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CERT UPDATE A PUBLICATION FROM THE BOARD OF CERTIFICATION WINTER 2023 Emergency Cardiac Care: Keeping ATs Prepared to Save LivesTIP 1: CHECK “MY TO DO LIST” IN YOUR BOC PROFILE Once logged into your BOC profile, make sure to check items that are due on the “My To Do List.” Each item will be removed from the list once they have been completed. • Click “Verify My Contact Info” to make sure your information is current. • Use the “Pay Cert Maintenance Fee” task to pay all outstanding fees. ATs can also refer to the “Cert Maintenance Fee” status tab on the left navigation to confirm whether fees were paid for each year. It will show as a green “PAID” once the fee has been processed and a red “DUE” when fees are still owed. • Select “Enter/Submit CE Activity” to go to your CE reporting form. ATs can also navigate to “Menu” on the top right navigation and drop down to “CE Reporting Form.” TIP 2: VIEW CE REPORTING FORM TUTORIAL VIDEO There is now a CE Reporting Form Tutorial video available in your BOC profile dashboard and on the CE reporting form that you can view if you have questions. Look for the pink play button. TIP 3: REVIEW “STEP 1: CEU SUMMARY” The “CEU Summary” displays important information including: • Reporting period dates • Total CEUs due • All CEUs and updates when an entry is saved • Breakdown of Category A, B, C and D CEUs entered You’ll notice that there is no longer an Evidence Based Practice (EBP) category tab. EBP was integrated into Category A in 2022 so you will now be required to report a minimum number of continuing education units (CEUs) in Category A. TIP 4: REVIEW CATEGORY A PROGRAM CERTIFICATE The certificate for Category A programs should list your name, BOC Approved Provider name, program title, BOC Approved Provider logo, statement of credit, completion date and CEU eligibility. • If your certificate is missing the BOC Approved Provider logo and statement of credit, please contact the BOC for help in identifying if the program is from a BOC Approved Provider. • If the certificate is missing your name or other information, please contact the BOC Approved Provider for an updated certificate. TIP 5: USE “QUICK ENTRY” FOR CATEGORY A ONLY Use the “Quick Entry” tool to look-up Category A programs, which are CE programs offered by BOC Approved Providers. • Search for the individual session named on your certificate, instead of conference or convention name, if they are listed individually. • Make sure to enter details as they are listed on the certificate. • The completion date is the last day you attended the program. • ATs should only report the number of CEUs you participated in. TIP 6: ENTER “CATEGORY A CEUS” MANUALLY If you can’t find the Category A program using the “Quick Entry,” go to “Category A CEUs” to manually add the program using the “Add” button at the top. • Under “Activity Type” please select “Participant (CE Program).” TIP 7: UNDERSTANDING CATEGORY B, CATEGORY C AND CATEGORY D Use tabs to manually add programs using the “Add” button at the top. • “Category B CEUs” are for professional and scholarly activities. • “Category C CEUs” are for post-certification college or university coursework. • “Category D CEUs” are for non-BOC Approved Provider programs. TIP 8: USE EDIT OR DELETE UNDER RESPECTIVE CATEGORY TAB You can “Edit” or “Delete” all Category A, B, C and D programs that you have entered using their respective tab. TIP 9: REVIEW THE “CEU SUMMARY“ AFTER ALL CEUS ARE ENTERED Once all CEUs are added go back to the “CEU Summary” to review your totals. If there are any differences in the submitted versus applied, check that your completion date is within the reporting period. TIP 10: MAKE SURE “STEP 2: ECC DOCUMENTATION” IS UP TO DATE ATs must be able to demonstrate ongoing certification in ECC throughout the reporting period. Make sure all cards that were active during your reporting period are listed in the form. • Past ECC cards or certificates are listed here. • If “Review” appears next to it, then the entry cannot be edited. TIP 11: COMPLETE “STEP 3: PRACTICE SURVEY” AND “STEP 4: CONFIRMATION STATEMENTS” Make sure to complete Step 3 and Step 4 before navigating to the “Submission Checklist.” TIP 12: USE THE “SUBMISSION CHECKLIST” TO FINALIZE AND SUBMIT CE REPORTING FORM In the “Submission Checklist” tab, you can review a summary of what has been entered. If you see an X under “Status” refer to the “Message” column to see what action is needed. The “Submit” button only appears if all required items are complete. Certification maintenance requirements are due Dec. 31, 2023, 11:59 p.m. CT. Athletic Trainers (ATs) must confirm that their 2022 maintenance fee was paid in full (late fees apply for payment in 2023). In addition, ATs are required to pay the 2023 annual certification maintenance fee, as well as report their continuing education (CE) requirements, upload their current emergency cardiac card (ECC) card/certificate and agree to confirmation statements using the CE reporting form. Today, we will walk through the CE reporting form and provide valuable tips to help ATs be successful. 2 BOCATC.ORG WINTER 2023 12 TIPS FOR COMPLETING YOUR REQUIREMENTS WINTER 2023 BOCATC.ORG 3 2023 BOARD OFFICERS President/Athletic Trainer Director René Revis Shingles, PhD, AT, ATC Vice President/Athletic Trainer Director Michael Carroll, MEd, LAT, ATC Treasurer/Athletic Trainer Director Mary Kirkland, MS, LAT, ATC Athletic Trainer Director Chris Ashton, MS, LAT, ATC Athletic Trainer Director Christina Chapski, EdD, AT, ATC Corporate/Educational Director Brian Conway, LAT, ATC Athletic Trainer Director Neil Curtis, EdD, LAT, ATC Physician Director Katherine Dec, MD, FAAPMR, FAMSSM Public Director Robin Jenkins, MSW, DCSW, CPM Athletic Trainer Director Appointee Jeremy Marra, MS, ATC, CSCS, CES Athletic Trainer Director Appointee Lynne-Marie Young, MEd, LAT, ATC Chief Executive Officer Anne Minton, MBA, ICE-CCP INSIDE BOARD OF DIRECTORS 2023 BOC Board Officers 3 Letter from the President 4 BOC Board Officer Transitions 5 Featured BOC Board Members 6 BOC CONNECTION 12 Tips for Completing Your Requirements 2 Continuing Education Opportunities Available 5 Cover Article: Emergency Cardiac Care: Keeping ATs Prepared to Save Lives 8 Orthopedic Specialty Certification Gains Ground 10 Orthopedic Specialty - 2024 Exam Deadlines 10 IDEAS Awareness Months 11 CPC Concept Further Defined by AT Efforts 12 First Athletic Trainer to Earn BASRaT Certification Via the International Arrangement 14 Featured BOC Approved Provider 18 New BOC Approved Providers 18 INDUSTRY NEWS In-Depth Look: Head Athletic Trainer for “Marvel Universe Live!” and “Disney on Ice” 16 PROFESSIONAL PRACTICE AND STATE REGULATION Legislative News 20 BOC News in Brief 20 Professional Practice and Discipline 22 BOC CORNER BOC Holiday Closures 7 Meet the BOC Volunteers 11 NATA NEWS Latest News and Updates from NATA 20 CANDIDATES Athletic Trainer Certification - 2024 Exam Deadlines 23The BOC Board of Directors is currently in the midst of developing the strategic priorities which will drive the direction of our organization as we face shifts in the world around us, and health care specifically. Many changes are occurring within our professional world related to practice settings, care models, intergenerational shifts, technology, globalization and more. To be able to effectively adapt, collaborate, expand and continue to serve our Athletic Trainer (AT) population, we must be prepared for the future. The BOC implemented the new Foresight Champions Task Force in 2023 with the charge to complete an environmental scan from different angles – social, technological, economic, environmental and political - using a systematic process for identifying potential signals for change. The task force is a diverse group of recruited volunteers each with 10-15+ years of leadership experience in health care. Group results provided to the board are now being used to inform and strengthen the BOC strategic planning process, aligned with our organization’s mission, vision and values statement. The ultimate goal of the task force was to create a forecast of the external environment for the athletic training profession – 10 years out. During the process in 2023, the group worked to: • ANALYZE programs and services against future risks • IDENTIFY areas where ATs could pursue anticipatory learning • INVENT new programs and services to respond to emerging opportunities • ENGAGE the board in useful scanning outputs to support future strategic planning Insights from the task force, along with input from 1,000+ other volunteers, is supporting BOC program development, such as the future of Continuing Professional Certification (CPC). The pathway to professional development and certification maintenance must meet the needs and situations of individual ATs while keeping our credentials strong. Quality credentialing and standards must be appropriate to maintain the integrity and fairness of the BOC, while representing the varying settings, demographics and future needs of the AT population. Up-to- date information on CPC’s progress can be found on page 12. Additionally, we continue to collaborate effectively with our strategic partners within the athletic training profession to best serve ATs. Our partners are involved in planning conversations, so we are aligned to best support the profession. The BOC is identifying optimum paths to provide excellent credentialing services to exam candidates, ATs and our BOC Approved Providers through enhanced technology and communications. As interest in athletic training grows around the world, the BOC must continue to be the leader of credentialing excellence globally. The strategic priorities and direction we define must enable us to maintain and build on the solid foundation of our credentials, with persistent integrity and accountability in our exams and certification maintenance. At the end of the day, ATs must be prepared to provide services consistent with their credentials and within their scope of practice, regardless of setting. As our mission is to provide exceptional credentials and standards the public can trust, we must have the processes in place to help ATs succeed. With deep appreciation, René Revis Shingles LETTER FROM THE PRESIDENT René Revis Shingles, PhD, AT, ATC 4 BOCATC.ORG WINTER 2023Brian Conway, LAT, ATC BOC Board Officer Transitions The BOC is pleased to announce the appointment of Brian Conway, LAT, ATC as the new corporate/educator director and Bonnie L. Van Lunen, PhD, ATC, FNATA, FNAP as Athletic Trainer (AT) director to the BOC Board of Directors. Conway took office in July completing a vacated term and will then serve a full three-year term beginning in 2025. Dr. Van Lunen will take office in 2025, following a year of mentorship and learning as AT director elect. Conway is currently the senior administrator for Kansas Team Health with the University of Kansas Health System and is the current chair of the Kansas Athletic Trainers Society Symposium Committee. Formerly, Conway was a BOC exam site administrator in Texas from 1994-2006. In addition, he served as a member of the Board of Directors for the National Athletic Trainers’ Association (NATA) from 2006-2012 and was a NATA Foundation board member from 2013-2021. During his tenure at the NATA Foundation, he served as president from 2017-2021, as well as an at-large member, a District 6 representative and vice president of finance. He was a member of the Executive Committee for the Armed Forces Bowl from 2006- 2013. For more than 20 years, Conway was a District 6 board representative for the Southwest Athletic Trainers’ Association. Dr. Van Lunen serves as dean and faculty member for the College of Health Sciences at Old Dominion University in Norfolk, Virginia. In this role, she provides oversight to five schools, including Dental Hygiene, Medical Diagnostics and Translational Sciences, Communication Sciences and Disorders, Kinesiology and Health Science, as well as Rehabilitation Sciences. Additionally, Van Lunen provides oversight for Old Dominion’s Restorative Therapy Clinic, Dental Hygiene Care Facility, Speech and Hearing Clinic and various research labs. Dr. Van Lunen has served the athletic training profession at many volunteer levels, including as a commissioner for the Commission on Accreditation of Athletic Training Education (CAATE) from 2017 to 2023. In addition, she has held several NATA positions, including service on the NATA Executive Committee on Education in Athletic Training. Dr. Van Lunen is the chair of the MAATA Research and Grants Committee, which she has served on since 2000. She has been actively involved on several editorial boards for athletic training-focused publications. Conway and Dr. Van Lunen were appointed by the BOC Board of Directors following a nomination process guided by the BOC Nominating Committee. The BOC is also pleased to announce BOC board officer transitions for 2024. René Revis Shingles, PhD, AT, ATC will return as BOC board president. Chris Ashton, MS, LAT, ATC will serve as vice president, and Dr. Katherine Dec, MD, FAAPMR, FAMSSM will serve as treasurer. Thank you to past treasurer Mary Kirkland MS, LAT, ATC for her two years of service. We would also like to thank outgoing AT directors Michael Carroll, MEd, LAT, ATC and Neil Curtis, EdD, LAT, ATC for their many years of service on the BOC board. Bonnie L. Van Lunen, PhD, ATC, FNATA, FNAP Continuing Education Opportunities Available Complete your BOC certification maintenance requirements by Sun., Dec. 31, 2023 by 11:59 p.m. Check your “My To Do List” in your BOC profile to pay your 2023 certification maintenance fee and any past due fee. In addition, you can access your continuing education (CE) reporting form. The BOC office will be closed Dec. 30 - Jan. 1. If you have questions about your requirements, please be sure to plan ahead. Now is a great time to take advantage of these continuing education options. As a reminder, AT CE requirements include 10 Category A continuing education units. Find options for Category A programs below. • Program Directory - Find BOC Approved Providers programs. • Competence Assessment Modules (CAMs) - Increase clinical expertise through professional article review and assessments. • Quality Improvement (QI) Projects - Apply quality improvement projects to enhance your patient-centered care and outcomes. WINTER 2023 BOCATC.ORG 5Michael Carroll, MEd, LAT, ATC and Neil Curtis, EdD, LAT, ATC share their experiences and achievements as Athletic Trainer (AT) directors on the BOC Board of Directors. The BOC would like to thank both Carroll and Curtis for their service to the BOC. Mike Carroll MEd, LAT, ATC Describe your time on the BOC Board of Directors including years of service, achievements while on board, and any additional BOC volunteer positions and achievements before your time on the board. My time on the board has been amazing. When I started as a director-elect in 2017, I did not know of all the initiatives and things that the BOC does to improve the profession and move it forward. Since that time, we have established the BOC Orthopedic Specialty. This is exceptionally rewarding for me as I was on the initial task force for this that was formed in 2001. To see it come full circle has been exceptional. Also, during my time on the BOC board, we chose a new CEO with the retirement of long-time executive director Denise Fandel. Choosing Anne Minton was the best decision at the time and everything that she has done since that time has proven that the board made the right decision. We have also come very close to modernizing continuing education for the Certified AT. Moving forward, ATs will be able to make continuing education units (CEUs) count instead of just counting their CEUs. Finally, being elected by my peers on the board to serve in a leadership role as vice president has been a very humbling experience. Serving as the vice president of the BOC board has really opened my eyes to all of the great work being done by not only the BOC staff, but also BOC volunteers at all levels. It is surreal to me that my time on the board will wrap up at the end of this year. Something that started out as a BOC exam model in 1992 has reached this point now. I hope to be able to stay active with the BOC in some form or fashion moving forward after I transition off the board. What motivated you from your personal life/experience to be a BOC board member? What has it added to your career/professional experience? I have always wanted to be involved in the profession of athletic training. I have served on boards and committees for athletic training organizations all the way from local organizations like the Greater Houston Athletic Trainers’ Society, to the state board (Texas State Athletic Trainers’ Association), as the Southwest Athletic Trainers’ Association President, as well as numerous National Athletic Trainers’ Association committees and task forces. Serving on the BOC board was the next logical progression for me in my volunteer journey. It absolutely has added to my career and professional experience. I feel like because of the people that I have served with and the topics that we discuss it has made me a better AT and subsequently that is better for the student athletes at the school that I work. What has been the best or most rewarding part about serving on the BOC Board of Directors? I think that the most rewarding part about serving on the BOC board has been the long and lasting relationships that I have formed with other board members and the people who I have crossed paths with during my time on the board. If it were not for my board service, I would not have met some of the people from around the world that have become some of my closest friends and also learned about how they have improved this great profession. What advice would you give to an AT looking to get involved as a BOC volunteer? I encourage all ATs to get involved at whatever level they are comfortable doing. I hear so often that people think that they don’t have anything to offer and that couldn’t be further from the truth. This great profession needs all of us to move it forward. We currently have more Certified ATs than at any point in history. These credential holders are in more settings than ever before. The BOC board needs their voice to help improve the profession. Hopefully many more ATs will lend their time and talent to the BOC in a volunteer capacity. FEATURED BOC BOARD MEMBERS Mike Carroll, MEd, LAT, ATC 6 BOCATC.ORG WINTER 2023Neil Curtis, EdD, LAT, ATC 2023 BOC Holiday Closures Thanksgiving - November 23-24 Winter Holiday - December 22-25 New Year’s Day - January 1, 2024 2024 BOC Holiday Closures Martin Luther King Jr. Day - January 15 Good Friday - March 29 Memorial Day - May 27 Juneteenth - June 19 Independence Day - July 4 Labor Day - September 2 Thanksgiving - November 28-29 Winter Holiday - December 24-31 New Year’s Day - January 1, 2025 BOC Certification maintenance requirements are due Sun., Dec. 31, 2023, 11: 59 p.m. CT. BOC staff’s last day in the office for the year will be Fri., Dec. 29. If you have questions about your requirements, please be sure to plan ahead. WINTER 2023 BOCATC.ORG 7 Neil Curtis, EdD, LAT, ATC Describe your time on the BOC Board of Directors including years of service, achievements while on the board, and any additional BOC volunteer positions and achievements before your time on the board. I was elected to the BOC board in 2016, had my onboarding year as AT director- elect in 2017, then served as AT director 2018-2023. During this time, I served as governance committee chair; BOC Nominating Committee liaison, NATA liaison and on the governance committee. During my service as governance chair, I facilitated many bylaw revisions and changes and while on the BOC board I received the following awards: NATA Most Distinguished Athletic Trainer 2018, Pennsylvania Athletic Trainers’ Society Hall of Fame 2020 and Eastern Athletic Trainers’ Association (EATA) ’49 Club (Hall of Fame) 2022. What motivated you from your personal life/experience to be a BOC board member? What has it added to your career/professional experience? I was motivated early on by my mentors and colleagues to get involved in our profession and the BOC. I served as a test site model and examiner early in my career and on a variety of state, regional and national committees. As a clinician and educator this has been a meaningful part of my career. My time on the BOC has been the most rewarding and eye-opening volunteer experience I have had in my career. What has been the best or most rewarding part about serving on the BOC Board of Directors? The best part of my time on the board has been the relationships with other professionals with similar passion to lead the athletic training profession. What advice would you give to an AT looking to get involved as a BOC volunteer? Start small by volunteering to be on a BOC committee or at the state and regional level. The rewards you gain from volunteering will greatly exceed your expectations.Emergency Cardiac Care: Kristen Thacker, MSEd, LAT, ATC Athletic Trainer at Laney High School in Wilmington, NC, with 2300 students and 800 student athletes Life-saving event: While covering the 4A East Regional Wrestling Tournament a spectator suffered cardiac arrest. I was covering two mats when another spectator alerted me there was a medical emergency in the stands. While assessing the scene and making my way up the bleachers I activated our EAP, and asked my University of North Carolina Wilmington AT graduate student to grab our emergency medical kit. Once I reached the spectator, they did not have a pulse and weren’t breathing. With the assistance of a coach, we moved him to lay across the bleacher and I began compressions. The AED was placed on him in less than two minutes, and we continued CPR, delivered two shocks as directed by the AED. His pulse was restored, and he was alert and breathing when EMS arrived to assume care. What advice do you have for ATs about the importance of maintaining life-saving skills and administering measures when needed? I think it’s important to maintain your life-saving skills and refresh them often - it’s a vital skill set and you never know when you may have to utilize it. Stay calm, you are prepared and trained to use these skills. I also think it’s important to note practicing your EAPs is vital. I learned through this experience the importance of preparation prior to the event. In my normal EAP the AED is located between our two gyms. Prior to hosting this event, when thinking about crowds and spectators, coaches and athlete traffic in the hallways, I decided to bring an AED from another location on campus to have one inside each gym during the event. This shaved minutes off our AED response time because of access. 8 BOCATC.ORG WINTER 2023 Brad Floy, PhD, LAT, ATC Athletic Trainer for University of Iowa men’s basketball Life-saving event: Our 20-year-old team manager was participating in a drill near the end of practice in preparation for a road trip. He started to feel dizzy, so I encouraged him to sit down. I started asking him some questions – then he started to get a little pale and stopped answering my questions. With assistance, I got him on the ground and quickly determined he was in cardiac arrest. My athletic training student called 911 and grabbed the automated external defibrillator (AED) which is always nearby at practice. I instructed coaches and players to clear the practice gym. Fortunately, emergency medical services (EMS) personnel and campus police were already nearby for a women’s basketball game later that day in Carver-Hawkeye Arena. I delivered a single shock with the AED and an officer helped with cardiopulmonary resuscitation (CPR). After a few minutes, the team manager became conscious and pushed his mask up off his face. It was quite the comeback. What advice do you have for ATs about the importance of maintaining life-saving skills and administering measures when needed? Rehearse your emergency action plan (EAP) and CPR. Rely on your training. Have an AED nearby. At every practice or event, walk through in your head what you would do if something happened. That way you’re always prepared; and preparation will overcome nerves in any stressful situation. After experiencing a life-saving event firsthand, what do you want other ATs to know about the value of the BOC ECC requirements? Did your ECC training help you in the life-saving situation? Absolutely. I am a CPR instructor and rehearse CPR and AED skills many times throughout the year. It definitely works. The importance of Athletic Trainers (ATs) has taken center stage nationally as more and more stories are shared of ATs, not only protecting patients during practice, games and other activities, but also keeping participants on the sidelines safe. While much of an AT’s day to day work is centered around risk reduction, preparation and care, the knowledge base and skill set required to achieve and maintain the ATC ® keeps ATs ready for life-saving scenarios that may arise in any setting. A critical part of an ATs preparation is maintaining continuous emergency cardiac care (ECC) certification with no lapses between expiration dates. A lapse in ECC certification is one of the most common, and the most dangerous mistakes an AT can make in their role as a first responder during medical emergencies. In this article, we proudly showcase the story of three ATs involved in life-saving events requiring the use of ECC certification. This is to celebrate their achievement while demonstrating the importance of on-going maintenance of this critical skill and annual BOC certification maintenance requirement. Keeping ATs Prepared to Save Lives WINTER 2023 BOCATC.ORG 9 After experiencing a life-saving event firsthand, what do you want other ATs to know about the value of the BOC ECC requirements? Did your ECC training help you in the life-saving situation? I think it’s critically important to maintain the ECC training required by the BOC. I also am thankful that I have the responsibility to certify my coaching staff on CPR/AED. This opportunity allows me to demonstrate, reflect and practice these skills more frequently. Rachel Ross, MS, ATC Director of sports medicine specializing in hockey for the United States Military Academy in West Point, NY Life-saving event: Our team was playing Sacred Heart University (SHU) at the Total Mortgage Arena in Bridgeport, CT in a conference game. During the 2nd period, an athlete on our team made a big hit to a SHU player right at the hip level, which kind of dumped him forward and his back legs came up. At the same time, another Army West Point teammate, was skating behind the player and caught the edge of the SHU player’s skate blade across the side of his neck as his legs came up in the air. He started hemorrhaging from the neck/throat immediately and skated back to the bench for help. I was on the Army bench at the time and saw the hit and then saw a trail of blood across the ice. I jumped over the boards and saw where he was bleeding from and immediately started applying direct wound pressure. We ran off the ice together towards the EMS crew where we met with a whole team of medical professionals that helped stabilize him and prepare him for transport. As we approached the ambulance, I was the primary person holding pressure on his wound and I had a hard time getting into the ambulance and continuing to apply good pressure so the team hoisted me on top of the gurney, and we rode the seven minutes to the nearest trauma center so that he could get surgery to repair a severed artery. What advice do you have for ATs about the importance of maintaining life-saving skills and administering measures when needed? Be as prepared as possible for any scenario that you can imagine and practice steps with your coaches or staff that will be present with you during potential emergencies. It’s important that coaches, athletes and other staff that are regularly present for these types of scenarios understand their role and what to do in case they aren’t being directly instructed. Continue to run through your EAP’s and make sure they are simple and effective, update them regularly if needed. Sometimes we go a long time between activating an EAP and it can be easy to forget the procedure but reviewing that regularly helps iron out some of the kinks. After experiencing a life-saving event firsthand, what do you want other ATs to know about the value of the BOC ECC requirements? Did your ECC training help you in the life-saving situation? My ECC training did help me in this situation. It is so important to review and practice these skills regularly, because again, it can be a long time between utilizing them in action. Also take more coursework than is required. There are lots of emergency courses out there that can help train you in whatever setting you work in and will give real life, specific scenarios to practice from, some you may not have thought of. So, look into emergency-based training that applies to your setting and utilize those to best prepare yourself for the worst scenarios you might be faced with, because you never know when that might present itself.Next >