When I reviewed my course objectives for ATR 340 to related back to something I experienced this week, I found two that resembled my week for me: cervical spine trauma and use standard techniques and procedures for the clinical examination of common injuries, conditions, illnesses, and diseases including, but not limited to: history taking, inspection/observation, palpation, functional assessment, selective tissue testing techniques/specials test, and neurological assessment. This week throughout ATR 340 I have focused a lot on learning the cervical spine. This course objective explains exactly what I learned this week. I was able to perform an entire cervical spine injury assessment with all of those course objectives included. This experience has enhanced my learning in this course by allowing me to learn everything for a cervical spine injury. Not only did I enhance my learning on the cervical spine, but I was also able to perform my assessment of a cervical spine injury. I was very confident throughout my ATR 340 class this week, because of the extra studying I have been doing in order to achieve this course objective. This week for my ATR 340 class included completely knowing how to perform a cervical spine injury, which this objective completely expresses. I can say by the end of this week, I feel confident that I could perform an assessment for a cervical spine injury. I have focused throughout this week with a new way to study to be confident to perform this task. I not only practiced with an older AT student, but I also performed this assessment with a preceptor. I want to be more confident when injuries come into the clinic. So this week I felt I successfully perform cervical injury assessment well on all three occasions.
This week I was able to get 24 masteries and 13 attempts. I was able to meet my goal for this week. I have been pushing myself this semester to focus on my goals in my clinical book. I have been able to finally get my attempts and masteries completed for this week. I was also able to meet another goal of mine that is really important to me. I want to be able to perform most of the special tests I learn in upper by the end of the semester. This week I have successfully learned the cervical tests. I feel confident that I know all of them. So, I have completed one part of this goal. I believe by the end of the semester I will able to perform all of the cervical special tests at the end of the semester with confidence.
On Thursday, I encountered a rehab session with a soccer player who had ACL surgery. I personally was excited to help with her rehab because I have gone through the process. Throughout my Rehab class we have been learning about the psychological effect that each individual has on their process to return back to play. So, throughout her rehab I focused on watching her attitude throughout her work outs. She was very determined to get through the work outs, but some of them she seemed to slack off because they were hard and she didn’t want to do them. I reflected this actions back to myself when I was going through this rehab, and I remember what I did to push myself to get better. Many individuals told me I was not able to return to be the same player I was before surgery, and so I proved all of them wrong and came back stronger. I knew the soccer player need some type of motivation to push herself to want to get stronger because there is no reason to go through the work out and not push yourself to get better. I talked with her personally about how I went through the same thing, and we revealed to each other our challeges. I learned that her motivation level was down because she isn’t ever going to play again because it was her senior year meaning she wouldn’t be playing ever again. However, I expressed to her how important it is now to become healthy even if she isn’t ever going to play again. I was able to convinced her that by pushing herself now to get better she will see the results each week. After we talked I saw a different reflection come about her, she was becoming more motivated throughout her work out. Due to the rehab class, I was able to change her physiological emotion because without her mind set of wanting to get better she would continue just going through the process instead of pushing herself. To me, this made me feel more like an Athletic Trainer because as AT’s are with the students before the injury, during the injury, and after the injury, I was able to motivate the athlete to become better by talking with her because I knew how she reacts to things. This experience aligned with my clinical goals because I was able to evaluate her actions and encourage her to start working harder to become cleared of rehab.
So far I now have a total of 27 attempts. I have averaged the amount of attempts I want to get for last week. I am now challenging myself this week to get 7 masteries. I believe I will have this completed because I will be taking a practical in Brianne’s class allowing for me to achieve the masteries I want. I will be on schedule with the amount of masteries this upcoming week. I will push myself this upcoming week to receive 12 more attempts.
My goals for this semester included: I will achieve 7 masteries in two weeks, I will complete 15 attempts each week, I will perform at least 2 evaluations a month, and by the end of the semester I will be able to perform a majority of every upper special test. I chose these goals to focus on because I know last semester I crammed to get all of my attempts and masteries almost at the end of last semester. I realized half way through the semester that I was falling behind on getting my attempts and masteries, so these goals I am setting I believe will help me complete my clinical packet more efficient this semester. I also choose my last goal very particularly because I really want to be able to learn all my upper special tests really well this semester. Last semester when I was studying for my exit, I felt very overwhelmed because when I looked back at the lower special tests I seemed to not remember them well. So I want to be able to perform all the upper special test by the end of the semester, so I wont have the problem again. This semester I am going to try and get ahead of the things and keep myself on top of everything. I think I did a good job with this last semester, but I started decreasing by the end. I have these goals taped onto my wall where my desk is, so every day when I sit at my desk to do homework I can remind myself what I want to achieve that way I can keep track of my goals.
So far this semester I have completed 12 attempts already, falling short just 3 of my goal. I do not have a mastery yet, but I have two attempts for two different objectives. So next time I am in the clinic, I will be able to attempt for two masteries. Which will make me almost half way with meeting my 7 masteries in two weeks. However, I do think getting 7 masteries in two weeks might be hard for me achieve at first, I want to push myself this semester because I know I am capable of these goals. I think if I can prove to myself that this task can be completed, I will believe in myself to more challenging things throughout this semester. This past week was I was unable to meet my goals, but I had created my goals after I made this attempts. So this coming up week, I am ready to encounter and face my goals every week. I believe now that I have gotten back into the groove with school, I am ready to begin challenging myself to meet these goals. I know what I have in store to complete this semester, and I am ready to prove to myself I can do anything that challenges me.
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?
Throughout this semester, I really enjoyed being an athletic training student. Of course, I was stressed but I have learned so much. I am finally in a classes I really enjoy, so it makes so much easier to want to study and attend classes. My favorite thing I experienced as an AT is the respect you get from other athletes. I know sometimes it seems to athetes we fill up water bottles and stretch them, but to others we do impact them. The show a lot of respect to athletic training students. I also really enjoy getting to know the athletes better. I have built multiple relationships with athletes that before we both did not even know of. I also really enjoy the professors and preceptors that are in the AT program. This is the only major that gets to be with this people, and I am so thankful to be a part of the program with them. Each professor and preceptor has helped me so much already and I am just in first semester. I know I am going to have a very good relationship with each of them and I am glad to have the people there for me. I believe this semester has really shown myself a lot. I did not think I would be able to survive as an athletic training student, but I am still here and I am actually being more successful than surving. I am glad I choose to try this major becuase I know this is what I am for sure on majoring in. I know a lot of the times it would be easier to pick another major and I would have more time too, but there is not another major I would want to be in. I believe i am going to go into next semester with a strong attitude. I also now know how to apply myself and how to make myself the most successful. I have learned how to use itme mangement because of volleyball and AT hours. So second semester might be a bit easier because I have more resources than I did this semester.
When do you feel less confident as an ATS? Compare that to when you feel the most confident?
When I am in the clinic, I am very confident in assisting the athletes. At the beginning of the semester I was very hesitate about actions I would perform, but now I am very confident in almost everything I have done in the clinic. One thing I am struggling on being confident is trigger point/massaging. There is a lot of swimmers who come in with shoulder and back problems, and I have been having trouble finding tight muscles in their back. Once I find the muscle, I am having a hard time holding the muscle and trying to relive the tightness. I have practiced multiple times with my preceptor in being more confident in trigger point, but I am not compared to stim or ultrasound. When I am doing stim or ultrasound I am very confident in being able to tell my preceptor what the machine needs to be on and what type I am going to use. However, when it comes to trigger point massage, I am hesitate and I always want my preceptor to come and make sure I am doing it right.
Although I have been practicing a lot on patients that have came in, I have learned a lot about how to do trigger point. I am still working on being more confident when someone needs trigger point release done. I know once I practice and practice, I will feel more confident in myself to be able to perform this on the athletes. In order for me to become confident I have to practice multiple times on different patients. Which is what I did to be confident in ultrasound and stim.
So in order for me to not be hesitate I am going to continue practicing to make sure I am confident when performing trigger point release. In order to achieve this goal, I am going to practice more on different patients because everyone is different. I also want to be able to allow the patients know I am confident when doing it because then they will trust me with their treatment.
Describe a treatment/thberapeutic 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
When I was working with a soccer player who just had surgery on her LCL and was doing a lot of pool workouts, I came up with some exercises to do in the pool. I first just let her warm up by treading water in the pool. She normally does body squats and side lunges, but I came up with a few other exercises for her. When she comes to rehab, she never has the attitude in wanting to achieve anything to make herself better. Since she isn't able to play this season, she has been taking it slow on her rehab. So since it was my turn with her, I wanted her to have some fun while doing her rehab. So after she did he 20 minute treading water, I made her go to the swallow end and I wanted her to do the same concept as the body squats, but I tweaked it just a little. I made her squat down and then explode out up from the squat. These are called " I'ma star" and I made her say that once she exploded from her squat. Now at first she was hesitate with doing it, but after she just laughed and completed them. When she was jump, she was hesitate too but after a while she just relaxed and did the exercise very well while having some fun. Then after she did that I let her go back to doing the normal exercises. So she did 3 sets of 10 on side lunges, and I went to find a beach ball. After she was finished, I told her we were going to do something new. I explained to her that I was going to throw the beach ball and I wanted her to get her first under the ball and head it back to me. So we started off easy, and I would throw the ball not to far from her to let her get used to the new exercise. Then after she got the hang of it, I would move the ball farther from her make the run in the water making sure she was using her injured leg to get to the ball. After she started moving well to the ball, I made her turn around and I would smack the beach ball for her to turn around then throw it. I choose to do this drill because I wanted her to be confident in her cutting, and performing the drill she thought nothing of her knee because she was concentrating on heading the ball back tome.
My intended outcome for this drill was to make sure she was moving her in different directions without realizing it. When I had worked with her, she had been really hesitate on her side movement, so I wanted to show her she could do it without even realizing she was doing it. After her workout I explained why I choose that drill to her, and she didnt even realize how much she moved her knee. I also choose to do that drill because I wanted her to realize she can make rehab fun. I personally went through rehab, and its hard to get motivated when you know you won't come back for a season. So I wanted to show her that rehab can be fun and motivate her to work hard to get positive outcomes in rehab.
I think this will help me with my clinical decisions in the future because I am able to see each patient differently. I can treat patients differently on their emotional, mental, and physical status. By working with different patients I able to see who is motivated and who needs help. This will help me in choosing what kind of exercises to do with the patient, if I am able to push them more than what they are giving or they need some help to get through the processing. I also do think by me personally going through the process, I have an advantage in conducting rehab with patients.
How are you progressing with your clinical packet? are you meeting your goals for that as well?
So far my clinical packet is going by slowly. I haven't been keeping up with it as well as I should. I have recently been writing down more masteries than before. Since we have now started more practicals, I am able to get more masteries. I also have gotten 10 masteries just this week due to filling in my packet from my practicals. I am not meeting my goals as well. Although I have met my goals for the past few weeks, the weeks after I did not meet my goals. I believe now that volleyball is over, I will have more time to spend focusing all on academics. Which I am excited to do. I feel lately I have been pushed to do all volleyball, and I haven't had much time to study for classes. Which isn't right I know. Although that is in the past, and I am already am improving on getting my masteries.
What has been your favorite part of your clinical experience so far? Why? What makes that special for you?
My favorite part of clinical experience has been working with rehab athletes. Since I have been through the process with rehab, I really enjoy encouraging the athletes to continue to work. I enjoy seeing the progress the athletes make from when they first start and when they finish. I especially enjoy it because I know how they feel. I can relate to them and tell them about my experience as a way to encourage them to continue. It is special to me because I have been working with one particular athlete and she has changed since I first started working with her. She used to get upset during rehab and wouldnt try as hard because she felt as if it was no use. Although after I began working with her and relating a lot of the process about what I have went through, she began to change and become motivated. Now she comes to me for others things not related to athletic training because I have built a trust with her. I really enjoy knowing I have impacted her life by just starting off with her trusting me. Now we have built a strong relationship and I am very thankful for that.
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?
What inspired our clinical question is because we have seen so many ACL tears this semester at Emory. Also, because I did tear my ACL which adds even more curiosity into the question for me personally. The people included with my clinical question are the people I talk to most when I curiosity about some kind of injury. We all have worked together on a lot of things, so we all know how to work with each other easily. I am looking forward to finding more answers about ACL tears. I want to know if playing two sports that are posterior and anterior chained have an outcome on strengthening the ACL more. This interests me because I played sports that strengthened both anteriorly and posteriorly and I did tear my ACL. I want to know if playing a certain sport is more statistically proven to put stress on the ACL. I want to find out how much affect each sport has on stressing the ACL. I also want to know what best helps strength the ACL, if playing two sports is better or maybe just one sport.
How does it feel to be back with your primary preceptor? How do you feel during your clinical experience now, compared to when you started your semester?
I am glad to be back with my primary preceptor because the womens soccer team is my favorite team to be with. I enjoy how they interact with the student athletic trainers, and how often they need help from us (even though that probably shouldn't be a good thing). I am a lot more comfortable with helping the athletes. I especially like being able to go and set up stim because I feel like I can do more. I also am more comfortable know because I have learned more muscles do to anatomy. Also being with other teams involves different aspects. I feel a lot more comfortable with being a student athletic trainer, and I feel more helpful. At the beginning I was contemplating if I was really fit to be a student athlete trainer, but I really enjoy it now because I have had more experience to learn more, so I am not as nervous when I am asked to do something. Even though being an athletic training student is hard, I enjoy it a lot more know because of the more knowledge I have I can help more athletes.