Summary: <br> Do you personally have a Diagnostic Accuracy cutoff in terms of diagnostic factors to determine if you would use the test?<br> <br> <br> <br> No, but if there are multiple tests available I look at the most accurate ones. I do not really like it when clinicians do every test available just because.<br> <br> <br> <br> <br> <br> <br> <br> Are we image happy?<br> <br> <br> <br> X-ray, MRI, Ultrasound - it is visual, so it gives us something to see<br> <br> <br> <br> But blood tests do not really give us that. It has to be done against controls.<br> <br> <br> <br> Having every injury get an MRI would be great, but it is cost-prohibitive for a lot of people<br> <br> <br> <br> “If we are sending every patient to get an ultrasound image, then why are we there?”<br> <br> <br> <br> Talk about treating the patient vs treating the image or diagnostic test.<br> <br> <br> <br> * In Athletics, the nice thing is most injuries are life-threatening.* But for internal injuries MRIs are lifesavers.<br> <br> <br> <br> It is hard to argue with an x-ray showing a fracture<br> <br> <br> <br> What is the conversation you would have with parents before the season begins about your confidence in your evaluations and role at the school?<br> <br> <br> <br> If I think we can treat them here we will if I think they need imaging I will refer them to our team doctor and he can order the images.<br> <br> <br> <br> Mention this though: “a non-sports medicine doctor will likely default to out two weeks” once they do that we are obligated to follow that before beginning rehab and return to play work.<br> <br> <br> <br> Is there any uncertainty in using diagnostic accuracy values in Athletic Training?<br> <br> <br> <br> YES! There is untold value - the new ATs have learned this but it is a new development in AT education.<br> <br> <br> <br> How do we make Diagnostic Accuracy Language more universal?<br> <br> <br> <br> It is growing as we have more and more ATs learning about it as part of their education.<br> <br> <br> <br> More talks at conventions with catchy names<br> <br> <br> <br> When would you not focus on diagnostic accuracy measures?<br> <br> <br> <br> In short, yes you can go with your gut and try a few other tests when things seem off.<br> <br> <br> <br> How do you get students to buy-in?<br> <br> <br> <br> This is how you win arguments.<br> <br> <br> <br> If someone questions you and your evaluation you Have numbers and research to back it up...this usually will end the argument.<br> <br> <br> <br> Make them understand it is not just statistics.<br> <br> <br> <br> Some orthopedic tests have minimum research or no reported value, where does proof of the value come in?<br> <br> <br> <br> Yes, you can still do the test if there is a value that is not reported.<br> <br> <br> <br> Usually, this requires MRI proof.<br> <br> <br> <br> Some conditions do not have a good test<br> <br> <br> <br> <br> https://www.facebook.com/sportsmedicinebroadcast/videos/626642927854955/<br> <br> <br> <br> <br> <br> <br> <br> <br> <br>
