FAQ: What Approved Providers Need to Know About EBP Program Approval

As a current or aspiring BOC Approved Provider, you may have questions about how to offer BOC Approved Evidence Based Practice (EBP) Programs. Here are a few frequently asked questions with answers to help you through the application process.

Q: How do I apply for EBP program approval?

To be eligible for approval as an EBP event, the program must adhere to at least one of the following application formats: 1) Clinical EBP and/or 2) Foundations of EBP. There are three applications, one for each format and one for an integrated format that includes both clinical and foundations of EBP. Diversity among topics is encouraged in order to provide appropriate content for all clinicians relative to their level of expertise with EBP.

Q: What is the difference between Clinical EBP and Foundations of EBP Programs?

A: Clinical EBP programs are organized around a clinically oriented topic. Examples: Glenohumeral assessment, ACL rehabilitation, sport-related concussion. Foundations of EBP programs promote EBP within the profession by enhancing a clinician’s ability to find and evaluate evidence and apply it to their clinical practice; by defining EBP and how to use it; and by suggesting methods of integrating EBP into practice or teaching.

Q: How long does the EBP approval process take?

A: Providers will be notified of the initial application outcome within 10-16 weeks, depending on the length of the program and/or number of applications pending review.

Q: When does an EBP course expire?

A: Clinical EBP courses expire after two years. Foundations of EBP courses expire after five years. Course expiration date is always December 31st.

Q: What is considered “contemporary” experience on the EBP Faculty Qualification Form?

A: The term “contemporary” is not defined by dates. Qualified speakers must demonstrate current or recent examples of expertise.

Q: What format is required for the EBP home study course assessment?

A: As long as the evaluation activities demonstrate measurement of all learning outcomes of the course, the assessment can be varied and administered in an assortment of formats. For example:

  • - An exam using multiple choice questions and or other question formats. Questions would be based upon learning outcomes/content of the course.
  • - An EBP case study where students are asked to answer various questions based upon the case. Questions are related to course learning outcomes. These questions could be in a multiple choice or open-ended format.
  • - An assignment such as the following: The purpose of this assignment is three fold: 1) to demonstrate the ability to develop a clinical question using the PICO format, 2) to demonstrate the ability to search the CSR and other databases to find literature related to the clinical question and 3) to analyze, synthesize and create an outline of findings that answer the clinical question based upon the literature.
  • - Cochran Systematic Review/other databases: Participants will each develop a clinical question on a topic and research it using the Cochran library system and other databases. Students will develop an outline of their findings based upon the evidence.

Two New BOC Board Members Named for Upcoming Term

The BOC is pleased to announce two incoming members of the Board of Directors. Patrick J. Sexton, EdD, ATC, will serve as an Athletic Trainer Director, and Douglas B. Gregory, M.D., will serve as Physician Director. The two new board members will begin their terms January 1, 2016, and will begin attending meetings in February of next year.

Patrick J. Sexton, EdD, ATC

Patrick J. Sexton, EdD, ATC

Douglas B. Gregory, M.D.

Douglas B. Gregory, M.D.

Dr. Sexton served as Head Athletic Trainer on his arrival in 1993 and now currently serves as a Professor and Director of Athletic Training at Minnesota State University, Mankato. Prior to this position, he worked as Head Athletic Trainer, curriculum director and instructor at University of Wisconsin La Crosse and as an Athletic Trainer at University of Wyoming, Laramie, and at Pima Community College, Tucson.

Dr. Sexton has been active with professional associations at the state, district and national levels. He has served on the Joint Review Committee on Athletic Training Education Programs (JRC-AT), as vice-chair on Commission on Accreditation of Athletic Training Education (CAATE) committees, the NATA Professional Education Committee and others. As a volunteer for the BOC, he has served as an exam model and examiner.

“I have been so involved in the profession for two simple reasons,” Dr. Sexton said in his personal statement. “First because all of my mentors were very active in the profession so I learned the importance of being involved, and second because I believe that if you disagree with how something is being done or if you think there is a better way to do something, it is much better to put your efforts into working toward changing things than it is to sit back and just talk about how things should be.”

Dr. Gregory specializes in general pediatrics and primary care sports medicine at Lakeview Medical Center, in Suffolk, Virginia, where he serves as Medical Director for Quality. He has been the team physician for a local high school for 30 years. In 2010, he was awarded by the Academy of Pediatrics for his long-term dedication to the development of primary care sports medicine.

As an advocate and supporter of athletic training, Dr. Gregory has mentored numerous Athletic Trainers and has been actively involved with athletic training education and certification. He served as the American Academy of Pediatrics representative for JRC-AT and then CAATE. In addition, he has served on several NATA committees and task forces.

After learning of his appointment to the BOC Board of Directors, Dr. Gregory said he sees this role as a part of his long-term commitment to athletic training, which began in 1993.

“This position is a continuation of my involvement with athletic training education as a preceptor for young Athletic Trainers, site visitor for CAATE and a CAATE commissioner,” Dr. Gregory said.

The BOC looks forward to working with Dr. Sexton and Dr. Gregory. Both men will serve three-year terms, with the possibility of appointment for a second consecutive term.

Task Force and Panel Begin Work on Practice Analysis Study

Members of the Practice Analysis Task Force and the Practice Analysis Panel

Members of the Practice Analysis Task Force and the Practice Analysis Panel met in Omaha in October to review the practice standards for BOC Certified ATs.

By Amanda Webster, ATC

For three days, a group consisting of six Practice Analysis Task Force members and 17 panelists met at the Board of Certification headquarters in Omaha, Nebraska, with the objective of reviewing practice standards for Certified Athletic Trainers (ATs).

It was the intention of the BOC to form a group that would represent ATs in a variety of settings and geographical locations. Panelists and task force members were selected based on their experience, education and the region in which they practice. Members of the group would have the knowledge of experienced ATs as well as the fresh perspective of newly-minted ATs.  ATs in the high school, college, military, hospital, physician practice, therapy clinic and performing arts settings were represented.

Under the guidance of James Henderson, a psychometrician, the group debated previous existing domains, tasks, knowledge and skills.  A psychometrician (in case you have never heard the term) designs, administers and interprets quantitative tests.  Dr. Henderson served as a mediator for discussions, recorded agreed-upon statements and aided in defining terminology.  When all is said and done, he will use the information gathered to help develop the next step in the process of the practice analysis study.

The task proved tedious at times with respect to discussions about the growth of our profession and advancements in sports medicine.  The last practice analysis study was performed six years ago.  Major topics of discussion were traumatic brain injury management, Evidence Based Practice and patient population.  We were able to reach a consensus on domains, terms and definitions by respecting everyone’s background and maintaining a professional and team-oriented view.

As a panelist, my biggest takeaway from this meeting was the vast knowledge and skills a Certified Athletic Trainer is required to have.  When you put it on paper, the list seems endless! Working in the company of distinguished ATs was truly encouraging.  I have no doubt I will be applying to participate in future BOC events, and I encourage young professionals like myself to do the same.

Even if you were not a part of the meeting, you will have the opportunity to be involved in the next step of the practice analysis study.  The newly established domains and task statements will be validated by an online survey, which a stratified random sample of Certified ATs will be invited to participate in.  This will serve as the blueprint for the BOC exam as well as for continuing education program development.

NCAA Health and Safety Guidelines for Independent Medical Care

By Erin Chapman, MS, LAT, ATC

As an Athletic Trainer (AT) working in an athletic model, I was interested to the read the guidelines released by the Safety in College Football Summit.  However, are these guidelines reachable for an institution that is currently in an athletic model? How can these guidelines be incorporated into an athletic model? Will it result in a higher cost to the institution? Money and resources seem to be obstacles many institutions are facing with the current economic status.

In an athletic model the Athletic Director often supervises ATs.  Discussions regarding promotions, hiring and firing are often not made by those with a background in healthcare, but rather athletic administration.  Athletic Directors may have a better understanding of what an AT does on a daily basis compared to other administrators, but they often do not have the healthcare expertise to make decisions related to the effectiveness of healthcare professionals.  Many may feel that a conflict of interest between the safety of the student-athletes and winning can be blurred in this model.

The Princeton Model was established years ago by Princeton University.  I often go back to the article in the NATA News from March 2011 to see how this model would be appropriate and feasible for my setting.  I often ask why it took so long for the NCAA to establish these guidelines.

The Health and Safety Guidelines for Independent Medical Care are considered just that, guidelines, and many ATs might have an interest in learning how other institutions have implemented these guidelines in their clinical settings. Being at an institution that has a strong athletic history and a limited budget, the idea behind implementing these guidelines is not as easy as one might think.  While I have never had an issue with a coach trying to impose demands on a medical decision or established recommendations, creating a barrier between the medical staff and coaches would ultimately eliminate any risk of this occurring in the future.

Athletic Trainers are healthcare professionals but are not always viewed as such when established within athletics; rather, they are seen as support staff.  Often they are at the mercy of a coach’s decision, which often disrupts scheduling and medical coverage. Placing ATs in a medical model would require coaches and medical staff to discuss scheduling and guidelines for changing practices and/or games so that adequate healthcare services would be provided.

While creating these guidelines will get sports medicine professionals talking and brainstorming, further research into implementing these guidelines is essential in producing positive outcomes in providing individual healthcare that separates sports medicine from athletic administration effectively as stated in the guidelines.

4 Steps to Getting the EBP Credits You Need

We’re already nearly halfway through the current reporting period. Are you on track to meet your continuing education (CE) requirements? More importantly, do you know how to meet your CE requirements?

The new Evidence Based Practice (EBP) category deserves a second look as you work through your CE plan. As you may know, the BOC added the EBP requirement just this year, so Athletic Trainers must now complete a certain of continuing education units (CEUs) in this new category. These requirements must be met and reported by December 31, 2015.

Fortunately, fulfilling your EBP continuing education requirement is just like completing any other CE program. Simply make sure that, out of your total CEUs due, you have completed the minimum amount required from the EBP category.

So … how many CEUs is that?

How Many EBP CEUs Do I Need to Do?

The number of EBP CEUs required depends on when you were certified. Let’s break it down:

  • If you were certified in 2013 or before, you must complete 50 total CEUs. Of those, at least 10 must be in EBP
  • If you were certified in 2014, you must complete 25 total CEUs. Of those, at least 5 must be in EBP

Great! Now let’s go find some EBP CEUs.

Where Do I Find EBP Programs?

On the BOC website!

The BOC has approved more than 210 CEUs in the EBP category. Approved CEUs include both live and home study courses, so there are plenty of opportunities for you to check this requirement off your to-do list.

Here is how to get the EBP CEUs you need:

  1. Use the BOC’s online program listing to browse current courses. (Hint: You can filter by several criteria by clicking the column headers)
  2. Click on the provider name for contact information for the program you want to take. Some course titles also contain links for additional information
  3. Begin with a Foundations of EBP program if you’re new to EBP principles
  4. Then, or if you are already familiar with EBP principles, move on to Clinical EBP programs in your areas of interest

That’s all there is to it! Just don’t forget to record your CE in BOC CentralTM by December 31, 2015.

Questions? Comments? Leave your thoughts below or send us a message via Facebook or Twitter.


Athletic Trainers Expand their International Reach

Pictured are, from left, BOC President Susan McGowen, CATA President Richard DeMont and ARTI President Paul Berry.

Pictured are, from left, BOC President Susan McGowen,
CATA President Richard DeMont and ARTI President Paul Berry.

Athletic Trainers and Athletic Therapists from the US, Canada and Ireland will now be able to obtain credentials in each other’s countries more easily, thanks to an agreement signed last week by the BOC and its Canadian and Irish peer organizations.

Representatives from the BOC, Canadian Athletic Therapy Association (CATA), Athletic Rehabilitation Therapists of Ireland (ARTI) convened at a Dublin conference to sign the international mutual recognition agreement (MRA) September 4, 2014. Under the agreement, the national certification bodies for athletic training and athletic therapy in all three countries will recognize each other’s education and certification standards.

“We have very strict standards by which we certify our Athletic Trainers,” said Susan McGowen, President of the BOC. “ATs’ skills are in demand worldwide and this just makes it easier for them to work where they want to go. We are working collaboratively by removing barriers for qualified professionals to reach the top of their profession.”

The MRA, signed at the Joint Ireland Faculty of Sports Exercise Medicine and World Federation of Athletic Training and Therapy (WFATT) Conference, allows for a certified professional in one country to practice in another signatory nation following the successful completion of the respective nation’s examination.

Expanding upon a mutual recognition agreement signed in 2005 by the BOC and the CATA, this new agreement ensures common recognition among those organizations and ARTI, their peer organization in Ireland.

“As standards continue to align globally, the Board of Certification, in cooperation with our current partners and the World Federation of Athletic Training and Therapy, look forward to future agreements with other organizations of like-minded professionals around the world dedicated to the prevention and care of injuries to the physically active individual,” McGowen said.

Election for the Next BOC AT Director is Now Open!

BOC Certified Athletic Trainers (ATs) are encouraged to vote in the Board of Directors election. The election is being conducted by electronic ballot beginning September 4, 2014, through 11:59pm CT on October 16, 2014.

The field includes three candidates for the next BOC Athletic Trainer Director. They are Thomas M. Dodge, PhD, ATC, CSCS; Marsha Grant-Ford, PhD, ATC; and Patrick J. Sexton, EdD, ATR, ATC, CSCS. Biographies, videos and CVs for the candidates are available on the BOC website.

On September 4-5, ATs will receive an email with voting instructions from the BOC’s external partner for the election, Survey and Ballot Systems. To make sure the email arrives on time, ATs are encouraged to add the following email address as an approved sender: noreply@directvote.net. ATs who do not have a valid email address on file with the BOC will receive a letter via US mail.

BOC Certified ATs have the responsibility of electing Athletic Trainer Directors to serve on the BOC Board of Directors. To see the job description for board members, visit the BOC website. Please note that the BOC Athletic Trainer Director election is separate from the NATA presidential election, which is occurring at the same time.

To stay up-to-date on BOC Board of Directors election news, follow the BOC on the social media outlets listed below, and be sure your contact information is current in BOC Central™.

In-Depth Look: An AT for Omaha’s Pro Baseball Team


Dave Iannicca

Dave Iannicca, MSEd, ATC, CSCS, PES, CES

Name and title:
David Iannicca, MSEd, ATC, CSCS, PES, CES, Certified Athletic Trainer

Describe your setting:
I work in professional baseball with a Kansas City Royals Triple-A affiliate in Omaha, Nebraska.

How long have you worked in this setting?
Eleven years total. I worked two years with the New York Yankees, one year with the Atlanta Braves and eight years with the Kansas City Royals.

Describe your typical day:
My typical day for an evening game (7pm game time) begins around 12:00pm – 1:00pm with preparing the athletic training facility for the day, planning players’ rehab and injury prevention programs, and catching up on other duties such as organizing and preparing for our upcoming road trip, etc.

Players generally start reporting to the stadium around 1:00pm – 2:00pm. Treatments and rehab programs are conducted, in addition to assisting with our strength and conditioning coach for player workouts. Batting practice starts at 4:00pm. During this time I will conduct any on-field functional rehab progressions players may have; otherwise, I am out on the field in case an injury occurs during pre-game. After batting practice I will continue with player treatments/rehab as needed and get players ready for the game. Typically games last from 2 ½ hours to 3 ½ hours on the field.

After the game I’ll continue with post-game injury prevention routines and finish up any last minute treatments before players leave the stadium. Once my work in the athletic training facility is complete, I will enter all my daily notes into the MLB electronic medical records system and send out an end-of-day report to the Kansas City Royals front office, team physicians and other various staff. I generally am finished for the night around midnight.

What do you like about your position?
This is a fast-paced and demanding work environment that challenges you to have a strong work ethic and stay current on the latest research and medical information out there to utilize on our athletes. It provides the opportunity to work with elite players who are looking to improve their athleticism and skills in the game of baseball.

This position has also given me an opportunity to travel all over the United States and visit many cities and states I probably would have never seen or visited. The team and Royals organization are like a family, with the ultimate goal of the players and staff to advance their career to the major league level.

What do you dislike about your position?
The hardest part about this work setting is the time away from home. My family and I reside in Virginia Beach, Virginia, and although they make several trips to visit throughout the season, my job has me traveling away from home for 6-7 months a year for Spring Training in Arizona and to Nebraska for the current season.

What advice do you have about your practice setting for a young AT looking at this setting?
My biggest advice would be to apply for an internship with a professional baseball team through the Professional Baseball Athletic Trainers Society (PBATS) internship program to get a true experience and understanding what this job setting is like and if it’s something you would really like to pursue. There are a lot of hard working and knowledgeable Athletic Trainers in this work setting who have a real passion for the sports medicine field. A young Athletic Trainer just starting out can learn a great amount from them.


In-Depth Look: An AT for Major League Umpires



Mark A. Letendre

Mark A. Letendre, ATC

Name and title: Mark A. Letendre, ATC, Director of Umpire Medical Services, Office of the Commissioner, Major League Baseball (MLB)

Describe your setting:
I work from Scottsdale, AZ, and am responsible for the health and welfare of 74 Major League and 22 Minor League Call-Up Umpires. This is a year-round job with primary duties as a Medical Navigator charged with responsibilities that include pre-employment physicals; umpire specific functional activity assessments; lifestyle management and nutrition; handling stress, sleep, travel, injury and illness; and head blow awareness.

In addition, I have an acute sense of workers’ compensation and personal insurance rules and regulations, as well as familiarity with labor relation laws and working with a collective bargaining unit.

I work alongside a primary care/sports medicine physician, Dr. Steven Erickson, and Minor League Coordinator of Umpire Medical Services, Mark Stubblefield, ATC, to oversee the virtual medical network in place – from Seattle, WA, to Miami, FL, and Boston, MA, to San Diego, CA, and Major League cities in between, including Toronto, Canada.

How long have you worked in this setting?
I am presently in my 15th year in this position and 37th overall in professional baseball.

Describe your typical day:
I am on call 24/7, from the first day of Spring Training games in early March until the conclusion of the World Series in late October. I have set up a phone texting program with Major League Baseball Advance Media Group for immediate alert of an umpire illness or injury on the field as well as video clips of any ball, bat or bodily contact with an umpire. The video clips are emailed for review the next day.

Daily responsibilities include the following:

·         Work hand and glove with home team medical staff that is charged with triaging any acute injury or illness. Once an umpire is diagnosed, he either continues with home team medical staff for care or enters the MLB Virtual Medical Care Network
·         Set up appointment(s) for care and provide any support that is needed within the Medical Network for an umpire unable to work
·         Work daily with Director of MLB Umpiring Randy Marsh to make sure if a replacement umpire is needed, he will arrive in time for the game and estimate how long the MLB umpire will be out. MLB always wants to start a game with four umpires
·         Text, email or phone an umpire who may have sustained an illness or injury and communicate with the attending health professionals as well as with Dr. Erickson
·         Assemble all medical records and enter into Umpire Electronic Record Program
·         Process bills for treatments, supplies and services not covered by workers’ compensation
·         Work with medical provider billing departments so bills for services are earmarked correctly for processing
·         Prepare Mid Week Umpire Health Status Report for weekly Umpire Department conference call
·         Submit End of Week Umpire Health Status Report to Umpire Department supervisors and administration staff and the umpire union, World Umpire Association
·         Attempt to stay current with ever-changing sports medicine care information, particularly in concussion care, heat illness, sleep deprivation, stress and protective equipment

What do you like about your position?
I enjoy every day because it has new challenges that require multi-level problem solving. I am blessed knowing that I am contributing to the health of individuals who are charged with the integrity of our national pastime. Sharing all the health information that we Athletic Trainers have acquired empowers the umpires to be knowledgeable about themselves and make the correct calls more often than not!

I am also proud of the fact that the Office of the Commissioner chose an Athletic Trainer over a physical therapist, chiropractor, physician assistant or medical doctor to set up and be in charge of the first ever professional sports Umpire Medical Services Department!

What do you dislike about your position?
Not many dislikes.  Not part of my DNA!  I do miss the hands-on work and connection that evolves between an AT and his or her patients, and I miss seeing all the wonderful people who have come through my life because of professional baseball.

What advice do you have about your practice setting for a young AT looking at this setting?
VOLUNTEER your time to attain more experience in whatever setting you set your goal for. Heck, had it not been for my volunteering for an American Legion baseball team in my college summer months, perhaps I would not have been as attractive to my first employer, the New York Yankees.

VOLUNTEER for a task, a work group or committee. Sure you will make mistakes, I do every day! However, ask yourself: “What’s the worst that can happen to me? Get fired from volunteer work?” You can’t pay enough for experience.

Go out of your way to “meet and greet” yourself.  There many amateur officiating associations that would love the wealth of information you possess!

Never lose your curiosity. Every person is an industrial athlete, much like the MLB and MLB (Minor League Baseball) umpires, so how do you find them to work with?




The BOC Seeks Physician Director

The Board of Certification (BOC) for the Athletic Trainer is accepting applications from individuals who may qualify for, and be interested in, serving as the Physician Director for the BOC.  Athletic Trainers (ATs) are healthcare professionals who collaborate with physicians. The services provided by ATs comprise prevention, emergency care, clinical diagnosis, therapeutic intervention and rehabilitation of injuries and medical conditions.  For more information, please visit www.bocatc.org.  The job description can be found on the BOC website. It concisely outlines the responsibilities of a Director.

Applications will be reviewed by the BOC Nominating Committee; the Committee will forward qualified nominees to the BOC Board of Directors (Board) for appointment.  The nominees are to be reviewed and an appointment made by the BOC Board in November 2014. The new Director will be expected to attend the February 2015 and July 2015 meetings and will officially assume their duties January 1, 2016.  The term is three years with the possibility of one reappointment.

If you or someone you know are interested in the Physician Director position, please submit a letter of interest and a resume to the BOC office no later than September 15, 2014:

Email:  ShannonL@bocatc.org
Fax:  (402) 561-0598
Mail:  BOC
Attn: Physician Director Position
1415 Harney St, Ste 200
Omaha, NE  68102

If you have questions regarding the position, please contact Shannon Leftwich at ShannonL@bocatc.org.  Thank you for your consideration.

Additional Information

Job Description

BOC Bylaws: Article III, Section 6 Qualifications:

All Directors

(a)  A person shall be eligible for election or appointment as a Director who:

(1)  Does not hold elected or appointed office on a state, provincial or national regulatory board, and;
(2)  Does not serve on the CAATE Commission, NATA, Inc. or NATA Foundation, Inc. Board of Directors, and;
(3)  Demonstrates experience with oversight boards (e.g., NATA, CAATE, state athletic training organization).

Any person shall be eligible for appointment as a Physician Director who:

(a)  Is licensed as a Medical Doctor or Doctor of Osteopathy, and;
(b)  Is currently recognized in good standing by the governmental authority responsible for licensure of his/her profession, and;
(c)  Demonstrates interest in health and safety through a willingness to be a physician medical advocate for consumers of athletic training services.