This week has been very hectic for me. I have been having a hard time completing my clinical goals because I am only scheduled during clinic hours. Due to my schedule, I am not able to complete my clinical goals. I wanted to challenge myself this semester, but I am not giving the opportunities because I am in season and do not get to attend practices. My big goal this year was to be able to perform as many evaluations as I could because I only performed one the entire last semester. However, I finally got the chance to perform an evaluation. I clinically experienced the men’s soccer game on Friday, and an athlete had an ankle injury. I was actually nervous when Melissa called me over to perform this evaluation. I wasn’t nervous because I didn’t know how to, I was nervous because I hadn’t performed an onsite injury this semester. I feel the most confident with an ankle injury out of the entire body, but I wanted Melissa to believe I was capable of this evaluation and this made me second guess myself. I didn’t have confidence in my voice when I was talking to the athlete because I kept looking at Melissa to make sure I was right. After I performed a short SOAP note with the athlete, Melissa asked me what my final decision was for the player, and I was gained confidence in myself and told her exactly what I was thinking and she looked at me and said “I agree.” Even though this was an ankle injury, and I should know this injury the best, this lesson helped me gain confidence in myself because I was right. I learned that I shouldn’t second guess myself and be hesitant, I should just go with my gut feeling. This was a great way to start my semester off with getting an evaluation correct on an athlete. I believe this is just the beginning for my experience. I have been working on my confidence so far this semester because I have had the mentality that I can’t be wrong. However, clinically experiencing with Cole I have learned a lot. He quizzes me every time I am in the clinic, and I have been wrong. But when I am wrong, he explains to me the correct answer, and he shows me how or what to do when this happens. Being able to be quizzed has shown me when I am wrong its ok. I believe this will reflect on my clinical evaluations because I get nervous that I am going to be wrong, and this experience has shown me I can not be right 100% of the time. Also this week I only received 3 attempts.
This year I created my clinical goals as a way to challenge myself. So far I have been doing sort of good. I haven’t had much time in the clinic because of my schedule. When I am in the clinic I am performing a lot of rehabs because I can not make a practice. However, I have learned a lot while performing my rehabs, and grown as a student because I have been challenged to do my own rehabs for athletes. At first I was nervous, but I have gained a lot of confidence in myself. Moreover, this past week I was only able to get two attempts and no masteries. This week I am going to double my attempts and get four masteries. I have had an extremely busy week, and I wrote down in my planner a blocked time for me to achieve this goal. I have also been performing a lot of ultrasounds while I am in the clinic. Cole has quizzed me every time I use the modalities which has really helped me. I picked the goal of expand my knowledge in modalities, because I do not feel as comfortable when performing these actions. However, I do feel a slight bit more confidence in myself since I made this goal. Cole has also taught me a new way to approach performing an ultrasound to find the correct settings for the heat, so it has been helpful because I have been able to work with him on getting the right parameters. Next, my other goal from my clinical packet was to go over a body section a week. I was able to achieve this goal! I looked over my notes, and brought my evaluation book on my trip to Greensboro this weekend. I chose to start with the ankle because I haven’t reviewed the anatomy since my anatomy and kinesiology class. It felt really good to review the muscles, ligaments, tendons, and bones to reassure myself where they are located. This week I want to work on the knee. I am going to break it down every day by anatomy and special tests. I also want to do this throughout the week, so I am not stuck with a lot to do every Sunday night like usual. I am trying to get myself on a good schedule, so I wont be as crammed especially if I am traveling on the weekend.
This past week I have been able to perform two evaluations, which is already more than I have done all semester. Every time I have been clinically experiencing I never had an athlete come in needing an evaluation. Due to my busy schedule last year, I was scheduled to come in the middle or end of practices which doesn’t allow much chance to perform an evaluation on an athlete. However, I wasn’t too upset about not doing an evaluation because I have been very timid about evaluations, so this year I wanted to challenge myself. As stated in my first journal, I made one of my clinical goals to perform at least two evaluations a week because I wanted to make myself branch out of my shell. This week I have been able to perform two evaluations, and I have learned so much from them, especially having Cole as my preceptor because he has taught me different ways to approach injuries. I was very nervous with my first evaluation because it was just my preceptor, the athlete, and me in the room. At first my confidence was down because I was afraid to mess up, however, Cole talked with me throughout my evaluation and reassured me I was on the right track. After the evaluation was over, I was able to talk with Cole about my thought process and he gave me a lot of feedback. Once I perform my second evaluation I was a lot more confident in myself, and I know the athlete felt confident in me because I never looked or ask Cole for help. After performing these two evaluation I have learned that I need to touch up on my anatomy to remember where the origin and insertion of certain muscles are that way if the injury is a muscle I am able to specify/target which muscle it is. Due to this experience, I have gained more confidence in myself and seek more opportunities to perform evaluations. This has not only influenced me to look over anatomy, but to also continue my goal of reviewing each section of the bodies special tests. I believe with these two goals, I will help prepare myself for my exit interview and build my confidence when I am in the clinic. I know I have the ability to perform any evaluation, I just haven’t had much practice which makes me timid, so I believe this goals will push myself to become a confident athletic training student. Lastly, throughout this week I have been able to get 7 attempts and no masteries.
Throughout my preseason experience I would say its been a rollercoaster. I have had a lot of mixed emotions about how I have felt. I came into this semester with an open mind because I was struggling last semester with enjoying the clinical experience. I enjoy this major so much and I don’t want the clinical experience to ruin the enjoyment for me. Last preseason I was new, and I didn’t know much so I was really hesitant to help athletes or tape them. However, this year I have felt so confident in myself tried to help the sophomores not feel the way I did. However, this semester has been sort of challenging being with new preceptors. I believe now I am going to have a better view on how I am feeling. Recently I have under estimated my skills because of my preceptors, but I have been able to talk with them about how I feel. I do believe this upcoming week I will have a better experience. Being with football lets you interact with the athletes a lot because there is so many of them so they are bound to need some type of type of wound care. So this year, I have been jumping at opportunities to go out and assist an athlete unlike last year. I wait at the door for the athletes to come in and need an ankle or wrist tape. This preseason has been a lot better with my confidence and I feel like I have grown as a student because I have been thrown at so many opportunities to either tape or wound care. Although, I have not been performing a lot of evaluations which I am nervous to approach. I have been trying to refresh my memory when I am in the clinic on special tests, or modalities, but I know when the chance comes for me to perform either one of these I am not going to be as confident in myself. So in order for me to feel confident in this aspect I have chosen one of my clinical goals to review one body segment a week. For example, this upcoming week I am going to start with the ankle then build my way up to the head. Another goal I have chosen is to get 10 attempts per week and 5 masteries per week. My next goal I chose was to expand my knowledge in the area of modalities by the end of the semester. My last goal is to perform at least 2 evaluations every 2 weeks. Futhermore, I chose these smart goals to help challenge myself this semester. I believe this goals will help me expand my knowledge.
Going back and reading my reflection made me realize that one I had really bad grammar, two I began a foundation as an athletic training student, and three I was very happy. This semester I have grown a lot. I have become more consistent, if not more prepared, with all my assignments and tests. My freshmen year helped me build a foundation on how to become successful in this major. I have figured out the best way to study for me (which took me a while, but was worth the wait) to allow me to have the best success. I believe last semester and this semester have been around the same range. However, first semester I never went through a struggling phase while I was in the clinic, but this semester I did. I was able to push myself because it was not only school that was getting down, but everything else around me. I realized that I am in this major because I am fit for it. I still enjoy every class I take, and I am excited to continue to new classes. I have become more aware of time management compared to last semester. The journals have helped keep me straight with my clinical book which is a great relief, especially for this coming up week. I am very happy with my progress as an athletic training student. I am very happy where I am, and thankful for all the opportunities I have been given. This major has allowed me to come out of my comfort zone because it forced me to be put on the spot in front of others when answering questions. I go into the clinic every day and have to perform a rehab by myself or treatment. I was able to grow more as a person because I wasn’t afraid I was doing something wrong. I have been able to grow and realize being wrong in front of others is ok, it is a way to learn. This is helped me as a student and as a person.
For my clinical journal this week I took a practical which gave me 15 masteries. I have another practical this coming up week which should push me over 170 masteries! After I get all my signatures, I should be done with my clinical book for this semester which is a very good feeling. Now I can prepare for my finals and exit.
Its finally come to the time that I am back with my preceptor. This means that the semester is ending which is either a scary or exciting. First, I do believe I have gain a lot more confidence in the clinic. At the beginning of the semester I was afraid to take on more athletes in the clinic; however, now I go over to each preceptor and ask to help with their athlete. I also believe the preceptors have more confidence in me too. I am now asked to do pretty much any athletes treatment when they walk in the clinic. I also know more things, which helps me when different athletes come in. For example, I am a lot faster with wound care. I know what kinds of ointment to use for certain burns which is very helpful because I do not have to go and ask my preceptor what I should use. I am also faster with ankle taping. When I was on the rotation with football, I was able to tape more athletes ankles than I did in the beginning of the semester. It also helps that I am not as nervous and now I go up to athletes asking them what they need instead of waiting for them to say they need something. This semester I believe I was able to bloom. I have been able to open up and feel confident in the clinic. However, I am also able to go and ask for help when I am performing a treatment. I am not afraid to be wrong or embarrassed when I am performing treatment on an athlete and I go ask for help. I have been eager to understand my mistakes to fix them.
This week I was not able to get a mastery. I did receive multiple attempts. I was able to write down 11 attempts for this week. This coming up week I am going to get around 20 masteries, which means I will double in attempts. I am getting very close to having my clinical packet completed which is very exciting. I feel ahead of the game with my clinical packet because been writing down each week my attempts and masteries. My goal in my clinical packet has been very helpful because I have been able to follow it in order to achieve having my clinical packet finished and also branching out of my comfort zone to become a better student.
Friday was the first time I was in the clinic and had the opportunity to do an evaluation. Every time I have been in the clinic I either do a rehab, a treatment, or a practice. My schedule is also so busy that it is hard for me to be in the clinic in the afternoon because I work every day. So Friday was the first time I did an evaluation. However, I was not alone on this evaluation, I was able to tag team it with Colin. Colin did most of the writing while I performed the palpation, ROM, and special tests. The evaluation was on a shoulder. I went through the whole evaluation and tried to remember my practical sheet. However, this was not the right thing to do. I got stuck in trying to remember what to do next, and I started to freak out because I didn’t want to embarrass myself in front of the patient and Colin. So then, I used to patient to remember what to do. I forgot about all my memorization from my practical sheets and used the history and ROM to proceed to my next task. I was able to pin point where the pain occurred, in what position, and what made it irritated. I also found three muscles in particular that I were the most inflamed including the subscapularis, supraspinatus, teres minor. After getting to the ROM section, my preceptor came in to continue watching the evaluation. I was able to learn different ways to bilaterally check the ROM of the scapula which was helpful because the patient could not abduct their arm past 90 degrees. Throughout the evaluation I was able to perform the rest myself, and my preceptor did not say anything. By the end, I was told what I did good and what I needed to work on. I was very nervous because it’s a lot harder when trying to figure out what the patients initial injury is then just following my practical sheet. But I was also told I perform my tests right and diagnosed the patient with the correct injury. I learned from this experience that I show review my old practical sheets every Sunday (which I have already started). I have been feeling behind with remembering special tests, so I know by doing this will help me in the long run. This experience helped me realize that I couldn’t just relay on knowing my practical sheet. I need to take time to go back and put together injury and special tests for the body.
Lastly, this week was a good week for my clinical book! I wrote in 17 attempts and masteries. I was able to get them from practicing with my preceptor for my wrist and hand practical, and I got my masteries from m practical the next day.
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So far this clinical semester I have been progressing slowly. I feel like I have not had a lot of time to actually sit down and learn a chapter before the professor goes over it. I knew coming in from fall semester how to handle my schedule, but this semester has been a struggle for me. I have been stressing over lots of little things, and I have not been giving myself enough time to get prepared for tests. I also have been pushing myself to get enough hours to get to 150 for this semester. I am on track right now because I just need to average about 10 hours for the next four weeks to get the minimum of 150. I have also been challenged with staying focused. I know last semester that I was very into the classes and interested to learn about all the new subjects. However, this semester has felt like a drag to me. I guess its where its getting warmer, and I am wanting to be outside more compared to fall semester when it was cold which kept me inside to study. I have been successfully this semester by being a better student on my tests/quizzes/homework. Although it may be done at the last moment, this semester I have received better grades. After rereading this journal entry, I was surprised to realize how even though I have been struggling with time, I have been able to improve my grades. I have been working really hard to improve my grades since my freshmen year because I came in thinking I would be fine, but I was way wrong and now I am working towards improving my GPA.
This week I was able to put together all my masteries and attempts for this clinical packet. I was able to view my progress, and I have been doing a lot better than what I thought. I have documented all my attempts and masteries, and this past week I was able to count all my masteries to my total which is a relief to know I am on track! This week I was able to get a lot of attempts for the wrist. I was able get all ROM, and some special tests which came out to a total of 9 attempts. I did not get any masteries this week. Although, next week I have a wrist practical which will help me to get the masteries needed to be on track with my goals in my clinical book.
After taking my first Athletic Training course freshmen year, I knew this was the major I wanted to be in. I enjoyed being able to make a difference in someone’s life. I enjoy working with athletes because I feel like I can relate to them on certain issues. I also feel like I can relate to certain injuries that athlete have because back in the day I had a consistent injury every year. Yes, that process was awful, but I have broken that streak once I got to college! Since I have been in the program, I have had a constant goal to make a difference in someone’s life. First semester of my sophomore year, I know I affected a soccer player’s life. She had surgery on her knee, and she was in the process of rehab. I worked with her every time I was on women’s soccer rotation, and I started to notice little changes about her attitude and work ethic. I keep trying to make her work outs more fun and challenge her at the same time. The results showed throughout her rehab, and she came and told me how thankful she was for the push and inspiration that I helped her with. I continued having this goal to myself which I also saw a difference in another athlete. Because I did have surgery and go through a rehab process, I have a sight understanding how a lot of athletes feel when they are in the clinic. Recently there was an ACL tear athlete in the clinic that I started to become really interested in. This athlete wasn’t taking the rehab seriously and just going through the motions. Of course some people have those days, but this was starting to become an every day thing. So, I decided I was going to change his motive. Every time I was in the clinic, he was in there doing his rehab. I began joining in and talking him through his rehab process. I was able to relate to him which helped him open up to me about his rehab because I went through the same process. However, this has taken him a lot longer because he isn’t motivated to get through rehab. By the end of the week, I noticed a change in his attitude. He was on time to rehab and asking to do more reps than what he was given. I am going to continue to work with him throughout his rehab and maybe I shined a light through his eyes like I did for the soccer player.
This week I was able to get 30 attempts and 14 masteries all having to do with elbow evaluations.
Athletic trainers are with athletes from the start on an injury, through the rehab process, to the end of the injury. The athletic training profession is the only health profession that is with the athlete before the injury occurs. They are able to critique mechanics every day on different athletes. The slogan: “Your Protection is Our Priority,” describes the role on an Athletic Trainer. This expresses that Athletic Trainers want athletes to participate in play with in the healthiest way and safest way. Protection is key in order to allow the athlete to continue to play. AT’s have the ability to keep the athlete protected during play at all times. They can interrupt a practice to retape an injury, they can work before and after practice for the athlete to gain strength, and they can prevent more injuries from starting just by being with the athlete on a daily basis. There goal is to make sure all athletes are healthy and using proper mechanics throughout their workouts. They are able to identify an injury earlier to help the athlete to fix this problem before a more serious injury happens. This is significant to me because Athletic Trainers have such a different role in the health profession. They are with the athlete from the beginning to the end. Which is really significant to me because they know more about the player and their health concerns than anyone else. However, AT’s are seen as the “trainer” or “water boy” they are not. The have such a different impact to help the athletes. I like how they are able to work with the athletes from day 1 to the end of their career. AT’s are not just with colleges and high school athletes, but they can be in a clinic too. AT’s can impact multiple peoples lives to help them gain strength and protect their bodies.
Throughout this week I was able to get 8 attempts, but no masteries. I was not able to complete both my masteries and attempt goals. This week I spent half of my time at the Johnson Memorial Outpatient Therapy Clinic, and I was not able to perform actions to the patients in order to receive an attempt. However, I did some ROM with the a patient, but it was not included in this semesters clinical packet. I have been keep track of the times I will be able to get my masteries, which will be the week after spring break when I will be doing the elbow practical. Since a lot of our clinical book consists of concepts we cover in Upper, I am able to get a lot of attempts, but I have to wait until we cover the material before I can get the attempt and masteries on them.
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