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Area of Science:

  • Military medicine
  • Sports medicine
  • Occupational health

Background:

  • Basic Combat Training (BCT) incurs significant economic costs due to injuries.
  • Athletic trainers (ATs) have proven effective in reducing referrals in other military settings.
  • The impact of ATs in the BCT environment remains understudied.

Purpose of the Study:

  • To analyze the frequency and nature of sick call visits during BCT.
  • To evaluate the effect of AT presence on Troop Medical Clinic (TMC) referrals.
  • To determine the return on investment for AT integration in BCT.

Main Methods:

  • A prospective cohort study was conducted over one year at Fort Jackson Army Training Center.
  • Soldiers in BCT reporting to sick call were categorized into control, full-time medic, and part-time athletic trainer conditions.
  • Logistic regression analyzed the odds of soldiers being returned to duty (RTD) versus referred, controlling for covariates.

Main Results:

  • Over 14,000 sick call visits were documented, with physical injuries being the most common reason.
  • Soldiers in both part-time athletic trainer (PAT) and full-time medic (FTM) conditions had significantly higher odds of being RTD compared to the control (CON) group.
  • The Certified Athletic Trainer-Forward Program yielded a substantial return on investment of over $23 million.

Conclusions:

  • Athletic trainers are effective in reducing unnecessary referrals and demonstrating value in the BCT setting.
  • Integrating ATs into BCT can improve soldier disposition and reduce healthcare costs.
  • The findings support the inclusion of ATs in BCT to enhance healthcare delivery and economic efficiency.