What will I be doing?

Galland Orthopaedics and Sports Medicine Athletic Training Residency responsibilities include, but are not limited to the following.

Jump to: Clinical, Sports Medicine, Chiropractic, Hand Therapy, Surgical observation, Land based and Aquatic based Physical Therapy, Spine, Research

Clinical competencies and Learning Objectives

  • Demonstrate ability to triage patients, take thorough and appropriate histories, conduct complete physical exams for musculoskeletal injuries and conditions and concussions, order and interpret appropriate diagnostic tests, educate patients and families on diagnoses, treatment plans, surgical procedures, and home exercise programs, utilize EHR, document pertinent patient and visit information in EHR, communicate with other healthcare professionals, and perform medical office administrative tasks
  • Demonstrate through personal actions and educate patients on all aspects of maintaining a healthy lifestyle and disease/injury prevention behaviors including, but not limited to, regular exercise, weight management, healthy eating, ergogenic behaviors, proper fitness technique, and exercise performance. (PHP 19, PHP 24, PHP 25, PHP 31, PHP 33, PHP 45)
  • Identify important aspects of and be able to perform a comprehensive review of systems on patients to include musculoskeletal, integumentary, neurological, cardiovascular, respiratory, endocrine, psychiatric, gastrointestinal, hematologic/lymphatic, genitourinary, and ear, eyes, nose, throat (CE 13, CE 20, CE 21)
  • Perform, and document findings in EHR from, a comprehensive musculoskeletal clinical evaluation including, but not limited to, history, inspection, palpation, ROM, functional testing, special tests, and neurovascular assessment, differentiating between initial and follow up evaluation and integrating findings with clinical reasoning skills to formulate working and differential diagnoses and recommend appropriate diagnostic imaging and evidence based therapeutic interventions. (CE 6, CE 13, CE 14, CE 15, CE 17, CE 18, CE 20, CE 21, HA 11, HA 12)
  • Explain the natural history, pathogenesis, prognosis, expectations, and treatment options for the working diagnosis to patients, athletes, and parents, including any recommended referrals, and formulate, justify, and explain activity restrictions and return to play recommendations based on exam findings.(CE 5, CE 19, TI 7, PS 6, PD 9)
  • Execute in office treatment plans as directed including, but not limited to, patient education, dressing changes, suture removal, wound care, application, fitting, or adjustment of DME, application and care instruction of casts or splints, application and instruction on K taping, instruction on HEP, fitting and instruction on ambulatory assistive devices, positioning and prep for injections, facilitating referrals for diagnostic testing, surgery, or to other medical providers (AC 21, AC 22, PHP 22, TI 11, TI 17)
  • Document all aspects of patient evaluation, education, assessment, and treatment plans using Athena EHR (HA 9, HA 11, HA 12, HA 28)

Sports Medicine outreach competencies and learning objectives

  • Perform duties of a certified athletic trainer at sites and times as directed by Head Athletic Trainer or RPD, including prevention, clinical evaluation, acute care, and treatment and rehabilitation of athletically related injuries and conditions
  • Coordinate the sports medicine/athletic training services at an assigned local high school, including checking preparticipation physicals, conducting evaluations, treatments, and initiating management of athletic injuries, coordinating referrals to physicians, developing and implementing rehabilitation plans, maintaining medical records, educating athletes, coaches, and parents, updating and educating coaches and administrators on concussion management, providing athletic training services for practice and game coverage of selected sports
  • Educate coaches, parents, athletes, and others on the importance of preparticipation physicals in identifying conditions that might predispose an athlete to injury or illness and successfully plan, organize personnel for, and execute preparticipation physicals with all the necessary components at assigned sites. (PHP 8, PHP 9, HA 23)
  • Design, implement, and administer a program at assigned sites that addresses prevention of environmental illnesses, hydration requirements, and practice guidelines for extreme weather and includes education of coaches, athletes, patients, and parents. (PHP 11, PHP 12, PHP 13, PHP 18, PHP 36)
  • Select, apply, and fabricate as needed, appropriate protective equipment and preventative taping and wrapping procedures, splints, braces, DME, ambulatory aids, and other protective devices to prevent injury or reinjury, or facilitate return to play (PHP 22, PHP 23, TI 16, AC 39)
  • Assist with OSNC SMs comprehensive Concussion Management Program, including educating coaches, athletes, and parents on the risk of sustaining a concussion during athletic activity and signs and symptoms of a concussion, administering and interpreting baseline and follow up ImPACT testing, performing sideline neurological evaluations and differentiating between in-office, clinical neurological evaluations, communicating effectively with physicians, coaches, and parents and coordinating referrals, and facilitating supervised return to play progressions per established protocols.
  • Develop, implement, and administer a comprehensive emergency action plan for assigned sites with education of coaches, administrators, and other healthcare personnel that includes demonstration, on topics including, but not limited to, location of emergency equipment, emergent procedures for evaluation, airway management, patient transfer, extremity or spine immobilization, and emergent referral (AC 2, AC 8, AC 24, AC 25, HA 21, HA 22)

Chiropractic competencies and learning objectives

  • Describe the scope of practice of doctors of chiropractic, delineating the unique contributions and skill sets of that specialty and its role in musculoskeletal medicine (HA 30)
  • Delineate and describe the differences between chiropractic medicine and traditional orthopaedic or musculoskeletal care in philosophy, approach to patient care, clinical evaluation techniques, and treatment interventions (PS 9)
  • Learn common neuromusculoskeletal injuries or complaints appropriate for chiropractic care
  • Describe the principles and concepts related specifically to chiropractic medicine, including vertebral subluxation, joint fixation, and spinal manipulation
  • Take a subjective medical history or interim history appropriate to the practice setting, identifying any restrictions or contraindications to planned therapy interventions, and include functional and quality of life outcome measures (CE8, CE 9)
  • Select, apply, and supervise appropriate concomitant and post manipulation treatments and modalities, including heat, ice, massage, exercise, K taping, and TENS
  • Demonstrate ability to effectively teach appropriate home exercise programs for common neuromusculoskeletal injuries and complaints
  • Demonstrate compliance with documentation of progress notes in EHR, including subjective and objective data. (HA 9, HA 11, HA 12, HA 28)
  • Demonstrate maintenance of clinical environment including compliance with OSHA and HIPPA standards (PHP 7, HA 16)

Hand Therapy competencies and learning objectives

  • Describe the scope of practice of occupational therapists specializing as certified hand therapists and athletic trainers, delineating the unique contributions and skill sets of each specialty and their shared roles in musculoskeletal medicine (PD 8, HA 30) and demonstrate collaboration with the OTR, COTA, physician and other interdisciplinary team members.
  • Behave in a manner congruent with values, standards and ethics of the medical profession
  • Take a subjective medical history or interim history appropriate to the practice setting, identifying any restrictions or contraindications to planned therapy interventions, and include functional and quality of life outcome measures (CE8, CE 9)
  • Participate in the development of goals and the use of occupational therapy treatments that are evidence based (HA)
  • Be exposed to current research findings and other resources as a basis for assessment and intervention decisions
  • Demonstrate ability to educate patients, athletes, and families on common conditions and expectations for progression in occupational therapy and to effectively teach appropriate home exercise programs for common musculoskeletal injuries and complaints seen by OT/CHT (TI 10)
  • Understand and demonstrate adherence to facility policies and procedures, including maintenance of clinic environment by demonstrating compliance with OSHA and HIPPA standards (PHP 7, HA 16)
  • Using evidence based practice standards, develop strategies that integrate the use of occupational therapy interventions and athletic training principles into the care of the athlete/patient
  • Describe the principles and concepts related to the fabrication, modification, and appropriate application or use of dynamic and static splints/orthotics and demonstrate ability to fabricate custom functional thermomoldable splints for a variety of common hand, wrist, and elbow musculoskeletal conditions (PHP 21, TI 16)

Surgical observation competencies and learning objectives

  • Describe the surgical process from office visit through surgical decision and pre-op counseling to OR to follow up. Note the specialists/disciplines involved in each stage
  • Understand indications and contraindications for elective orthopaedic surgery.
  • Develop an increased understanding for surgical decision making, risks and benefits, patient prognosis and recovery expectations, limitations of surgery, and possible complications of orthopaedic surgical procedures to the shoulder, elbow, wrist and hand, knee, ankle, and foot.
  • Observe a variety of orthopaedic surgical procedures to the shoulder, elbow, wrist and hand, knee, ankle, and foot.
  • Demonstrate maintenance of sterile OR environment including compliance with sterile fields, OSHA and HIPPA standards.
  • Develop an increased understanding of anatomy of the extremities.
  • Using evidence based practice standards, demonstrate ability to hold/position patients for postoperative splinting/bracing.
  • Using evidence based practice standards, demonstrate ability to educate patients on postoperative care, including correct use of therapeutic assistive devices (TENS and ambulatory aids), incision care and dressing changes, activity restrictions, pain control, and routine postoperative expectations.
  • Understand reasoning behind postoperative protocols, ROM and weightbearing limitations based on observations of anatomy involved and surgical procedure performed, and your understanding of the healing process.
  • Assist in coordination of care between OR and office and develop confidence in answering patient questions about surgery and recovery

Land-based and Aquatic-based Physical Therapy competencies and learning objectives

  • Describe the scope of practice of physical therapists and athletic trainers, delineating the unique contributions and skill sets of each specialty and their shared roles in musculoskeletal medicine
  • Demonstrate ability to educate patients, athletes, and families on reason for referral, common conditions, and expectations for progression in land and aquatic based physical therapy
  • Describe the additional experience or training for an aquatic therapist and the unique benefits and properties of water including the principles of buoyancy and displacement
  • Explain the advantages and disadvantages land and aquatic PT have in relation to the other
  • Demonstrate ability to educate patients on correct use of therapeutic assistive devices including TENS and ambulatory aids
  • Demonstrate mastery at following prescribed land and aquatic based rehabilitative therapy plans, ensuring correct patient mechanics, performance, and understanding
  • Demonstrate ability to effectively teach appropriate home exercise programs for common musculoskeletal injuries and complaints
  • Demonstrate compliance with completion and documentation of progress notes, including subjective and objective data, and appropriate adjustments to rehabilitation plans
  • Demonstrate maintenance of clinic environment including compliance with OSHA and HIPPA standards
  • Using evidence based practice standards, select and apply appropriate therapeutic modalities
  • Using evidence based practice standards, select, demonstrate, teach, and supervise appropriate land based therapeutic exercises or aquatic therapy interventions
  • Select and explain appropriate manual and mechanical therapy interventions
  • Understand postoperative protocols and demonstrate ability to prescribe comprehensive (land and/or aquatic) rehab plans based on protocols

Spine Rotation Competencies and Objectives

  • Describe the scope of practice of physiatry, interventional pain management, and orthopaedic spine surgery, delineating the unique contributions and skill sets of each specialty and their shared roles in musculoskeletal medicine and demonstrate collaboration with the providers and other staff.
  • Obtain an individual’s history through observation, interview, and review of relevant records to assess injuries, illnesses, and conditions relating to the spine, and identify comorbidities.
  • Observe physical examinations of the spine including diagnostic testing to formulate differential diagnosis.
  • Formulate a clinical diagnosis by interpreting history and the physical examination to determine the appropriate course of action
  • Educate patients and caretakers about clinical findings, prognosis, and plan of care related to operative and non operative injuries and conditions of the spine to optimize outcomes and encourage compliance
  • Administer therapeutic exercises or devices to patients using appropriate techniques and procedures to aid recovery to optimal function
  • Implement plans to aid in risk reduction using currently accepted and applicable guidelines
  • Use established documentation procedures to ensure best practice.
  • Be exposed to current research findings and other resources as a basis for assessment and intervention decisions
  • Behave in a manner congruent with values, standards and ethics of the medical profession

Research

  • Choose a topic of interest that is mutually agreed upon with Residency staff and able to be supported in clinical setting
  • Perform a literature search to see current trends/thoughts related to research topic
  • Outline research proposal, including timeline, needs, proposed procedures, consents, and presentation goals
  • Present findings, formally or in writing, by the end of the athletic training residency year in format mutually agreed upon