VATA Executive Council Conference Call Minutes Sunday, May 3, :00 pm 9:00 pm EST Jay Sedory, MEd, ATC, EMT-T, Presiding

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VATA Executive Council Conference Call Minutes Sunday, May 3, 2015 8:00 pm 9:00 pm EST Jay Sedory, MEd, ATC, EMT-T, Presiding Welcome & Call to Order 8:03pm Roll Call- *P = in attendance Attendees Guests Jay Sedory (President) *P Daniel Carroll (Region 1) *P Becky Bowers (Lobbyist) *P Beth Funkhouser (Secretary) *P Anna Sedory (Region 2) *P Mackenzie Simmons (Member) Ian Rogol (Treasurer) *P Scott Powers (Region 3) *P Amanda Caswell (Past President)*P Mitch Callis (Region 4) *P Matt Gage (President Elect) *P Jorena Simpkins (Region 5) *P Rob Hammill (C & B) *P Caitlyn Richbourg (Region 6) *P Approval of Agenda & Minutes Motion to Approve: Scott Powers, Jorena Simpkins, 2 nd Vote- yes 9; No 0 Announcements/ News- Jay Sedory, President An email was distributed with news/announcements prior to meeting MAATA- at the end of the month NATA- no new news VATA- no new news Matt Gage, President-Elect Working hard with AMPC on 2016 location Amanda Caswell, Past President No news Ian Rogol, Treasurer No Updates Beth Funkhouser, Secretary Logo Swap on website header. $50 was allocated for this update. Plan to budget for website redesign in the future. Old Business Constitution & Bylaws- Rob Hammill, Chair No news Will be busy working on Policies and Procedures this summer o Please keep sending items for that VATL Document- Rob Hammill, Chair C&B Mackenzie Simmons, GA at JMU helped with the leg work of the document No consensus on how to report licensure credential o Compared to PT License in document o Feedback: As an organization, we need to pick a reporting method and stick with it, that way we can all be uniform with our alphabet soup No wrong/right answer, just need consensus

What does the AT advisory board say? Have they been contacted? Should get their input if they have a recommendation on VATL/LAT/ATL. o If they don t we can then make a recommendation moving forward. Treasurer Discussion- Ian Rogol, Treasurer Accounting Options Information that was released is in the hands of the CPA for review. She s had it for about 10 days, hopefully will have more information by the June call Any business schools or colleagues who could help us out versus hiring? No new discussion Work Group Sessions- Jay Sedory, President; Matt Gage, President-Elect; Amanda Caswell, Past-President Beneficial on many levels Lots of decisions being made on a small group level o Good opportunity for feedback Consensus: o Volunteerism is best done through personal contact o Sharing resources Move forward with the discussions we had Jay will make a brief summary of all the small group discussions to be shared with the EC Matt s session wants to encourage student involvement, Jr officers, future leaders, etc Helmet Sensor/Concussion Task Force- Amanda Caswell, Past President; Danny Carroll, R1R, Caitlyn Richbourg, R6R Amanda has been doing a lot of literature review Nobody will come out and say anything definitive about sensors NOCSAE statement that adding a sensor, voids the warranty Want to create a statement about how the literature does not support a sensor that can detect a concussion and please review the literature Danny went to VT lab, Researchers stated that sensors move too much to have any sort of validity o Only 1 schutt helmet that has sensors built in was able to o Their testing was for the helmet s ability to dissipate force, not the force that would cause a concussion. Rating systems are coming out for baseball and hockey helmets Becky would like to share this information and upcoming statement with the Committee on Youth who has interest in concussions, youth sports. Travel Request-Jay Sedory, President No new Updates CUATC Student Aide Statement- Caitlyn Richbourg, CUAT co-chair, R6R Sent an updated statement out earlier this afternoon Wording updated on duties per previous discussions Becky recommends we share it with the AT Advisory Board to ensure that the language is consistent before sharing with the membership Want to be able to share with membership by July to be ready for pre-season camps. o All parties on the call in agreement with moving forward with the document and sharing it with the AT Advisory Board

Ethics Discussion MAATA Secretary Election Situation How do we as an organization handle a similar situation that the MAATA had with their Secretary Run-Off? One candidate had been removed from an NATA committee in closed session and was able to run for an office. There is no mechanism to prevent that. As long as a person is a member in good standing. Discussion- What was the reason for removal? That could be something you want to be transparent about. Maybe not block their nomination, but share the dismissal information with the membership so they are aware. Could we add a question about being removed or asked to step down from a position to their biographical sketch? o Perhaps even ask if there has been an ethics violation with the NATA? Can NATA disclose such information? o Definitely worthy of further discussion- can t be solved in a night. Amanda recommends Jay continue the discussion at MAATA meeting. Also, the campaign emails distributed by the candidate were thought to be ethically questionable. o Campaigning is frowned upon by NATA but not banned to anyone s knowledge. Region Rep Reports Region 4: Mitch Callis- Nothing New Region 5: Jorena Simpkins- Apologized for not getting emails from Matt, school email was quarantined Region 6: Caitlyn Richbourg- Nothing new from the region Region 1: Danny Carroll- all good Region 2: Anna Sedory- Nothing Region 3: Scott powers- all good Closing Announcements: Jay would like an email from every region representative of their plans for the rest of the year and how their committee relationships are going as co-chairs 1. Region Activities 2. Co-Chair involvement GoToMeeting: experimenting with new conference call system. If anyone would like to try it out, please stay on the call with Jay. All are welcome. Adjournment Jay Sedory called for adjournment Unanimous Agreement Meeting Adjourned: 9:05pm Respectfully Submitted, Beth Funkhouser, Secretary Support Documents Follow*

Action Items: Motions/Approvals Appointments Tabled Discussions Moving forward with Licensure consensus. Consult with AT Ethics Discussion to be continued Advisory Board on preference of initial designation Approved CUAT student aide statement- recommended approval from AT Advisory board before distributing to membership.

Report to the VATA Executive Committee on the Reporting of Licensure There is nothing in the VATA Athletic Training Practice Law that indicates how licensure should be reported. Additionally, a phone discussion with the NATA Chairperson of the Committee for Practice Advancement, Lisa Kluchurosky revealed a standard has not been established nationally. A follow-up e-mail with Shannon Leftwich, the Board of Certification s Director of Credentialing and Regulatory Affairs, also showed no standards outside of the use of the trademarked ATC. Reviews of a number of college web sites for their athletic training faculty and staff showed no consistencies with reporting. The most common indicator used, by far, was LAT. ATL and AT were also used, though no standard appeared to exist from institution to institution, even within the same state. As an example, Ohio State University uses their highest degree, followed by licensure, followed by credentials (ex. PhD, AT, ATC, FACSM). At the University of Miami, OH, they use degree followed by a combination of licensure and certification (ex. Med, ATC/L); this should not be done because it treads on a registered trademark in ATC. In the interview with the Lisa Kluchurosky I was told that the use of AT was written into the practice act for the state of Ohio so the method of reporting it is as shown by OSU. However, when personally reviewing the practice act for the state of Ohio I could not find that indicated. A document regarding the proper treatment of degrees, licenses, and credential written by Knight, Starkey, and Ingersoll was published in the NATA News in 2003. In that article they stated the correct order of presentation should generally be: 1) Education Level, if beyond Bachelor s degree 2) Licensure 3) Credentials in order of difficulty to obtain While this was the recommendation in 2003, the American Physical Therapy Association has suggested to place licenses first, followed by education and credentials (see excerpt from the APTA Policy Booklet, page 455 in Appendix I). The idea being that if someone were to look at what you are, as a professional, the first thing they would see is your PT. A review of the bios of the Physical Therapy teaching faculty for Creighton University, the University of Iowa, the University of Delaware, and West Virginia University showed this to be largely consistent (PT, PhD, DPT). Next Questions: 1) Should it be written into the practice act in VA? 2) Should we make recommendations to the membership via e-blast? 3) Should it be broadcast on the main page of the website? 4) How can we make it relevant to people seeing it? Is just AT adequate? 5) Do we adopt the APTA tact of placing the license first?

APPENDIX I APTA supports the recognition of the regulatory designation of a physical therapist or a physical therapist assistant as taking precedence over other credentials or letter designations. To promote consistent communication of the presentation of credentials and letter designations, the association shall recognize the following preferred order: 1. PT/PTA 2. Highest earned physical therapy-related degree 3. Other earned academic degree(s) 4. American Board of Physical Therapy Specialties certification credentials in alphabetical order 5. Other credentials external to APTA 6. Other certification or professional honors (e.g., FAPTA)

Virginia Athletic Trainers Association: College/University Athletic Trainers Committee Use of Student Aides to Provide Healthcare to Collegiate Student-Athletes In the college and university setting, many members comprise the student-athlete healthcare team including registered nurses, to billing and insurance coordinators. The VATA encourages certified athletic trainers and their institutions be in compliance with state law regulations. It is our mission to provide proper care to student-athletes while educating athletic trainers to avoid potential litigation against the health care provider and/or institution. The VATA College and University Athletic Training Committee s (CUATC) is aware that non-athletic training students or student aides are potentially performing duties not within their scope. This does not include students currently enrolled in Commission on Accreditation of Athletic Training Education (CAATE) accredited programs, who have the ability to render patient care under the auditory and visual supervision of a Virginia licensed Athletic Trainer. Students who are enrolled in a health-related major (such as physical therapy, exercise science, pre-med, etc.) who want to gain healthcare experience in athletic training are not permitted to provide athletic training tasks and services set forth by the Code of Virginia as it relates to Athletic Training. Some of the regulated tasks students are participating in may include setting patients up on modalities (ice is a therapeutic modality), modifying rehab exercises, and covering events (games/practices) without athletic trainer (AT) supervision. Allowing students to perform functions of a licensed AT or athletic training student is a violation in accordance to the Virginia Board of Medicine. Students engaging in such regulated activities put their future professional careers at risk as they will be reported to the Board of Medicine. Furthermore, it degrades athletic training when students are asked to fulfill the role of a Certified Athletic Trainer; it sends a message that a degree is not needed to provide athletic training services. The duties approved, but not limited to, for non-athletic training students include*: Proper student aide educational practice: Field set up and break down Hydration specialization Cleaning duties Performing inventories Stocking kits Stocking shelves, taping tables, etc. Making ice bags Preparing hot packs Recognition and referral of emergent situations While all athletic trainers enjoy additional help delivering athletic training services, it is imperative that all involved in athletic healthcare work in accordance to the state legislature governing the AT profession. Each AT has a standard to uphold and should act as an ambassador to athletic training rather than taking advantage of those students who want a great experience. ATs have a responsibility to provide the best care to the patient and protect athletic training practice. The CUATC urges all college/university ATs to be aware of this issue and to please report any violations you may witness; each AT in the Commonwealth has a responsibility to report violations of the Code of Virginia: Virginia Department of Health Professions Perimeter Center

9960 Mayland Drive, Suite 300 Henrico, VA 23233-1463 1-800-533-1560 or (804) 367-4691 Fax: (804) 527-4424 Email: enfcomplaints@dhp.virginia.gov The VATA is continuing to increase awareness about students in the athletic training setting and would appreciate your support. Please contact the VATA CUATC committee chair, Adam Smith, or your regional representative for further information. The following items from the Code of Virginia relate to the practice of athletic training and may provide clarification on the use of students in athletic training healthcare: 18VAC85-120-120. General responsibilities. A. An athletic trainer shall be responsible for the actions of persons engaging in the practice of athletic training under his supervision and direction. B. An athletic trainer shall ensure that unlicensed persons under his supervision shall not perform those functions that require professional judgment or discretion in the practice of athletic training. 54.1-2957.6. Exceptions to athletic trainer licensure. The provisions of this section shall not be construed to prohibit any individual from providing first aid, nor any coach, physical education instructor or other person from (i) conducting or assisting with exercise or conditioning programs or classes within the scope of their duties as employees or volunteers or (ii) applying protective taping to an uninjured body part. For further explanation on this issue (taken from http://www.vhsl.org/doc/upload/smac-athletictraining-law-va.pdf ): What duties can coaches, teachers and other non-certified adults perform? Individuals are permitted to provide basic first aid within the scope of their education and duties, which consists of providing temporary support until professional medical assistance is available and followed by proper referral to a medical doctor if necessary. Non-certified adults, including coaches and volunteers may conduct or assist with exercise or conditioning programs or classes within the scope of their duties as employees or volunteers. If an MD or ATC determines a specific treatment is appropriate, can a coach or non-certified person give the treatment? Individuals who possess the skills necessary to perform non-discretionary tasks may perform those tasks under the direction and supervision of an MD or ATC. You may review the NATA s Code of Ethics for further reference on appropriate coverage issues at: http://www.nata.org/codeofethics *Taken from the Student-Aide-Letter from the National Athletic Trainers Association: http://www.nata.org/sites/default/files/student-aide-letter.pdf