An emerging setting is the non traditional roles, athletics, an Athletic Trainer is employed in.

The Physician Practice Setting only makes up around 2% of Athletic Trainers currently.

About Max:

* He played football and graduated from Louisiana College* Worked in Alexandria, Louisianna for 2 years with an independent minor league team and as a physician extender* Went back to Lousianna college to work as an AT

* Went back to school and got his masters at the University of Houston* Worked as the Baseball AT after graduating* Got hired by Memorial Hermann to work with the Sugarland Skeeters

What do you need to work in the PPS? 

DME - Durable Medical Equipment - need to be able to communicate how and why to use these devices

Casting and splinting - both removal and application.

Communicating the goals and expected outcomes.

Physician Practice Value Model

* Manual for what ATs do in this role

What does max do in this emerging practice setting?

* HPI* Exam* Initial assessment / DDx* Answer questions* Confer with Doctor* Plan* Imaging* HEP vs PT* RTP protocol* Orthos referrals* In-office procedures

Pros and Cons of Physicians Practice Setting

Pros

* Work closely with doctors* Set schedule vs athletics* Had freedom to pick “regular AT” per diem* Wide variety of patients* Pediatric* Youth* Geriatric* A lot of concussions 

Cons

* Public’s lack of knowledge of an AT* Difficult/ rude patients* They are not there to see Max* A lot of concussions* A lot of the same stuff* neck/back

CPT Codes

* ICD vs CPT* 97110 Therapeutic Exercise for 15 minutes* Codes are not profession-specific

Financial Impact

* Worth and Value* Worth - the monetary cost of the service* Value - is the perceived worth* ATs can increase efficiency by performing the non-billable tasks and freeing up the Doc for the billable tasks.* Pecha et al study* Increase of $200-$1200 per day increase* In Max’s clinic study over 6 months, this value would have been about $16,000* Patient satisfaction survey

Sugarland Skeeters experience:

* He has been there since the inaugural season* Mostly veteran players trying to get back to affiliated ball

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