April 3, 2024 • 23 mins
In this enlightening episode of JAT Chat, host Dr. Shelly Baez welcomes distinguished guests, Dr. Gretchen Schlaubach and Dr. Marisa Colston. Both guests are pioneers in Athletic Training, with numerous recognitions, showcases their extensive knowledge as they provide an informative discussion on one of their co-authored Report From the National Athletic Trainers’ Association Professional Responsibility in Athletic Training Committee.
Article: https://tinyurl.com/2szvn8v3
The meaningful dialogue includes a conversation on the importance of professional values in athletic training, stressing how having strong ethical and moral values can significantly improve patient care and professional interaction. The esteemed guests also highlight how shared professional values have markedly influenced other healthcare professions, providing them with a strong foundation of professionalism.
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Episode Transcript
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(00:00):
Music.
(00:14):
So, welcome to JAT Chat, presented by the Journal of Athletic Training,
the official journal of the National Athletic Trainers Association.
I'm Dr. Shelly Vaya, an assistant professor in the Department of Exercise and
Sports Science at the University of North Carolina at Chapel Hill,
and the co-host of JAT Chat with Dr. Kira Radzak.
Today, I have the pleasure of being joined by Drs. Gretchen Schlaubach and Marisa Colston. Dr.
(00:40):
Schlaubach is an adjunct professor in the Doctor of Athletic Training program
at Florida International University and in the Master of Science of Athletic
Training program at Old Dominion University.
Dr. Colston is a graduate athletic training faculty and the department head
of Health and Human Performance at the University of Tennessee at Chattanooga.
(01:00):
Dr. Schlaubach and Dr. Colston are both recipients of the NATA Service Award
and of the NATA Most Distinguished Athletic Trainer Award.
Dr. Schlaubach is also an NATA Hall
of Famer and Illinois Athletic Trainer Association Hall of Famer. And Dr.
Colson is a Tennessee Athletic Trainer Society Hall of Famer.
And they are co-authors of Athletic Trainers Shared Professional Values,
(01:23):
a report from the National Athletic Trainers Association Professional Responsibility
and Athletic Training Committee.
Thank you all so much for joining me today.
Thank you. Pleasure to be here. So starting off, just with a broad question
for our listeners, what prompted the development of this statement about shared
(01:44):
professional values in athletic training?
Well, I think I'll take the lead on that. And Marissa, please jump in.
The mission of the Professional Responsibility and Athletic Training Committee
is really to support the legal and the ethical and the regulatory standards
of the Athletic Training Strategic Alliance by encouraging and promoting adherence.
(02:08):
And so given that we were a new committee in 2017,
we thought the first thing we needed to do is ask the members what the legal,
ethical, and regulatory issues were were relative to athletic training.
And we sent out a membership survey to the group,
(02:29):
and we found out that members were really quite frustrated with all the documents
that they need to be mindful of in order to provide good, right,
and responsible behavior.
So what they were wanting us to do is streamline those documents,
make it easy for them so that when they're caring for a patient or they're in the...
(02:52):
Athletic training world as a colleague. How do you pull that stuff together
and be responsible to whomever you're working with?
And so one of the ideas as we were brainstorming about this need for streamlining the legal,
ethical, and regulatory documents of athletic training, One of the things that
(03:16):
we began to talk about were professional values as a way of bringing members
together and at least adhering to a certain set of values,
because values motivate behavior.
And so if you use shared professional values, they're moral in nature,
(03:38):
and they tend to be ethical, if you will.
And so if we can get people's decision-making and behaviors going in one direction,
it will provide time for them to sit back and at a later time and reflect upon
the documents that they're responsible to adhere to.
(04:02):
Yeah, and it certainly seems like as we're thinking about enhancing our patient care,
we have to start with these foundations to be like the stepping stone for us
when we're thinking about interacting with our colleagues and interacting with
our patients and interacting with many people in our in our career.
You're spot on with that, Shelby. And I do want to emphasize that these values
(04:25):
are not just for the patient relationship that we have.
It's for our colleagues. It's for other health care providers.
And that's really an important point. Oftentimes, we think that this is all
about patient care, but it's about us as professionals in the profession of athletic training.
So whoever we interact with. When we think about interacting with other colleagues,
(04:50):
I think athletic trainers are really unique where we interact with so many different
types of health care providers.
And as we think about these shared professional values, what all did you find
exist in the literature as it relates to some of these other health care providers
that we interact with on the day to day? Okay.
Certainly what we discovered as we were reviewing the literature was that there
(05:14):
are a number of healthcare professions as well as medical specialties that have
found the usefulness of shared professional values given that they are the moral
cornerstones of their profession.
And they use them as pillars for developing professionalism.
For example, let me just use the physical therapy profession.
(05:37):
They were transitioning in 2020 from a profession that did not require a doctorate
to a doctoral profession.
And one of the things that they noticed is that they really needed to have a
strong foundation of professionalism.
And in order to have a strong foundation of professionalism,
(05:59):
their approach was to use professional values,
given their ethical and moral nature, to establish their notion of professionalism
within physical therapy.
So that's one way occupational therapists have used professional values as a
way to really highlight their beliefs and attitudes and also their behaviors.
(06:25):
Nursing has done the same thing.
They wanted to help new incoming students in nursing,
help them to understand the essence and the core of nursing and the things that
they value in terms of professional core values.
We have used shared professional values.
(06:48):
And Marissa, share with us how, through your leadership on the research and
how you pulled together and went forward on this research piece that we have.
Well, the literature review started back, and we'll touch on this, I guess, perhaps later.
(07:09):
Later in this podcast, but we were fortunate to get the support to you as graduate
students and another colleague of mine at UT Chattanooga.
And so we just put it to the graduate students to just hit the literature.
And they poured through hundreds of articles.
And through that, we identified various professional value alternatives, so different listings.
(07:36):
And we We gosh, through the content experts, we whittled it down ultimately
to it was more manageable to put in survey format to validate.
And if it wasn't repeated in a certain number of times, or if perhaps it was
taken out of context and not used for professional values, we excluded it.
(07:59):
So that's really how we explored the literature. And we were all over the place,
not just with the literature and athletic training, such as looking through
the KD competencies, looking through BOC standards of professional practice, NATA code of ethics,
membership standards, et cetera.
We were in medical literature a lot in nursing.
(08:22):
Nursing really, I think, have paved the way very well in professionalism and
ethics, as well as the physical therapy, occupational therapy.
We went to a lot of different places to make sure we thoroughly combed the literature
to provide a good selection for our members to choose from.
So it sounds like a lot of research completed on the back end even prior to
(08:46):
starting this endeavor with developing this statement.
So I'll transition us to talking about the research that's completed as part
of the statement. Because I think what was unique, you saw a three-tier approach,
three-study approach to help develop the statement.
Could you all talk to us a little bit about the process you all took to complete
the statement and the three steps that were completed in the process? Yes.
(09:10):
We have found that the other professions use some unique approaches,
but our approach, we think, was more inclusive.
Our approach was to truly understand what the members' values are.
It was not about pulling together a focus group and having them identify those values.
(09:36):
It was truly the membership. And in fact, we were so lucky to have been able
to use the research availability with the NATA and their platform to solicit these responses.
And we were so lucky to be able to send the survey out to the membership,
and we got a great response rate. We thought it was great.
(09:59):
We had about 13% or 14% respond back. And according to the editor of the Journal
of Athletic Training, that was really quite good with a membership survey.
So we were quite happy with that.
And that was huge that no other professional group or medical specialty had
ever really asked their members what their shared professional values are.
(10:24):
And now we had that opportunity and we had this data. And through Marissa's
magic as the research director of this project, she can tell you the nuances
and the nitty gritty of what we did.
Just a privilege to lead this project because it's really historical.
We had not had established shared professional values prior to this project.
(10:48):
And as Gretchen already alluded to, the support from the NATA leadership was
so critical to allow us to have a grassroots effort rather than a prescriptive
top-down saying, here they are,
and then everybody just has to affirm to it.
We believe that our members would be more,
(11:08):
just greater stakeholders, right, to be more accountable in adhering to these
shared professional values because they had a say, or at least the opportunity,
right, to be a part of selecting what they are.
And so, yeah, you're right, Shelby, you alluded to a three-tiered. We did a three-tiered.
Stage or three-part, three-year project starting in late 2017,
(11:34):
and everything got solidified and approved in 2020.
The first phase, the first stage was survey validation.
So we use the Athletic Training Strategic Alliance leaders for that.
We had about 95 that we sent a survey out with a list of actually 17 professional
value alternatives to select from and rank them. And we asked some other questions
(11:57):
like, how important are shared professional values to you?
And how important is it for NATA to articulate these to the members?
And without a doubt, those were in the high 90% across all three stages when
we asked these questions.
So once we sent it out to the leadership, our response rate to the Strategic
(12:19):
Alliance leadership was really, really good.
Then we went on to phase two, which was part that Gretchen was alluding to.
And that was the membership survey.
So the survey went out to over 35,000 members. Those were the members that had
agreed to receive those types of emails.
What made me feel better about it as a researcher is that the demographic of
(12:39):
our respondents very much aligned
and mirrored closely the demographics of the membership as a whole.
So we felt that we had a good representative distribution
in the responses that we had and
so we we sent the 16 and then when we got the results back from that we collated
(13:02):
everything did the analyses and then Gretchen presented that to the NATA Board
of Directors for their final I guess you could say selection and ratification so once we got the final.
Listing the professional values from
the board of directors then we went into phase three and
phase three was going with the five shared professional values that the board
(13:26):
of directors had approved and then we went back to our content experts and we
developed a definition for each of the five identified professional values approved
professional values and then we also did the the behavior indicators,
which are like example behaviors.
We created five for each of the five professional values.
(13:47):
And then from there, we surveyed the NATA leaders, all of the chairs and members
of national committees, NATA committees and task force,
and had another great response rate from those individuals.
And we had very good agreement with our definitions clinicians and they were,
(14:10):
they ranked the behavior indicators for each professional value.
And we, Gretchen presented those to the board of directors and they decided
to go with the top three ranked one for each of the, each of the five.
That was a fantastic summary. Thank you so much for, for, for providing that for our readers.
(14:30):
So I want to transition to when did we find, what are those those five shared
professional values that you all found throughout this process?
Well, I'll just keep going with that then, if that's all right.
If you can remember CIRCA,
C-I-R-C-A, we just played with the rearrangement and we thought,
well, that's kind of neat because CIRCA usually means around or about,
(14:54):
which usually is in reference to a date, but we kind of did a play on words
and circa is what we're about.
So if you can remember the C-I-R-C-A, the first C for caring and compassion
and caring, and then I for integrity, R for respect, C for competence,
and then A for accountability.
(15:14):
And that is our five shared professional values for the professional math literature.
The article itself, there is an amazing table that has outlined the different
values as well as the five behavioral indicators.
That is a fabulous infographic that NATA Marcom put together for us.
(15:35):
So as an athletic trainer who maybe this is our first interaction looking at
these professional values, and I really want to make sure I'm embodying these values.
Any recommendations on how to move forward or what we should do in order for
us to make sure that incorporating this into my professional practice.
(15:56):
Things have already bubbled up with, we have a professional values subcommittee
within the committee of the Professional Responsibility and Athletic Training Committee.
And we've already bubbled, and Marissa was on this too, we've inserted our professional
values into our NATA code of ethics, again, because they're moral in nature.
(16:17):
And you'll see, not only are members Members now expected to adhere to the professional values.
They're also part of the code. So, you know, there's also an opportunity for
members to evaluate other members to see if they're abiding by these professional values.
(16:40):
And if they're not, our recommendation is to be more collaborative in terms
of helping members understand that, you know, respect is an important value.
You, and these are some ideas and behaviors for respect.
And, you know, this is how you can work to correct your actions or your behaviors
(17:00):
in order to align yourself with this notion of respect that we find to be very
important in the NATA Code of Ethics.
So we, with professional values, we We self-regulate each other so that it's
not a complaint form to the co-committee to be adjudicated,
(17:21):
but it's more of an understanding that we have permission now to go ahead and
help each other improve ourselves in terms of our behaviors and in terms of our decision making.
And another exciting thing that we are working on right now is to provide the NHTA program.
(17:41):
Membership with a pledge. They may be academics working in a professional program
or they may be in a practice setting, but we're going to integrate these professional
values and just a short pledge that I.
As an athletic trainer, will adhere to and abide by these professional values
(18:01):
if they so choose to use the pledge in their practice setting or their professional
group. But it's It's a start.
Now that we have them, we've got to do something with them beyond the code of
ethics and beyond a pledge.
I think we open up an opportunity for further research.
For example, I think some of the things that I would like to know is it'd be
(18:25):
interesting to see how effectively we are integrating these shared professional values.
For example, are professional programs integrating professional values into
their professional programs?
And if they are, how are they doing that?
Are practice settings integrating the shared professional values into their
(18:45):
practice setting? And if so, how are they doing it?
If we have any clinician scientists listening to this, Gretchen,
you just gave so many awesome research ideas on how to move forward.
So thank you for providing that for our listeners.
Well, thank you in advance for getting that word out. Yeah.
So can you provide a take-home point for our listeners?
(19:09):
What would be the most important thing that you want our listeners to walk away with from this podcast?
I like to dabble in carpentry when I'm not wearing my department head athletic trainer hat.
And one of the rules of thumb in carpentry is to always measure twice and cut once.
And as I've been working on a project over the last year, measuring more than
(19:33):
twice and hopefully only cutting once, it really made me extrapolate that and
apply it to what we've been doing for the last several years on professional values.
Use is think twice, act once.
And even with measuring twice, cutting once, or thinking twice and acting once,
that does not mean you're always going to get it right.
(19:53):
Even the best intentions could have unintended harmful outcomes.
So I think we need to realize that we are not humanly possible to do all the
right things every time. It's just not possible.
But what we can do is to to slow down.
We can be intentional, like measuring, being thoughtful,
(20:16):
think things through instead of being reactive, and pause enough,
especially if it's an emergent situation where you don't have time to go through
the four principles and the sub-principles of the Code of Ethics or all the
principles listed in the BOC Standards of Professional Practice or perhaps perhaps
(20:36):
any regulatory documents from a legal perspective,
you just have to make a decision.
So you need it to be one that you can stand by. So if people can just pause
to go through CERCA, go through those five professional values,
I believe that you can minimize the likelihood of having a poor outcome.
(20:57):
That's great. And I could spend another 30 minutes talking about the notion
of values orientation and compliance orientation.
And Marisa alluded to that. The values orientation is a beautiful orientation
in that it uses our five shared professional values, circa. Circa.
(21:17):
And that is used typically, at least the literature tells us,
and I've used it in my own day-to-day life,
is that you use those five values to see, oh my gosh, initially when something
happens, when there is an issue bubbling up, whether it's on the field or in
the classroom or even in your office,
(21:38):
you go to those five values.
Circa, caring, compassion, integrity, Integrity, respect, competence, accountability.
Okay, did I cover all five? Yes, I believe I did a good job covering all five.
Okay, the incident then begins to dissipate and you have time now because you
(21:59):
used your circuit to care for it.
You've got time now to thumb through the legal documents.
Thumb through your practice app, thumb through the code of ethics and say to
yourself, golly, did I abide by all those principles,
all those statutes, all those regulatory rules and other statutes?
(22:24):
And if you can say yes, then you're good to go.
If you say you didn't, then reflect on that.
What needs to be done now that the incident is behind you?
What do you need need to do to follow up with that incident?
Maybe nothing, but maybe you need to say, you know, I should have done da, da, da.
(22:45):
I need to come back and look at this again and work with folks on stuff.
Well, those were both extremely impactful take-home points.
And I really appreciate you both taking the time to meet with me today and to
have this very important conversation.
Conversation so just to our listeners this
(23:08):
article is available free of charge by the journal
of athletic training so i highly recommend everyone go download this management
this manuscript and make sure that you have circa posted somewhere in your athletic
training facility or in your own office to make sure that we're all abiding
by the same professional values so again Jen, thank you both so much.
(23:31):
And we will see you all next time on JAT Chat. Great. Thank you, Shelby.
Music.
Music.
(00:14):
So, welcome to JAT Chat, presented by the Journal of Athletic Training,
the official journal of the National Athletic Trainers Association.
I'm Dr. Shelly Vaya, an assistant professor in the Department of Exercise and
Sports Science at the University of North Carolina at Chapel Hill,
and the co-host of JAT Chat with Dr. Kira Radzak.
Today, I have the pleasure of being joined by Drs. Gretchen Schlaubach and Marisa Colston. Dr.
(00:40):
Schlaubach is an adjunct professor in the Doctor of Athletic Training program
at Florida International University and in the Master of Science of Athletic
Training program at Old Dominion University.
Dr. Colston is a graduate athletic training faculty and the department head
of Health and Human Performance at the University of Tennessee at Chattanooga.
(01:00):
Dr. Schlaubach and Dr. Colston are both recipients of the NATA Service Award
and of the NATA Most Distinguished Athletic Trainer Award.
Dr. Schlaubach is also an NATA Hall
of Famer and Illinois Athletic Trainer Association Hall of Famer. And Dr.
Colson is a Tennessee Athletic Trainer Society Hall of Famer.
And they are co-authors of Athletic Trainers Shared Professional Values,
(01:23):
a report from the National Athletic Trainers Association Professional Responsibility
and Athletic Training Committee.
Thank you all so much for joining me today.
Thank you. Pleasure to be here. So starting off, just with a broad question
for our listeners, what prompted the development of this statement about shared
(01:44):
professional values in athletic training?
Well, I think I'll take the lead on that. And Marissa, please jump in.
The mission of the Professional Responsibility and Athletic Training Committee
is really to support the legal and the ethical and the regulatory standards
of the Athletic Training Strategic Alliance by encouraging and promoting adherence.
(02:08):
And so given that we were a new committee in 2017,
we thought the first thing we needed to do is ask the members what the legal,
ethical, and regulatory issues were were relative to athletic training.
And we sent out a membership survey to the group,
(02:29):
and we found out that members were really quite frustrated with all the documents
that they need to be mindful of in order to provide good, right,
and responsible behavior.
So what they were wanting us to do is streamline those documents,
make it easy for them so that when they're caring for a patient or they're in the...
(02:52):
Athletic training world as a colleague. How do you pull that stuff together
and be responsible to whomever you're working with?
And so one of the ideas as we were brainstorming about this need for streamlining the legal,
ethical, and regulatory documents of athletic training, One of the things that
(03:16):
we began to talk about were professional values as a way of bringing members
together and at least adhering to a certain set of values,
because values motivate behavior.
And so if you use shared professional values, they're moral in nature,
(03:38):
and they tend to be ethical, if you will.
And so if we can get people's decision-making and behaviors going in one direction,
it will provide time for them to sit back and at a later time and reflect upon
the documents that they're responsible to adhere to.
(04:02):
Yeah, and it certainly seems like as we're thinking about enhancing our patient care,
we have to start with these foundations to be like the stepping stone for us
when we're thinking about interacting with our colleagues and interacting with
our patients and interacting with many people in our in our career.
You're spot on with that, Shelby. And I do want to emphasize that these values
(04:25):
are not just for the patient relationship that we have.
It's for our colleagues. It's for other health care providers.
And that's really an important point. Oftentimes, we think that this is all
about patient care, but it's about us as professionals in the profession of athletic training.
So whoever we interact with. When we think about interacting with other colleagues,
(04:50):
I think athletic trainers are really unique where we interact with so many different
types of health care providers.
And as we think about these shared professional values, what all did you find
exist in the literature as it relates to some of these other health care providers
that we interact with on the day to day? Okay.
Certainly what we discovered as we were reviewing the literature was that there
(05:14):
are a number of healthcare professions as well as medical specialties that have
found the usefulness of shared professional values given that they are the moral
cornerstones of their profession.
And they use them as pillars for developing professionalism.
For example, let me just use the physical therapy profession.
(05:37):
They were transitioning in 2020 from a profession that did not require a doctorate
to a doctoral profession.
And one of the things that they noticed is that they really needed to have a
strong foundation of professionalism.
And in order to have a strong foundation of professionalism,
(05:59):
their approach was to use professional values,
given their ethical and moral nature, to establish their notion of professionalism
within physical therapy.
So that's one way occupational therapists have used professional values as a
way to really highlight their beliefs and attitudes and also their behaviors.
(06:25):
Nursing has done the same thing.
They wanted to help new incoming students in nursing,
help them to understand the essence and the core of nursing and the things that
they value in terms of professional core values.
We have used shared professional values.
(06:48):
And Marissa, share with us how, through your leadership on the research and
how you pulled together and went forward on this research piece that we have.
Well, the literature review started back, and we'll touch on this, I guess, perhaps later.
(07:09):
Later in this podcast, but we were fortunate to get the support to you as graduate
students and another colleague of mine at UT Chattanooga.
And so we just put it to the graduate students to just hit the literature.
And they poured through hundreds of articles.
And through that, we identified various professional value alternatives, so different listings.
(07:36):
And we We gosh, through the content experts, we whittled it down ultimately
to it was more manageable to put in survey format to validate.
And if it wasn't repeated in a certain number of times, or if perhaps it was
taken out of context and not used for professional values, we excluded it.
(07:59):
So that's really how we explored the literature. And we were all over the place,
not just with the literature and athletic training, such as looking through
the KD competencies, looking through BOC standards of professional practice, NATA code of ethics,
membership standards, et cetera.
We were in medical literature a lot in nursing.
(08:22):
Nursing really, I think, have paved the way very well in professionalism and
ethics, as well as the physical therapy, occupational therapy.
We went to a lot of different places to make sure we thoroughly combed the literature
to provide a good selection for our members to choose from.
So it sounds like a lot of research completed on the back end even prior to
(08:46):
starting this endeavor with developing this statement.
So I'll transition us to talking about the research that's completed as part
of the statement. Because I think what was unique, you saw a three-tier approach,
three-study approach to help develop the statement.
Could you all talk to us a little bit about the process you all took to complete
the statement and the three steps that were completed in the process? Yes.
(09:10):
We have found that the other professions use some unique approaches,
but our approach, we think, was more inclusive.
Our approach was to truly understand what the members' values are.
It was not about pulling together a focus group and having them identify those values.
(09:36):
It was truly the membership. And in fact, we were so lucky to have been able
to use the research availability with the NATA and their platform to solicit these responses.
And we were so lucky to be able to send the survey out to the membership,
and we got a great response rate. We thought it was great.
(09:59):
We had about 13% or 14% respond back. And according to the editor of the Journal
of Athletic Training, that was really quite good with a membership survey.
So we were quite happy with that.
And that was huge that no other professional group or medical specialty had
ever really asked their members what their shared professional values are.
(10:24):
And now we had that opportunity and we had this data. And through Marissa's
magic as the research director of this project, she can tell you the nuances
and the nitty gritty of what we did.
Just a privilege to lead this project because it's really historical.
We had not had established shared professional values prior to this project.
(10:48):
And as Gretchen already alluded to, the support from the NATA leadership was
so critical to allow us to have a grassroots effort rather than a prescriptive
top-down saying, here they are,
and then everybody just has to affirm to it.
We believe that our members would be more,
(11:08):
just greater stakeholders, right, to be more accountable in adhering to these
shared professional values because they had a say, or at least the opportunity,
right, to be a part of selecting what they are.
And so, yeah, you're right, Shelby, you alluded to a three-tiered. We did a three-tiered.
Stage or three-part, three-year project starting in late 2017,
(11:34):
and everything got solidified and approved in 2020.
The first phase, the first stage was survey validation.
So we use the Athletic Training Strategic Alliance leaders for that.
We had about 95 that we sent a survey out with a list of actually 17 professional
value alternatives to select from and rank them. And we asked some other questions
(11:57):
like, how important are shared professional values to you?
And how important is it for NATA to articulate these to the members?
And without a doubt, those were in the high 90% across all three stages when
we asked these questions.
So once we sent it out to the leadership, our response rate to the Strategic
(12:19):
Alliance leadership was really, really good.
Then we went on to phase two, which was part that Gretchen was alluding to.
And that was the membership survey.
So the survey went out to over 35,000 members. Those were the members that had
agreed to receive those types of emails.
What made me feel better about it as a researcher is that the demographic of
(12:39):
our respondents very much aligned
and mirrored closely the demographics of the membership as a whole.
So we felt that we had a good representative distribution
in the responses that we had and
so we we sent the 16 and then when we got the results back from that we collated
(13:02):
everything did the analyses and then Gretchen presented that to the NATA Board
of Directors for their final I guess you could say selection and ratification so once we got the final.
Listing the professional values from
the board of directors then we went into phase three and
phase three was going with the five shared professional values that the board
(13:26):
of directors had approved and then we went back to our content experts and we
developed a definition for each of the five identified professional values approved
professional values and then we also did the the behavior indicators,
which are like example behaviors.
We created five for each of the five professional values.
(13:47):
And then from there, we surveyed the NATA leaders, all of the chairs and members
of national committees, NATA committees and task force,
and had another great response rate from those individuals.
And we had very good agreement with our definitions clinicians and they were,
(14:10):
they ranked the behavior indicators for each professional value.
And we, Gretchen presented those to the board of directors and they decided
to go with the top three ranked one for each of the, each of the five.
That was a fantastic summary. Thank you so much for, for, for providing that for our readers.
(14:30):
So I want to transition to when did we find, what are those those five shared
professional values that you all found throughout this process?
Well, I'll just keep going with that then, if that's all right.
If you can remember CIRCA,
C-I-R-C-A, we just played with the rearrangement and we thought,
well, that's kind of neat because CIRCA usually means around or about,
(14:54):
which usually is in reference to a date, but we kind of did a play on words
and circa is what we're about.
So if you can remember the C-I-R-C-A, the first C for caring and compassion
and caring, and then I for integrity, R for respect, C for competence,
and then A for accountability.
(15:14):
And that is our five shared professional values for the professional math literature.
The article itself, there is an amazing table that has outlined the different
values as well as the five behavioral indicators.
That is a fabulous infographic that NATA Marcom put together for us.
(15:35):
So as an athletic trainer who maybe this is our first interaction looking at
these professional values, and I really want to make sure I'm embodying these values.
Any recommendations on how to move forward or what we should do in order for
us to make sure that incorporating this into my professional practice.
(15:56):
Things have already bubbled up with, we have a professional values subcommittee
within the committee of the Professional Responsibility and Athletic Training Committee.
And we've already bubbled, and Marissa was on this too, we've inserted our professional
values into our NATA code of ethics, again, because they're moral in nature.
(16:17):
And you'll see, not only are members Members now expected to adhere to the professional values.
They're also part of the code. So, you know, there's also an opportunity for
members to evaluate other members to see if they're abiding by these professional values.
(16:40):
And if they're not, our recommendation is to be more collaborative in terms
of helping members understand that, you know, respect is an important value.
You, and these are some ideas and behaviors for respect.
And, you know, this is how you can work to correct your actions or your behaviors
(17:00):
in order to align yourself with this notion of respect that we find to be very
important in the NATA Code of Ethics.
So we, with professional values, we We self-regulate each other so that it's
not a complaint form to the co-committee to be adjudicated,
(17:21):
but it's more of an understanding that we have permission now to go ahead and
help each other improve ourselves in terms of our behaviors and in terms of our decision making.
And another exciting thing that we are working on right now is to provide the NHTA program.
(17:41):
Membership with a pledge. They may be academics working in a professional program
or they may be in a practice setting, but we're going to integrate these professional
values and just a short pledge that I.
As an athletic trainer, will adhere to and abide by these professional values
(18:01):
if they so choose to use the pledge in their practice setting or their professional
group. But it's It's a start.
Now that we have them, we've got to do something with them beyond the code of
ethics and beyond a pledge.
I think we open up an opportunity for further research.
For example, I think some of the things that I would like to know is it'd be
(18:25):
interesting to see how effectively we are integrating these shared professional values.
For example, are professional programs integrating professional values into
their professional programs?
And if they are, how are they doing that?
Are practice settings integrating the shared professional values into their
(18:45):
practice setting? And if so, how are they doing it?
If we have any clinician scientists listening to this, Gretchen,
you just gave so many awesome research ideas on how to move forward.
So thank you for providing that for our listeners.
Well, thank you in advance for getting that word out. Yeah.
So can you provide a take-home point for our listeners?
(19:09):
What would be the most important thing that you want our listeners to walk away with from this podcast?
I like to dabble in carpentry when I'm not wearing my department head athletic trainer hat.
And one of the rules of thumb in carpentry is to always measure twice and cut once.
And as I've been working on a project over the last year, measuring more than
(19:33):
twice and hopefully only cutting once, it really made me extrapolate that and
apply it to what we've been doing for the last several years on professional values.
Use is think twice, act once.
And even with measuring twice, cutting once, or thinking twice and acting once,
that does not mean you're always going to get it right.
(19:53):
Even the best intentions could have unintended harmful outcomes.
So I think we need to realize that we are not humanly possible to do all the
right things every time. It's just not possible.
But what we can do is to to slow down.
We can be intentional, like measuring, being thoughtful,
(20:16):
think things through instead of being reactive, and pause enough,
especially if it's an emergent situation where you don't have time to go through
the four principles and the sub-principles of the Code of Ethics or all the
principles listed in the BOC Standards of Professional Practice or perhaps perhaps
(20:36):
any regulatory documents from a legal perspective,
you just have to make a decision.
So you need it to be one that you can stand by. So if people can just pause
to go through CERCA, go through those five professional values,
I believe that you can minimize the likelihood of having a poor outcome.
(20:57):
That's great. And I could spend another 30 minutes talking about the notion
of values orientation and compliance orientation.
And Marisa alluded to that. The values orientation is a beautiful orientation
in that it uses our five shared professional values, circa. Circa.
(21:17):
And that is used typically, at least the literature tells us,
and I've used it in my own day-to-day life,
is that you use those five values to see, oh my gosh, initially when something
happens, when there is an issue bubbling up, whether it's on the field or in
the classroom or even in your office,
(21:38):
you go to those five values.
Circa, caring, compassion, integrity, Integrity, respect, competence, accountability.
Okay, did I cover all five? Yes, I believe I did a good job covering all five.
Okay, the incident then begins to dissipate and you have time now because you
(21:59):
used your circuit to care for it.
You've got time now to thumb through the legal documents.
Thumb through your practice app, thumb through the code of ethics and say to
yourself, golly, did I abide by all those principles,
all those statutes, all those regulatory rules and other statutes?
(22:24):
And if you can say yes, then you're good to go.
If you say you didn't, then reflect on that.
What needs to be done now that the incident is behind you?
What do you need need to do to follow up with that incident?
Maybe nothing, but maybe you need to say, you know, I should have done da, da, da.
(22:45):
I need to come back and look at this again and work with folks on stuff.
Well, those were both extremely impactful take-home points.
And I really appreciate you both taking the time to meet with me today and to
have this very important conversation.
Conversation so just to our listeners this
(23:08):
article is available free of charge by the journal
of athletic training so i highly recommend everyone go download this management
this manuscript and make sure that you have circa posted somewhere in your athletic
training facility or in your own office to make sure that we're all abiding
by the same professional values so again Jen, thank you both so much.
(23:31):
And we will see you all next time on JAT Chat. Great. Thank you, Shelby.
Music.
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