In this bonus episode, we sit down with graduate student Sierra Cruz and discuss the impact AT Last has had on Sierra's journey. We break down the financial, educational, network access, and health and wellness measures during her recent clinical rotation at Stanford University.Music Credit - Title: “Chill Day”, Author: “ LAKEY INSPIRED, Source: “Chill Day — LAKEY INSPIRED“, License: “CC BY-SA 3.0”

In the final episode of season 2, we have a poignant conversation with Dr. Stuart Shanker on the topic of Self Regulation and it's potential impacts on pracitioners and patients alike.Music Credit - Title: “Chill Day”, Author: “ LAKEY INSPIRED, Source: “Chill Day — LAKEY INSPIRED“, License: “CC BY-SA 3.0”

The team sits with a real life revolutionary and president of Black Lives Matter Greater NY, Hawk Newsome. In this episode, they discuss every citizen's role in the betterment of our communities and supporting People of Color.Music Credit - Title: “Chill Day”, Author: “ LAKEY INSPIRED, Source: “Chill Day — LAKEY INSPIRED“, License: “CC BY-SA 3.0”

The AT Last Team chops it up with Chief Sports Performance Officer of USA Water Polo, John Abdou. We engage on the topics of DEI, high performance, leadership, and John’s personal experience in sport as an Egyptian-American.Music Credit - Title: “Chill Day”, Author: “ LAKEY INSPIRED, Source: “Chill Day — LAKEY INSPIRED“, License: “CC BY-SA 3.0”

The AT Last Team has an honest and open conversation with a world leader in mental health and sport psychology, Dr. Kensa Gunter. In addition, Dr. Gunter is a DEI advocate and leader.Music Credit - Title: “Chill Day”, Author: “ LAKEY INSPIRED, Source: “Chill Day — LAKEY INSPIRED“, License: “CC BY-SA 3.0”

On this episode, our team has an engaging conversation with a highly successful non profit leader in Afam Onyema. We dissect the meaning of "helping others" and discuss the trials and tribulations that we have experienced. Music Credit - Title: “Chill Day”, Author: “ LAKEY INSPIRED, Source: “Chill Day — LAKEY INSPIRED“, License: “CC BY-SA 3.0”

The squad sits with Dr. Koyya Lewis-Trammell, a Black Kinesiology researcher, to discuss wearable technologies and how they can impact health disparities in underserved communities.Music Credit - Title: “Chill Day”, Author: “ LAKEY INSPIRED, Source: “Chill Day — LAKEY INSPIRED“, License: “CC BY-SA 3.0”

In this episode we sit down with Tim Noakes to dissect the topic of hydration and places that we miss the mark as providers regarding fluid replacement, and specifically highlighting the compounded effects that we see in underserved communities.Music Credit - Title: “Chill Day”, Author: “ LAKEY INSPIRED, Source: “Chill Day — LAKEY INSPIRED“, License: “CC BY-SA 3.0”

The team chops it up with Reagan Griffin, an engaging young journalist/athlete/podcaster from USC’s Anennberg School for Communication and Journalism.Music Credit - Title: “Chill Day”, Author: “ LAKEY INSPIRED, Source: “Chill Day — LAKEY INSPIRED“, License: “CC BY-SA 3.0”

Joined by Dr. Robert Lustig, the team discusses the harmful metabolic effects of sugar within communities of Color and why practitioners should rethink aspects of nutrition for athletes and patients.Music Credit - Title: “Chill Day”, Author: “ LAKEY INSPIRED, Source: “Chill Day — LAKEY INSPIRED“, License: “CC BY-SA 3.0”

The fellas continue their discussion with guest, Daryll Stinson, a former DI football player who suffered a severe career-ending back injury in college which led to him attempt to end his life by suicide. He shares his perspective about how life as an athlete can and should be more about purpose and identity which includes but is not limited to sport.Music Credit - Title: “Chill Day”, Author: “ LAKEY INSPIRED, Source: “Chill Day — LAKEY INSPIRED“, License: “CC BY-SA 3.0”

Season 2 kicks off with Part 1 of a 2 Part discussion with guest, Daryll Stinson, a former DI football player who suffered a severe career-ending back injury in college which led to him attempt to end his life by suicide. He shares his perspective about how life as an athlete can and should be more about purpose and identity which includes but is not limited to sport.Music Credit - Title: “Chill Day”, Author: “ LAKEY INSPIRED, Source: “Chill Day — LAKEY INSPIRED“, License: “CC BY-SA 3.0”

We sit down with a highly experienced, empathic, and culturally competent educator to discuss the impact of degree inflation on the recruitment and retention of students of Color.ReferencesPotential negative impacts of degree change to underrepresented student of colorFinancial constraintsBachelors versus masters degreeGA positions will changeGeographic constraintsCost of education vs post grad salaryGreater length of time until in the work forceIsolation/alienationFew POC in the programCurrent programs don’t recruit80% of program directors do not intentionally recruit POCSoon to be published data from Dr. WarrenMost AT programs are at predominantly white schoolsOne HBCU with athletic training major1Bethune-Cookman UnivIs there a gap in cultural competence in current AT education?Most educators do not endorse having high levels of confidence in cultural comptency3These educators lack diversityDegree change FAQ’s from NATA2How will the degree change impact diversity?“It was found that greater diversity exists at the graduate level of athletic training programs than it does at the undergraduate level. In addition, minorities represent a high population of student athletes. Therefore, the degree level change may also open up the opportunity to become an athletic trainer for more minority students, as the athletes can complete their AT coursework once their undergraduate playing days are completed.”Does the change increase student debt?“The extra one to two years of school does mean debt will increase; however, when you compare ATs who have master’s degrees with those who don’t, ATs with master’s have more longevity in the profession and higher rates of full time employment, which often corresponds to increased salaries. Even though the debt is higher, having a master’s could help contribute to increased salary, thus reducing student debt at a quicker rate.”References1. https://thewildcatden.net/new-blog/2019/8/28/bethune-cookman-university-leads-as-the-only-historically-black-college-and-university-in-the-nation-to-offer-a-nationally-accredited-master-of-athletic-training-program2. https://www.nata.org/career-education/education/resources-tools/degree-change-faqs3. Grove DH, Mansell J. Cultural competence: where are we as athletic training educators? Athletic Training Education Journal. 2020;15(1):49-54.Contact/Support/Questions/CommentsHow to contact the initiative to support, collaborate, ask questions:Email: atlast@atvantagepodcasts.comGoFundMehttps://www.gofundme.com/f/increasing-diversity-in-athletic-trainingGratitude and BlessingsArtwork by Jason Eisenberg...

The AT Last team sits down with the LA Rams Senior Director of Sports Medicine and Peformance, Reggie Scott, during a live recording of the AT Last podcast. A wide range of topics are covered including perspectives of a Black NFL Head Athletic Trainer, the impact of Cultural Competence on patient care outcomes, Reggie’s hiring practice, emotional intelligence, mentoring, leadership and more.ReferencesContact/Support/Questions/CommentsHow to contact the initiative to support, collaborate, ask questions:Email: atlast@atvantagepodcasts.comGoFundMehttps://www.gofundme.com/f/increasing-diversity-in-athletic-trainingGratitude and BlessingsArtwork by Jason Eisenberg Instagram: @dots_and_squaresLinkedIn: https://www.linkedin.com/in/jasoneisenberg00/Intro/Outro music by Willie B the Ichiban DonInstagram: @ichibandonLinkedIn: https://www.linkedin.com/in/william-brown-25945b168/Production / Engineering / Editing / Content CreationJoseph “J Pash” PatrickWebsite: https://www.passionnetpro.com/Twitter: @passionnetproInstagram: @passionnetproFacebook: https://www.facebook.com/passionnetpro/LinkedIn: https://www.linkedin.com/in/passionnetpro/Gerson SandovalInstagram: @thesoundarchitectsWebsites: https://thesoundarchitects.com/https://soundbetter.com/profiles/347950-the-sound-architects

On this episode we discuss return to sport during the COVID-19 Pandemic and the associated risks and benefits. Topics that are touched upon include Post-Acute Sequalae of SARS-CoV-2 infection (PASC), coronavirus disease and the athletic heart, and youth sports in violation of COVID orders.ReferencesPASC: https://www.nih.gov/about-nih/who-we-are/nih-director/statements/nih-launches-new-initiative-study-long-covidKim JH, Levine BD, Phelan D, et al. Coronavirus disease 2019 and the athletic heart: emerging perspectives on pathology, risks, and return to play. JAMA Cardiol. 2021;6(2):219.https://www.latimes.com/sports/highschool/story/2021-01-12/youth-sports-competitions-grow-in-southlandhttps://www.cdc.gov/coronavirus/2019-ncov/community/schools-childcare/youth-sports.htmlElliott N, Martin R, Heron N, Elliott J, Grimstead D, Biswas A. Infographic. Graduated return to play guidance following COVID-19 infection. Br J Sports Med. 2020;54(19):1174-1175.Contact/Support/Questions/CommentsHow to contact the initiative to support, collaborate, ask questions:Email: atlast@atvantagepodcasts.comGoFundMehttps://www.gofundme.com/f/increasing-diversity-in-athletic-trainingGratitude and BlessingsArtwork by Jason Eisenberg Instagram: @dots_and_squaresLinkedIn: https://www.linkedin.com/in/jasoneisenberg00/Intro/Outro music by Willie B the Ichiban DonInstagram: @ichibandonLinkedIn: https://www.linkedin.com/in/william-brown-25945b168/Production / Engineering / Editing / Content CreationJoseph “J Pash” PatrickWebsite: https://www.passionnetpro.com/Twitter: @passionnetproInstagram: @passionnetproFacebook: https://www.facebook.com/passionnetpro/LinkedIn: https://www.linkedin.com/in/passionnetpro/Gerson SandovalInstagram: @thesoundarchitectsWebsites: https://thesoundarchitects.com/https://soundbetter.com/profiles/347950-the-sound-architects

On this episode we discuss the safety and efficacy of vaccines with guest, Christina Cady. We also discuss some of the literature related to reduced vaccination rates in communities of color. Show NotesInfluenza vaccination rates compared by RaceInfluenza vaccination is widely recommended and fully covered preventative service under the ACAData show flu vaccination rates remain low and there are persistent racial disparities in uptake of flu vaccine2018-2019 CDC flu vaccine dataAdults by raceWhites 49%Blacks 39%Latinos 37%AIAN 38%Factors leading to lower ratesLess insurance and less likely usual source of careCritical factorsBlacks perceive a higher risk of side effectsLower knowledge of flu vaccineLess trust in the vaccineBlack patients do not always receiveStrong recommendationsSpecific offers for vaccineDecreased acceptance of new vaccine with highest level of worry amongst BlacksPerception of racial fairness and influence of race in health care settings and experiences with discrimination are associated with attitudes and beliefs about vaccinations which can influence getting vaccinatedPOC have more missed opportunities for vaccines, but would be more willing to accept if strongly recommendedCOVID-19 VaccinationsAvailable evidence: 15,474,800 cases from Jan 21st to Dec 10thHospitalization rate: 278.7 per 100,000 peopleMortality: 291,522 COVID-19 associated deaths2,740 new deaths per dayIn LA (recent LA County public health lecture 1/5/21)Death rate is 4 times higher in areas of povertyCOVID-19 Vaccination Evidence to Recommendations from the CDC ACIPPopulation: >16 yoIntervention: Pfizer-BioNTech COVID-19 vaccine (BNT162b2)Comparison: No vaccineOutcomesSymptomatic lab confirmed COVID-19Hospitalization secondary to COVID-19All cause deathSARS CoV-2 Seroconversion to a non-spike protein (date pending early December)Asymptomatic SARS Cov-2 Infection (data pending early December)Serious Adverse EventsReactogenicity Grade >3Do desirable effects of vaccine outweigh undesirable effects? A resounding Yes, benefits outweigh harms in most settingsPfizer vaccine demonstrated VERY HIGH efficacy (95%) post 2 dose regimen against symptomatic lab confirmed covid infectionLevel of evidence: High certaintyAcross all groups (age, gender, race, with comorbidities)Not included: children, pregnant women, immunodeficient individualsLimitationsOnly 2 month f/uLimited power to detect rare adverse events

On this episode, we discuss the intersection of Diversity and Inclusion (D&I) and its implications to business with guest Alisha M. Pennington. We get into specifics of D&I within the lens of healthcare, sports medicine, and athletic training.Show NotesThe business case for diversityHow inclusion mattersSignificance of the topic to business/healthcareIncreased diversity/inclusion may lead to……Increased profitabilityIncreased employee quality of lifeIncreased retentionImproved patient outcomesExpress implication of topic to the growth & development of the professionOrganizations/Colleges that employ large numbers of ATs can be at the forefront of diversity and inclusion within our space of healthcareHow employees experience inclusionEquality-are promotions based on who or what you know?Openness-do you openly embrace diversity/inclusion and do your actions agreeBelonging-is a culture fostered to make people feel includedStrategies to improve D&ISystemic ledIncrease diverse representation in leadership and critical rolesStrengthen leadership and accountability for delivering D&I goalsStrengthen inclusionEqual opportunity through fairness and transparencyExample: fair/transparent recruiting/hiring practicesPromote openness/reduce bias and discriminationFoster belonging through support for diversitySummaryDiversity is important but so is inclusion which are not exclusive of each other. Diversity/inclusion can lead to improved performanceValueImproved patient care and outcomesRecruitment and retention of diverse employeesIncreased profitabilityReferencesHunt V, Prince S, Dixon-Fyle S, Dolan K. Diversity wins: How inclusion matters. McKinsey & Company Report. May 2020Contact/Support/Questions/CommentsHow to contact the initiative to support, collaborate, ask questions:Email: atlast@atvantagepodcasts.comGoFundMehttps://www.gofundme.com/f/increasing-diversity-in-athletic-trainingCATA virtual symposium 2021Registration link: https://cvent.me/vvQyayGuest Contact infoLinkedIn: https://www.linkedin.com/in/alisha-m-pennington/Website: https://www.theatvantage.com/Twitter: @theATvantageFacebook: https://www.facebook.com/theATvantageInstagram: theatvantageGratitude and BlessingsArtwork by Jason Eisenberg Instagram: @dots_and_squaresLinkedIn:

Our guest today is Alejandra Merriman, Sports Medicine Instructor and Clinician at Dorsey High School in South Central Los Angeles. In this episode we discuss the lack of access to Athletic Trainers in Los Angeles (LA) and its implications to the health of athletes in underserved communities of LA.Show NotesLatinx Athletic TrainersAccess to ATs in CACA has the second largest number of athletes of any state, with 40% of those athletes at schools without an AT or with another healthcare provider5% number of students eligible for free lunch (criteria applied for national school lunch program, submitting household income forms, student homeless/migrant status) Roughly 90 high schools in LAUSD with sports6 of them have an ATC42 high schools have 90+ % of students that are eligible for free lunchBasically, the other 40+ schools have 50% of their student body eligible for free lunchActions items for ATs to walk away with from this discussionParticipate in CATA upcoming virtual hit the hillIf you have relationships with LAUSD athletic directors, have a conversation: AT Last can guide you with thisContact AT Last for questions collaborationReferencesMcLeod TCV, Cardenas JF. Emergency preparedness of secondary school athletic programs in Arizona. Journal of Athletic Training. 2019;54(2):133-141.Johnson ST, Norcross MF, Bovbjerg VE, Hoffman MA, Chang E, Koester MC. Sports-related emergency preparedness in oregon high schools. Sports Health. 2017;9(2):181-184.Post E, Winterstein AP, Hetzel SJ, Lutes B, McGuine TA. School and community socioeconomic status and access to athletic trainer services in wisconsin secondary schools. Journal of Athletic Training. 2019;54(2):177-181.Kroshus E, Rivara FP, Whitlock KB, Herring SA, Chrisman SPD. Disparities in athletic trainer staffing in secondary school sport: implications for concussion identification. Clin J Sport Med. 2017;27(6):542-547.Post EG, Roos KG, Rivas S, Kasamatsu TM, Bennett J. Access to athletic trainer services in california secondary schools. Journal of Athletic Training. 2019;54(12):1229-1236.Adler NE, Newman K. Socioeconomic disparities in health: pathways and policies. Health Affairs. 2002;21(2):60-76.Reback R. Investments in students’ physical and mental health inCalifornia’s public schools. Getting Down to Facts II Web site.https://gettingdowntofacts.com/publications/investments-studentsphysical-and-mental-health-californias-public-schools. Published2018. Accessed September 4, 2019.Simon JE, Wikstrom EA, Grooms DR, Docherty CL, Dompier TP, Kerr ZY. Athletic training service characteristics for patients with ankle sprains sustained during high school athletics. Journal of Athletic Training. 2019;54(6):676-683.Adams WM, Scarneo SE, Casa DJ. State-level implementation of health and safety policies to prevent sudden death and catastrophic injuries within secondary school athletics. Orthop J Sports Med. 2017;5(9):2325967117727262.Contact/Support/Questions/CommentsHow to contact the initiative to support, collaborate, ask questions:Email: atlast@atvantagepodcasts.comGoFundMe

In the episode the AT Last team discusses the Network Gap with close friend and colleague Dr. Charles Ramos. In particular, research pertaining to the network gap and strategies to close the network gap are discussed. Dr. Charles Ramos is the Sports Medicine Program Manager at Diablo Valley College where he is a clinician and educator.Show NotesThe network GapWho you know matters1:>70% of professionals get hired at companies where they have a connectionOn LinkedIn applicants referred to a job by a current employee are 9 times more likely to get hiredThe gap = networks are not distributed equallyThe following can give you 12x advantage in gaining access to opportunity1Where you grow upZip code with median income over 100K is nearly 3x more likely to have a stronger network than a member in lower income zipWhere you go to schoolTop colleges2 = 2x more likely for strong networkWhere you workWorking at a top company3 = 2x more likely for strong networkAction ItemsStudentsSee non profits belowAT Last is looking for an AT student internNetwork dense professionalsPlus one Pledge4 = before helping a person who looks like you (example: informational interview), help someone outside of your network.Host a Jeffersonian Style Dinner6Volunteer to mentor with a nonprofit that is closing the network gap4: Basta, Braven, Beyond12, Mentor, Year UpIf you are in a position to hire5Interview diverse candidatesIntentionally recruit from HBCUsGive interview feedback to a candidate who comes from a diverse background (think plus one pledge)Diversify your staff and leverage your diverse staff to provide referrals from their networksReferencesGarlinghouse M. Closing the Network Gap. LinkedIn Official Blog. 2019https://www.usnews.com/best-colleges/rankings/national-universitieshttps://www.linkedin.com/pulse/top-companies-2019-where-us-wants-work-now-daniel-roth/https://socialimpact.linkedin.com/plusoneWuench J. The Network Gap Worsens Amidst Covid-19, and What You Can Do About It. Forbes. 2020https://jeffersondinner.org/jefferson-dinner/Contact/Support/Questions/CommentsHow to contact the initiative to support, collaborate, ask questions:Email: atlast@atvantagepodcasts.comGoFundMehttps://www.gofundme.com/f/increasing-diversity-in-athletic-trainingCATA virtual symposium 2021

In this Episode we discuss and define cultural competence and it’s implications to patients and healthcare providers. Dr. Warren’s research interests include cultural competence, diversity and inclusion, and health equity and disparities. Show NotesCultural CompetenceDefine cultural CompetenceWhy is cultural competence significant to our society and healthcare?Improved outcomes of patientsMore diverse work settings which has its own value and implicationsCould lead to increased recruitment of culturally diverse healthcare providersIs there a gap in cultural competence in current AT education?Since 2003 there have been only 6 peer reviewed articles published on cultural competence as it relates to AT'sMost educators do not endorse having high levels of confidence in cultural comptencyThese educators lack diversityFrom AT and other healthcare research, competence is not enough.Most studies show a perceived level of competence, but behavior contradicts the perceived level of competencePerceived level of competence is often high with levels of implicit bias still existingGrowth and development of the profession will be stagnant without knowledge on ways toIncrease cultural competenceIntergroup dialogue is an evidenced based approachReduce implicit biasRecruit and retain more diverse populationsBlack students perceive greater barriers to enrollment in allied health education in comparison to whitesSupport the value & application with outside examplesStudies in other health professions showing perceived level of competence with concurrent high levels of implicit biasKinesiology study looking at recruitment of persons of colorDiverse leadership has benefits demonstrated in other sectors that leadImproved collaboration and reduced contention of subjectsImproved performanceCompanies that are culturally diverse outperform non-diverse companies on profitabilityHighest levels of executive team diversityFinance/Tech/healthcareImproved idea creationReferencesNynas SM. The assessment of athletic training students’ knowledge and behavior to provide culturally competent care. Athletic Training Education Journal. 2015;10(1):82-90.Grove DH, Mansell J. Cultural competence: where are we as athletic training educators? Athletic Training Education Journal. 2020;15(1):49-54.Geisler PR. Multiculturalism and athletic training education: implications for educational and professional progress. J Athl Train. 2003;38(2):141-151.Volberding JL. Perceived cultural competence levels in undergraduate athletic training students. Athletic Training Education Journal. 2013;8(3):66-70.Kochanek J. Promoting cultural competence in athletic training education: an intergroup dialogue approach. Athletic Training Education Journal. 2020;15(2):113-119.Volberding J. Relationship between cultural competence and athletic training students’ confidence in providing...