Abstract:
CONTEXT:The ratio of clinicians to patients has been associated with health outcomes in many medical contexts but has not been explored in collegiate sports medicine. The relationship between administrative and financial oversight models and staffing is also unknown. OBJECTIVE:To (1) evaluate staffing patterns in National Collegiate Athletic Association sports medicine programs and (2) investigate whether staffing was associated with the division of competition, Power 5 conference status, administrative reporting structure (medical or athletic department), or financial structure (medical or athletic department). DESIGN:Cross-sectional study. SETTING:Collegiate sports medicine programs. PATIENTS OR OTHER PARTICIPANTS:Representatives of 325 universities. MAIN OUTCOME MEASURE(S):A telephone survey was conducted during June and July 2015. Participants were asked questions regarding the presence and full-time equivalence of the health care providers on their sports medicine staff. The number of athletes per athletic trainer was determined. RESULTS:Responding sports medicine programs had 0.5 to 20 full-time equivalent staff athletic trainers (median = 4). Staff athletic trainers at participating schools cared for 21 to 525 athletes per clinician (median = 100). Both administrative and financial oversight from a medical department versus the athletics department was associated with improved staffing across multiple metrics. Staffing levels were associated with the division of competition; athletic trainers at Division I schools cared for fewer athletes than athletic trainers at Division II or III schools, on average. The support of graduate assistant and certified intern athletic trainers varied across the sample as did the contributions of nonphysician, nonathletic trainer health care providers. CONCLUSIONS:In many health care settings, clinician : patient ratios are associated with patient health outcomes. We found systematic variations in clinician : patient ratios across National Collegiate Athletic Association divisions of competition and across medical versus athletics organizational models, raising the possibility that athletes' health outcomes vary across these contexts. Future researchers should evaluate the relationships between clinician : patient ratios and athletes' access to care, care provision, health care costs, health outcomes, and clinician job satisfaction.
journal_name
J Athl Trainjournal_title
Journal of athletic trainingauthors
Baugh CM,Kroshus E,Lanser BL,Lindley TR,Meehan WPdoi
10.4085/1062-6050-0463-19subject
Has Abstractpub_date
2020-06-23 00:00:00pages
573-579issue
6eissn
1062-6050issn
1938-162Xpii
436335journal_volume
55pub_type
杂志文章abstract:CONTEXT:Several factors affect the reliability of the anterior drawer and talar tilt tests, including the individual clinician's experience and skill, ankle and knee positioning, and muscle guarding. OBJECTIVES:To compare gastrocnemius activity during the measurement of ankle-complex motion at different knee positions...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:10.4085/1062-6050-51.3.06
更新日期:2016-02-01 00:00:00
abstract:CONTEXT:Epicondylalgia is a common condition involving pain-generating structures such as tendon, neural, and chondral tissue. The current noninvasive reference standard for identifying chondral lesions is magnetic resonance imaging. Musculoskeletal ultrasound (MUS) may be an inexpensive and effective alternative. OBJ...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:10.4085/1062-6050-49.1.03
更新日期:2014-01-01 00:00:00
abstract:OBJECTIVE:To offer an alternative perspective on current continuing education practices and to propose a model for facilitating continuing education in the athletic training workplace. BACKGROUND:Professional knowledge can quickly become outdated, and the personal/professional contexts of allied medical fields such as...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:
更新日期:1998-01-01 00:00:00
abstract:CONTEXT: Athletic training facilities have been described in terms of general design concepts and from operational perspectives. However, the size and scope of athletic training facilities, along with staffing at different levels of intercollegiate competition, have not been quantified. OBJECTIVE: To define the size...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:10.4085/1062-6050-52.3.16
更新日期:2017-08-01 00:00:00
abstract::The distribution of resources to athletic training programs varies greatly, depending on the size and scope of the athletic program. No research has been found that assesses the differences in dollars allocated within various athletic training settings or assesses whether the different program levels allocate similar ...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:
更新日期:1992-01-01 00:00:00
abstract:CONTEXT:Although consensus statements and recommendations from professional organizations aim to reduce the incidence of injury or sudden death in sport, nothing is mandated at the high school level. This allows states the freedom to create and implement individual policies. An example of a recommended policy is heat a...
journal_title:Journal of athletic training
pub_type: 杂志文章,多中心研究
doi:10.4085/1062-6050-51.2.09
更新日期:2016-04-01 00:00:00
abstract:CONTEXT:Baseball is played around the world, including in North America and Latin America. The repetitive and stressful act of throwing can lead to adaptations such as increased humeral retroversion (HR) in the throwing arm. This adaptation is often considered beneficial as it allows more glenohumeral external rotation...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:10.4085/1062-6050-563-18
更新日期:2020-01-01 00:00:00
abstract::OBJECTIVE: To test the influence of cooling on proprioceptive acuity as reflected in the ability to discriminate weights. DESIGN AND SETTING: Participants were trained to perform a weight-discrimination task. Their ability to correctly report small increments in weight was compared before and after local cooling (a 20...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:
更新日期:2001-06-01 00:00:00
abstract::Most high school and some collegiate athletes are legal minors. In civil matters, the law treats minors (usually individuals under the age of 18 years) uniquely. Limitations exist on a minor's ability to enter into contracts, make determinations regarding medical care, and bear responsibility for personal actions. Med...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:
更新日期:1994-09-01 00:00:00
abstract:OBJECTIVE: :To present recommendations for athletic trainers and other health care providers regarding the identification of risk factors for and management of individuals with patellofemoral pain (PFP). BACKGROUND: :Patellofemoral pain is one of the most common knee diagnoses; however, this condition continues to be ...
journal_title:Journal of athletic training
pub_type: 杂志文章,评审
doi:10.4085/1062-6050-231-15
更新日期:2018-09-01 00:00:00
abstract:CONTEXT:Researchers have examined the physical activity (PA) habits of certified athletic trainers; however, none have looked specifically at athletic training students. OBJECTIVE:To assess PA participation and constraints to participation among athletic training students. DESIGN:Cross-sectional study. SETTING:Entry...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:10.4085/1062-6050-49.3.56
更新日期:2015-02-01 00:00:00
abstract:CONTEXT:Quadriceps weakness is associated with disability and aberrant gait biomechanics following anterior cruciate ligament reconstruction (ACLR). Strength sufficiency cutoff scores, that normalize quadriceps strength to the mass of an individual, are capable of predicting individuals who will report better function ...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:10.4085/425-20
更新日期:2021-01-22 00:00:00
abstract:CONTEXT:Supraspinatus tear is a common rotator cuff injury. During rehabilitation, debate persists regarding the most appropriate exercises. Whereas shoulder coordination is part of normal arm function, it has been infrequently considered in the context of exercise selection. OBJECTIVE:To assess shoulder-motion coordi...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:10.4085/1062-6050-50.9.06
更新日期:2015-11-01 00:00:00
abstract:CONTEXT:Limited data are available regarding the prevalence and nature of invalid computerized baseline neurocognitive test data. OBJECTIVE:To identify the prevalence of invalid baselines on the desktop and online versions of ImPACT and to document the utility of correcting for left-right (L-R) confusion on the deskt...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:10.4085/1062-6050-47.3.14
更新日期:2012-05-01 00:00:00
abstract:CONTEXT:As an allied health professional working in various settings, an athletic trainer (AT) is responsible for the health care of a highly diverse population. More often than not, this diversity is defined by the visible, such as race or sex. However, diversity encompasses many more variables than these observable f...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:10.4085/1062-6050-43.3.326
更新日期:2008-05-01 00:00:00
abstract:OBJECTIVE: Information regarding the relative risks of developing knee osteoarthritis (OA) as a result of sport participation is critical for shaping public health messages and for informing knee-OA prevention strategies. The purpose of this systematic review was to investigate the association between participation in...
journal_title:Journal of athletic training
pub_type: 杂志文章,评审
doi:10.4085/1062-6050-50.2.08
更新日期:2017-06-02 00:00:00
abstract::OBJECTIVE: To identify the types of injuries the human brain incurs as a result of traumatic forces applied to the cranium. In athletic events and endeavors, the full spectrum of intracranial hemorrhages in various compartments, raised intracranial pressure, and diffuse nonhemorrhagic damage may be seen. In this revie...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:
更新日期:2001-09-01 00:00:00
abstract::In this article, I present an overview of the actions and effects of aspirin and nonsteroidal anti-inflammatory drugs (NSAIDs). Although athletic trainers cannot prescribe or dispense prescription medications, they should be as aware of their effects as they are of other methods of injury treatment. To set the discuss...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:
更新日期:1993-10-01 00:00:00
abstract:CONTEXT: The Landing Error Scoring System (LESS) can be used to identify individuals with an elevated risk of lower extremity injury. The limitation of the LESS is that raters identify movement errors from video replay, which is time-consuming and, therefore, may limit its use by clinicians. A markerless motion-captur...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:10.4085/1062-6050-52.10.12
更新日期:2017-11-01 00:00:00
abstract:OBJECTIVE:To define the nomenclature and physiologic mechanisms responsible for functional joint stability. DATA SOURCES:Information was drawn from an extensive MEDLINE search of the scientific literature conducted in the areas of proprioception, neuromuscular control, and mechanisms of functional joint stability for ...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:
更新日期:2002-01-01 00:00:00
abstract:CONTEXT:Athletic trainers (ATs) recognize patient care documentation as an important part of clinical practice. However, ATs using 1 electronic medical record (EMR) platform reported low accountability and lack of time as barriers to documentation. Whether ATs using paper, other EMRs, or a combined paper-electronic sys...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:10.4085/1062-6050-0406.19
更新日期:2020-10-01 00:00:00
abstract:OBJECTIVE:To review 16 years of National Collegiate Athletic Association (NCAA) injury surveillance data for men's wrestling and identify potential areas for injury prevention initiatives. BACKGROUND:From 1988-1989 through 2003-2004, 17% of NCAA schools sponsoring varsity men's wrestling programs participated in annua...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:
更新日期:2007-04-01 00:00:00
abstract::OBJECTIVE: To determine whether isotonic or isokinetic contractions produced greater electromyographic (EMG) activity per unit of work during isotonic and isokinetic knee-extension exercise. DESIGN AND SETTING: Subjects performed three 3-second maximal voluntary isometric contractions of the dominant knee extensors fo...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:
更新日期:2001-12-01 00:00:00
abstract:CONTEXT:The Patient-Reported Outcomes Measurement Information System (PROMIS) item banks have been validated for general populations, but their application to high-functioning patient populations remains speculative. OBJECTIVE:To examine the measurement properties of the PROMIS physical function item bank, version 1.0...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:10.4085/1062-6050-51.11.06
更新日期:2016-09-01 00:00:00
abstract::OBJECTIVE: To investigate the retraction time, forces, and torques applied to the football helmet during removal of the face mask with different face-mask removal tools. DESIGN AND SETTING: Subjects retracted the face mask of a football helmet mounted to a force platform in a laboratory setting. They removed a standar...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:
更新日期:2002-09-01 00:00:00
abstract::OBJECTIVE: To document neurocognitive and neurobehavioral consequences of 1 versus 2 concussions. DESIGN AND SETTING: Nonequivalent, pretest-posttest cohort design with multiple dependent measures. Participants were selected from a large sample of athletes who participated in a comprehensive, multiuniversity study of ...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:
更新日期:2001-09-01 00:00:00
abstract:CONTEXT:There are limited data concerning differences in concussion education exposure and how education exposures relates to care-seeking and symptom disclosure, specifically in Division I student-athletes. OBJECTIVE:Investigate demographic characteristics associated with concussion education exposure and examine whe...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:10.4085/211-20
更新日期:2020-11-05 00:00:00
abstract::OBJECTIVE: Low-level laser therapy (LLLT) has been promoted for its beneficial effects on tissue healing and pain relief. However, according to the results of in vivo studies, the effectiveness of this modality varies. Our purpose was to assess the putative effects of LLLT on healing using an experimental wound model....
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:
更新日期:2004-09-01 00:00:00
abstract:OBJECTIVE:To present the case of a 22-year-old football player who sustained an acute posterior-wall acetabular fracture. BACKGROUND:Acetabular fractures can be a difficult injury for the athletic trainer to assess. Aside from the obvious immediate ramifications, proper assessment and care are necessary to decrease th...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:
更新日期:2000-01-01 00:00:00
abstract:CONTEXT:Web-based sports injury surveillance via programs such as the High School Reporting Information Online system and the National Collegiate Athletic Association Injury Surveillance Program has aided efforts to collect data on ice hockey injuries. OBJECTIVE:To describe the epidemiology of injuries sustained in hi...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:10.4085/1062-6050-176-17
更新日期:2018-12-01 00:00:00