Expanding Ideas and Added Value
As this work progressed, it became apparent that the work the team was engaged in was much larger and potentially more impactful than the original focus of orthopedics. To fill out the process, the group turned to the eight ‘areas of focus’ for residency programs that had been recently approved by the CAATE.
These eight specialty areas included:
- Prevention & Wellness
- Urgent & Emergent Care
- Primary Care, Orthopaedics
- Behavioral Health
- Performance Enhancement.
The team felt that these 8 specialty areas could serve as competencies and when combined with the 6 general competencies provided a comprehensive framework for defining and measuring athletic training competence. Thus, the task of the ‘Athletic Training Milestones Project’ took on a much broader scope by seeking to develop milestones that could measure novice to expert behaviors across the entire spectrum of athletic training practice.
Energized with their new goal, the group concluded a productive two-day meeting by assigning specific tasks for developing the sub-competencies to all members via various workgroups. These workgroups included the St Luke’s project team of JJ Wetherington, and Tim Nicolello, and the BU project team of Emily Ford, Nick Pfeifer, Stephanie Naylor, and Josh Beard. Each group worked on this project through the summer with the primary working group having several conference calls.
In August of 2017 it was decided that another face-to-face meeting was needed and the primary working group met again in Boise, September 16-17, 2017. At this meeting, the work was completed for the 6 general competencies and the specialty competency of Orthopedics. In addition, significant work was done on the Behavioral Health specialty competency, sub-competencies, and milestones.
In October and November of 2017 the residency faculty at St. Luke’s and BU discussed how to implement the milestones into their respective orthopedic residency programs. Then, in December of 2017, the St. Luke’s and BU residency program faculty used the milestones to evaluate their residents for the first time.
Evaluations consisted of faculty evaluation of resident performance, resident self-evaluations, and peer-to-peer resident evaluations. The process was met with very positive feedback from the faculty who oversaw the residents and from the residents themselves. Both St. Luke’s and BU are continuing to use the milestones in their resident evaluation process and hope to disseminate their early successes in appropriate professional forums.
Read More About The Initial Implementations
The milestones for the 6 general competencies and the orthopedic specialty were formally introduced to the public at the inaugural meeting of Athletic Trainers in the Physician Practice Society (ATPPS) in Boise Idaho in February of 2018.
Work is continuing to finalize the sub-competencies and milestones for the remaining seven specialty areas. Additional content experts are being sought and the project team hopes to have an initial version of all of the competencies, sub-competencies, and milestones, completed by the end of 2018. As new specialty area sub-competencies and milestones are completed, this history will be updated and they will be added to the official ‘Athletic Training Milestones Project Guidebook’
The project team of Eric, Forrest, Mark, and Hollie, would like to thank everyone who has contributed to this work through their participation at working meetings, as a residency faculty member, or as a resident, or by simply expressing their enthusiasm and support for the work. They look forward to feedback and improving the milestones to help guide the progressive education and development of athletic trainers.