ATHT 314 F12 Huntingdon College- Athletic Training Education Program ATHT 314 Clinical Experiences in Athletic Training III Instructor: Dr. Mike Bamman Telephone No.: 334-833-2244 E-mail: mbamman@huntingdon.edu Office: Weil 104 Office Hrs: M/W 9-10:30; T/R 9-9:30 http://mbamman.huntingdon.edu Course Description: Provides the athletic training student with clinical and practical experiences in the athletic training setting. During the semester the student will be assessed on athletic training competencies related to assessment of injuries to the upper extremity, First Aid / CPR, supportive taping, bracing, protective equipment, and pharmacology. Recommended Athletic Training Majors take this course concurrently with ATHT 304. Credit Hours: 1 semester hour Required Text: Evaluation of Orthopedic and Athletic Injuries- ISBN: 0-8036-0791-1 Special Tests for Orthopedic Examination- ISBN: 1-55642-741-7 Musculoskeletal Assessment 2nd edition- ISBN: 0-683-30384-8 Ortho Notes: ISBN: 0803620675 Clinical Notebook III (reference in ATEP Resource Room) ATRACK documentation Supplemental Texts: Arnheim’s Principles of Athletic Training- ISBN: 978-0-07-352367-5 Therapeutic Modalities: ISBN: 08036113990 Sports Emergency Care: ISBN: 1556427980 Orthopedic Wrapping, Bracing & Padding: ISBN: 0803625588 Clinical Pathology for Athletic Trainers- ISBN: 978-1-55642-770-1 Pharmacology Application in Athletic Training: ISBN: 08030611277 Cram Session in General Medical Conditions: ISBN: 1556429487 Study Guide for the BOC: ISBN: 0803600208 General Medical Conditions in the Athlete- ISBN: 0-32302623-0 Clinical Assignment: The student will be assigned to an approved clinical instructor [ACI] and will work under the direct supervision of an ACI throughout the semester. Clinical skills and proficiencies evaluated during the clinical experience will correspond to the clinical skills reviewed and practiced in the laboratory session for ATHT 304. This class requires clinical observations and a rotation at the ER. Learning Outcomes: ATHT 314 F12 Education competencies and/or proficiencies specific to the area[s] of Injury/Illness Prevention and Wellness Protection, Clinical Evaluation and Diagnosis, Immediate and Emergency Care, Treatment and Rehabilitation, Organizational and Professional Health and Well‐being for the Athletic Training Education Program have been matched with this course within the content of this course. Students will receive instruction and/or evaluation relative to the identified educational competencies. Course Objectives: At the completion of this course the student will be able to: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. Demonstrate the ability to administer first aid and CPR skills. Demonstrate the ability to follow universal precautions. Demonstrate the ability to take a history as part of the injury assessment process. Demonstrate the ability to administer static and postural evaluation procedures. Demonstrate the ability to palpate and assess the integrity of bony landmarks and soft tissue of the shoulder girdle, arm, forearm, wrist, and hand. Demonstrate the ability to administer active, passive, and resisted ROM tests of the shoulder, elbow, wrist, and hand. Demonstrate the ability to administer appropriate sensory, circulatory, and neurological test of the upper and lower quadrants. Demonstrate the ability to administer special tests used in the assessment of injuries to shoulder, elbow, forearm, wrist, and hand. Demonstrate the ability to administer functional tests of the shoulder, elbow, forearm, wrist, and hand. Demonstrate the ability to identify potential closed head injuries and provide appropriate care. Demonstrate the ability to identify potential shoulder injuries and provide appropriate care. Demonstrate the ability to identify potential elbow injuries and provide appropriate care. Demonstrate the ability to identify potential wrist and hand injuries and provide appropriate care. Demonstrate the ability to tape, splint, wrap, pad, or brace the shoulder, elbow, wrist, hand, and fingers. Demonstrate the ability to select and fit protective equipment. Demonstrate the ability to stabilize and spine board an adult with a suspected spinal injury. Clinical Experience: The purpose of the clinical experiences is to provide the student with the opportunity to practice and master specific clinical skills identified in the course. Laboratory sessions associated with the ATHT 304 course will provide opportunities to introduce to the student specific skills related to the evaluation and initial treatment of the injured athlete. Laboratory sessions will also provide the student the opportunity to practice the identified skills. It is the responsibility of the student to become proficient relative to performance of the specific clinical skills identify in this course. To ensure that the student is spending ample time in the athletic training setting so as to have the opportunity to use and refine specific clinical skills, the student will be required to complete a minimum of 150 hours in the traditional athletic training setting. Additional observations with the team orthopedic are required this semester. The student will be expected to observe one Friday ER Clinic provided by ASMOC and other designated settings. Course Activities: The course will require active participation in various instructional activities such as the physical examination and assessment of specific structures of the body. On those days that students will be participating in these activities, the student will need to wear appropriate attire (mid-thigh khaki shorts, ATHT 314 F12 HC approved tee-shirt, socks). On those days that the student will be observing in the athletic training facility, or at an athletic event, the student will need to wear appropriate attire (khaki pants or shorts, collared shirt, socks and athletic shoes). On days the student is visiting a physician’s office or physical therapy clinic, the student will need to dress appropriately (Huntingdon Athletic Training shirt, no shorts, no wind pants or sweats, no jeans, no open toe shoes). Assignments: The student will be issued a series of assignments that address specific injuries to upper extremity, and the head and face. These assignments will require the student to list specific questions essential to the history of the injury, signs/symptoms to be observed, assessment procedures, special tests, and protocol for the care of the injury. Clinical Skills: The student will be expected to demonstrate competency for those skills used in the assessment of injuries to the head and face, cervical spine, shoulder, elbow, wrist, and hand. A complete list of all clinical skills to be evaluated in the clinical experience is available in the clinical notebook and is available for reference in the ATEP resource room. Documentation of all skills will be completed on the web based “Atrack” program.. Grading Criteria: The student’s final grade for this course will be based on performance on the following evaluation techniques and weighted accordingly: Clinical Skills and Competencies 40% The student must demonstrate a satisfactory level of performance (passed/ proficient) for each clinical skill and competencies identified with this course. Clinical Experience 30% The student must complete a minimum of 150 hours of clinical experience working with a certified athletic trainer. This assignment carries an all-or-none criteria meaning the students does not receive the 30% credit if the total number of hours does not equal at least 150 hours. This includes the minimum of 1 hour of ATR and must include orthopedic rotation at HC & ASMOC. Also, the student must demonstrate satisfactory performance on the mid-term and end-of-semester evaluations. Assignments 15 % Assignments relating to the assessment and management of specific injuries and illnesses covered in this course. Semester evaluations: 2.5% Completed semester evaluations (MT and Final) for clinical instructors and clinical sites for this course should be completed. This assignment carries an all-or-none criteria. Student evaluations: 2.5% Completed student evaluations (MT and Final) by your clinical instructors and Student Responses for this course should be completed. This assignment carries an all-or-none criteria. ATHT 314 F12 Clinical Final Exam Grading Scale: A 90% or above B 80 – 89 % 10% C D The practical final exam will require the student to demonstrate his/her ability to use special test for the assessment of specific body segments of the torso, upper and lower extremity, and illness for possible injuries. 70 – 79 % 60 – 69% F 59% or less Failure to earn a grade of “C” or better will result in the retaking of this course. Clinical skills and competencies to be evaluated during the clinical experience: At the completion of the course the student should be able to perform the following clinical tasks: Assess closed head injuries. Perform assessment of the cranial nerves. Recognize postural deviations associated with the cervical, thoracic, and upper extremity. Assess dermatome, myotomes, and reflexes. Obtain a medical history of an injured athlete or physically active individual for each of the following: o head and face o shoulder o elbow o Forearm, wrist, and hand. Identify clinical signs and symptoms associated with injuries, illnesses, and predisposing conditions to the shoulder, elbow, forearm, wrist, and hand. Administer active and passive range of motion tests using quantifiable techniques of the upper extremity. Administer manual muscle testing techniques of the upper extremity. Administer functional tests and activity specific tests of the upper extremity. Palpate bony and soft tissue structures of the upper extremity. Administer commonly used special tests to make a differential assessment of special injuries to the shoulder, elbow, forearm, wrist, and hand. Fit protective head gear, mouth piece, rib protection, and braces. Student’s Progression: At the completion of this course the student should have progressed relative to performing the following tasks: Set goals, establish plans, and act appropriately. Construct SOAP notes with minimal assistance and utilize progress notes. Utilize verbal and written medical terminology. Demonstrate knowledge and skills regarding First Aid and immediate care of athletic injuries. Develop and apply modified protective techniques. Begin to demonstrate proficiency in the evaluation of lower extremity musculoskeletal injuries. Begin to demonstrate proficiency in the selection and use of modalities for the treatment of athletic injuries. Conduct medical history, identify primary and secondary complaints and demonstrate familiarity with common athletic injuries to the shoulder, elbow, forearm, wrist, and hand. Integrate all of the above in the practice of athletic training. ATHT 314 F12 Classroom Policies: Students must be familiar with, and abide by, the standard classroom policies below. These policies are for the student’s benefit and are designed to help the student succeed in class. Attendance Policy Students are expected to attend all classes. Completion of Absence-related Work Make-up of any graded work may be granted at the discretion of the instructor, in cases of documented medical, personal or family emergency. In the case of absence due to participation in a college-sanctioned event, the student notification process is as follows: 1. It is the student’s responsibility to complete an online notification form prior to the event (http://www.huntingdon.edu/athleticsForm.aspx?ekfrm=4169). 2. Verification of the student’s participation must be provided by the sponsoring organization (travel roster or similar documentation). Accommodation of Special Needs: “Faculty at Huntingdon College makes every effort to accommodate unique and special needs of students with respect to speech, hearing, vision, seating, or other possible adaptations. Please notify the Disability Services Intake Coordinator, Ms. Camilla Irvin, as soon as possible of requested accommodations." Academic Success Center: http://huntingdon.edu/academics.aspx?id=1648 Writing Center Jackson 112 / M-TH 12:30-4:30 At the Writing Center, located in Jackson 112, Huntingdon students may work one-on-one with peer tutors to improve their reading and writing skills and get assistance with the writing components of any Huntingdon course. The Writing Center offers assistance with any stage of the writing process (brainstorming ideas, developing thesis statements, organizing and developing arguments, revising and editing), research documentation methods such as MLA or APA, and answering SWE (Standard Written English) or grammar questions. The Writing Center is a free service for all Huntingdon students and is open daily from 11-4pm and Tuesday through Thursday from 7-9pm. Appointments or walk-ins are welcome. Please contact Mr. Jim Hilgartner or Ms. Jamie Brazell at writingcenter@huntingdon.edu to set up an appointment or get more information. Jamie Brazell is also available in Weil 101 for assistance. Please contact her at jbrazell@huntingdon.edu to set up an appointment or for more information. ATHT 314 F12 Week Topic Skills to be covered Assignments Due FRIDAY by 1:00 pm. 1 2 Environmental Heat illness Head injuries 3 Head injuries Facial injuries Environmental Injuries/management Cranial nerve assessment. Closed head conditions. Closed head injury assessment Management of the unconscious athlete. Cranial nerve assessment. Closed head conditions. Closed head injury assessment Management of the unconscious athlete. Palpation of the head and face. Facial injuries Dental Injuries Mouth injuries. Bony & soft tissue palpation. Assessment of ROM and strength. Assignment 1a- ACI letter Assignment 1b- Resume Assessment of the unconscious athlete. Assignment 2- Submit an EAP specific to the management and assessment of heat illnesses Assessment of the unconscious athlete. Assignment 3: CN assessment Mouth injuries 6 Shoulder injuries 7 Shoulder injuries Shoulder injuries Special tests. Shoulder Special Tests HOPS Assignment 4: Assessment of a shoulder injury PLUS a 72 hour Treatment Plan/3-day SOAP for the above shoulder eval. 9 Elbow Injuries Bony and soft tissue palpation. 10 Elbow injuries 11 Elbow injuries Assessment of ROM and strength. Special tests. Assessment of an elbow injury 12 Wrist and hand injuries 13 Wrist and hand injuries Bony and soft tissue palpation. Assessment of ROM and strength. Special tests Assessment of Wrist and Hand Injuries 15 Review Thanksgiving BreakNov 23-27 Review 16 Final Exam Week 14 FRIDAY by 1:00 pm. Environmental check-offs due (5% of final grade) Head and Concussion Proficiencies Due (5% of final grade) Assessment of facial injuries. 5 8 Competencies/ Proficiencies Due Assessment of Mouth injuries Face and mouth Proficiencies due (5% of final grade) Shoulder landmarks, ROM, MMT Shoulder evaluation with 3-day SOAP due Shoulder Proficiencies Due (5% of final grade) Elbow skills check-offs Assignment 5: Assessment on an elbow PLUS a 72 hour Treatment Plan/3-day SOAP Wrist skills check-offs Assessment plus copy of evaluation and 3 day SOAP Elbow Proficiencies Due (5% of final grade) Assignment 6: Assessment of a wrist or hand injury PLUS a 72 hour Treatment Plan/3-day SOAP Assignment 7: Table of Cspine, shld, elbow, wrist complexes Assignment 8: Notebook/ binder Clinical Documentation due with completed hours, evaluations, assignments Hand and Wrist Proficiencies Due (5% of final grade) ATHT 314 F12 Assignments: 1. A: ACI letter: ACI/CI introductory Letter: (10 pts) Submit a written letter explaining who you are, your progress in the ATEP, and your personal goals for the semester to your supervising ACI/CI. You must also submit a copy of this letter to the ATEP Program Director. This can be submitted electronically. Due Friday by 5:00pm of the first week of PRESEAON. B: Resume: Resume Project (50pts ): You will be required to construct a resume in a format acceptable as if you were applying for a job as a certified athletic trainer (ATC). You must include a copy of the NATA listing for the job you are applying, cover letter for a current job listing on the NATA career center, 3 references with current contact information (You must have a minimum of 1 ATC and 1 professor listed as a reference) and include three letters of recommendation in your resume package. 2. EAP: (10 pts) Submit an EAP specific to the management and assessment of heat illnesses 3. Cranial Nerve Assessment: (30 pts) List the function and how to assess all the cranial nerves. Draw and label all the nerves of the Brachial and Lumbar-Sacral plexuses. 4. Shoulder Assessment: (50 pts) You will be required to perform a shoulder evaluation of an injury in the ATR and then provide a completed SOAP note (Evaluation) with objective findings to include your STG/ LTG and 72 hour treatment plan AND you must also include subsequent daily notes (3) for the specific injury. 5. Elbow Assessment: (50 pts) You will be required to perform a elbow evaluation of an injury in the ATR and then provide a completed SOAP note (Evaluation) with objective findings to include your STG/ LTG and 72 hour treatment plan AND you must also include subsequent daily notes (3) for the specific injury. 6. Wrist or hand Assessment: (50 pts) You will be required to perform a wrist or hand evaluation of an injury in the ATR and then provide a completed SOAP note (Evaluation) with objective findings to include your STG/ LTG and 72 hour treatment plan AND you must also include subsequent daily notes (3) for the specific injury. 7. Joint Chart: (80 pts) You will be required to develop a chart that includes the following information: Normal ROM values, landmarks for assessing the specific ROM and manual muscle tests performed in an evaluation of this joint. These findings must be recorded for the following joints: Cervical Spine, Shoulder, elbow, wrist. 8. Black Binder/ Notebook: (30 pts) Each student is to keep a notebook [Black binder] for All ATEP courses. This notebook will be housed in the ATEP resource room and will be divided the following sections: Individual ATHT Courses, Course work/ assignments, Examinations- written & practical. The notebook will be graded relative to content, organization and neatness. Due: November 30, 2012