bridging the gap between program directors, clinical opportunities, and athletic training students
TRANSCRIPT
Erik T. Nason, MBA, ATC, MS, CSCS
Inomedic Health Applications
RehabWorks -Kennedy Space Center, FL
Internship – traditional name/title given to outreach programs
with educational programs Changed term “Internship” to Clinical Opportunities (CO) Clinical Opportunities in Emerging Settings Database (COES) Emerging Settings? Occupational Health Public Safety (police/fire/rescue) Military Performing Arts Hospitals Physician Extender Hospital Administration
Terminology
Target Audience: Student AT, Program Director,
Employee of an Emerging Setting
Discuss the value of “off-site” clinical opportunities
What is the COES Database?
What roadblocks are present for both the student and clinical sites?
Future goals in bridging the gap between students, program directors and clinical opportunity sites?
Objectives
Located at the Kennedy Space Center in FL
Provide free on-site rehabilitation to all employees (approx. 8,000 employees)
In operation since 1997
Treating post op, chronic injuries, acute injuries, and work and non-work related injuries.
Educational outreach programs
Additional entities such as: Ergonomics
OHSA (Health and Safety)
Marketing
Unique medical illnesses
Occupational and Preventative Medicine
KSC RehabWorks
Proud of our Clinical Opportunity Program
Accepting student for over 16 years
RehabWorks’ Clinical Opportunity Program
2
Student Testimonials Sara Sullivan, ATC - HS in Tarpon Springs, FL (Liberty
University) “My KSC internship challenged me in ways that I did
not expect. The tasks that I faced made me grow as a student, as a
young adult, as a professional, and as a Certified Athletic
Trainer.” DeWayne A. Smith, ATC, CSCS, NASM-CPT, CES, PES -
National Academy of Sports M edicine (Concord College)
“ During my RehabWorks internship, I learned to push my own
boundaries, be an independent thinker, and step outside of the
box as an Athletic Trainer. This challenging program does a
stellar job in identifying weaknesses, and promoting positive
change. Erik is great mentor and serves as a pivotal source of
encouragement.” Kaitlyn Warner – University of Ohio, GA-University of Florida
“ As an intern at RehabWorks, I believe that I have been given an
amazing opportunity to explore the industrial athletic training
setting. I learn best by doing and I believe that this hands-on
experience is the perfect chance for me to critique and learn new
athletic training skills. I also believe that by working one-on-one
with a variety of patients of different ages, I will be able to
improve my communication skills and become a more confident
athletic training student.”
Jordan Dorrien
East Stroudsburg University
“ Interning at RehabWorks is
providing me the opportunity
to improve my skills and is
challenging me to think about
new concepts and ideas of
clinical treatment. Through its
unique setting and diverse
experiences, RehabWorks has
become an amazing asset to
my future goal as an athletic
training professional in an
emerging setting.”
The RehabWorks staff has more than 40
years of combined experience as licensed
athletic trainers in the occupational health
and industrial setting.
https:/ / rehabworks.ksc.nasa.gov
/ KSC RehabWorks
ATHLETIC TRAINING
CLINICAL ROTATIONS
Kennedy Space Center, Florida
Developed in 1997, RehabWorks has been providing
musculoskeletal rehabilitation to employees with work
related and non-work related injuries including providing
post op rehabilitation. Through this program we are able
to decrease lost work time, increase job productivity, and
keep financial costs at a minimum.
Internship
Components
Presentations, article
reviews, rehab design,
injury progression
Outreach Presentations and
creation of educational
materials for employees
Ergonomics Shadow and understand
the role of industrial
hygiene in Occ. M ed.
Safety and
Health
Participate in
understanding OSHA
rules and guidelines
Professional
Development
Short and long term
goals, SWOT analysis,
BOC prep and personal
finances
Biodex SD Balance System, Biodex Gait Trainer, Rebound Diathermy,
Game Ready, Intermittent Compression, M atrix W eight M achine,
Ultrasound, Electric Stimulation, Shuttle Recovery, Full Fitness Center
The RehabWorks program has been developed to provide all
Kennedy Space Center (KSC) employees with a free and
convenient means of receiving rehabilitation services by
Certified/ Licensed Athletic Trainers (AT). The RehabWorks
staff can provide injury assessment and rehabilitation services to
the industrial athlete in order to maximize long-term recovery
and reduce lost work time.
The KSC RehabWorks Program offers athletic training
internships that provide a valuable learning experience in an
occupational medicine and industrial work setting. We can help
you reach new heights in Athletic Training!!!
Educational Experience components of musculoskeletal rehabilitation,
occupational health, ergonomics, environmental health &
safety, corporate fitness & wellness and public speaking .
Over 60 students have
completed clinical rotations at
RehabWorks from all over
the US. RehabWorks has
launched students into top-
level graduate programs and
helped land competitive
employment.
Schools Represented
Eastern Kentucky University High Point University Grand Valley State Florida Southern College Illinois State University Northern Illinois University Clarion University Central College Longwood University Western Illinois University East Stroudsburg University University of Florida Florida International University University of Central Florida Stetson University Ball State
Columbia University University of North Carolina - Wilmington University of South Florida University of Wisconsin-Milwaukee California Baptist University University of Wisconsin – Madison Mercyhurst College Bowling Green State University University of Nebraska-Omaha Logan University West Virginia Wesleyan College Mars Hill College University of Connecticut Ohio University University of Tulsa Gustavus Adolphus College Lewis University
AND MANY MORE……..
10,500 students graduate annually from undergrad programs
336 of CAATE accredited program (plus 28 master programs)
30,000 members – 8546 are in emerging settings
This represents about 3,000 facilities in emerging settings
If 10% offered COs (300 facilities), 3 student per site avg = only 900 CO openings, = 8% of graduating AT students
SUPPLY and DEMAND
More students = more opportunities
Growth of the Emerging Setting
Let’s Set the Stage
Program Directors! Are our students being exposed
to all elements of our profession?
What emerging settings are available to your students?
Students! What could a clinical opportunity in an emerging setting offer you that your school couldn’t?
Emerging Settings! Do you have a setting that could offer AT students a valuable and unique experience when it comes to patient care?
Let’s Set The Stage
“To Improve is to change; to be perfect is to change
often” – Winston Churchill
“If there is no struggle, there is no progress” –Frederick Douglass
“Conformity is the jailer of freedom and the enemy of growth.” John F. Kennedy
Grow, Change, Explore
Students need new opportunities to expand their “book
smarts” in new and challenging ways within settings that demand them to dive deep and go far into uncharted territories, to cultivate critical thinking skills, exposure to a wide range of demographics, to risk failure and to realize that the human body does more than just play sports through life….it ages and fails frequently.
The emerging setting does not have to be a career choice but it should be a tool that cultivates and fine tunes the professional medical skills that an AT is expected to produce.
What is Missing??
Creates excitement
Breaks down a students comfort zone
Generates innovative ideas for our profession within young minds
Broadens the student’s horizons – new experience in life
Exposes them to physical medicine aspects that are not readily available in an athletic setting
Develops skills in educational outreach training
Business development Branding, marketing, ROI, the value of the AT outside the sports
world, etc.
Exposure to Emerging Settings
Bridging The Gap
Create a database that consists of an up to date list of
available athletic training clinical opportunities among emerging settings for students
This database will allow student athletic trainers to search for specific criteria that meets their location, financial, setting and educational needs.
Evaluate the supply and demand of CO’s and determine what role COPA could play in helping emerging settings create new CO’s
Purpose of COES Database
Only active members (both professionals and students)
will have access to this database
Database will be found on the COPA home page
Links to COES Database Educators page
Student page
Employment page (Career development)
Database can be edited or deleted at anytime by submitting member.
All members have to accept a disclaimer before entering the database
Database Key Facts
Do you have a Clinical Opportunity program at your
site?
How many students do you take per semester?
What setting are you representing?
District
State
POC info
Application process
Social media links
Questions on the Survey
Would you or your facility be interested in creating an
educational athletic training clinical rotation?
Since you do not have a current clinical rotation program what reasons would best describe your barriers.
If NATA/COPA could offer examples and resources such as: program design, application requirements, legal forms, contract samples, security suggestions, etc., would this help in the development of a clinical rotation at your facility.
Would you like to see a session on the development and management of an effective clinical rotation program at a future NATA annual symposium?
Survey Questions(stage two of survey)
Email survey out to over 8,000 emerging setting ATs
721 responses (11%)
294 (41%) had active CO for student ATs
110 individual sites with publishable data for the COES Database (some duplicate/ ATs at the same site)
427 of 721 responded – they do not offer COs
274 of 427 (64%) were interested in learning more about developing a CO within their setting
100 (23%) did not want to host students
Survey Results
www.nata.org/cepat
Current Facility Listing Data
1 2 3 4 5 6 7 8 9 10
Number of Opportunites per District
5 19 15 51 8 7 6 8 26 4
0
10
20
30
40
50
60
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mb
er
of
Faci
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Number of Opportunites per District
What users are looking for?
1 2 3 4 5 6 7 8 9 10
Total Pageviews 12 6 8 5 7 4 1 10 3 0
0
2
4
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Page Views by District Search
0 10 20 30 40 50 60 70
Clinical Outreach
Clinical/Ortho/Physician Extender
College
Corporate/Occupational
High School
Hospital/Outreach
Military/Government/Law Enforcement
Other
Performing Arts
Professional Sports
Facilities Per Setting
Current Facility Listing Data
0 10 20 30 40 50
Clinical
College
Corporate/Occupational
High School
Hospital Outreach
Military
Other
Performing Arts
Professional Sports
Sales
Total Page Views by Setting Search
What Users Are Looking For?
0 1 2 3 4 5 6 7 8 9 10
Arts
ATS
Chiropractic
Dance
Deaf
Des Moines
Film
Graduate Assisstant
Internship
Military
NASA
New ULM
Obesity Care
Performance Medicine
Performing Arts
Physician Extender
Police
Professional Sports
Rehabilitation
Student
Student Internship
Summer
Ulnar Collateral Ligament
Total Page Views by Keyword Search
What Users Are Looking For?
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Ala
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Ari
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Cal
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Flo
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Illi
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Ind
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Ken
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Facilities per State
Current Facility Listing Data
0
5
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AK
AZ
CA
CO
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DC
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FL
GA HI
IA ID IL IN KS
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MS
MT
NC
ND
NE
NH NJ
NV
NY
OH
OK
OR
PA SC
TN TX
UT
VA
WA
WI
WV
Page Views by State Search
What Users Are Looking For?
Interested in Starting a CO
Top Settings Interested In Starting a CO
Clinical/Ortho/PE (25%)
Clinical Outreach (25%)
Other (17.95%)
Hospital/Outreach (13.3 %)
Military/Government/Law Enforcement (7.18%)
Roadblocks in Starting a CO
What is stopping the creation of new CO’s?
Never been asked (20.19%)
Don’t know where to start (14.08%)
No local universities (10.8%)
Not enough staff for supervision (8.69%)
Declined by Management (7.28%)
Legal issues (6.34%)
How Can NATA Help
Is the CO ran and overseen by ATs How many ATs on staff? How many students have they taken in the past? How many years has the CO program been in operation? Is there a detailed application process? Are there documented educational components within the CO? Will there be hands on experience and not just observation? Examples of ancillary projects and site visits Phone or in person interview with the ability for the students to
ask questions about day to day operations. Quality website and social media – possible testimonies from
past schools and students.
Things To Look Forin a CO
Concerns About CO Sites
HIPAA
Security
Liability
No preceptor?
Educational components?
Site visits?
Value and work ethics
Supervision
Internship ApplicationInternship Application
Attention: Due to heightened security and badging requirements at this government facility, it will not be possible toexcept Non-US citizens at this time. Please accept our apologies.
Personal Information
First Name: Last Name:
US Citizen:
Date of Birth:
/ /
Place of Birth:
School Information
School Name:
Street Address:
City: State: Zip:
Year/Classification:
Address Information
Street Address:
City: State: Zip:
Phone:
Email:
Permanent Address Information
Street Address:
City: State: Zip:
Phone:
Evaluations
Therapeutic
Modalities
Rehabilitation
Design
Anatomy
Understanding of
Injuries
Knowledge of Rehabilitation
Exercises
Outreach (presentations, educational
material design)
Leadership Skills
Emergency Care
Chronic Injury Care
Post Surgical Rehabilitation
Administration Tasks (SOAP notes, progress notes,
time management)
Select your top three weaknesses in athletic training:
Injury
Evaluations
Therapeutic
Modalities
Rehabilitation
Design
Anatomy
Understanding of
Injuries
Fitness/Strength Training
Knowledge of Rehabilitation
Exercises
Outreach (presentations, educational
material design)
Leadership Skills
Emergency Care
Acute Injury Care
Chronic Injury Care
Post Surgical Rehabilitation
Administration Tasks (SOAP notes, progress notes,
time management)
At this time in your education, if you were to choose your final professional occupation what would it be:
ATC
PT
PTA
PA
OT
Orthopedic Surgeon
General Practitioner
Paramedic/EMT
Educator
Researcher/Ex Phys.
Other:
If you were to work as an ATC what employment setting would you desire:
High School
College
Industrial/Corporate
Clinical
Professional Sports
Arts/Dance
Hospital
Military
Other:
Answer the following questions on a scale of 1-5.
(1=poor, 2=below average, 3=average, 4=above average, 5=excellent)
How do you feel about your skills in evaluating? 1 2 3 4 5
Page 1 of 4
SAMPLE NASA EDUCATIONAL
AGREEMENT IN PRINCIPLE
AA-B-1
Dear
The Aerospace Medicine and Occupational Health Branch at the National Aeronautics and Space
Administration, John F. Kennedy Space Center (herein after “NASA-KSC”) and the University of
*** (herein after “UNIVERSITY”) have discussed the placement of University students in the
NASA-KSC Aerospace Medicine and Occupational Health Branch’s Health and Medical
Education Program, as an unpaid intern. NASA-KSC and University acknowledge this
agreement is not legally binding or enforceable.
The purpose of this Agreement In Principle (AIP) is to permit University students majoring in the
areas of Medicine, Physical Medicine and Musculoskeletal Rehabilitation, Health and Wellness,
Public Health, Exercise Science, and other areas as appropriate, to intern in the Aerospace
Medicine and Occupational Health Branch. This AIP will enable University to provide
opportunities for its students to gain practical experience. NASA-KSC and University intend to
work together to create meaningful internships for University students, but neither is obligated to
provide or place students. Students will be placed only when the Aerospace Medicine and
Occupational Health Branch has productive and educational work assignments available. It is
anticipated that students will be provided an opportunity on a predetermined basis and will be
selected by University.
University of Central Florida intends to:
1. Provide NASA-KSC, in writing, prior to any student being permitted to come on
center, with the names of the students1 assigned by University to participate in the
internship program. However, NASA-KSC may set limits on the number of students
who may participate at any given time, and NASA-KSC is not obligated to allow
placement of students into the program.
2. Designate a member of University faculty to coordinate the educational experience of
students participating in the Program with the NASA-KSC Liaison, and provide
NASA-KSC with the name of University faculty representative.
1 A student as defined by 5 U.S.C. §3111 (a) is:
An individual who is enrolled, not less than half-time, in a high school, trade school, technical
or vocational institute, junior college, college, university, or comparable recognized
educational institution. An individual who is a student is deemed not to have ceased to be a
student during an interim between school years if the interim is not more than 5 months and if
such individual shows to the satisfaction of the Office of Personnel Management that the
individual has a bona fide intention of continuing to pursue a course of study or training in the
same or different educational institution during the school semester (or other period into
which the school year is divided) immediately after the interim. Experience must be
uncompensated.
Sample Agreement in Principle• NASA does not sign
school learning contracts. • Most clinics/emerging
settings do not want and can’t sign contracts with schools.
• CO need to create a AIP or educational agreement.
Modality and Equipment Competency Orientation Verification From
This form is to verify the competencies of incoming students/interns with
modalities and rehabilitation equipment that will be used in the KSC RehabWorks
facility. All competencies will reflect the guidelines of the established Standing Orders
and Protocols for the KSC RehabWorks program.
Student Name: ____________________________________________ ______________
University Name:__________________________________ Year in School: _________
Internship Start Date: ______________________End Date:_______________________
This forms verifies that you have been oriented and have shown competency in the
functional capabilities, operations, and precautions found with the modalities and
equipment listed above that will be used during your internship at KSC RehabWorks.
Also this form indicates that you have read and understood KSC RehabWorks Standing
Orders and Protocols.
Student Signature: _________________________________ _______ Date:__________
Staff ATC Signature ________________________________ _______ Date:__________
Modality/Equipment Date Competency Verification
ATC Initials
Cryotherapy
Hydrotherapy
Thermotherapy
Ultrasound
Electrical Stimulation
Iontophoresis
Whirlpool
Game Ready/Cryo Cuff
Intermittent Compression
Shortwave Diathermy
Wound Care
Free Weights
Machine Weights (Fitness
Center and RehabWorks)
Cardio Weights (Fitness
Center and RehabWorks)
Goniometer/Inclinometer
CONFIDENTIALITY ACKNOWLEDGEMENT STATEMENT
The undersigned hereby acknowledges his/her responsibility under applicable Federal and state
law and/or regulations, including but not limited to regulations under the Health Insurance
Portability and Accountability Act (“HIPAA”) and the Privacy Act, to keep confidential any
information regarding Facility patients, as well as all confidential information of the Facility.
The undersigned agrees, under penalty of law, not to reveal to any person or persons any specific
information regarding any Facility patient, except to authorized clinical staff and associated
personnel of the Facility and, as necessary, to other Program Participants at that Facility who are
supervising or assisting the undersigned in the provision of services at Facility. The undersigned
further agrees not to reveal to any third party any confidential information of Facility, except as
required by law or as authorized by Facility.
Dated this _____ day of _____________________, 20___.
Program Participant
Print Name:
Witness
KSC RehabWorks Internship
Health, Safety, Security and IT Training Requirements
Athletic Training Student: _______________________________ University/College: ______________________________________
Semester/Year: _______________________
REQUIRED TRAINING COMPLETION
DATE
EXPIRATION
DATE
TITLE TRAINING SOURCE
CPR/AED for the Professional
Rescuer
Completed at school, on
own or at KSC. Bring proof.
First Responder
Completed at school, on own or at
KSC. Bring proof.
OSHA GHS Hazard Comm.
Standard
QG213KSC Classroom
Hazard Communication QG210OSH Classroom
Workplace Violence SS-LCHR_01_A04_LC_ENUS Satern
HIPAA Privacy Rules SS-LCO0301 Satern
“Infection Control Practices” Power point Course PowerPoint
Bloodborne Pathogens QG308KSC PowerPoint
Initial IT Security Briefing ITS-013-001 Classroom
Initial IT Security Briefing KSC-ITS-PB Satern
Fire in the Workplace QG227KSC PowerPoint - Satern
Safety/QA NEW HIRE –“Safety/QA
New Hire Orientation
Classroom Mike Runion
Student Signature: _________________________________Date:_______________ Intern Coordinator:_____________________________ Date:_____________
OCCUPATIONALMEDICINE
STANDINGORDER/PROTOCOLATHLETICTRAININGSTUDENTINTERNCOMPETENCIES
A. OnsiteEducationandOrientation
1. Uponstartinghisorherinternship,allstudents/internswillbegivenanorientationwithintheKSCRehabWorksfacilityconsistingofareviewofprocedures,healthandsafetyprecautions,contraindicationsandindicationsofthefollowingmodalitiesandequipmentpriortoutilizationduringhisorherinternship.AlltrainingwillbeincompliancewithRehabWorks’StandingOrdersandProtocols.
a. Cryotherapyb. Hydrotherapyc. Thermotherapyd. Ultrasounde. ElectricalStimulationf. Iontophoresisg. Whirlpoolh. GameReady/CryoCuffi. IntermittentCompressionj. ShortwaveDiathermy(Rebound)k. WoundCarel. FreeWeightsm. MachineWeightsn. CardioMachineso. Goniometer/Inclinometer
2. TheModalityandEquipmentCompetencyOrientationVerificationFormwillbeusedtodocumenttheunderstandingandcompetencyofeachmodalityand/orequipmentlistedabove.EachformwillbesignedbythesupervisingATC.
B. StandingOrdersandProtocols1. EachstudentwillreadandreviewtheStandingOrdersandProtocolsfor
RehabWorks’withinthefirstweekofhisorherinternshipandapprovedbyInternshipCoordinator.
C. TherapeuticExercise
1. Eachstudentwillcompletethetherapeuticexercisechartassignmentduringthefirstweekofhisorherinternship.Thistherapeuticexercisechartwilldemonstratethestudent’scurrentabilitytoselectandimplementtherapeuticexercisesinregardstospecificmusclesandaccordingtospecificlevelsofinjury.
JOHN F. KENNEDY SPACE CENTER
RehabWorks Internship Program
Voluntary Services Consent
Name:_______________________________________ Effective Date:________________
School Name:__________________________________ State of School:_______________
This Voluntary Services Consent (VSC) document is specific to the KSC RehabWorks
program and is an addendum in accordance to the Agreement In Principle (AIP), a
learning agreement between NASA and the university that has been separately delivered.
By my signature below, I signify my voluntary donation, without condition, of my
services to the National Aeronautics and Space Administration, at the John F. Kennedy
Space Center, for its use and benefit pursuant to subsection 203(c)(4) of the National
Aeronautics Space Act of 1958 as amended (42 U.S.C. §2473 et. seq.), and my agreement
with the following additional understandings and provisions:
1. My services will be gratuitous-I understand that I will receive no financial or material
compensation of any kind for those services;
2. The times and location of my voluntary services will be determined by mutual
agreement with the designated Kennedy organization receiving those services, and their
performance will be subject to the direction or oversight of that organization. I will
ensure that the RehabWorks Internship Coordinator is kept informed in writing of the
times and location of my services;
3. While performing my voluntary services, I will comply with all applicable laws,
regulations and instructions governing the conduct of employees in the workplace and the
proper use of facilities and equipment at Kennedy;
4. I understand that I will not have clearance for access to classified information while
performing voluntary services except as granted by special approval and arrangement
through the NASA Personnel Security Program;
5. Whatever product or data may result from my services will be NASA property subject
to its sole control and disposition, including unlimited rights to all data and in all
inventions that may result from my services;
6. I understand that, as an individual rendering services without pay to an agency of the United States, I will nevertheless be deemed a Federal employee as provided by 5 U.S.C.
§8101(1)(B) and the law governing compensation for injury, disability or death resulting
from personal injury sustained while in the performance of such services; and that I will
also be deemed a Federal employee as provided by 28 U.S.C. §2671 for the purpose of
determining my rights under the Federal Tort Claims Act in regard to any such injury,
disability or death;
Future Goals
Develop a certification for clinical opportunities Certification to last for 2 years?? Collection of specific requirements such as: Educational components for the student through
lectures, presentations, etc. Involvement of site educational outreach opportunities -
(patient/employee/athlete/performer education) Site specific projects for patient education or site marketing and branding Established Agreement in Principal Standard operating procedures for the student AT HIPAA guidelines Site specific guidelines ( security, liability, transportation, housing) Emergency plans Modality calibration records Etc….
Create a program to help emerging settings start
their own CO and help manage the challenges
Promote the COES database to program directors and AT students.
Increase the number of CO listed in the COES database
Encourage program directors to think outside the box and create new opportunities for their students.
Future Goals
Thank You
KSC RehabWorks
www.linkedin.com/in/enason
http://ihamedical.com/mesc/rehabworks/
Erik Nason, MBA, ATC, MS, CSCSKSC RehabWorks
IHA-008Kennedy Space Center, FL 32899