Department of Orthopedics, University of Colorado School of Medicine , Aurora, CO, USA.
Sports Medicine Center, Children's Hospital Colorado , Aurora, CO, USA.
Phys Sportsmed. 2020 Nov;48(4):407-411. doi: 10.1080/00913847.2020.1719444. Epub 2020 Jan 28.
: To evaluate the source of employment of athletic trainers (ATs), access to team physicians, and usage of up-to-date (implementation of the most current international sports medicine societies' position statements and evidence-based literature policy and procedure manuals in secondary schools. : We conducted a cross-sectional study among National Athletic Trainers' Association (NATA) members. NATA 'Research Survey Request' was contacted to obtain 1,000 e-mail addresses of ATs who actively worked in the secondary school setting. We evaluated AT employment, access to team physicians, and usage of up-to-date policy and procedure manuals within different residential areas (urban, suburban, and rural) and school distinctions (public vs. private). : Two-hundred ninety-six responses were received (30% response rate). The majority (72%) of ATs reported having an assigned team physician for their school. Approximately one-third (36%) of ATs reported being employed by a hospital, clinic, or outreach facility. Fifty-one percent of ATs reported having a policy and procedure manual that was developed and reviewed with their team physician. There was a significantly greater amount of suburban ATs who reported having an up-to-date policy and procedure manual (urban 45% vs. suburban 60% vs. rural 39%; p = 0.007). Significantly more ATs who were employed in a public school setting reported conducting annual policy and procedure manual reviews than those employed in private school settings (public 63% vs. private 49%; p = 0.045). : The majority of ATs have assigned team physicians and a third is employed by a medical group. A high number of ATs reported not having a policy and procedure manual that was developed and reviewed with their team physician. Sports medicine teams within secondary schools, particularly in private schools, should strive to develop and maintain an up-to-date policy and procedure manual that is frequently reviewed with their team physician.
评估运动训练师（AT）的就业来源、与团队医生的联系，以及最新（实施最新的国际运动医学协会的立场声明和循证文献政策和程序手册）在中学的使用情况。
我们对全国运动训练师协会（NATA）的成员进行了横断面研究。通过联系 NATA 的“研究调查请求”，获得了 1000 名在中学环境中积极工作的 AT 的电子邮件地址。我们评估了不同居住区域（城市、郊区和农村）和学校类型（公立与私立）中 AT 的就业、与团队医生的联系，以及最新政策和程序手册的使用情况。
共收到 296 份回复（30%的回复率）。大多数（72%）的 AT 报告说他们的学校有指定的团队医生。大约三分之一（36%）的 AT 报告受雇于医院、诊所或外展机构。51%的 AT 报告说他们有一份由团队医生制定和审查的政策和程序手册。郊区 AT 报告拥有最新政策和程序手册的比例明显更高（城市 45%，郊区 60%，农村 39%；p=0.007）。在公立学校工作的 AT 报告比在私立学校工作的 AT 更频繁地进行年度政策和程序手册审查（公立 63%，私立 49%；p=0.045）。
大多数 AT 都有指定的团队医生，三分之一的人受雇于医疗集团。许多 AT 报告说他们没有一份由团队医生制定和审查的政策和程序手册。中学的运动医学团队，特别是私立学校，应努力制定和维护一份与团队医生定期审查的最新政策和程序手册。
