Building and Utilities
5. Total Sports Rehab’s financial accounts are maintained on a computer system
linked directly to Healthy Nation’s corporate headquarters. Every month the
corporate office sends Barb a computer printout of expenditures and income.
Which of the following is the best method for ensuring that the reports that Barb
receives are an accurate reflection of Total Sports Rehab’s actual financial
health?
a. request a yearly audit
b. arrange for independent tax preparation
c. keep in-house records of expenses and income
d. monthly conference calls with Healthy Nation’s financial officer
e. visit the corporate office every six months
FLORIDA INTERNATIONAL UNIVERSITY
DEPARTMENT OF ATHLETIC TRAINING
PET 5405 Administration and Professionalism in Athletic Training
Student Name: ________________________
6. Barb’s Cybex is 20 years old and in desperate need of replacement. She is trying
to decide whether to purchase or lease a new Cybex. Which of the following
represents the greatest advantage for Total Sports Rehab if they lease a new
Cybex as opposed to purchasing one?
a. Initial cost would be lower.
b. Overall cost would be lower.
c. The company wouldn’t own it.
d. The interest rate would be lower than that for a traditional loan from the
bank.
e. All of the above are equally advantageous.
7. Which step should Barb take after receiving permission from Healthy Nation to
investigate the purchase a new Cybex?
a. She should send out a purchase order.
b. She should notify Healthy Nation’s accounts payable clerk.
c. She should send out a request for quotation to Cybex.
d. She should negotiate a service contract with Cybex.
e. She should submit a requisition to Healthy Nation.
8. Barb and Cybex come to an agreement, and a purchase order is issued. In order
to protect Total Sports Rehab from having to bear the expense of any damages
to the new Cybex during shipping, which of the following conditions should Barb
insist on?
a. specify Healthy Nation as the FOB point
b. specify the shipping company as the FOB point
c. specify Cybex corporate headquarters as the FOB point
d. specify Total Sports Rehab as the FOB point
e. equal protection with any of the above
FLORIDA INTERNATIONAL UNIVERSITY
DEPARTMENT OF ATHLETIC TRAINING
PET 5405 Administration and Professionalism in Athletic Training
Student Name: ________________________
9. Total Sports Rehab supplies five local high schools with athletic trainers and the
supplies they need to operate. Which of the following steps makes the most
sense in helping Barb maintain control over the athletic training supply inventory?
a. require all athletic trainers to take only the supplies they will need for the
day when they leave the clinic for their high schools
b. place a standing order each month for athletic training supplies with a
local vendor
c. bill the schools on a monthly basis for the supplies they use
d. require all athletic trainers to inventory their high school athletic training
room weekly and report the results on a form to Barb
e. bill the schools on a yearly basis for the supplies they use
Short answer. Read the scenario and provide BRIEF BUT DESCRIPTIVE answers to
the questions.
After Tammy Jenkins finished unpacking boxes and getting her new office decorated
just the way she wanted it, she decided to walk down to the athletic director’s office.
She had just arrived at Los Ranchos College after being appointed as the school’s first
certified athletic trainer. It was mid-June, and Tammy knew she had quite a bit to do to
get ready for the arrival of the fall sports athletes in August.
“Coach,” Tammy began, “I need to order the sports medicine supplies as soon as
possible if we expect to be ready to go in August. I need to know a few things. First,
how much money do I have to work with? Second, are there any specific purchasing
procedures I need to follow? I’d really like to get busy with this today if I could.”
The athletic director informed Tammy that there wasn’t a specific budget for sports
medicine supplies. In the past, sports medicine supplies had been paid for out of the
general athletics budget, which he controlled. “You just put your list together and I’ll take
a look at it,” he told her. “Oh, I almost forgot,” the athletic director continued, “I wanted
to make sure that we at least had the tape here in time, so I went ahead and ordered it.
It should be delivered sometime in July.”
Although Tammy was uncomfortable about not having a specific budget to operate with,
she knew she wouldn’t be able to change everything right away. She spent the rest of
the day compiling an inventory of the supplies on hand. That evening she put together a
list of the supplies she thought she would need to get through the first year along with
an estimate of each item’s cost.
FLORIDA INTERNATIONAL UNIVERSITY
DEPARTMENT OF ATHLETIC TRAINING
PET 5405 Administration and Professionalism in Athletic Training
Student Name: ________________________
When she presented the list to the athletic director the next day, he told her that she
would need to cut the proposal by 25%. “I think this list is fairly modest,” Tammy said.
“I’m not sure I can cut that much out of it.” After further discussion, the athletic director
told Tammy that the cost of the tape, when added to the total cost of her supply list, was
just more than he could afford. When Tammy asked how much he had paid for the tape,
she was astonished to find out that the price was 100% higher than the price she paid at
the school where she used to work. “Where did you order the tape from?” asked
Tammy.
“We get all our supplies from Acme Sporting Goods downtown. We always have.
Anything you need—just call them, and they will take good care of you. The owner is a
big supporter of the college,” replied the athletic director. Tammy suddenly realized that
she had her work cut out for her!
10. What budgeting system is operating in the Los Ranchos College sports medicine
program? Is it optimal for the conditions? What system would you implement?
Why?
11. Why was Tammy so distressed when she found out how the tape had been
purchased? What is the likely effect of this purchasing system on Tammy’s
program? How should the purchasing system be altered?
12. If Tammy changed from direct purchasing at Acme Sporting Goods to a system
of competitive bidding, what outcomes would be likely?
13. What can Tammy do to lower her costs for sports medicine supplies while
maintaining the supportive relationship the college enjoys with the owner of
Acme Sporting Goods?
14. If you were in Tammy’s position, would you have taken the same approach to
purchasing supplies? If not, what would you have done differently? Why?
FLORIDA INTERNATIONAL UNIVERSITY
DEPARTMENT OF ATHLETIC TRAINING
PET 5405 Administration and Professionalism in Athletic Training
Student Name: ________________________
CHAPTER 5 FEEDBACK INSTRUMENT
Multiple choice. Select the BEST answer.
1. Mountain State College has decided to construct a new football stadium. Since
the old stadium housed the college’s main athletic training room, Jill Finkle, ATC,
the head athletic trainer, assumes that a new sports medicine facility will be
constructed as part of the project. The college president will appoint a planning
committee. Which of the following people is the most important secondary
decision maker on that committee?
a. student athletic trainers
b. team physician
c. student-athletes
d. athletic director
e. head athletic trainer
2. How could the athletic training program’s strategic plan and annual report be
useful to the planning committee?
a. by helping the architect develop bid documents for the project
b. by helping provide rationale for raising funds to pay for the project
c. by helping establish what the program’s needs for the new space are likely
to be
d. by helping establish the number of treatment tables to be purchased for
the new facility
e. by helping in the development of a business plan for a commercial loan to
finance the project
3. The planning committee decided to sign a contract with Teton Building, a
construction management firm. Which of the following represents the greatest
advantage of this decision?
a. Problems in design and construction can be easily and quickly addressed.
b. The stadium will be less expensive.
c. The general contractor will be able to exert more authority over the
electrical, plumbing, and other subcontractors.
d. The general contractor will be able to help with the design of the stadium.
e. The subcontractors are less likely to cut corners on the quality of their
materials and workmanship.
FLORIDA INTERNATIONAL UNIVERSITY
DEPARTMENT OF ATHLETIC TRAINING
PET 5405 Administration and Professionalism in Athletic Training
Student Name: ________________________
4. Jill’s treatment records indicate that the athletic training room’s peak loads exist
between 2:30 P.M. and 5:30 P.M., when an average of 150 athletes use the
athletic training room. If Jill thinks she will need at least 10 treatment tables to
accommodate these athletes, which of the following numbers represents the
most realistic space requirement for the new athletic training room?
a. 7500 square feet
b. 1000 square feet
c. 3000 square feet
d. 5000 square feet
e. 300 square feet
5. Jill wants the new athletic training room to have the following special areas:
Hydrotherapy
Office
Rehabilitation
Electrotherapy
Taping
Storage
Private Examination
Which two areas should be located as far apart as possible?
a.
b.
c.
d.
e.
Office and Private Examination
Storage and Hydrotherapy
Electrotherapy and Storage
Rehabilitation and Hydrotherapy
Taping and Private Examination
FLORIDA INTERNATIONAL UNIVERSITY
DEPARTMENT OF ATHLETIC TRAINING
PET 5405 Administration and Professionalism in Athletic Training
Student Name: ________________________
6. Which of the areas in question 5 should be located as close together as
possible?
a. Taping and Office
b. Private Examination and Rehabilitation
c. Office and Hydrotherapy
d. Electrotherapy and Storage
e. Hydrotherapy and Rehabilitation
7. Which of the following design elements is most likely to help improve the ability of
Jill’s staff to work more productively and comfortably?
a. treatment and taping tables of various heights
b. carpeted offices
c. epoxy-based paint for the walls
d. staff rest room in the athletic training room
e. ground-fault interrupters
8. The bids for the project subcontracting have come in 5% higher than the amount
budgeted. Since the president will not allow the project to exceed the amount
budgeted, Jill will have to cut the overall cost of the new athletic training room by
5%. Which of the following solutions makes the most sense?
a. use the equipment and furnishings from the old athletic training room
b. eliminate the private exam area
c. eliminate the storage area
d. reduce each special function area by 5%
e. eliminate the drop ceiling, tiled floor, windows, and cupboards.
9. Which of the following design elements should be highest on Jill’s priority list?
a. ground-fault interrupters
b. sinks in every room
c. easily cleaned, light-colored walls
d. carpeted office
e. natural lighting
FLORIDA INTERNATIONAL UNIVERSITY
DEPARTMENT OF ATHLETIC TRAINING
PET 5405 Administration and Professionalism in Athletic Training
Student Name: ________________________
10. Which of the following design elements will be most important for ensuring a
healthy environment for both the patients and the athletic trainers?
a. 30 foot-candles of light 4 feet from the floor
b. standpipe whirlpool drains
c. separate thermostats in each room
d. extra-wide doors
e. expandable drain system
11. Which of the following elements will Jill need to take care to ensure that they meet
the requirements of the Americans with Disabilities Act?
a. doors
b. elevators
c. ramps
d. rest room
e. all of the above
Short answer. Read the scenario and provide BRIEF BUT DESCRIPTIVE answers to
the questions.
Holly Dolan was excited to get started on the task before her. After finding out yesterday
that the college was finally going to build a new athletic training room, she had
immediately focused on the plan she would submit to the planning committee for the
design of the new facility. The new athletic training room was just one part of a much
larger project to construct a general campus recreation and athletic facility. The largest
portion of the money for the new building had come from the Brookhouse Foundation.
The building was to be named The Brookhouse Health and Physical Education Center.
In addition to the new athletic training room, the building would house the offices of the
physical education and athletics department, weight room, three-court gymnasium,
running track, dance studio, swimming pool, classrooms, locker rooms, and an exercise
physiology lab. In addition, there was an area of “dead” space, the activities of which
had not yet been specified.
Holly had always had a vision for the college’s sports medicine program that included
bringing all of the campus’s health-related resources into one location. She felt that by
doing this, the college would be more likely to achieve its goal of developing a model of
holistic wellness for all its students. Unfortunately, she wasn’t sure how the health
service director would feel about relocating the college health clinic from the small
house it now occupied on the edge of campus. Similarly, she worried that the director of
the counseling center might balk at the idea as well.
FLORIDA INTERNATIONAL UNIVERSITY
DEPARTMENT OF ATHLETIC TRAINING
PET 5405 Administration and Professionalism in Athletic Training
Student Name: ________________________
Holly decided that the best approach would be to draw some preliminary plans that
incorporated the athletic training room, health clinic, counseling center, and exercise
physiology lab into a unified operation located in its own corner of the building (see
figure). After Holly discussed the plan with the architect, she forwarded a copy to the
planning committee and to the directors of the health service and the counseling center.
Unfortunately, neither the health service nor the counseling center directors was
enthusiastic about the idea. They were content to run their programs in isolation as they
had been doing for years. Holly was upset at their inflexibility. She was sure that her
ideas would result in better services for all of the college’s students, not just the
athletes.
12. What are the strengths of Holly’s proposal? What are the weaknesses?
13. If you were in Holly’s position, would you recommend a similar design? Why or
why not? What changes would you recommend?
14. What other alternatives exist for developing the holistic health model that Holly
desires?
FLORIDA INTERNATIONAL UNIVERSITY
DEPARTMENT OF ATHLETIC TRAINING
PET 5405 Administration and Professionalism in Athletic Training
Student Name: ________________________
15. If you were in Holly’s position, would you have followed a similar course of action
in order try to build support for your ideas? Why or why not? If not, what would
you do differently?
16. What actions could Holly take in order to see her plan implemented? What allies
might she enlist? What are the risks, if any, of pursuing this plan against the
wishes of the health service and counseling center directors?
17. In addition to those items identified in the floor plan, what design elements should
Holly specify for the new athletic training room?
FLORIDA INTERNATIONAL UNIVERSITY
DEPARTMENT OF ATHLETIC TRAINING
PET 5405 Administration and Professionalism in Athletic Training
Student Name: ________________________
CHAPTER 6 FEEDBACK INSTRUMENT
Multiple choice. Select the BEST answer.
1. Kelli Ingram is the athletic trainer at Sebring High School. She has just finished
evaluating Todd Beltran’s knee injury and is recording her findings in his medical
record. In which part of the injury assessment notation should Kelli enter the
following statement? “Todd is able to walk with a limp, but cannot run, jump, or
cut effectively.”
a. subjective
b. objective
c. assessment
d. plan
e. none of the above
2. Which of the following would be inappropriate for entry into Todd’s medical
record?
I.
physical examination form
II. thank-you note from Todd’s parents
III. letter from Todd’s cardiologist
IV. copy of coach’s report describing Todd’s knee injury
V. radiology report describing Todd’s knee injury
a.
I, II, and III only
b.
II only
c.
II and IV only
d.
III, IV, and V only
e.
IV only
3. Kelli determines that Todd has suffered a second-degree medial collateral
ligament sprain. She plans to treat his injury with ice and range-of-motion
exercises for a few days, after which she will begin ultrasound and closed chain
strengthening. Which of the following must be documented before she can
proceed?
I. Todd’s emergency information
II. a “permission to treat” form signed by Todd’s parents
III. written orders from a physician
IV. Todd’s insurance information
FLORIDA INTERNATIONAL UNIVERSITY
DEPARTMENT OF ATHLETIC TRAINING
PET 5405 Administration and Professionalism in Athletic Training
Student Name: ________________________
a.
b.
c.
d.
e.
I and III only
II only
II and III only
III only
IV only
4. Three months later, Todd’s knee had fully recovered. He was able to start the
basketball season on time and was averaging 15 points per game as Sebring’s
starting point guard. While Kelli was cleaning up the athletic training room after a
basketball game one night, a man came in and identified himself as a football
coach from the state university. He said he wanted to ask Kelli a few questions
about Todd. Which of the following information could Kelli give the coach without
Todd’s written permission?
I. information about Todd’s healed knee injury
II. information about Todd’s heart murmur
III. information about Todd’s personality
IV. information about Todd’s academic record
a.
b.
c.
d.
e.
I and II only
III only
III and IV only
IV only
none
5. A few weeks later, Todd (now 18 years old) came into the athletic training room
and asked Kelli for a copy of his medical records. He said that many of the
college coaches who had been recruiting him were anxious to see them. How
should Kelli respond to Todd’s request?
a. release the records to Todd only after he signs a “permission to release
medical records” form
b. refuse the request since Todd has no legal right to the records under the
Buckley Amendment
c. release the records to Todd
d. refuse the request since Todd’s medical information cannot be shared with
anyone but him
e. none of the above
FLORIDA INTERNATIONAL UNIVERSITY
DEPARTMENT OF ATHLETIC TRAINING
PET 5405 Administration and Professionalism in Athletic Training
Student Name: ________________________
6. After several years of repeated requests, Sebring’s administration finally
approved a computer for Kelli’s athletic training room. Kelli plans to use the
computer for several purposes, including medical record keeping. What
advantages will Kelli realize through computerization of her medical records?
I. easier and less time-consuming end-of-year report generation
II. less time spent on recording injuries and treatments
III. easier identification of injury trends
IV. increased accuracy of injury and treatment documentation
a. I only
b. I and III only
c. I, III, and IV only
d. II only
e. II and IV only
7. Is Kelli’s athletic training program required to comply with the Health Insurance
Portability and Accountability Act?
a. Yes. All health care providers must comply with HIPAA.
b. Yes. Because Kelli uses a computer in the athletic training room she must
comply with HIPAA.
c. No. Since Kelli does not bill her patients she is not a covered entity under
HIPAA.
d. No. Athletic trainers are not covered entities under HIPAA.
e. Yes. Because the expenses associated with some athletic injuries are
paid for by the school’s athletic accident insurance she must comply with
HIPAA.
8. Four months after his knee injury occurred, Todd brought Kelli an insurance
claim form that required information only Kelli could provide. After completing the
form and making a copy for her records, Kelli returned the form to Todd for
submission to the insurance company. Where should Kelli file her copy of the
form?
a. in the program administration file cabinet, in a file labeled “Insurance”
b. in the program administration file cabinet, in a file labeled “Insurance
Claims—Pending”
c. in the medical records file cabinet, in a file labeled “Insurance Claims—
Football”
d. in the medical records file cabinet, in a file labeled “Beltran, Todd”
e. none of the above are appropriate
FLORIDA INTERNATIONAL UNIVERSITY
DEPARTMENT OF ATHLETIC TRAINING
PET 5405 Administration and Professionalism in Athletic Training
Student Name: ________________________
9. Two months into the basketball season, Todd developed a vague, nonspecific,
intermittent pain in both lower legs. The pain was not serious. Todd was able to
participate without loss of function, but he was becoming increasingly worried
because the pain was not resolving. How could Kelli use her new computer to
help Todd discover the nature of his problem and options for its treatment?
a. She could use the computer to search the Internet for information on lower
leg pain.
b. She could use the computer to send out a description of the problem to
the members of a sports medicine discussion list.
c. She could use the computer to send an e-mail message to an athletic
trainer colleague requesting her help.
d. She could use the computer to send a fax to the team physician.
e. All of the above are potential uses of the computer for this problem.
Short answer. Read the scenario and provide BRIEF BUT DESCRIPTIVE answers to
the questions.
Buck Martin, the right fielder for the local minor league baseball team, tracked the ball
as soon as it came off the bat. He turned and sprinted back toward the warning track
while shielding his eyes from the sun that was beginning to dip below the grandstand
roof. With a mighty leap, Buck reached for the ball just as the left side of his body
crashed into the unpadded brick wall that served as an outfield fence in the ancient
ballpark. All thought of catching the ball was abandoned as he felt the pain sear through
his left shoulder. Buck fell to the ground in obvious pain as team’s athletic trainer, Mike
Vincent, raced out toward right field to survey the damage. Mike performed a cursory
examination on the field that revealed a prominent bump near the tip of Buck’s left
shoulder. After Buck regained his composure, Mike walked him back to the dugout so
the team physician, a local family practitioner who loved baseball, could diagnose the
problem. “It looks like you may have separated your shoulder, Buck,” said the physician.
“Mike, make an appointment for Buck with one of the orthopedists. Let’s see what they
have to say.”
The next morning, Mike called the local orthopedic office and arranged for Buck to be
seen later that day. Unfortunately, the team was leaving for a weekend road trip in
about an hour, so Mike would not be able to accompany Buck to the doctor’s office as
was his usual practice. Mike told Buck to follow the doctor’s orders and said he would
see Buck in a few days.
Since the team did not return from the road trip until about 4:00 A.M. Monday, Mike
decided to grab a little extra sleep. At about 9:00, he was jarred awake by the phone.
“Mike, this is Coach Perkins. Sorry to call you at home, but it’s been nearly four days
and you still haven’t told me what the status of Buck Martin is. Now, Mike, I need to
FLORIDA INTERNATIONAL UNIVERSITY
DEPARTMENT OF ATHLETIC TRAINING
PET 5405 Administration and Professionalism in Athletic Training
Student Name: ________________________
know how long this thing is going to keep him out. If he won’t be able to play, I’ve got to
get on the horn and dig up another player from somewhere.”
“Coach,” replied Mike, “give me an hour, and I’ll call you back and let you know.”
Mike tried calling Buck at his apartment, but there was no response. He threw on some
clothes and went over to the diner where many of the players often ate breakfast, and
found Buck and his girlfriend drinking coffee. When Mike asked Buck what the doctor
had told him about his shoulder, Buck told him that he really didn’t understand
everything the doctor had said. “Something about a C-joint and a sprained rotation cuff,”
muttered a dejected Buck. Mike knew he wasn’t going to get any useful information from
Buck, so he decided to call the orthopedist. Unfortunately, the receptionist informed him,
the doctor was involved in two major surgical cases today and was flying out to an
international conference on arthroscopy this afternoon. It was very unlikely he would be
able to return Mike’s phone call until after he returned from the conference.
Mike was frustrated at not knowing the status of one of his team’s best players. With a
sense of foreboding, he began to dial the phone to let the coach know that it would be a
while before he knew anything more about Buck’s shoulder.
10. If you were in Mike Vincent’s position, how would you have handled this injury in
order to get the information you needed in a timely manner?
11. What options, if any, could Mike exercise in order to get the information he
needed after the receptionist told him the doctor wouldn’t be able to get back to
him right away? Are there any risks involved in exercising those options?
12. Design a medical referral system that would help Mike avoid problems like this in
the future. Be sure to include any appropriate forms that are part of the practices
you outline.
FLORIDA INTERNATIONAL UNIVERSITY
DEPARTMENT OF ATHLETIC TRAINING
PET 5405 Administration and Professionalism in Athletic Training
Student Name: ________________________
CHAPTER 7 FEEDBACK INSTRUMENT
Multiple choice. Select the BEST answer.
1. Jimmy Green is the senior center for the Nevada State College basketball team.
Jimmy’s parents both work for General Motors in Detroit. They and their children
have health insurance provided by the company. Their policy is with Managed
Health Care, Inc., a regional HMO. In addition, Nevada State College has
secondary athletic accident insurance through Sports Underwriters, Inc., for its
student-athletes. If Jimmy had to enter the hospital in Las Vegas in August for
treatment of a chronic eye disease, who would be likely to be held accountable
for the cost of the treatment?
a. Jimmy’s parents
b. Managed Health Care, Inc.
c. Jimmy
d. Nevada State College
e. Sports Underwriters, Inc.
2. Jimmy suffers a tibia fracture in a Christmas tournament game in Los Angeles.
He is treated in the emergency room of the UCLA Medical Center. The bill for his
treatment amounts to $2,500. How is this bill likely to be paid?
I.
Managed Health Care will pay $2450 ($2,500 minus the $50 deductible).
II. Sports Underwriters will pay $2,500.
III. Jimmy’s parents will pay the $50 deductible.
IV. Sports Underwriters will pay the $50 deductible.
V. Managed Health Care will pay $2,500.
a. I only
b. I and III only
c. I and IV only
d. II only
e. V only
FLORIDA INTERNATIONAL UNIVERSITY
DEPARTMENT OF ATHLETIC TRAINING
PET 5405 Administration and Professionalism in Athletic Training
Student Name: ________________________
3. Jimmy’s friend, Johnny, is the starting guard on the basketball team. He suffers a
serious brain injury in practice one day that renders him permanently disabled.
His care requires a full-time home health nurse in addition to two years of
rehabilitation and several surgeries. The total cost of his care after one year of
treatment exceeds $100,000. Which of the following will pay for Johnny’s care?
I. Managed Health Care, Inc.
II. Sports Underwriters, Inc.
III. NCAA Catastrophic Insurance Plan
.
a. I only
b. I, II, and III
c. I and III only
d. II and III only
e. III only
4. Nevada State College decides not to renew its contract with Sports Underwriters,
Inc. The college decides to self-insure for the expenses associated with the medical
aspects of its athletic program. Which of the following represents the greatest
advantage of this decision?
b. The claims process will be simplified.
c. It is assured that large claims will be paid.
d. The college’s financial resources will be unencumbered for other purposes.
e. A shared responsibility for controlling medical costs will be established.
f. None of the above represents an advantage over the former insurance
system.
5. Jody Jackson is the athletic trainer in charge of athletic accident claims processing
at NSC. Jimmy Green brings her a bill for the portion of his leg injury treatment that
was not paid for by his parents’ insurance company. He wants NSC to pay the
remainder. What must Jody have before processing the claim?
b. a UB-92 form from the UCLA Medical Center
c. an HCFA 1500 form from the UCLA Medical Center
d. an HMO/PPO authorization form from the NSC athletic department
e. the explanation of benefits form from Managed Health Care, Inc.
f. none of the above is necessary to process the claim
FLORIDA INTERNATIONAL UNIVERSITY
DEPARTMENT OF ATHLETIC TRAINING
PET 5405 Administration and Professionalism in Athletic Training
Student Name: ________________________
6. Part of Jimmy’s leg therapy was provided by TheraFit Sports Physical Therapy, Inc.
Which of the following steps must TheraFit complete first in order to receive
compensation from Jimmy’s insurance company?
b. mail the claim
c. complete the HCFA 1450 form
d. complete the insurance claim registry form
e. convert the treatments provided to CPT codes
f. enter the procedures, charges, and payments both on the daily office ledger
and in Jimmy’s patient ledger
7. NSC’s experiment with self-insurance doesn’t work out the way the college officials
had hoped it would. They decide to return to a traditional athletic accident insurance
plan to provide secondary coverage for accidents in their athletic program. Jody
Jackson is put in charge of soliciting bids from at least three companies and making
a recommendation to the athletic director. Which of the following are important
factors in Jody’s decision?
I.
the monetary limits of the coverage
II.
the ease of claims processing
III.
coverage for ancillary personnel like coaches and cheerleaders
IV.
the cost of the premiums
a.
b.
c.
d.
e.
I and IV only
II and III only
III only
IV only
all of the above
Short answer. Read the scenario and provide BRIEF BUT DESCRIPTIVE answers to
the questions.
Barbara Cummings, AT, C/PT, was beginning to have second thoughts about her
decision four months ago to sell her private sports medicine physical therapy practice to
Universal Health Care Services. She had thought that by selling the practice to
Universal, a huge medical practice conglomerate operating in 47 states, she would be
able to improve her bottom line while allowing the parent company to assume the risk of
adding the new, expensive equipment she so desperately needed in order to remain
competitive with the local hospital’s sports medicine clinic. Unfortunately, she soon
discovered that Universal put so much pressure on her to increase revenue that patient
care was beginning to suffer. Still, she felt she had to do something to meet Universal’s
FLORIDA INTERNATIONAL UNIVERSITY
DEPARTMENT OF ATHLETIC TRAINING
PET 5405 Administration and Professionalism in Athletic Training
Student Name: ________________________
expectations, or she would be forced to leave the practice she had worked so long to
establish.
When Bob Thaxton, Universal’s manager of clinic operations for 10 northern states,
visited Barbara’s clinic a week ago, he told Barbara that she would have to institute the
following billing and insurance practices, effective immediately:
 All new patients were to be discharged immediately once their insurance limit was
met.
 No patient was to be discharged until his or her insurance expired.
 Every patient was to be billed for a minimum of one hour of therapy in order to cover
expenses associated with overhead at the home office.
 Patients without insurance would not be accepted.
Although Barbara was upset with the new regulations, she felt that she had no choice
but to conform to the standards established by the company. The day after Bob
Thaxton’s visit, the new regulations were implemented.
8. What potential legal pitfalls do the new billing and insurance regulations pose for
Barbara and her staff? What ethical dilemmas, if any, are posed by these
regulations?
9. How could Barbara implement the regulations without violating the law? Would
her patients be well served by these actions? Why or why not?
10. What revenue-enhancing procedures, besides those mandated by Universal,
could Barbara implement? How would these serve her patients more efficiently
and effectively than those required by Universal?
FLORIDA INTERNATIONAL UNIVERSITY
DEPARTMENT OF ATHLETIC TRAINING
PET 5405 Administration and Professionalism in Athletic Training
Student Name: ________________________
CHAPTER 8 FEEDBACK INSTRUMENT
Multiple choice. Select the BEST answer.
1. Tim Green is a certified athletic trainer who has just accepted a position at the
Sports Medicine Clinic of Cleveland, Ohio. The SMC is a new clinic. Tim is the
first certified athletic trainer the company has hired. Tim and his boss attempt to
write a position description for his new job. Which of the following will give them
the most information about the patient care activities he may perform?
a. the delegatory clause of the Ohio Medical Practice Act
b. the Standards of Practice of the NATA
c. the definition of athlete and athletic trainer in the Ohio Athletic Trainer
Practice Act
d. the definition of physical therapy in the Ohio Physical Therapy Practice Act
e. the Code of Ethics of the NATA
2. Until Tim receives his Ohio license to practice athletic training, which of the
following activities is he prohibited from undertaking
I.
using the title athletic trainer
II. performing athletic training tasks
III. performing the duties of an uncredentialed physical therapy
technician
IV. organizing the athletic therapy operations of the clinic
V. developing outreach contracts with local high schools
a.
b.
c.
d.
e.
I and II only
I, II, and III only
II only
III only
IV and V only
FLORIDA INTERNATIONAL UNIVERSITY
DEPARTMENT OF ATHLETIC TRAINING
PET 5405 Administration and Professionalism in Athletic Training
Student Name: ________________________
3. Tim negotiates an employment contract in which the SMC agrees to provide
malpractice insurance through its corporate policy. Which of Tim’s acts of
omission or commission are likely to be covered by such an insurance policy?
a. negligent patient care
b. failure to obtain informed consent
c. breach of contract
d. all of the above
e. none of the above
4. If Tim and the SMC are ever sued, which of the following should be of greatest
concern to Tim?
a. Tim would be forced to hire and pay for his own attorney.
b. The insurance company attorney would be quicker to settle the suit
against the SMC out of court than he would the suit against Tim.
c. Tim would be prohibited from using his own attorney.
d. The attorney provided by the insurance company may not have Tim’s best
interests as his highest and only priority.
e. All of the above should be of equal concern to Tim.
5. Which of the following documents help establish Tim’s duty to his patients?
.
I.
Tim’s position description
II. a physician’s prescription for treatment
III. the NATA Standards of Practice
IV. SMC’s standard operating procedures
.
a. I only
b. I and III only
c. I, II, III, and IV
d. II only
e. II and IV only
FLORIDA INTERNATIONAL UNIVERSITY
DEPARTMENT OF ATHLETIC TRAINING
PET 5405 Administration and Professionalism in Athletic Training
Student Name: ________________________
6. To what standard of care is Tim likely to be held if he is ever sued for negligence?
a. that of other Ohio-licensed athletic trainers
b. that of other Ohio-licensed sport physical therapists
c. that of other NATA-certified athletic trainers
d. that of other sport health care professionals in general
e. that of other first responders
7. Three years after Tim is hired, a patient who had a bad result following treatment for
a knee injury sues Tim, charging him with negligent treatment. The injury occurred
during a road race sponsored by SMC that Tim helped organize. Tim provided first aid
to the patient and referred him to the local hospital emergency room. Which of the
following elements is the most important in proving a charge of negligence against Tim?
a. breach of a legal duty
b. proximate cause
c. damage
d. presence of a legal duty
e. necessary to prove all of the above
8. Which of the following legal defenses is least likely to help Tim defend himself
against the negligence charge in this case?
a. statute of limitations
b. sovereign immunity
c. assumption of risk
d. Good Samaritan immunity
e. comparative negligence
9. Which of the following risk management strategies should Tim exercise in attempting
to reduce the risk of his routine day-to day health care duties?
a. avoidance
b. transference
c. retention
d. reduction
e. all of the above
FLORIDA INTERNATIONAL UNIVERSITY
DEPARTMENT OF ATHLETIC TRAINING
PET 5405 Administration and Professionalism in Athletic Training
Student Name: ________________________
10. Tim’s clinic contracts with a local high school to provide athletic health care services.
Which of the following medication practices are most legally sound?
a. athletic trainers may administer prescription medications on the
order of a physician.
b. Athletic trainers may neither administer nor dispense
medications of any kind.
c. Athletic trainers may administer OTC medications on the order
of a physician.
d. Athletic trainers may dispense OTC medications on the order of
a physician.
e. Athletic trainers may not dispense medications of any kind.
Short answer. Read the scenario and provide BRIEF BUT DESCRIPTIVE answers to
the questions.
When Tad Raymond, ATC, looked up from the work he was doing at his desk, he was
surprised to see two men entering the industrial sports medicine clinic he directed at
Giant Industries. “Are you Tad Raymond?” the uniformed policeman asked. Tad nodded
yes. “I’m Deputy Sheriff Bart Creel and I have a court order requiring you to appear
before Judge Buford Haskell on charges of violating the medical practice act of our
state.” The deputy handed the summons to Tad, who looked as though he might fall
over at any minute.
“Tad Raymond,” the other man said, “this is a copy of a civil lawsuit charging you with
negligence in the treatment of injuries suffered by Mr. Clyde Cantrell. My name is Rusty
Lawson, and I am Mr. Cantrell’s legal counsel. Better have your attorney give me a
buzz, Mr. Raymond.” The two men turned and walked out.
After Tad composed himself, he picked up the phone and dialed his uncle, who
practiced law in the next county. Tad explained what had just transpired, and his uncle
agreed to meet him later that day to discuss the case. “Don’t talk to anyone about this,”
warned the uncle. “Chances are the company and the doctor are being sued too.
They’re dragging you into this to see if they can’t use you to get to the serious money.
I’ll review the state medical practice act this afternoon and let you know what I come up
with when I see you later.”
When Tad met his uncle later that day, he explained his side of the story. Clyde Cantrell
was a 55-year-old worker at Giant Industries who had operated a pedal-activated drill
press for 20 years. A few months ago, Cantrell had been playing softball on one of the
company fields during his lunch break when he stepped in a hole and twisted his ankle.
A few of his buddies brought him into Tad’s clinic, where Tad evaluated the injury,
FLORIDA INTERNATIONAL UNIVERSITY
DEPARTMENT OF ATHLETIC TRAINING
PET 5405 Administration and Professionalism in Athletic Training
Student Name: ________________________
wrapped ice on the ankle, fit him with crutches, and called Cantrell’s wife to take him to
the hospital for x-rays. When Cantrell came into Tad’s clinic the next morning, he told
Tad that the emergency room doctor had told him that it was just a sprain and that he
would probably need to stay off the foot for a couple of weeks. The company physician
who acted as medical director for Tad’s industrial sports medicine program was coming
in later that morning, so Tad decided to pull Cantrell off the line and treat him in the
clinic until the doctor arrived and could look at the injury. Cantrell said that was fine by
him. When the doctor arrived and evaluated the injury, he told Tad that Cantrell had a
second-degree ankle sprain and said to treat it “as necessary.” Cantrell could perform
other kinds of jobs that didn’t require the use of his feet until the injury healed. Cantrell
though that was a grand idea. He was placed in another job that he could do sitting
down. Tad pulled him off the line twice a day to treat his ankle in the clinic. After about
three weeks, Cantrell’s ankle looked normal, but he still limped and complained about
the pain whenever Tad asked him when he would be ready to return to his old job. After
two months, Cantrell’s foreman came to Tad and asked what was taking so long. Tad
told the foreman he thought Cantrell’s ankle was basically fine. The foreman ordered
Cantrell back to the drill press. Cantrell told the foreman he wasn’t ready yet. The
foreman fired Cantrell.
When Tad finished telling the story, his uncle smiled and told him he shouldn’t have
much to worry about. “I checked the state medical practice act,” he said. “Even though
there isn’t any licensure for athletic trainers in our state, it clearly says that physicians
can delegate certain functions and procedures. As long as you have the paperwork that
proves the doctor ordered the procedures and was actively involved in supervision of
the case, I think you’ll be OK. The negligence charge could be a little more difficult to
avoid. They’ll have to meet a number of legal tests, though. If your records can
demonstrate that your treatment met the standard of care, you should be OK there too.
11. Could Tad have done anything to avoid the legal problem he now faces?
12. How can Tad safeguard his personal financial resources in the face of such
charges?
13. Is there anything about the working relationship between Tad and the company
physician that would give cause for concern in this case?
14. What kinds of records should Tad be able to produce in order to defend himself
against these charges?
15. If Tad eventually has to go to court to defend himself against either of these
charges, what kinds of expert witnesses might he enlist in order to strengthen his
case?
16. What legal tests will Cantrell have to prove in order to support his charge of
negligence?
17. To what standard of care is Tad likely to be held? Why?
FLORIDA INTERNATIONAL UNIVERSITY
DEPARTMENT OF ATHLETIC TRAINING
PET 5405 Administration and Professionalism in Athletic Training
Student Name: ________________________
CHAPTER 9 FEEDBACK INSTRUMENT
Multiple choice. Select the BEST answer.
Bud Carpenter was a 22-year-old graduate of State University’s athletic training
program. He also had a teaching certificate allowing him to teach social studies in junior
or senior high school. Briarwood High School hired him to teach three periods of
geography and to serve as the school’s certified athletic trainer. Jenny Jackson was a
senior in Bud’s first-hour class. She was also a member of the basketball team and had
needed Bud’s services on several occasions during the season. Jenny had lived abroad
as a child and had not started school until she was 7 years old. She was now 19. During
the last month of her senior year, Jenny visited the athletic training room every day to
talk to Bud about a variety of problems she was having. Bud was an attentive and
patient listener, but he began to feel that Jenny may be developing an interest in a
romantic relationship. This suspicion was confirmed when Jenny sent him a card two
weeks before graduation expressing her affection for him. Although Bud was a bit
confused about what to do, he had to admit to himself that he did like Jenny and was
flattered by her feelings for him.
1. What code of ethics should Bud use to guide his actions in this case?
I.
Code of Ethics of the National Athletic Trainers’ Association
II. Code of Ethics of the State Teachers’ Society
III. American Hospital Association’s Ethical Conduct for Health Care
Institutions
IV. American Counseling Association Code of Ethics
a. I only
b. I and II only
c. I, II, and IV
d. II only
e. all of the above
2. Which of the following best describes the roles in this case?
a. Bud is a primary party.
b. Bud is a third party.
c. Bud has a conflict of interest.
d. Jenny is a third party.
e. Jenny has a conflict of interest.
FLORIDA INTERNATIONAL UNIVERSITY
DEPARTMENT OF ATHLETIC TRAINING
PET 5405 Administration and Professionalism in Athletic Training
Student Name: ________________________
3. The greatest ethical risk Bud faces in this case is
a. conflict of interest
b. breach of confidentiality
c. forbidden knowledge
d. exploitation
e. self-determination
4. Bud decides to ask Jenny to accompany him to the local coffee shop so they can
discuss their feelings for each other. Jenny happily agrees to this and they set a date
for the week before graduation. Is it ethically permissible for Bud to take this step?
a. No. Bud could be disciplined by his principal.
b. No. Bud could be in a position to exploit Jenny in the classroom
and the athletic training room.
c. Yes. Jenny is over 18 and can legally make her own decisions.
d. Yes. Jenny will soon be a graduate and will no longer have Bud
as either a teacher or athletic trainer.
e. Yes. The basketball season is over, and Jenny is no longer
under Bud’s care.
While at the coffee shop, Jenny confides that she and some of her friends on the
basketball team have been attending several end-of-the-year parties where they have
consumed alcohol. Jenny asks Bud not to report her friends or disclose their
involvement in any way.
5. Which of the following best describes the kind of knowledge Jenny has shared
with Bud?
a. knowledge of high-risk behaviors
b. forbidden knowledge
c. knowledge of a conflict of interest
d. knowledge of exploitation
e. knowledge of illegal activities
6. Which of the following actions is most ethical given Bud’s position at the school
and his relationship with Jenny?
a. tell Jenny’s parents about the drinking
b. tell the parents of the other girls on the basketball team about the girls’
drinking
c. inform Jenny that he cannot “keep secrets” regarding illegal activities
FLORIDA INTERNATIONAL UNIVERSITY
DEPARTMENT OF ATHLETIC TRAINING
PET 5405 Administration and Professionalism in Athletic Training
Student Name: ________________________
d. tell the principal about the parties
e. arrange individual meetings with the girls on the basketball team to
discuss their drinking
7. If Bud were to employ an ethical egoism strategy in his relationship with Jenny,
which of the following outcomes are most likely?
I.
Bud allows the relationship with Jenny to grow.
II. Bud keeps the information regarding the drinking parties to himself.
III. Bud informs the principal about the drinking parties.
IV. Bud informs Jenny that a romantic relationship between them is
inappropriate.
a. I and II
b. I and III
c. II and IV
d. III and IV
e. IV only
8. Which of the following strategies is most appropriate if Bud senses an ethical
dilemma in his relationship with Jenny and the information it has produced?
a. allow Jenny to make her own decisions about the direction the
relationship should take
b. refer Jenny to another athletic trainer
c. tell Jenny to follow her conscience
d. consult with a more experienced teacher or coach
e. tell the principal about the relationship
Short answer. Read the scenario and provide BRIEF BUT DESCRPTIVE answers to
the questions.
George Young, ATC, PT, was a partner in a corporation that owned and operated a
chain of rehabilitation centers in a large metropolitan community. He had been
approached by a wealthy patient of his who was negotiating for the purchase of a
professional hockey team. The patient offered to give George and his partners exclusive
rights to provide sports medicine services for the team in exchange for a certain amount
of money. George and his partners would be minority owners of the club. George
discussed the deal with his partners, and an agreement was reached. George was
particularly excited about this new opportunity, especially since a large television station
FLORIDA INTERNATIONAL UNIVERSITY
DEPARTMENT OF ATHLETIC TRAINING
PET 5405 Administration and Professionalism in Athletic Training
Student Name: ________________________
with viewers in 10 major cities had hinted that they might be interested in a TV contract
if the team did well in its first year.
During the final game of the regular season, which the team needed to win in order to
qualify for the play-offs, the star player was viciously checked into the boards by a
member of the opposing team. After the player slumped to the ice, George and the
team physician ran out to evaluate the problem. After a brief examination, it was clear
that the athlete had suffered a head injury. He was conscious but not alert. His memory
of recent events was incomplete. He had a headache, tinnitus, and poor motor
coordination. After a few minutes, George and the physician, who was also one of
George’s partners in the rehabilitation corporation and the team ownership, decided to
take the player to the locker room for additional evaluation and observation. On the way
to the locker room, George and his team physician partner heard the roar of the crowd
as the opposing team scored the go-ahead goal.
After approximately 15 minutes, the player’s mental status began to improve. Although
he still couldn’t remember the details of his injury or the time immediately preceding it,
his motor coordination was better. He sat up and began collecting his gloves and
helmet. “I’m going back into the game,” he announced. George told him he should wait
a while longer before making that decision because of the serious nature of the injury.
“Look,” the player shot back, “if we don’t win this game I’ll have the whole off-season to
get better. I’m going back!” After discussing the situation, George and the team
physician decided to let the player return to the game under close observation.
9. Was the decision to allow the player to return a medically sound one? Why or
why not? Was it ethically sound? Why or why not?
10. What were the sources of pressure for George and the team physician in this
case? What steps could be taken in order to relieve this pressure?
11. How does the concept of conflict of interest apply in this case? Are the roles of
team owner and athletic trainer, or team owner and team physician, compatible
with each other? Why or why not?
12. Give some examples of other situations that might lead to conflicts of interest for
George and his team physician partner.
13. What policies, procedures, and practices should exist for this team in order to
prevent conflicts of interest?
14. Most athletic trainers are not part owners of professional teams. Provide an
example of a conflict of interest for an athletic trainer in a more typical
employment setting.
FLORIDA INTERNATIONAL UNIVERSITY
DEPARTMENT OF ATHLETIC TRAINING
PET 5405 Administration and Professionalism in Athletic Training
Student Name: ________________________
CHAPTER 10 FEEDBACK INSTRUMENT
Multiple choice. Select the BEST answer.
Carol Jimenez has just been hired as the athletic trainer at South High School. As one
of her first responsibilities, her athletic director has asked her to organize
preparticipation physical examinations for the school’s 400 interscholastic athletes.
1. Carol is introduced to the football coach by the AD, who informs the coach that
Carol has been busy organizing for physical exams. How could Carol best
respond to the coach when he asks her “Why do we have to take the time and
effort to go through the physical exam process? It seems like such a waste of
time.”
a. “We can reduce the risk of injury and illness if we do the preparticipation
physical exams correctly.”
b. “The state high school athletic association requires us to do this.”
c. “The preparticipation physical exam gives us a chance to counsel and
educate our athletes on health-related concerns.”
d. “Doing physical exams is just something all high school programs do.”
e. “If we do the preparticipation physical exam properly, we can dramatically
improve your athletes’ performance.”
2. How frequently will Carol’s athletes be required to undergo a preparticipation
physical examination?
a. once, upon entry to the program
b. once, upon entry to the program, and annually thereafter
c. annually
d. every two years
e. depends on the state in which the athletes live
3. Practice for fall sports at South High School will begin on August 1. Games begin
August 25. What is the latest date that Carol should schedule preparticipation
physical exams?
a. June 1
b. June 15
c. July 10
d. July 31
e. August 24
FLORIDA INTERNATIONAL UNIVERSITY
DEPARTMENT OF ATHLETIC TRAINING
PET 5405 Administration and Professionalism in Athletic Training
Student Name: ________________________
Carol is having a hard time deciding where to conduct the preparticipation physical
exams. The team physician has offered the use of his office in the evening. The AD has
told Carol she can use the gym, two locker rooms, and the athletic training room if she
wants to.
4. Which of the following potential advantages of using the team physician’s office
is most important?
a. ability to recruit nonmedical personnel to assist
b. ability to minimize interruptions
c. improved efficiency
d. ability to secure privacy by separating students by gender
e. decreased cost
5. Which of the following potential advantages of using the school’s facilities is most
important?
a. presence of standard medical equipment and supplies
b. improved atmosphere for counseling
c. improved focus on each athlete and his or her problems
d. improved efficiency
e. ability to secure privacy by separating students by gender
6. Irrespective of the setting Carol chooses for the preparticipation physical exams,
which of the following elements is likely to provide the most useful information for
preventing injury and illness?
a. urinalysis
b. orthopedic evaluation
c. health history form
d. fitness testing
e. echocardiogram
FLORIDA INTERNATIONAL UNIVERSITY
DEPARTMENT OF ATHLETIC TRAINING
PET 5405 Administration and Professionalism in Athletic Training
Student Name: ________________________
7. Which of the following documents should be completed by the parents of every
South High School athlete?
I.
health history form
II. consent form
III. waiver of liability
a. I and II
b. I, II, and III
c. II only
d. II and III only
e. III only
Two years after Carol was hired, the school board decided to implement a drug-testing
program for all students at South High School. Carol has been charged with organizing
and implementing the program.
8. Which of the following is the most logical rationale for the school board’s decision
to implement a drug-testing program?
a. promote order and discipline
b. safeguard the health and safety of students
c. provide a “level playing field”
d. prevent students who wish to remain drug-free from having to use drugs
e. foster a sense of fair play among students
9. If Carol wants to ensure that students are consistently avoiding drug use, when
should individual students be chosen for testing?
a. at random times throughout the year
b. before the beginning of extracurricular activities
c. at the end of extracurricular activities
d. every month
e. once per semester
10. Which of the following statements is most likely to be true given what you know
about the South High School drug-testing plan?
a. Students must sign a drug-testing consent form.
b. Students must sign a drug-testing consent form, or they may be denied
the opportunity to participate in school programs.
c. Parents must sign a drug-testing consent form on their child’s behalf.
FLORIDA INTERNATIONAL UNIVERSITY
DEPARTMENT OF ATHLETIC TRAINING
PET 5405 Administration and Professionalism in Athletic Training
Student Name: ________________________
d. Parents must sign a drug-testing consent form on their child’s behalf, or
the child may be denied the opportunity to participate in school programs.
e. Consent is not required in this situation.
11. Which of the following selection methods makes the most sense for Carol’s drugtesting program?
a. randomly select 10 students per day from the hallway
b. assign students numbers, and choose 10 students per week using a
random number table
c. choose 5 girls and 5 boys per day from the cafeteria
d. test every student once per year on “drug-testing day”
e. test every student once per semester on “drug-testing day”
12. Which of the following methods makes the most sense for first-level drug
screening at South High School?
I.
EMIT
II. gas chromatography
III. mass spectrometry
a.
b.
c.
d.
e.
I only
I, II, and III
II only
II and III only
III only
13. Carol tests 10 students, and 3 test positive for marijuana when in fact they have
never used marijuana. What can we say about the method that Carol is using?
a. The false-positive rate is 30%.
b. The false-positive rate is 70%.
c. The false-negative rate is 70%.
d. The false-negative rate is 30%.
e. No conclusions can be drawn. More information is needed.
FLORIDA INTERNATIONAL UNIVERSITY
DEPARTMENT OF ATHLETIC TRAINING
PET 5405 Administration and Professionalism in Athletic Training
Student Name: ________________________
14. Which of the following drugs is Carol most likely to detect in the samples provided by
South High School students?
a. marijuana
b. anabolic steroids
c. cocaine
d. alcohol
e. human growth hormone
Short answer. Read the scenario and provide BRIEF BUT DESCRIPTIVE answers to
the questions.
When the phone call confirming her appointment as athletic trainer at Crestview High
School finally came through, Sherry was ecstatic. Although she had interviewed for the
job at the NATA convention in June, she had been told by the school district’s personnel
officer that she wouldn’t be offered a position until the board of education passed the
budget at their meeting on July 1. After five years of school, she was finally ready to
launch her career as an athletic trainer!
On the day that Sherry loaded the trailer and was going to set out on the 1000-mile
move to her new home, she decided to give her new boss, the high school athletic
director, a call to let him know she was on her way and would be there in a couple of
days. He was glad to hear that she was coming and wished her a safe trip. “There is
plenty of work waiting here for you,” he warned.
“Anything in particular I should start thinking about?” asked Sherry.
“Well,” he responded, “most of the supplies have been ordered. Many have already
arrived. I suppose that you’ll spend most of your time organizing the athletic training
room, which will be a significant task since it’s pretty small. By the way, did I mention
that physical exams have not been arranged yet? That will be your responsibility.
Frankly, I’m glad I don’t have to bother with them anymore since we have you. Since
our team physician retired last year, I’m not sure how we’re going to get the physicals
done this year. But I’m sure you’ll be able to figure something out.”
As Sherry pulled out onto the highway and headed for Crestview, the magnitude of her
responsibilities was starting to hit home.
15. What are the most important priorities Sherry must plan for in preparing for
preparticipation physical exams?
16. What experiences or other sources of information could Sherry draw upon in
planning for preparticipation physical exams?
FLORIDA INTERNATIONAL UNIVERSITY
DEPARTMENT OF ATHLETIC TRAINING
PET 5405 Administration and Professionalism in Athletic Training
Student Name: ________________________
17. If you were in Sherry’s position, how would you organize the high school
physicals given the following assumptions?
 Fall sports start in four weeks.
 There is no team physician.
 There are 500 student-athletes: 300 boys and 200 girls.
 Crestview is a community of 20,000 residents and is served by one hospital.
 The state high school athletic association requires a physical examination by a
licensed physician for all student-athletes prior to beginning practice.