WINONA STATE UNIVERSITY COLLEGE OF NURSING & HEALTH SCIENCES DEPARTMENT OF HEALTH, EXERCISE & REHABILITATIVE SCIENCES HERS 293 Clinical Practice I 2 SH (new) Shellie F. Nelson, Ed.D., ATC, Director, Athletic Training Education 117 Memorial Hall, 507-457-5214 Office, snelson@winona.edu Brian Zeller, Ph.D., ATC, Clinical Coordinator, 130 Memorial Hall, 507-457-5575 Office, bzeller@winona.edu 2 Semester hours Offered spring semester Grade Only Course applies to students that have been accepted to Athletic Training Major ONLY. Course Prerequisites: Biology 211 & 212, HERS 191, 292, 314, ATEP program acceptance, current certification in First Aid and CPR, instructor’s permission and ATEP Medical Requirements: Hepatitis B Vaccinations Completed or Waiver Technical Standards Signed and on file with ATEP Program Director Medical Physical Completed and on file with ATEP Program Director Please see ATEP Website for more details & ATEP Program Director for appropriate forms. http://www.winona.edu/athletictraining Catalog Description: 1. This course is the first of a series, which provides Athletic Training majors with integrated clinical education experiences with Approved Clinical Instructors in traditional athletic training settings. Students will also complete level-specific skill and professional behavior modules, in addition to review and completion of 2nd assessments of clinical skills learned in HERS 291 & 292. Major Focus: This course is a logical extension of the principles of athletic training into a monitored and controlled clinical education facility. Students will obtain clinical education in a variety traditional athletic training settings and general medical settings with a variety of clinical educators. These experiences will be planned, assessed, and approved by the approved clinical instructor (ACI) and will count toward BOC Certification Examination requirements. Outcomes: Competency in freshman level objectives and proficiencies as outlined: http://www.winona.edu/athletictraining/ Maintain professional conduct and dress. Complete BBP & Technical Standards training. Apply information learned in major courses. Integrate into clinical practice and complete 2nd assessments on: equipment fitting, poison control, flexibility, splinting, spine boarding, splinting, taping, wrapping, and padding skills. Complete modality set-up and application procedures with ACI. Perform daily operational duties of the athletic training room. Demonstrate a working knowledge of athletic training facility policies and procedures. Acquire knowledge of mechanism of injury, signs and symptoms, basic treatment, and rehabilitation of common athletic injuries. Assist student athletes with crutch fitting and gait as well as equipment fitting. Acquire and record clinical education/fieldwork experiences. Progress appropriately for a student with similar background and experience. 1 Adherence to all ATS confidentiality, dress, conduct, and Retention Standards (see Athletic Training Education Web page http://www.winona.edu/athletictraining/) Course Requirements 1. Attendance: a. Clinical Education assignments are mandatory and assigned in the required areas of (1) Equipment Intensive, (2) Upper Extremity Intensive, (3) Lower Extremity Intensive, and (4) General Medical experiences. Students must have experiences in each of these areas as assigned by the Clinical Coordinator. b. As a guideline, students must complete 25 (minimum) - 45 hours of clinical education, field experience, and general medical experiences each month. 1. Students must work with their ACI to arrange at least 3 days off/each 7 days. 2. Students missing more than 2 consecutive days must provide a MD excuse. 3. Students with absences will be required to make up the experiences with an ACI supervising a similar area (equipment intensive, upper extremity, lower extremity, or general medical) during days off, holidays, or breaks. 2. Clinical experiences are conducted at several clinical education sites: Clinical Education and Field Work Sites with an ACI (Clinical proficiencies may be evaluated with these instructors) A. Winona State University Athletic Training (Brian Zeller Ph.D., ATC, Stacey Czaplewski, M.Ed., ATC, Brandon Donahue, M.S., ATC, Holly Dibert, M.S., ATC, Kim Sieve, M.S., ATC, or Shellie F. Nelson, Ed.D., ATC) B. WSU Gymnastics (Nora Kraemer, ATC) C. Saint Mary’s University Athletic Training (Ambjor Brown, MS, ATC. Kristen Stoneberg, ATC) D. Winona Senior High School Athletic Training (Bill Jacobs, ATC) E. Arcadia High School (Jill Messling, ATC) F. Cotter Senior High School ( Brandon Donahue, M.S., ATC) G. Lewiston High School (Brandon or Nora) H. Rushford High School (Judi Tekautz, ATC) 3. Clinical Proficiencies will be evaluated by the ACI using the Web-based Clinical Proficiency Assessment Tool. 4. Students will be assigned to an ACI by the Athletic Training Program Director or Clinical Coordinator. ACI will complete a student evaluation at the end of each month and students will complete an evaluation on their ACI and the Site each month. 5. Students will complete 8-10 hours of clinical education per week as scheduled by the ACI. (This is guideline for time only – the athletic training education program is outcome based and not focused on time.) 6. Students must complete the Athletic Training Student Hours Form and have it approved and signed by the ACI he/she is assigned to each week. This compilation of hours is necessary for some state licensure or registration and must be turned into the Clinical Coordinator every Monday. 7. Students will participate in clinical education and fieldwork as planned, directed, assigned, and evaluated by the ACI. Some fieldwork experiences may be unsupervised and therefore voluntary. In these situations, the student is expected to act only as a first aider or first responder. 8. Students are expected to follow all WSU Athletic Training policies as outlined in the Athletic Training Handbook. Students must also follow the guidelines of the clinical site and supervisor. 9. Students will demonstrate competency appropriate to his/her level by the end of each semester for the ACI. 2 GRADING: The following documents will be reviewed for grading purposes: 1) Clinical Hour Sheets (to demonstrate participation) – Student’s grade will be lowered if a student misses practicum experiences and does not make-up these experiences. A grade of Incomplete will be given to students that have been absent and haven’t had the opportunity to make-up experiences (see attendance section). 100 pts 2) Completed Clinical Proficiencies on Web -- minimum of 85% of required proficiencies for each semester (See Web based Clinical Proficiency Assessment Tool: https://assessment.winona.edu/hhp/login.jsp). 100 pts 3) Monthly Evaluation Forms (demonstrating successful progress and participation) -- students must demonstrate proper progress in attaining clinical proficiencies and professional behaviors. Students that receive two below average ACI monthly evaluations will meet with the ATEP Program Director and determine appropriate remediation. If improvement is not seen by the end of the semester student’s grade will reflect this below average performance. 50 pts 3) Individual Clinical Education Plan (ICEP) and weekly Reflective Journals must be completed and turned into the D2L drop box. Format available on ATEP webpage. 50 pts 4) Module Assignments: Case studies, integrated skills labs, and proficiency application. 100 pts Grading Scale A = 400-360 pts B = 359-320 pts C = 319-280 pts D = 279 – 240 F = 239- 220 I= Students who have missed 1/4 of the time for extenuating circumstances (MD note or instructor discretion) may receive an Incomplete and have ½ of the next semester to make-up missed clinical experiences in the appropriate areas with an ACI and complete the necessary proficiency assessments and journal assignments. References: A Guide to Physical Examination and History Taking, Bates, Lippincott, Williams, and Wilkins, 1995 ACSM's Exercise Management for Persons with Chronic Diseases and Disabilities, ACSM, Human Kinetics, 2003 ACSM's Guidelines for Exercise Testing & Prescription, ACSM, Lippincott, Williams, and Wilkins, 2000 Arnheim's Principals of Athletic Training, Prentice, McGraw-Hill, 2003 Athletic Injury Assessment with Power Web: Health & Human Performance, Booher, Thibodeau, Mosby, 2000 Athletic Training and Sports Medicine, AAOS/Schenck, AAOS, 1991 Athletic Training Management Concepts and Applications, Rankin/Ingersall, McGraw-Hill, 2001 Clinical Athletic Training, Konin, Slack, 1997 Clinically Oriented Anatomy, Moore/Dalley, Lippincott, Williams, and Wilkins, 1999 Concepts of Athletic Training, Pfeiffer/Mangus, Jones/Bartlett, 2005 Counseling in Sports Medicine, Ray/Wiese, Human Kinetics, 1999 CPR for the Professional Rescuer, AAOS, Jones/Bartlett, 2005 3 CPR/AED for the Professional Rescuer, American Red Cross, Staywell, 2006 Documentation for Athletic Training, Konin/Frederick, Slack, 2005 Emergency Care and Transportation of the Sick and Injured, AAOS, Jones/Bartlett, 2005 Evaluation of Orthopedic and Athletic Injuries, Starkey/Ryan, FA Davis, 2005 Exercise Physiology Energy, Nutrition, and Human Performance, McArdle/Katch/Katch, Lippincott, Williams, and Wilkins, 2001 Exercise Physiology: Theory and Application to Fitness and Performance, Powers/Howley, McGraw-Hill, 2004 First Responders, AAOS, Jones/Bartlett, 2005 General Medical Conditions in the Athlete, Cuppett/Walsh, Elsevier Mosby, 2005 Law and the Team Physician, Gallup, Human Kinetics, 1995 Management of Bloodborne Infections in Sport: A Practical Guide for Sports Health Care Providers and Coaches, Ziegler, Human Kinetics, 1997 Management Strategies in Athletic Training, Ray, Human Kinetics, 2000 Measurement of Joint Motion, Norkin/White, FA Davis, 2003 NATA Code of Ethics NATA Position Papers NATA Standards of Practice NCAA Sports Medicine Handbook, NCAA, NCAA, 2006 Nutrition for Health, Fitness, and Sport, Williams, McGraw-Hill, 2007 Orthopedic & Athletic Injury Evaluation Handbook, Starkey/Ryan, FA Davis, 2002 Orthopedic Physical Assessment, Magee, Saunders, 2006 Pharmacology in Rehabilitation, Ciccone, FA Davis, 2002 Physical Examination of the Spine and Extremities, Hoppenfeld, Appleton-Century-Crofts, 1976 Practical Sports Nutrition, Burke, Human Kinetics, 2007 Principles of Anatomy and Physiology, Tortora, John Wiley and Sons, 2002 Rehabilitation Techniques for Sports Medicine & Athletic Training, Prentice, McGraw-Hill, 1999 Special Tests for Orthopedic Examination, Konin/Wiksten/Isear/Brader, Slack, 2006 Sports and Exercise Nutrition, McArdle/Katch/Katch, Lippincott, Williams, and Wilkins, 1999 Sports Emergency Care, Rehberg, Slack, 2007 Sports Injury Management, Anderson/Hall/Martin, Lippincott, Williams, and Wilkins, 2004 Taber's Cyclopedic Medical Dictionary, Taber, FA Davis, 1997 The Spine in Sports, Hochschuler, Hanley and Belfus / Mosby, 1990 The Team Physician's Handbook, Mellion, Hanley and Belfus / Mosby, 1997 Therapeutic Exercise: Foundations and Techniques, Kisner/Colby, FA Davis, 2002 Therapeutic Exercise: Techniques for Intervention, Bandy/Sanders, Lippincott, Williams, and Wilkins, 2001 Therapeutic Modalities for Athletic Trainers, Starkey, FA Davis, 2004 Therapeutic Modalities for Sports Medicine and Athletic Training, Prentice, McGraw-Hill, 1999 Writing SOAP Notes, Kettenbach, FA Davis, 2004 4 HERS 293 Weekly Plan Week 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Outcomes & Assessment BBP& Biomechanical Training, Technical Standards & Confidentiality Orientation to Clinical Sites, Web Based Assessment Tool, CE documentation, Integrated daily operations, ICEP & Journals Equipment fitting, poison control- ACI Assessment Documentation, abbreviations, terminology SOAP, Sportsware Software Spine Boarding- ACI Assessment Taping, Wrapping, Padding Kinesiotaping, McConnell, Casting Taping, Wrapping, Padding – ACI Assessment Patient Interaction, Communication Skills, Interviewing, Respect Crutch fitting, slings – ACI Assessment Ethics, Code of Conduct Flexibility, agility, strength & speed – ACI Assessment 5