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In January 2016, the National Collegiate Athletic Association (NCAA) incorporated the idea of independent medical care at the NCAA Division I level in an effort to combat some of the challenges that are associated with the athletics model. 4 In this model, coaches may try to control the scheduling and hours of medical care or try to influence return to play decisions, which may ultimately create conflict for the athletic training staff. 2,3 Working within the athletic department may compromise patient care because athletic trainers feel pressure to do what is necessary to keep coaches and athletic administrators happy. 1 Additionally, this conflict of interest can negatively affect the quality of life of the athletic trainer. In many cases, this model of athletic training services compromises the level of patient care because conflicts of interest can make it difficult for athletic trainers to complete their jobs ethically. Ultimately, the athletic trainers in this infrastructure report directly to the athletic director.
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1–5 The most common organizational infrastructure has placed athletic training services under athletics, in which athletic directors, coaches, and athletic trainers are viewed as colleagues. During the past decade, there has been increased discussion regarding the most appropriate organizational infrastructure for athletic training services in the university and college settings.
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