Airman’s spouse dedicates life to warfighter improvement

14 Oct

Airman’s spouse dedicates life to warfighter improvement.

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Clinical Application Serves the Elite Tactical Response Forces Minot

8 Sep

Outreach

The Doctor of Athletic Training Resident engages in outreach in a variety of ways, both internally within the University and externally within the profession.  Minot Air Force Base hosts a unique clinical research residency setting for one athletic trainer to specifically work with the protective service / military community by offering a “MSTC Clinic”. This clinic allows the soldier to take a leading, active role in the evaluation and treatment process.  In order to refine the role each active duty member can improve upon, the clinician & patient work together to create research centered care.  This teamed approach positively impacts elite tactical response force capability though Human Performance Optimization goals specific to nuclear life-cycle costs. Under direct supervision from the licensed Athletic Training resident a translational research approach helps create a focus to anticipate future manpower readiness specific to the nuclear security enterprise. The research focuses to create a more specialized, rather than traditional, military clinic role into an industrial, real-life setting. This clinic utilizes a unique model of health care and presents patient-driven outcomes which facilitate enhanced capabilities specific to each patient.

The “MSTC Clinic” is located in the TRF Hanger Sportsmedicine Facility. It has limited hours and sees TRF patients on an apointment or referral basis.

Clinical Research Balances Laboratory Elements With UIdaho Mentors

8 Sep

Research

Athletic training is a profession with roots in many disciplines (e.g., medicine, physical and biological sciences, sport, biomechanics, and exercise science). Successful practice as an athletic trainer requires an interdisciplinary approach to research and practice emphasizing the interconnectedness between the physical body, human behavior, and medical technology. The University of Idaho Athletic Training Education Program engages in research that can transform health care.

The National Institute of Health has identified Translational Research as a method of doing interdisciplinary research that brings together clinical and laboratory research to solve world healthcare challenges. Students and faculty in the program use a translational research approach to improve knowledge in musculoskeletal medicine. DAT students will have the opportunity to conduct research directly related to improving clinical practice. Typical research topics may include but are not limited to evidence- based practice, prevention of injuries and illnesses, patient outcomes, patient satisfaction, clinical techniques, clinical epidemiology, therapeutic modalities, evaluation and diagnosis, biomechanics, clinical prediction models.

Doctoral Athletic Training students have an opportunity to be part of this translational research team and actively engaged in independent research. There are a total of seven doctoral students participating in a research-based clinical residency.  The COLV2490.wordpress.com website reflects the efforts of one DAT resident.   This peticular residency is the first and only doctoral residency to utilize a licensed and certified athletic trainer to create improved military and protective service initiatives which enable active duty SF to perform with Human Performance Optimization elements.  Previous University of Idaho undergraduate students have received grant funding to support their research and have published and presented their research findings at professional conferences and in academic journals.  The DAT faculty maintain balance of clinical and laboratory research and serve as mentors in student lead projects. Continue reading

Doctor of Athletic Training: Bio

23 Aug

Ty Colvin   CSCS, FMS,  MS, ATC, LAT

colv2490@gmail.com

colv2490@vandals.uidaho.edu

University of Idaho, Moscow

Doctor of Athletic Training Resident

National Military Sports Medicine Training Center

National Strength & Conditioning Association (NSCA) State Director of North Dakota

 

Research interests:

high-risk tactical movement protocols, Human Performance Optimization, Human Factors Engineering, MANPRINT integration, musculoskeletal injury mechanisms and injury prevention.

 

Focus areas:

Nuclear SWAT occupational profiles (Breacher, Sniper / Nuclear Advanced Designated Marksmen, Assaulter, etc), Security Forces etiology (mechanism of injury), specialized team concepts, sustainment biomarkers for warfighting capability, combat gear research for specialized forces; Military Healthcare Referral Network innovation;  models of quality in military physical readiness & safety.

 

Goals:

To establish new paths toward translational Human Performance Optimization research into the operational protective services community.  Athletic Trainers provide objectives which enhance resilience of the war fighter: accelerate recovery, reduce injury and illness, provide seamless knowledge transfer from laboratory to line, improve the human system contribution to mission success, and allow the U.S. to lead in these areas.

Full Academic Proposal Review

11 Jul

Full Academic Proposal Review
11 Jul
Assignment Submission: Full Academic Proposal of the UIDAHO DAT Review
Due Date: July 5, 2011 8:00 AM

Type: Work individually
Attached is the Doctor of Athletic Training full academic proposal. The attached proposal marks a historic change in how the original UIDAHO DAT program was contrived. The doctoral students of the cohort DAT were tasked with reviewing the attached document by the DAT program mentors. Some things have already changed as it is a work in progress. (1 page review for this as usual)
Attachments: UI EDU — FP DAT.pdf

Submission:

The DAT full proposal has documented the potential to improve clinical practice for certified and licensed athletic trainers who want to “achieve the highest degree in their field”(4). The model reflects an opportunity for athletic trainers to enhance patient healthcare outcomes beyond traditional PhD or EdD programs through clinical research specialization occurring at site-specific, mentored clinical residencies. The proposal attained both state and national recognition on April 1, 2011.

The Idaho State Board of Education approved the nation’s first advanced clinical Doctor of Athletic Training post-graduate program. In order for this to happen, the University of Idaho also required Dr. Seegmiller and Dr. Nasypany to mentor selected doctoral students through a self-sustained program. The University of Idaho also continues to support the DAT by encouraging the initial cohort class to create new research, expand upon knowledge, and challenge previous best practices by applying accepted clinical methods. These practices may potentially add to sustaining Carnegie level recognition.

Although the University has embraced the DAT model without reservation, the question remains as to who and how the individual residencies may attain recognition from the professional organization associated with athletic trainers. Being a post-professional program the NATA has current residence requirements that already demonstrate accreditation through non-governmental peer review processes.

The DAT proposal suggests an original perspective can possibly extend or contend with traditional NATA criteria established to ensure quality, accountability, and programmatic improvement. Thus, the question is posed, will the NATA lack of recognition to this new program help or hinder quality standards for the already Certified and Licensed Athletic Trainer? The proposal displays evidence that although NATA accreditation was seen as the “Gold Standard” for athletic trainers seeking NATABOC credentials and licensure, the DAT lack of this recognition actually creates a new breed of healthcare professional.

The proposal allows significant flexibility for the first-year cohort group to establish a baseline measure of creativity in which future professionals can design their own translational research study. This type of clinical application combines scholarly practice with the revised CAATE-accredited standards. The Doctor of Athletic Training model mirrors some close resemblance to specializations seen in traditional medical model fellowships. This distinct innovation, in the genius of design, will most likely create something new the current medical community has never seen.

The program director’s approach at formalizing an established advanced Masters of Athletic Training program further demonstrates a foundation where patient outcomes are linked directly to medical professional practice. To validate this action, the University of Idaho agreed to cease undergraduate athletic training education. This significant shift in athletic training history was evidenced by the formal Doctor of Athletic Training acceptance. The event could parallel the landmark retirement of an AMA allied health affiliation once highly sought after by the NATA in 1989 (1) which in 2006, (2) essentially becomes not good enough. It is these intricate details which set apart the Doctor of Athletic Training program’s bold approach as clearly defined, argued, and supported to focus a new species of medical practitioner.

The DAT student practitioner creates greater primary focus toward enhanced patient-centered outcomes. The DAT also will require distinct levels of specialty care under-utilized or even evidenced in most other medical professional practice programs. The DAT program quality specifically measures: reflect process-oriented curriculum assessments geared at validating proper input / output processes, as well as utilizing the role of faculty and infrastructure to promote student optimal success. The end product keys into filling an extensive needs-based demand.

Some traditional PhD, EdD, and conventional medical professional models often fail to demand both scholarship and clinical based patient-specific outcomes. What actually sets the Doctor of Athletic Training concept light years ahead of others are simple changes which align with National Institutes of Health quality measures. In addition to quality measures, the DAT proposal may create another tremendous ability; its structure to duplicate exponentially among other medical occupations which desire to serve patients centered on enhanced best practice outcomes. Should other health professionals decide to think outside the box (as athletic trainers have done with the DAT,) our nation will no doubt move closer toward enhanced patient-based outcomes as the sole basis for treatment.

There are also emphatic entrepreneurial elements that appear with each entering DAT student the University of Idaho accepts beyond the initial cohort. In 2012, the DAT should expect to facilitate even more diverse avenues of specialized research. The initial cohort class has a unique capability to spawn the growth of a second generation geared toward producing even better critical research due to relevance in clinical practice the original cohort was not obliged to. The reviews simply confirm, Idaho’s “innovative (DAT) program will lead the profession of athletic training and its educational processes upward along a natural evolutionary path.”(3)

Aside

Doctoral Residency Bio

27 Jun

TRF Mission

Doctoral Residency Bio

Tactical Response Force Residency,

USAF Global Strike Command Minot

I chose the 91st Tactical Response Force (TRF), Minot Air Force Base, in the United States Air Force Global Strike Command for my doctoral residency.  Being a Certified Strength and Conditioning Specialist (NSCA) and Certified / Licensed Athletic Trainer (NATABOC) at Minot Air Force Base offers a unique perspective in what is considered one of the highest catastrophic risk factors for all of the Security Forces in the nuclear enterprise. The residency serves as a new and emerging area in doctoral athletic training because it offers a tactical perspective into the care, treatment, and prevention of protective service members most clinicians would not have access to.  The goal is to help the Air Force advocate for better healthcare.

Minot is home to the smallest Tactical Response Force (TRF) of 3 in the United States Air Force; therefore managing commanders do not have the luxury of available replacement staff should a member become injured. Because of this, there is a tremendous pressure to ensure the prevention of injury. A central concern with this demographic is that previous attempts at outpatient physical therapy have limited capability to reach tactical response return to elite level tactical goals. Treatment and time factors limit traditional physical therapists that are outsourced to provide basic contract healthcare.  Because the base medical center is already taxed with providing care for injury and illness, there is very limited feasible capability left to also begin the task of preventing these same injuries.

Another important problem which hinders TRF post-injury status, is caused by a lack of civilian to military translational research knowledge. Off base professionals are usually not privileged to the minimum physical demands unique to most high-risk TRF military duties. The Doctor of Athletic Training Clinical Residency with the University of Idaho, Moscow agree with Human System Integration models of the Air Force which help to sustain, optimize, and exceed the life cycle capabilities of humans within a weapons system.

The TRF program was a pilot force modeled after Special Operational Forces (SOF) and currently falls under the USAF Global Strike Command.  Their intent was to create a security response force with advanced physical capabilities and training began out of a Department of Defense need to demonstrate increased first responder capabilities for nuclear resources. This was a tremendous challenge. The mission specific to TRF needed to have distinct differences from SOF because they do not deploy to Iraq, Afghanistan, Kuwait, or other traditional areas of conflict. Their mission is specific to nuclear security which has to remain within our own nation to sustain US defense 24/7. They are always there for us, yet the majority of the US population is unaware.

TRF’s mission is to enhance security operations and to reinforce uncompromised security despite extreme weather or vast areas of land.  The TRF at Minot are composed of small teams of specialized Security Forces with a unique ability to travel via (land but more notably) air utilizing UH-1N helicopters cruising on average 110mph (max 150mph) often in extreme winter climates.  They also provide a potential to transport medical evac, distinguished visitors, or improve the daily mission to some 150 different missile launch facility sites in record time.  There are currently only 3 TRF Squadrons in the world (Minot, ND, Great Falls, MT, and Cheyenne, WY).

Numerous complications with wearing heavy gear create: LB instability, rotator cuff strain, frequent knee and ankle instability. My advanced clinical athletic training residency serves to help determine current return to duty physical criteria. For the past year, I have established catastrophic injury models to communicate to various stakeholders with a vested interest in the physical capabilities of the Tactical Response Force, Minot.

The Security Forces population experiences far greater injuries than most other AF occupations due to sheer numbers but mainly due to what is required of them day in and day out.  The TRF are a subset of Security Forces with more expectations levied upon them.  For example: TRF may wear government issued gear weighing 40-121lbs sometimes in excess of 12+ hours, they are subject to immediate deployment into specified roles as sniper teams, 20-50+ ft rappel teams (to reach nuclear missiles underground), as well as several other “high-risk” tasks.  For example, the role of a designated “breacher” (a member of the TRF that is expected to gain entry into anything they come across using an assortment of tools such as saws, cutting torches, and explosives) may carry 100+lbs on a single person and always sustain an expected 85% advanced level fitness test score. The example of breacher is one of multiple specialized occupations unique to TRF active duty members.

The advantage of a Fall 2011 residency with TRF as compared to Security Forces squadrons is that the Security Forces Group Commander has allowed clearance as a licensed healthcare professional to create new research to meet the Human Performance Optimization needs for this select cohort group. There is also a potential to partner with other areas of Security Forces to do comparison studies.  For example, Convoy SF sit daily in vehicles for up to 10-12 hrs with 50lbs+ of gear, then participate in physical drills.  There is a great opportunity to also collaborate with the Medical Clinic Commander (MD), Physical Therapist (DPT), and Exercise Physiologist on base (EPC). This joint healthcare effort is intended to create a patient-centered approach toward Department of Defense sustainment.

In the next 6 months, even more risk for injury is anticipated, as TRF are projected to participate in more robust exercises around the clock. The TRF manning will increase eventually but until then, their physical exertion will increase while maintaining their original numbers.  A 1,667-foot elevation, winds sometimes reaching 60 knots, and ice create constant issues for land vehicles, helicopters and of course, the TRF.

Because the Doctor of Athletic Training (DAT) program has begun this residency with the University of Idaho, Moscow it leads the research community in what would be the first in the nation to report any official TRF prevention mentored effort by a Certified and Licensed Athletic Trainer / Certified Strength and Conditioning Specialist focused to specialize in improving the Air Force Global Strike Command Human Integration System. By creating the 2011 initial residency, the future of how we as a nation sustain speicialized human systems will create  increased opportunities for others who seek to promote the SWAT specialization & overal mission of US nuclear resource security. Due to the unique clinical residency research component, the role of placing a Certified and Licensed Athletic Trainer / Certified Strength and Conditioning Specialist in nuclear security Air Force Base settings may have greater potential to be welcomed and appreciated by the Department of Defense, medical practioners, and such an underrepresented set of tactical athletes.