So as an athletic training student here at Emory I am required to get a certain amount of clinical experience hours and a certain amount of proficiencies from our clinical packets each semester. For this journal I am going to be focusing on my progress in my clinical packet for this semester. Each student is required to complete 70% or more of their clinical packets so for the junior clinical packet 84 masteries is the minimum. Honestly I would say that this clinical packet is probably the most challenging so far and that is because it’s heavily focused on General Medical conditions. We do not typically see a lot of those medical conditions in our athletic environment here at Emory which is what makes it challenging. But the in-class scenarios, lab assignments and even PBLs have helped me obtained quite a few attempts and masteries for this clinical packet. With spring break fast approaching I have noticed that I have had a slow start to the semester in regards to my packet. I do have a lot of attempts that I actually need to fill out in my packet which I plan to do over break so that I can come back ready to obtain some masteries and progress on attempts. I also plan to begin working with my preceptors during clinical and progress on the general medical conditions as I feel that I will not see many during my clinical rotations. I hope to progress on the rehab proficiencies in the clinic and through our rehab project for the semester. For this week I’ve obtained 0 attempts and 0 masteries towards my clinical packet.
My clinical question for this semester is “The effectiveness of ankle injury prevention programs for basketball players”. I actually thought of this clinical question while I was watching a college basketball game on TV. One of the players went down with a sprained ankle and in my head I was thinking about how basketball players really sprain their ankles A LOT then I thought about when Kris does preventative rehab for his players that are known to have ankle injuries. So this made me want to look into how effective injury prevention programs are, specifically for ankle injuries in basketball players. I want to investigate whether or not the prevention programs focusing on ankles are effective at all, in lowering the risk of ankle injuries, considering that there are schools that do not utilize them at all. The group I am using to investigate this clinical question is made up of Ken and myself. I feel like this is a good pairing because we were both with women’s and men’s basketball this semester so the outcome of this clinical question can be good insight for future reference. I know that schools implement these prevention programs when they start to see a reoccurrence so this is possibly something we can implement here for ACL injuries since we had so many this year. This week I obtained 3 attempts and 2 masteries towards my clinical packet.
So last semester I was placed offsite for my clinical placement. I was assigned with two of the local high schools, Patrick Henry and John Battle. This semester I am back on campus and I am assigned to woman’s basketball and softball. The primary sports I was with when I was offsite with Bre were football and volleyball which was pretty fun. That would have to be the main difference between the two clinical placements. Football is a lot more demanding than basketball and softball since it is a high volume contact sport so I dealt with more injuries there than I have here so far on campus. Another difference I would have to say is the types of athletes I was around. There is definitely a clear difference between the high school athlete and the college athlete, I guess you could say they are less “needy” than college athletes because they’re just focused on having fun and playing the sport. Some of the athletes wouldn’t even want to be evaluated after getting injured which is pretty much your typical high school athlete. Another challenge I faced was that Bre rarely gave treatments during the times I was scheduled with her because her treatment times were scheduled during the times I had class. What I enjoyed the most about being offsite is being back in the high school setting, the environment was just very laid back. As for what I am enjoying about my clinical placement this semester I would have to just being around the game of basketball since I am a basketball fan and the woman’s team is doing really well this year! Softball is just starting to get going which should be enjoyable. Other than the sports I am with, being back in the clinic is refreshing also because I get to showcase the athletic training skills I’ve learned so far, learn new skills from the certified athletic trainers, and freshen up on certain skills like taping. Just getting reacquainted to being in the clinic setting was the biggest challenge for me so far this semester. Overall I really enjoyed being offsite and I am currently enjoying my clinical placement for this semester. Each of these experiences allowed me to experience athletic training from two different point of views, high school and collegiate. And this week I obtained 4 attempts and 0 masteries towards my clinical packet.
I would say that the closest thing I have had to an ethical dilemma is having to tell a certified that a patient was not properly doing their rehab exercises like they should have been. The patient was being very lazy during their rehab which is not beneficial for the patient or the athletic trainer. That type of behavior can lead to the rehab process stalling or regressing which is not good for either side. As an athletic training student I feel like I approached the situation in the most appropriate way. I could have had the mentality of “oh well, it is not my problem” or “it’s the patient’s rehab, not mine” but that would not be right. So at first, I went over to the patient to try and motivate them to do their rehab better and to avoid bringing the certified athletic trainer into the situation but the patient just wasn’t cooperating. So being the type of person I am I knew not saying anything wouldn’t be right ethical decision and it would be on my conscience for quite some time. Also as athletic trainers it is one of our duties to protect the athletes to the best of our ability so in this situation I was protecting the athlete from themselves. The main lesson I took away from this experience is that you have to make tough decisions to help out others. I did not want to have to be that person that had to go and tell the certified that someone was doing something that they weren’t supposed to be doing but it had to be done. Because at the end of the day we’re there to help the athletes get back to 100% and back on the field so them partially doing rehab hinders that goal.
Who is your primary preceptor this semester? How do you feel about your placement? What are you excited about, nervous for, etc? What do you hope you will gain from this experience?
This semester, my primary preceptor is Melissa Davis! I am very excited for my placement, so far working with the women’s basketball team has been very fun. Basketball is probably my second favorite sport, behind baseball, so I actually have an interest in the sport, which makes it the experience more enjoyable. I am also looking forward to working with the women’s softball team this semester, I am sure it is going to be very fun as well. Working with two women sports teams is going to be a unique experience for me. I would say that the one thing I am both excited and nervous for this semester is the rehab project. I am looking forward to this experience because it is an opportunity for me to showcase the skills and knowledge I have gained throughout the Athletic Training Program, thus far. Additionally, this is something I have never done before, which means that there will also be a lot of opportunities for me to learn new skills and information. However, because this is something I have never done before, so I am also nervous, this particular hands on experience is unfamiliar to me and there is a chance of failure. Still, I am fully prepared to take on this valuable experience for what it is worth, in order to benefit from it as much as possible. As a Junior in the Athletic Training Program, I am now expected to be a lot more involved so I hope to gain a lot of hands on experience from this clinical course. Due to this being a hands on setting, I would like to gain more in depth experience on injury evaluations, as well as therapeutic interventions, experience that I may not be able to obtain from a lecture style class. From this experience I would also hope to learn the professional aspects of Athletic Training, in terms of networking and communication, with coworkers and athletes. This week I obtained 5 attempts and 0 masteries towards my clinical packet.
This semester has been very interesting and fun! I've really enjoyed being offsite this semester, being in the high school setting has an experience that I have enjoyed being in. The only "bad" thing about semester would probably be my physiology class, that has kind of been a struggle but other than that nothing else has been bad. This semester has taught me be more determined so I definitely want to carry that over into next semester.
I would say I feel less confident when giving an eval on my own compared to when I'm doing treatments/rehab.
A treatment option I've given a lot to patients, especially football players, is ice. This is mostly for acute injuries like smashed hands/fingers or ankle sprains to help the patient with pain management. The outcome I'm hoping to achieve is of course diminished pain and to judge its effectiveness the only thing you can really do is ask the patient how the injured body part feels after icing for 15-20 minutes. For the future, I know that simply applying ice isn't the number option for treating a patient but it does help lead to other treatment options once the pain is lowered.
Clinical goal: I will further develop my skills when it comes to injury evaluations by doing at least 2 hands on independent evaluations per week.
When it comes to my progress on this clinical goal I definitely feel like my injury evaluation skills have gotten better. I'm not able to do an evaluation every week though because there are some weeks where no one gets hurts or I'm not there. But when the opportunity rises I am more than comfortable to do the evaluation. I am also progressing well through my clinical packet and meeting those goals. This week I obtained 10 attempts and 2 masteries towards my clinical packet.
My favorite part of clinical experience has to be just being off-site at Patrick Henry and John Battle High School. Its my favorite part because I'm dealing with different athletes and the high school athletes ask a lot more questions which can be fun. I think the athletes being laid back is what makes it special for me, they really make the time I spend with them fun and enjoyable.
My Little Clinical Question was inspired by how prone baseball players are to back injuries which is also why my group and I chose to do it because our baseball players here have had quite a few back injuries. I chose my investigation team because I felt like those are people who will help me get the most out of my clinical question.And I'm just looking forward to learning new information and hopefully some preventative methods for back injuries in baseball players. This week I obtained 0 attempts and masteries towards my clinical packet.
The advice I've given the current sophomores is to definitely study and practice outside of class because at first it might seem like you don't need to but to be a good Athletic Trainer you need to practice your craft. Last year upperclass students like John and Tayler definitely helped me with certain clinical decisions. This week I obtained 3 attempts and 2 masteries towards my clinical packet.
My most challenging class this semester would have to be physiology. Its really biology and chemistry focused which are classes I haven't had since high school which is why its so challenging. To cope with this I am just reading a lot more than I usually do for a class. This week I obtained five attempts and one mastery towards my clinical packet.
What I've learned during class has definitely paralleled to what I've experience during clinical. I would have to say everything first aid related is used almost everyday, especially during football season when there is a lot of cuts and scrapes to deal with. And of course when it comes to dealing with injuries all the information we've learned about injury evaluation is put into use. For example, when an athlete has a suspected concussion we take them through our concussion protocol which is something we've gone over in both Upper and Clinical. This week I obtained 5 attempts and 0 masteries towards my clinical packet this week.