What are your goals for this semester? Why did you select those areas to focus on? What do you hope to achieve from those goals?
My goals for the semester are as follows:
1. Become more proficient at upper extremity evaluations by completing at least one upper extremely evaluation each week, and asking for helpful feedback.
2. Become more knowledgeable about baseball arm care by researching and helping Kris come up with a daily arm care protocol for the pitchers on the Baseball and Softball teams.
3. Become familiar with different taping methods, as well as being proficient when having to modify a tape job by completing at least 2-3 each week.
4. Complete at least 6 masteries each week in order to complete my clinical packet.
I chose the first goal because sometimes I feel a little shaky when looking at various upper extremity injuries. For example I feel as if it is tough to evaluate the shoulder because there is so much going on up there, and I believe the elbow is just as tough because there are only a few special tests that I have learned, and many of those special tests will cause a false positive. This has been my experience, with the baseball players I have worked with that have shoulder and elbow problems. From this goal I hope to achieve confidence, as well as more knowledge of upper extremity injuries and the anatomy of these injuries. I would also like to be more efficient when evaluating upper extremity injuries, and I believe this goal will put me on track to do all of these things.
The second goal is just a project that Kris and I have sort of dove into, due to the amount of arm problems on the baseball team that I believe could be solved with the proper arm care. We have sort of been looking at various arm care programs out there and trying to put together something that will be best suited for our athletes. This will also help me in the future when working with baseball players.
My third goal is simply so that I will be able to complete a tape job for any injury or prevention of an injury that will require one. I also enjoy altering taping methods to suit athletes and the specific problems they are having.
The fourth goal is just a way for me to complete my clinical packet on time and will keep me on track pertaining to studying for the exit interview.
This past week I have not completed any masteries toward my clinical packet.
Reflect on your progress this semester.
What was good? What was bad?
What was your favorite thing you experienced as an ATS?
How will your experiences from this semester influence your start of next semester?
I feel like I have progressed tremendously this semester. There are alot of things that I feel I have become better at since the beginning of this semester.
I feel like some of the good progressions I have made this year mostly have to do with confidence. I feel more confident doing various types of evaluations in various settings. I feel like my biggest progression with my evaluations has been with evaluations during a game. I have learned that you have to diagnose an injury faster than in the clinic. This may also mean applying tape or bracing during a game. I have overall become faster with sideline evaluations as well as on field evaluations. I also feel like my decision making has become better than it was before this semester when it comes to conditions and injuries. Honestly I really haven't had any bad experiences this semester. I feel like if I do get an evaluation wrong or miss something I get more upset about it than before, but this is because I feel like I should be able to accurately diagnose anything.
The best thing I have experienced as a student is definately high school football in general. I have seen some pretty cool injuries, and I like being able to watch some high school football every friday night. The really cool thing is that it makes me feel like a part of the community, like I am doing something that is helping this community by my clinical experience.
I believe that this semester's experiences will better prepare me for what ever spring sport I will be covering.
when do you feel less confident as an ATS? Compare that to when you feel the most confident.
Sometimes I feel less confident evaluation of an athlete that is screaming in pain. This makes me less comfortable because I do not want to further injure the athlete, and sometimes I'm not sure how far to push them during certain parts of an evaluation. For example I'm not sure how far to push someone to try and move when they have an injury that they are afraid to move.
I am most confident while doing relaxed evaluations in the clinic. I feel as if these evaluations go much smoother, and I have an easier time determining what to do next and determining a diagnosis.
Describe a treatment/therapeutic intervention you performed on or designed for a patient.
Why did you select that and what was your intended outcome? How did you assess its effectiveness?
How will that experience influence your future clinical decision making
A treatment that I have completed recently was a edema massage on an athletes hyperextended elbow. I was able to evaluate the athlete and rule out any fractures or ligamentous tears. I could not find anything that led me to believe there was something seriously wrong with the elbow. His mechanism was hyperextension and I learned from my preceptor that the athlete had a history of pretty extensive inflammation and swelling with fairly minor injuries.
From this I decided that he could benefit from an edema massage to reduce some of the swelling, and afterward compression and elevation in order to keep it out.
After the massage it was fairly easy to see that the swelling had reduced in the athletes elbow so I feel that the treatment was very effective in doing what I set out to do. It also reduced his pain level since some of the pressure was alleviated.
In the future I will remember this method to get rid of unwanted swelling, and hopefully it will work as good as it did in this circumstance.
I completed 7 attempts and 2 masteries this week.
Reflect on your progress on one of your personal clinical goals.
How are you progressing with your clinical packet? are you meeting your goals for that as well?
One of my clinical goals was to develop my on field evaluation skills by doing more on field evaluations as well as sideline evaluations and asking questions about the evaluations I will get to do.
I feel like this goal is coming along well. I have had numerous on field and sideline evaluations this year, some of them with help from Bre, and some of them on my own. The more I do these the more comfortable I get with them. I feel like I could do a great on field evaluation for a player and then follow it up with a good sideline evaluation. Bre is letting me have a lot of sideline evaluations as well as a good bit of on field evaluations as long as they are not really serious injuries. Overall I am getting much better at these.
I feel like I am progressing with my clinical packet a little slower than expected but I'm not too far behind where I would like to be. I have gotten a bunch of attempts, and we are sort of trying to see if I can get the masteries by actually doing real evaluations instead of a bunch of situations. Overall its going pretty well. this week I was able to get 13 attempts and 3 masteries.
What has been your favorite part of your clinical experience so far? Why? What makes that special for you?
My favorite part of my clinical experience has definitely been covering Friday night football games. I like being at these games because I have seen a plethora of different injuries. Of course this is probably because this semester is the first time I have been on a football rotation but either way it is nice to get all this experience with a lot of different injuries. I also like that I am getting to do more on field evaluations.
All of this is special to me because I am learning more and more about how to cover football events and about the various contact injuries that I may not experience in baseball for example. All of this experience I am getting will help me when I get out into the workforce and begin to cover events myself.
I got 11 attempts this week, no masteries.
Describe what inspired your Little Clinical Question. Why did you select those individuals to be a part of your investigation team?
What are you looking forward to as you embark on answering this question?
The major thing that inspired my clinical question was my recent back injury. After my injury occured I began to realize how many baseball players actually do have back injuries and I wanted to investigate why. As of now If I'm correct there is 6 minor back injuries currently on the baseball team alone.
Blog prompt for this week: Think back to your sophomore year...what advice have you shared with current sophomores based on your experiences? Why did you feel it was important to share that advice? How was your start of the program influenced by an upperclass student?
With the current sophomores the majority of the advice I have given them is pertaining to them succeeding on their practicals. All of them are just like I was, they want to memorize how to take a practical instead of doing a complete evaluation of an injury. For the most part what I have been telling them is basically learn to do a good evaluation of a specific joint, and do that on their practical.
I felt that this was important because they were all stressing out about a practical for the foot and ankle. I remember feeling that way when I was in their place and it is a terrible feeling. I really just wanted them not to stress out over a practical.
For the most part I didn't really know all of the upperclassmen until the end of my first semester because I applied to the program late and had to play catch up. But they more or less did the same as I did for the few sophomores that needed some help. I think the biggest thing about the upperclassmen for me was that they could always find a way to make me laugh. That always made my day just a little better.
I received 8 attempts this week and 3 masteries.
My prompt for this weeks blog is "What is your most challenging class so far this semester? Why do you find it challenging? How are you coping?".
My most challenging class so far is probably Biology. It is so challenging because it goes into so much detail about the different topics that are covered in the course. Take photosynthesis for example, there are all these chemical things happening and I am definitely not very good at chemistry, so instead of actually understanding what is happening in these complex reactions I just have to memorize what is going on.
I am coping with this by studying pretty dang hard. I am using all of the study guides that are given to us extensively. It also helps that I have a friend in that class that I can study with. That is probably the biggest help because if I can't understand something maybe he will. It has helped tremendously for our recent test.
This week I received 3 attempts and wrote up 3 more. I also received signatures for 3 masteries.
This weeks blog prompt is to describe an evaluation opportunity that I have had over this semester and tell how it will influence future clinical decisions.
My first day off site this semester, I was able to complete a knee evaluation on a football player from John Battle high school. I completed a history and found that the athlete had had a similar injury to the opposite knee, an MCL sprain. After completing various tests to rule out other more serious conditions, I gave the athlete a diagnoses of a grade 1 MCL sprain. During this evaluation I felt as if i had completed a pretty solid evaluation without leaving anything out. Bre confirmed this by telling me I had done a pretty good evaluation.
The only drawback with my evaluation is that I did not show enough confidence. That was the only critique that Bre had of my evaluation. So my major takeaway from this evaluation is that I need to be more confident when doing evaluations. In the future this will help me be more decisive. I will keep this in the back of my mind by telling myself that I can complete a good evaluation by myself, and if I am wrong, I will learn from it.
I was able to complete 14 attempts this week towards my clinical packet.