the role of the ohio occupational therapy, physical therapy, and athletic trainers board

The Role of the Ohio Occupational Therapy, Physical Therapy, and

Athletic Trainers Board

University of FindlayAT Program

March 9, 2010 OTPTAT Board 2

Topics to Cover Purpose of Regulation Role of the Board Licensure Process Keeping Your License The Board vs. the Professional Association Other Important AT Issues


Opening Statements All I need to do to practice in Ohio is pass

the BOC certification exam and become an ATC.

I’ll be fine as long as I meet the requirements to renew my BOC certification.

There’s no difference between an ATC and an LAT.

My certification is more important than my license.


The Purpose of Regulation… Regulation is intended to:

Ensure public protection; Offer assurance to public that

practitioner is competent to provide safe services; and

Provide a means to discipline individuals who fail to comply with the profession’s standards.

*Schmitt, Kara & Shimberg, Benjamin. (1996). Demystifying Occupational and Professional Regulation. Lexington, KY: The Council on Licensure, Enforcement and Regulation.


Major Responsibilities of the Board Establish Entrance Requirements

Education Training and Experience Assessing initial competence

Rule Making Discipline Assuring Continued Competence


Role of the BoardThe mission of the Ohio Occupational

Therapy, Physical Therapy, and Athletic Trainers Board is to actively promote and protect the health of

the citizens of Ohio through effective regulation of the professions of occupational therapy, physical therapy, and athletic training.


The Board’s Authority The Revised Code empowers the Board to

regulate the professions of OT, PT, & AT. Board members appointed by the

Governor to three-year terms. The law authorizes the Board to adopt

administrative rules (Administrative Code). Authorizes hiring an Executive Director.


OTPTAT Board Info Joint Board consisting of an

Occupational Therapy, Physical Therapy, and Athletic Trainers Section

Total of 8 full-time staff 2 Admin Staff, 3 Investigative Staff, 3

Licensure Staff AT Section has 5 Section members


Board Composition – AT SectionMember City Term Expires TermVince O’BrienAT Section Chair Columbus 2012 3rdRebekah BowerAT Section Secretary Centerville 2011 1st

Aaron Galpert Wadsworth 2010 1stBrian Hortz Pataskala 2011 1stJason DaporePhysician Member Columbus 2010 1st

All terms expire on Aug. 27 of designated year. Pursuant to ORC 4755.01, members shall not serve for more than 3 consecutive terms.


Is This Within My Scope of Practice? Contact the Board if you have any

questions, but realize… There are no licensed practitioners on

staff; We aren’t lawyers & can’t give legal

advice; Staff will often suggest you send your

question in writing (via mail or email) for an answer.


Certification vs. Licensure The AT Section

of the Ohio OTPTAT Board issues licenses to practice as an athletic trainer in the State of Ohio.

The BOC certifies individuals as ATC’s to people who meet their requirements for certification.


Certification vs. LicensureYou MUST hold a valid

license issued by the AT Section of the Ohio OTPTAT Board to legally practice athletic training in the State of Ohio.

Certification Licensure


Ohio Revised Code Requirements R.C. 4755.60 (B) states: “Athletic trainer" means

a person who meets the qualifications…for licensure and who is employed by an educational institution, professional or amateur organization, athletic facility, or health care facility to practice athletic training.

R.C. 4755.62 states: “No person shall claim to the public to be an athletic trainer…or otherwise engage in the practice of athletic training, unless the person is licensed as an athletic trainer pursuant to this chapter.”


Licensure vs. Certification Although you need a state license to

practice, as part of the initial application process, you will need to apply for BOC certification to take the BOC Certification Exam.

Upon passing the BOC Exam, you will receive certification and may call yourself an ATC. This does not mean you can legally practice in Ohio without a license.


Licensure If you practice with

BOC Certification, but not Ohio licensure, you will be disciplined for practicing athletic training without a license!!


Licensure vs. Certification Once you receive your license to

practice in Ohio, BOC certification is not required to renew your license to practice.


Licensure Requirements in OhioWhat is required to be licensed as an AT? Graduation from a CAATE accredited

athletic training program. Submission of the licensure application,

including the application fee. Passage of the BOC certification exam.

Note: Effective March 24, 2008, all applicants for initial licensure need a criminal records check conducted by both the BCI and FBI.


Licensure in Other States Every state that licenses athletic trainers

has their own laws and regulations. Before working in any state, determine

that state’s licensure requirements and practice restrictions.

Not every state licenses athletic trainers. Some states allow ATs to legally work if they

hold current BOC certification and register with the state.

Some states have no mention of AT in the law.


Licensure in Other States 38 states require a license to practice

athletic training 5 states require certification (KY, LA, NY,

PA, SC) 3 states require registration (CO, MN, OR) 1 state has exemption in law (HI) 3 states do not regulate the practice of

athletic training (AK, CA, WV)


State Application Information

In this state: http://otptat.ohio.gov

If you’re applying in another state: http://www.bocatc.org to obtain a directory of State AT Boards


Submitting the Application Applicants for initial licensure can submit a

paper application or apply on-line Paper applications can be downloaded

from the Board’s website Apply on-line through the Ohio e-License

Center https://license.ohio.gov Select “Application Site” option


Criminal Records Checks HB 104 requires the Board to receive the

results of a criminal records check before issuance of a license.

The law requires the applicant to submit the results of a criminal records check conducted by both the FBI and Ohio BCI.

Only applies to initial license applications. No fingerprints needed for renewal or reinstatement.

http://ag.state.oh.us/business/fingerprint/index.asp

http://ag.state.oh.us/business/fingerprint/index.asp


I Have My License. Now What? Your first renewal:

Check your authorization to practice letter to determine when your initial license expires.

All PT licenses expire on January 31 of even numbered years.

If initial issue date is on or before October 1, 2009, your license will expire on 1/31/2010.

If initial issue date is after October 1, 2009, your license will expire on 1/31/2012.


I Have My License. Now What? PT Licensees (OAC 4755-23-06):

You are exempt from CE for first renewal.

Must submit 24 contact hours of CE. All CE activities must have an Ohio

Approval Number (issued by OPTA). All CE must be completed in 24-month

period ending on January 31.


I Have My License. Now What? What happens on February 1?

If you did not renew, your license automatically expires.

Renewal means the Board received AND processed your renewal application.

To return to active practice in Ohio, you must submit a reinstatement application.


Continuing Education Rules 4755-45-01 and 45-02 of the

Ohio Administrative Code govern the continuing education requirements.

CE requirements for the Board vary from those required by BOC.


Continuing Education (cont’d) Ohio law does not require pre-approval of

CE courses. According to rule 4755-45-01, a CE course

is usually considered an acceptable learning activity if it is directly related to the clinical practice, management, or education of athletic trainers.


Disciplining Licensees Aside from licensure, discipline is most

important function of boards. The law limits the violations that the board

can take disciplinary action for and limits types of disciplinary action. Ex: Ohio OTPTAT Board had no authority to

levy fines prior to April 6, 2007 (HB 403).


Disciplinary Process Licensees guaranteed due process rights.

All actions must follow ORC Chapter 119. Board receives and investigates complaint.

Board member, enforcement staff, AAG review investigation findings.

Notice of Opportunity for Hearing issued. Administrative hearing conducted by

Hearing Examiner. Full Board reviews Hearing Examiner

findings.


Disciplinary Process Board issues Adjudication Order.

Specifies the violation and the disciplinary action taken.

Licensee may appeal order to court of common pleas.

Most investigations settled via consent agreement in lieu of formal hearing.


OTPTAT v. BOC v. OATAThe Alphabet Soup of the Profession OTPTAT is your state regulatory agency. It

licenses individuals and enforces the practice act.

BOC is a certification entity. Certification allows a practitioner to use the credentials ATC. It is not mandatory that you hold certification.


OTPTAT v. BOC v. OATA OATA is the state professional

association. Along with the NATA, it advocates on the state/federal level for the profession.

The professional association the licensing board.

State licensure does not require OATA membership.


Role of the Team Physician Referral relationship must exist between

AT and team physician for care of that team’s athletes. Revised Code section 4755.60 and

Administrative Code rule 4755-42-02. ATs employed by colleges, universities,

high schools, other scholastic institutions, and professional organizations/clubs function under this referral relationship.


Role of the Team Physician This relationship should consist of:

A protocol of care communicated between the team physician and the athletic trainer

This relationship should include procedures for: Prevention, recognition, assessment,

management, treatment, disposition, and reconditioning of athletic injuries.


Role of the AT for Visiting Teams Athletic trainers may provide visiting

teams, traveling without an athletic trainer or a team physician, with first aid and emergency coverage only.

They should not provide treatments without an appropriate referral or make return to participation decisions for visiting athletes.


Role of the Coach in Taping Injuries Taping an athlete can be accomplished by

many different individuals, such as athletic trainers, physical therapists, physicians, coaches, and even other athletes.

Athletes sometimes request to be taped by a prophylactic measure or as a ritual for participation.

Prophylactic taping is not care of an injury It does not call for the degree of skill in selection of

taping method or application, as might be used by a licensed health care practitioner.


Role of the Coach in Taping Injuries Why an athletic is being taped is determining

factor in deciding who is permitted to tape If a taping or strapping/wrapping procedure or

application is necessary as part of a regime of the care of an injury, this is only to be done by a licensed health care practitioner.

With increasing the standards of care for athletes, there are situations that call for taping as care of an injury, as required to participate, as determined by a referral source. Such a directive or prescribed method of care should only be applied by a licensed health care practitioner.


How may an AT function in the Clinic Setting? Under an AT Referral from an accepted

practitioner, the AT functions independently and is responsible for documentation

Provide athletic training services (evaluation and treatment) based upon physician referral


How may an AT function in the Clinic Setting? Under a PT Referral, the athletic trainer

functions as “Other Licensed Personnel” AT cannot be assigned own physical

therapy caseload without supervising PT having direct contact with each patient each visit.

Under a PT referral, “Other Licensed Personnel” have limits on making adjustments to the established plan of care


Change of Address Ohio law requires all licensees to

notify the Board, in writing, of a change of address within THIRTY days of the change.

Failure to notify the Board, could result in the delay of the processing of your renewal application.


Contacting the Board You may contact the Board by any of the

following methods: Internet: http://otptat.ohio.gov Email: [email protected] Phone: 614-466-3774 Fax: 614-995-0816 PT Section

Ohio OTPTAT Board77 S. High Street, 16th FloorColumbus, OH 43215-6108

the role of the ohio occupational therapy, physical therapy, and athletic trainers board

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