The document provides information about an internship program at RehabWorks located at the Kennedy Space Center in Florida. Some key details:
- RehabWorks provides free rehabilitation services to over 8,000 Kennedy Space Center employees for work-related and non-work related injuries.
- They offer athletic training internships that provide hands-on experience in areas like occupational medicine, industrial rehabilitation, ergonomics, and public speaking.
- Over 60 students from various universities across the US have completed clinical rotations at RehabWorks, helping to launch careers in athletic training.
- The internship exposes students to evaluating and rehabilitating injuries, designing rehab programs, developing educational materials, and strengthening skills like
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Athletic Training Clinical Rotations Database Launches
1. Erik T. Nason, MBA, ATC, MS, CSCS
Inomedic Health Applications
RehabWorks -Kennedy Space Center, FL
2.
Internship – traditional name/title given to outreach programs
with educational programs
Changed term “Internship” to Clinical Opportunities (CO)
Clinical Opportunities in Emerging Settings Database (COES)
Emerging Settings?
Occupational Health
Public Safety (police/fire/rescue)
Military
Performing Arts
Hospitals
Physician Extender
Hospital Administration
Terminology
3.
Target Audience: Student AT, Program Director,
Employee of an Emerging Setting
Discuss the value of “off-site” clinical opportunities
What is the COES Database?
What roadblocks are present for both the student
and clinical sites?
Future goals in bridging the gap between students,
program directors and clinical opportunity sites?
Objectives
4. Located at the Kennedy Space Center in FL
Provide free on-site rehabilitation to all employees (approx.
8,000 employees)
In operation since 1997
Treating post op, chronic injuries, acute injuries, and work
and non-work related injuries.
Educational outreach programs
Additional entities such as:
Ergonomics
OHSA (Health and Safety)
Marketing
Unique medical illnesses
Occupational and Preventative Medicine
KSC RehabWorks
5.
Proud of our Clinical Opportunity Program
Accepting student for over 16 years
RehabWorks’
Clinical Opportunity Program
6.
7. 2
Student TestimonialsSara Sullivan, ATC - HSin Tarpon Springs, FL (Liberty
University) “ My KSC internship challenged me in waysthat I did
not expect. The tasksthat I faced mademe grow asa student, asa
young adult, asa professional, and asa Certified Athletic
Trainer.”
DeWayne A. Smith, ATC, CSCS, NASM-CPT, CES, PES -
National Academy of SportsMedicine (Concord College)
“ During my RehabWorksinternship, I learned to push my own
boundaries, bean independent thinker, and step outside of the
box asan Athletic Trainer. Thischallenging program doesa
stellar job in identifying weaknesses, and promoting positive
change. Erik isgreat mentor and servesasa pivotal source of
encouragement.”Kaitlyn Warner – University of Ohio, GA-University of Florida
“ Asan intern at RehabWorks, I believe that I have been given an
amazing opportunity to explore theindustrial athletic training
setting. I learn best by doing and I believe that thishands-on
experience isthe perfect chance for me to critique and learn new
athletic training skills. I also believethat by working one-on-one
with a variety of patientsof different ages, I will be ableto
improve my communication skillsand becomea moreconfident
athletic training student.”
Jordan Dorrien
East Stroudsburg University
“ Interning at RehabWorksis
providing methe opportunity
to improvemy skillsand is
challenging meto think about
new conceptsand ideasof
clinical treatment. Through its
uniquesetting and diverse
experiences, RehabWorkshas
become an amazing asset to
my future goal asan athletic
training professional in an
emerging setting.”
The RehabWorks
staff hasmore than 40
yearsof combined
experience aslicensed
athletictrainersin the
occupational health
and industrial setting.
https:/ / rehabworks.ksc.nasa.gov
/ KSC RehabWorks
ATHLETIC TRAINING
CLINICAL ROTATIONS
Kennedy Space Center, Florida
Developed in 1997, RehabWorks hasbeen providing
musculoskeletal rehabilitation to employeeswith work
related and non-work related injuriesincluding providing
post op rehabilitation. Through thisprogram we are able
to decreaselost work time, increase job productivity, and
keep financial costsat a minimum.
Internship
Components
Presentations, article
reviews, rehab design,
injury progression
Outreach Presentations and
creation of educational
materials for employees
Ergonomics Shadow and understand
the role of industrial
hygiene in Occ. Med.
Safety and
Health
Participate in
understanding OSHA
rules and guidelines
Professional
Development
Short and long term
goals, SWOT analysis,
BOC prep and personal
finances
Biodex SD Balance System, Biodex Gait Trainer, Rebound Diathermy,
Game Ready, Intermittent Compression, M atrix Weight Machine,
Ultrasound, Electric Stimulation, Shuttle Recovery, Full FitnessCenter
The RehabWorksprogram hasbeen developed to provide all
Kennedy Space Center (KSC) employeeswith a free and
convenient meansof receiving rehabilitation servicesby
Certified/ Licensed Athletic Trainers(AT). The RehabWorks
staff can provide injury assessment and rehabilitation servicesto
theindustrial athlete in order to maximize long-term recovery
and reducelost work time.
The KSC RehabWorksProgram offersathletic training
internshipsthat providea valuable learning experiencein an
occupational medicine and industrial work setting. Wecan help
you reach new heightsin Athletic Training!!!
Educational
Experience componentsof musculoskeletal rehabilitation,
occupational health, ergonomics, environmental health &
safety, corporate fitness& wellnessand public speaking .
Over 60 studentshave
completed clinical rotationsat
RehabWorksfrom all over
the US. RehabWorkshas
launched studentsinto top-
level graduate programsand
helped land competitive
employment.
8.
Schools Represented
Eastern Kentucky University
High Point University
Grand Valley State
Florida Southern College
Illinois State University
Northern Illinois University
Clarion University
Central College
Longwood University
Western Illinois University
East Stroudsburg University
University of Florida
Florida International University
University of Central Florida
Stetson University
Ball State
Columbia University
University of North Carolina - Wilmington
University of South Florida
University of Wisconsin-Milwaukee
California Baptist University
University of Wisconsin – Madison
Mercyhurst College
Bowling Green State University
University of Nebraska-Omaha
Logan University
West Virginia Wesleyan College
Mars Hill College
University of Connecticut
Ohio University
University of Tulsa
Gustavus Adolphus College
Lewis University
AND MANY MORE……..
9.
10,500 students graduate annually from undergrad programs
336 of CAATE accredited program (plus 28 master
programs)
30,000 members – 8546 are in emerging settings
This represents about 3,000 facilities in emerging settings
If 10% offered COs (300 facilities), 3 student per site avg =
only 900 CO openings, = 8% of graduating AT students
SUPPLY and DEMAND
More students = more opportunities
Growth of the Emerging Setting
Let’s Set the Stage
10.
Program Directors! Are our students being exposed
to all elements of our profession?
What emerging settings are available to your
students?
Students! What could a clinical opportunity in an
emerging setting offer you that your school couldn’t?
Emerging Settings! Do you have a setting that could
offer AT students a valuable and unique experience
when it comes to patient care?
Let’s Set The Stage
11.
“To Improve is to change; to be perfect is to change
often” – Winston Churchill
“If there is no struggle, there is no progress” –
Frederick Douglass
“Conformity is the jailer of freedom and the enemy
of growth.” John F. Kennedy
Grow, Change, Explore
12.
Students need new opportunities to expand their “book
smarts” in new and challenging ways within settings that
demand them to dive deep and go far into uncharted
territories, to cultivate critical thinking skills, exposure to
a wide range of demographics, to risk failure and to
realize that the human body does more than just play
sports through life….it ages and fails frequently.
The emerging setting does not have to be a career choice
but it should be a tool that cultivates and fine tunes the
professional medical skills that an AT is expected to
produce.
What is Missing??
13.
Creates excitement
Breaks down a students comfort zone
Generates innovative ideas for our profession within young
minds
Broadens the student’s horizons – new experience in life
Exposes them to physical medicine aspects that are not
readily available in an athletic setting
Develops skills in educational outreach training
Business development
Branding, marketing, ROI, the value of the AT outside the sports
world, etc.
Exposure to
Emerging Settings
15.
Create a database that consists of an up to date list of
available athletic training clinical opportunities
among emerging settings for students
This database will allow student athletic trainers to
search for specific criteria that meets their location,
financial, setting and educational needs.
Evaluate the supply and demand of CO’s and
determine what role COPA could play in helping
emerging settings create new CO’s
Purpose of COES Database
16.
Only active members (both professionals and students)
will have access to this database
Database will be found on the COPA home page
Links to COES Database
Educators page
Student page
Employment page (Career development)
Database can be edited or deleted at anytime by
submitting member.
All members have to accept a disclaimer before entering
the database
Database Key Facts
17.
Do you have a Clinical Opportunity program at your
site?
How many students do you take per semester?
What setting are you representing?
District
State
POC info
Application process
Social media links
Questions on the Survey
18. Would you or your facility be interested in creating an
educational athletic training clinical rotation?
Since you do not have a current clinical rotation
program what reasons would best describe your
barriers.
If NATA/COPA could offer examples and resources
such as: program design, application requirements, legal
forms, contract samples, security suggestions, etc.,
would this help in the development of a clinical rotation
at your facility.
Would you like to see a session on the development and
management of an effective clinical rotation program at
Survey Questions
(stage two of survey)
19.
Email survey out to over 8,000 emerging setting ATs
721 responses (11%)
294 (41%) had active CO for student ATs
110 individual sites with publishable data for the
COES Database (some duplicate/ ATs at the same
site)
427 of 721 responded – they do not offer COs
274 of 427 (64%) were interested in learning more
about developing a CO within their setting
100 (23%) did not want to host students
Survey Results
22. Current Facility Listing Data
1 2 3 4 5 6 7 8 9 10
Number of Opportunites per
District
5 19 15 51 8 7 6 8 26 4
0
10
20
30
40
50
60
NumberofFacilities
Number of Opportunites per District
23. What users are looking for?
1 2 3 4 5 6 7 8 9 10
Total Pageviews 12 6 8 5 7 4 1 10 3 0
0
2
4
6
8
10
12
14
Page Views by District Search
24. 0 10 20 30 40 50 60 70
Clinical Outreach
Clinical/Ortho/Physician Extender
College
Corporate/Occupational
High School
Hospital/Outreach
Military/Government/Law Enforcement
Other
Performing Arts
Professional Sports
Facilities Per Setting
Current Facility Listing Data
25. 0 10 20 30 40 50
Clinical
College
Corporate/Occupational
High School
Hospital Outreach
Military
Other
Performing Arts
Professional Sports
Sales
Total Page Views by Setting Search
What Users Are Looking For?
26. 0 1 2 3 4 5 6 7 8 9 10
Arts
ATS
Chiropractic
Dance
Deaf
Des Moines
Film
Graduate Assisstant
Internship
Military
NASA
New ULM
Obesity Care
Performance Medicine
Performing Arts
Physician Extender
Police
Professional Sports
Rehabilitation
Student
Student Internship
Summer
Ulnar Collateral Ligament
Total Page Views by Keyword Search
What Users Are Looking For?
29.
Interested in Starting a CO
Top Settings Interested In Starting a CO
Clinical/Ortho/PE (25%)
Clinical Outreach (25%)
Other (17.95%)
Hospital/Outreach (13.3 %)
Military/Government/Law Enforcement (7.18%)
30.
Roadblocks in Starting a CO
What is stopping the creation of new CO’s?
Never been asked (20.19%)
Don’t know where to start (14.08%)
No local universities (10.8%)
Not enough staff for supervision (8.69%)
Declined by Management (7.28%)
Legal issues (6.34%)
32.
Is the CO ran and overseen by ATs
How many ATs on staff?
How many students have they taken in the past?
How many years has the CO program been in operation?
Is there a detailed application process?
Are there documented educational components within the CO?
Will there be hands on experience and not just observation?
Examples of ancillary projects and site visits
Phone or in person interview with the ability for the students to
ask questions about day to day operations.
Quality website and social media – possible testimonies from
past schools and students.
Things To Look For
in a CO
33.
Concerns About
CO Sites
HIPAA
Security
Liability
No preceptor?
Educational components?
Site visits?
Value and work ethics
Supervision
34. Internship Application
Internship Application
Attention: Due to heightened security and badging requirements at this government facility, it will not be possible to
except Non-US citizens at this time. Please accept our apologies.
Personal Information
First Name: Last Name:
US Citizen:
Date of Birth:
/ /
Place of Birth:
School Information
School Name:
Street Address:
City: State: Zip:
Year/Classification:
Address Information
Street Address:
City: State: Zip:
Phone:
Email:
Permanent Address Information
Street Address:
City: State: Zip:
Phone:
Evaluations
Therapeutic
Modalities
Rehabilitation
Design
Anatomy
Understanding of
Injuries
Knowledge of Rehabilitation
Exercises
Outreach (presentations, educational
material design)
Leadership Skills
Emergency Care
Chronic Injury Care
Post Surgical Rehabilitation
Administration Tasks (SOAP notes, progress notes,
time management)
Select your top three weaknesses in athletic training:
Injury
Evaluations
Therapeutic
Modalities
Rehabilitation
Design
Anatomy
Understanding of
Injuries
Fitness/Strength Training
Knowledge of Rehabilitation
Exercises
Outreach (presentations, educational
material design)
Leadership Skills
Emergency Care
Acute Injury Care
Chronic Injury Care
Post Surgical Rehabilitation
Administration Tasks (SOAP notes, progress notes,
time management)
At this time in your education, if you were to choose your final professional occupation what would it be:
ATC
PT
PTA
PA
OT
Orthopedic Surgeon
General Practitioner
Paramedic/EMT
Educator
Researcher/Ex Phys.
Other:
If you were to work as an ATC what employment setting would you desire:
High School
College
Industrial/Corporate
Clinical
Professional Sports
Arts/Dance
Hospital
Military
Other:
Answer the following questions on a scale of 1-5.
(1=poor, 2=below average, 3=average, 4=above average, 5=excellent)
How do you feel about your skills in evaluating? 1 2 3 4 5
35. SAMPLE NASA EDUCATIONAL
AGREEMENT IN PRINCIPLE
AA-B-1
Dear
The Aerospace Medicine and Occupational Health Branch at the National Aeronautics and Space
Administration, John F. Kennedy Space Center (herein after “NASA-KSC”) and the University of
*** (herein after “UNIVERSITY”) have discussed the placement of University students in the
NASA-KSC Aerospace Medicine and Occupational Health Branch’s Health and Medical
Education Program, as an unpaid intern. NASA-KSC and University acknowledge this
agreement is not legally binding or enforceable.
The purpose of this Agreement In Principle (AIP) is to permit University students majoring in the
areas of Medicine, Physical Medicine and Musculoskeletal Rehabilitation, Health and Wellness,
Public Health, Exercise Science, and other areas as appropriate, to intern in the Aerospace
Medicine and Occupational Health Branch. This AIP will enable University to provide
opportunities for its students to gain practical experience. NASA-KSC and University intend to
work together to create meaningful internships for University students, but neither is obligated to
provide or place students. Students will be placed only when the Aerospace Medicine and
Occupational Health Branch has productive and educational work assignments available. It is
anticipated that students will be provided an opportunity on a predetermined basis and will be
selected by University.
University of Central Florida intends to:
1. Provide NASA-KSC, in writing, prior to any student being permitted to come on
center, with the names of the students1
assigned by University to participate in the
internship program. However, NASA-KSC may set limits on the number of students
who may participate at any given time, and NASA-KSC is not obligated to allow
placement of students into the program.
2. Designate a member of University faculty to coordinate the educational experience of
students participating in the Program with the NASA-KSC Liaison, and provide
NASA-KSC with the name of University faculty representative.
1
A student as defined by 5 U.S.C. §3111 (a) is:
An individual who is enrolled, not less than half-time, in a high school, trade school, technical
or vocational institute, junior college, college, university, or comparable recognized
educational institution. An individual who is a student is deemed not to have ceased to be a
student during an interim between school years if the interim is not more than 5 months and if
such individual shows to the satisfaction of the Office of Personnel Management that the
individual has a bona fide intention of continuing to pursue a course of study or training in the
same or different educational institution during the school semester (or other period into
which the school year is divided) immediately after the interim. Experience must be
uncompensated.
Sample Agreement in
Principle
• NASA does not sign
school learning contracts.
• Most clinics/emerging
settings do not want and
can’t sign contracts with
schools.
• CO need to create a AIP or
educational agreement.
36. Modality and Equipment Competency Orientation Verification From
This form is to verify the competencies of incoming students/interns with
modalities and rehabilitation equipment that will be used in the KSC RehabWorks
facility. All competencies will reflect the guidelines of the established Standing Orders
and Protocols for the KSC RehabWorks program.
Student Name: ____________________________________________ ______________
University Name:__________________________________ Year in School: _________
Internship Start Date: ______________________End Date:_______________________
This forms verifies that you have been oriented and have shown competency in the
functional capabilities, operations, and precautions found with the modalities and
equipment listed above that will be used during your internship at KSC RehabWorks.
Also this form indicates that you have read and understood KSC RehabWorks Standing
Orders and Protocols.
Student Signature: _________________________________ _______ Date:__________
Staff ATC Signature ________________________________ _______ Date:__________
Modality/Equipment Date Competency Verification
ATC Initials
Cryotherapy
Hydrotherapy
Thermotherapy
Ultrasound
Electrical Stimulation
Iontophoresis
Whirlpool
Game Ready/Cryo Cuff
Intermittent Compression
Shortwave Diathermy
Wound Care
Free Weights
Machine Weights (Fitness
Center and RehabWorks)
Cardio Weights (Fitness
Center and RehabWorks)
Goniometer/Inclinometer
37. CONFIDENTIALITY ACKNOWLEDGEMENT STATEMENT
The undersigned hereby acknowledges his/her responsibility under applicable Federal and state
law and/or regulations, including but not limited to regulations under the Health Insurance
Portability and Accountability Act (“HIPAA”) and the Privacy Act, to keep confidential any
information regarding Facility patients, as well as all confidential information of the Facility.
The undersigned agrees, under penalty of law, not to reveal to any person or persons any specific
information regarding any Facility patient, except to authorized clinical staff and associated
personnel of the Facility and, as necessary, to other Program Participants at that Facility who are
supervising or assisting the undersigned in the provision of services at Facility. The undersigned
further agrees not to reveal to any third party any confidential information of Facility, except as
required by law or as authorized by Facility.
Dated this _____ day of _____________________, 20___.
Program Participant
Print Name:
Witness
38. KSC RehabWorks Internship
Health, Safety, Security and IT Training Requirements
Athletic Training Student: _______________________________ University/College: ______________________________________
Semester/Year: _______________________
REQUIRED TRAINING COMPLETION
DATE
EXPIRATION
DATE
TITLE TRAINING SOURCE
CPR/AED for the Professional
Rescuer
Completed at school, on
own or at KSC. Bring proof.
First Responder Completed at school, on own or at
KSC. Bring proof.
OSHA GHS Hazard Comm.
Standard
QG213KSC Classroom
Hazard Communication QG210OSH Classroom
Workplace Violence SS-LCHR_01_A04_LC_ENUS Satern
HIPAA Privacy Rules SS-LCO0301 Satern
“Infection Control Practices” Power point Course PowerPoint
Bloodborne Pathogens QG308KSC PowerPoint
Initial IT Security Briefing ITS-013-001 Classroom
Initial IT Security Briefing KSC-ITS-PB Satern
Fire in the Workplace QG227KSC PowerPoint - Satern
Safety/QA NEW HIRE –“Safety/QA
New Hire Orientation
Classroom Mike Runion
Student Signature: _________________________________Date:_______________ Intern Coordinator:_____________________________ Date:_____________
39. OCCUPATIONAL MEDICINE
STANDING ORDER/PROTOCOL
ATHLETIC TRAINING STUDENT INTERN COMPETENCIES
A. Onsite Education and Orientation
1. Upon starting his or her internship, all students/interns will be given an
orientation within the KSC RehabWorks facility consisting of a review of
procedures, health and safety precautions, contraindications and indications
of the following modalities and equipment prior to utilization during his or
her internship. All training will be in compliance with RehabWorks’ Standing
Orders and Protocols.
a. Cryotherapy
b. Hydrotherapy
c. Thermotherapy
d. Ultrasound
e. Electrical Stimulation
f. Iontophoresis
g. Whirlpool
h. Game Ready/Cryo Cuff
i. Intermittent Compression
j. Shortwave Diathermy (Rebound)
k. Wound Care
l. Free Weights
m. Machine Weights
n. Cardio Machines
o. Goniometer/Inclinometer
2. The Modality and Equipment Competency Orientation Verification Form
will be used to document the understanding and competency of each
modality and/or equipment listed above. Each form will be signed by the
supervising ATC.
B. Standing Orders and Protocols
1. Each student will read and review the Standing Orders and Protocols for
RehabWorks’ within the first week of his or her internship and approved
by Internship Coordinator.
C. Therapeutic Exercise
1. Each student will complete the therapeutic exercise chart assignment
during the first week of his or her internship. This therapeutic exercise
chart will demonstrate the student’s current ability to select and
implement therapeutic exercises in regards to specific muscles and
according to specific levels of injury.
40. JOHN F. KENNEDY SPACE CENTER
RehabWorks Internship Program
Voluntary Services Consent
Name:_______________________________________ Effective Date:________________
School Name:__________________________________ State of School:_______________
This Voluntary Services Consent (VSC) document is specific to the KSC RehabWorks
program and is an addendum in accordance to the Agreement In Principle (AIP), a
learning agreement between NASA and the university that has been separately delivered.
By my signature below, I signify my voluntary donation, without condition, of my
services to the National Aeronautics and Space Administration, at the John F. Kennedy
Space Center, for its use and benefit pursuant to subsection 203(c)(4) of the National
Aeronautics Space Act of 1958 as amended (42 U.S.C. §2473 et. seq.), and my agreement
with the following additional understandings and provisions:
1. My services will be gratuitous-I understand that I will receive no financial or material
compensation of any kind for those services;
2. The times and location of my voluntary services will be determined by mutual
agreement with the designated Kennedy organization receiving those services, and their
performance will be subject to the direction or oversight of that organization. I will
ensure that the RehabWorks Internship Coordinator is kept informed in writing of the
times and location of my services;
3. While performing my voluntary services, I will comply with all applicable laws,
regulations and instructions governing the conduct of employees in the workplace and the
proper use of facilities and equipment at Kennedy;
4. I understand that I will not have clearance for access to classified information while
performing voluntary services except as granted by special approval and arrangement
through the NASA Personnel Security Program;
5. Whatever product or data may result from my services will be NASA property subject
to its sole control and disposition, including unlimited rights to all data and in all
inventions that may result from my services;
6. I understand that, as an individual rendering services without pay to an agency of the
United States, I will nevertheless be deemed a Federal employee as provided by 5 U.S.C.
§8101(1)(B) and the law governing compensation for injury, disability or death resulting
from personal injury sustained while in the performance of such services; and that I will
also be deemed a Federal employee as provided by 28 U.S.C. §2671 for the purpose of
determining my rights under the Federal Tort Claims Act in regard to any such injury,
disability or death;
41.
Future Goals
Develop a certification for clinical opportunities
Certification to last for 2 years??
Collection of specific requirements such as:
Educational components for the student through
lectures, presentations, etc.
Involvement of site educational outreach opportunities -
(patient/employee/athlete/performer education)
Site specific projects for patient education or site marketing and branding
Established Agreement in Principal
Standard operating procedures for the student AT
HIPAA guidelines
Site specific guidelines ( security, liability, transportation, housing)
Emergency plans
Modality calibration records
Etc….
42.
Create a program to help emerging settings start
their own CO and help manage the challenges
Promote the COES database to program directors
and AT students.
Increase the number of CO listed in the COES
database
Encourage program directors to think outside the
box and create new opportunities for their students.
Future Goals
Yes emerging settings have been around for a long time however it has the fewest amount of employed ATs within our profession therefore we are still trying to grow and merge into that setting
Terminology…. Internshipvs Clinical Opportunities
Have students really completed full evaluations on their own. Are they capable of truly running a program and being a head AT.
The study was two-fold we wanted to create a database that connected students with a pathway to connect with clinical opportunities but we also wanted to take emerging settings that offered unique opportunities for educational experience for the students and create new clinical opportunities
If they answered NO to the question of having an CO then they answered these questions.
274 emerging setting sites were interested in creating an clinical opportunity
Not every emerging setting is going to be logistically able to be a preceptor for every student. We need to look at reversing the process for distant sites. They fall under an emerging setting preceptor? Even if a student is coming to a site voluntarily on their own and not receiving credits…do they need a preceptor…? One problem we have as CO site is managing the student requirements…..sign this, sign that.