Providing Experiences for the Next Generation of Professionals

Getting people back to what they love is the job of an athletic trainer. Ensuring there are plenty of high-caliber graduates ready to serve active populations is the job of universities and colleges, whose programs provide interactive learning environments that will prepare students to enter the profession.

Advanced Physical Therapy & Sports Medicine (APTSM) plays a vital role in the process.

“It’s important we offer internships and job shadowing opportunities for those on the path to becoming athletic trainers,” said APTSM’s Traci Tauferner. “The field is projected to grow 25% by the end of the decade.”

While there is a broad range of settings for the athletic trainer—physician practices, professional sports, clinics specializing in sports medicine, occupational health, and performing arts, to name a few—the vast majority of graduates will enter the field’s most traditional setting: schools.

That’s where Tauferner started out after earning her athletic training degree at UW-Oshkosh. With a robust resume developed since her graduation—she’s the Director of Industrial & Tactical Medicine at Advanced—Tauferner now devotes time both to her administrative duties as well as to the onsite therapy services she delivers at multiple locations.

Tauferner is committed to bringing attention to industrial athletic training, especially as the need for athletic trainers to prevent, evaluate, manage, and rehabilitate conditions faced by workforces—directly at companies and municipalities—continues to grow.

“Achieving injury prevention and cost control in this day and age for the industries and tactical groups we serve is not just a desired outcome,” said Tauferner. “In many cases, it’s a matter of survival.”

More than 55 Wisconsin companies and organizations utilize Advanced PT’s hallmark program of onsite wellness solutions. APTSM’s dedication to workplace health and safety has contributed to recognition at local, state, and national levels.

That kind of focus includes providing learning opportunities for those interested in pursuing a career in the field, and Tauferner is passionate about students understanding the paths available to them.

“It’s important for us to provide these experiences for the next generation, especially so in the bourgeoning industrial and tactical realms, as fewer than 5% of graduates are going into those sectors,” she said.

The connection between APTSM and Tauferner’s alma mater remains strong, as evidenced by UW-Oshkosh student Cade Littleton’s recent experience.

Littleton, a senior in the Masters of Athletic Training Program, spent the summer working through four specific rotations: clinical, hospital, professional team, and industrial/tactical.

Littleton said a few football injuries (“some hip and shoulder pain, but nothing huge like a blown ACL”) led him to seek treatment. Though his high school didn’t have a traditional athletic trainer, a nearby orthopedic group supplied the small school with a physical therapist, and Littleton found himself fascinated by the PT’s skills.

“I was just very interested in what he did, so much so that I actually job shadowed him for one of my classes,” said Littleton. “That set me on the PT path, but once I got to school and got a little more experience with athletic training, I became drawn to that, to work with a younger and highly active population.”

To meet the requirements of the program, one of Littleton’s rotations had him paired with Tauferner.

“This was actually the third time I had met Traci,” said Littleton. “I met her following a presentation she did on mental health, then at the WATA (Wisconsin Athletic Trainers’ Association) conference this year.”

For two weeks Littleton followed Tauferner’s schedule (“yeah, she starts early”), which included stints with the tactical groups she services.

“It was cool to see the firefighters and police officers and how they handle things at their own facilities,” said Littleton. “It was a lot different than my traditional experiences.”

With those tactical groups, Tauferner gave Littleton the opportunity to do full evaluations; she provided guidance, talking Littleton through treatment options and giving him the chance to “do his own thing.”

“Traci allowed me to do a lot more hands-on than I expected, so that was really cool,” he said.

He also learned about Tauferner’s use of and advocacy for modern cupping techniques.

“Just how she used cupping and explained it so it made sense to the client was very interesting,” said Littleton. “That helped me a lot because I’m still a student trying to figure this stuff out.”

Asked about key takeaways following the rotation, Littleton doesn’t hesitate.

“The experience pushes me to continue to learn, to ask questions, and to demand respect as Traci does.”

Littleton admitted he’d like to replicate the demeanor Tauferner exhibited throughout their time together.

“Traci’s vibe is straight confidence,” said Littleton. “The setting doesn’t matter.”

Summer rotations are complete, Littleton is now working with UW-O’s athletic trainer for 2023 football season. Set to graduate next May, Littleton is currently leaning towards working in the high school or college setting, but he’s not ruling anything out.

“I’m not 100% sure yet,” said Littleton.

If uncertain about his job setting, Littleton expresses a clearer view in the geographic sense.

“I’m up to moving,” he said. “I’m not a huge fan of winter.”

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If you or a student you know is interested in experiencing what Advanced does every day, contact us today!.

The Journey of Anna Linstedt, LAT

As the chair of the Awards & Scholarships Committee for the Wisconsin Athletic Trainers’ Association (WATA), Anna Linstedt relied on input from the Board of Directors to identify a candidate for the organization’s Distinguished Service Award, given annually to a servant leader in recognition of their dedication to the advancement of the athletic training profession.

“We have a name,” said WATA President Keith Owsley.

Linstedt listened for it. There was a long pause.

“What are you waiting for?” she said.

“I really don’t know how to go about doing this,” he said.

“Just fill out the nomination form, send me a letter, get me their curriculum vitae,” said Linstedt. “It’s not that hard, Keith.”

“Well, we’re nominating the committee chair,” came the response.

The realization that Linstedt herself was the recipient of the award caught her off guard. A question immediately popped into her head; it came out of her mouth almost as readily.

“Don’t you have a better name?” Linstedt asked.

The President answered without hesitation.

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The path that led Linstedt to this moment can be traced back to her college days, as one of WATA’s founding fathers was her instructor. He impressed upon Linstedt the vital importance of participating in the association, and she’s been involved ever since, from member to committee leader to regional representative to President, leading the organization from 2020-2022.

The challenges would begin for Linstedt even before she took office, as three weeks prior to the beginning of her term the decision was made to cancel WATA’s annual meeting, the most important event on the calendar and the group’s main revenue generating source.

This would be the first of many disruptions during Linstedt’s unprecedented tenure, but such was the nature of first great pandemic of the 21st century.

Despite the inability to meet in person with lobbyists, state government officials, and even her own staff, Linstedt spearheaded WATA’s effort to achieve their goals, one of which was the streamlining of athletic trainer license requirements.

“That was a huge win for us,” said Linstedt.

Another effort was to gather and present data to lawmakers to ensure reimbursement rates for athletic trainers were equal to those of physical therapists. Working with insurance companies, WATA was able to provide the state legislature evidence from more than 90,000 episodes of care that demonstrated

rehabilitation processes followed by trainers and therapists were the same and should be compensated as such.

“A year later,” rued Linstedt, “this still hasn’t crossed the goal line.”

With the cancellation of the annual meeting and the concomitant reduction in capital, Linstedt and her team needed to go through the budget with a fine tooth comb, determining the absolute must-haves through a process of budgetary triage. Linstedt praised the work done by her predecessors for years of fiscally responsible choices that helped the association to weather the storm that was COVID and still come out in the green.

“The pandemic really forced us to think outside of the box,” said Linstedt.

When asked to reflect on her time at the helm, Linsted wistfully mentioned that a “do over” would be nice.

“There are so many more things we could have done for the association if not for COVID,” she said. “But our focus on advocating for all athletic trainers, in both traditional and non-traditional settings, never wavered.”

Her tenacity as a leader and her journey to athletic training is rooted in her experiences on the playing fields. As a high school freshman, Linstedt was a varsity starter for volleyball and basketball. She ran track as well. And it’s also when she tore her ACL. That very year was the first year Burlington High had an athletic trainer, and she worked diligently to get Linstedt back in the game.

When Linsted returned to her sports the following year, she found herself on the on the bench for JV squads.

“That’s not where I thought I belonged,” said Linstedt.

It was at this point when the school’s athletic trainer took Linsted under her wing, teaching her how to tape and rehab, as well as encouraging the fledgling trainer attend camps over the summers to hone her skills. Linstedt, the kind of athlete who took to sports and made them look easy, was now directing her focus to learning about injuries, keeping athletes healthy, and getting those sustaining injuries back to their sports quickly and safely.

She never went back to high sports as a player. But Linsted’s mentor took her to every football game, every basketball game, wrestling, baseball and track events too. You name it, she was there.

“I became involved in athletics in a different sense,” Linstedt said. “I wasn’t participating, but I was an integral part of our sports programs.”

Linstedt would later attend UW-Oshkosh and complete coursework that included experiences working with athletic trainers in a variety of environments. She also got back into sports as a participant. As testimony to her athleticism, Linstedt was seen “messing around” on a diving board when a lifeguard asked her to try out for the school’s diving team.

“I was never a diver,” said Linstedt.

Nevertheless, she became a collegiate diver.

And as a water skier, she traveled to China to represent the United States in competition.

After earning her degree in exercise fitness management, Linstedt gravitated to the most traditional of settings for the athletic trainer: the high school.

“Even early on, I knew that high school was the place for me,” said Linstedt. “I felt that's where my gifts were.”

She would spend the better part of two decades treating high school athletes. A chance encounter with Advanced Physical Therapy’s Traci Tauferner, Director of Industrial & Tactical Medicine for the Appleton-based group, led to a change in setting that once upon a time would have been unthinkable.

“While I cherish all my time at the high schools, it can be a tough gig for a mom,” said Linstedt.

Tauferner pitched the idea of having Linstedt join her industry team and bring her skill set to a completely different clientele, namely the employees of companies who contract with Advanced to supply onsite injury management services. Linstedt was receptive to the idea of a very different kind of work schedule.

“My kids grew up looking at my calendar,” said Linstedt. “They knew I was going to be missing their activities, that I wasn’t going to be home in time for dinner or to tuck them in at night. I was the only trainer at my school, so I missed a lot of my kids’ events because I couldn’t find anyone to work my time.”

Now a year into her job as industrial onsite provider for Advanced, Linstedt feels comfortable with the transition, using her strengths with the high school athlete and their acute injuries and applying them to a slightly older population who are more often than not dealing with chronic issues. She highlights one important similarity in the treatment of the two groups.

“This goes for everyone, be it a high school athlete or a 47 year old shift worker: each one has to come to the realization that they have to care more about their recovery than I do,” said Linstedt. “I can give you all the exercises in the world to make you better, but if you don’t do them, it’s going to inhibit your recovery. The high school athlete and the industrial athlete have different motivations, but they share same desire for the best outcome, the one that gets them back to the playing field or back to work.”

And Linstedt certainly has no problem relating to the injured workers she sees at multiple industrial sites. In addition to her ACL tear, she’s had multiple shoulder surgeries, ankle issues, and once tore her hamstring off the bone. She understands the sinking feeling that you’re just not going to get through an injury.

“I’m able to use my experiences. I let patients know I understand how they feel, like you’re never going to be able to walk again,” said Linstedt. “But three weeks down the road it’s ‘Look, you’re walking!’ There’s a light at the end of the tunnel. I know. I’ve been there.”

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Anna Linstedt received WATA’s Distinguished Service Award on April 23, 2023. A person who prefers not to be called into the light, Linstedt was nonetheless grateful for the award, and very humbled. In her acceptance address, she recognized her husband and family, and now, by removing both the schedule of a high school trainer and the responsibilities of President of her professional organization (oh, but she’s still involved!), she gets to see them with greater regularity.

The impact of Athletic Trainers in Industrial Medicine

Heidi demonstrates a simulated pull during a post-offer test to assess the employees ability to perform their job duties.

Advanced PT’s Heidi Bohl had the opportunity recently to share her experiences as an industrial athletic trainer to college students on the AT track in South Carolina. The college seniors who comprised her audience have been the beneficiaries of a number of presenters who highlighted a variety of topics related to pursuing a career in athletic training, but this was their first exposure to industrial athletic training.

While there are many paths open to those earning an athletic training degree, the majority make their debut in organized athletics (secondary schools, colleges, etc.). Already employed at the YMCA when she joined Advanced Physical Therapy & Sports Medicine, Bohl was initially hired for on-call work, covering for full-time athletic trainers to provide care to high school and middle school athletes as well as to club team participants.

Bohl enjoyed the work but made clear to her audience the importance of considering options and thinking about what is most important to each individual as they continue their education and pursue their career goals

“The schedule of a high school athletic trainer isn’t necessarily conducive to raising a family,” Bohl said. “My husband and I knew we wanted kids, and I wanted to be home for them.”

Bohl continued with part-time efforts at both jobs until her position at the YMCA was eliminated due to COVID; to replace those missing hours, she looked to the bourgeoning field of industrial rehabilitation, where companies hire providers to deliver healthcare services onsite to their employees.

It just so happened her current employer was a leader in the delivery of industrial onsite services. And because of the growth in that area, Advanced was looking for additional providers.

“Rob Worth (President of Advanced PT) knew me through the PRN work I had done, and we discussed the kinds of services Advanced was performing at companies,” Bohl said. “We both thought it would be a great fit for me.”

Advanced PT works with over 60 industrial companies, who employ physical therapists, physical therapy assistants, occupational therapists, occupational therapy assistants, and, of course, athletic trainers from Advanced to deliver the services necessary to keep employees at their best. The idea driving the model is simple yet profound: reduce the time and money lost to a company by reducing employee injury.

“We look at the employees at our companies as industrial athletes,” said Bohl. “Our presence onsite allows them to work safely at their job and enjoy life outside of work.”

Bohl’s skill set is vast, and good thing, as there are a multitude of areas on which to focus, including early intervention services, job testing, injury prevention, ergonomics, and wellness initiatives, to name a few. Programs are customized by the employer; they choose what best fits their needs and objectives.

After three years in industry, Bohl now dedicates all her hours to a single employer. She’s available onsite, naturally, but she’s also available by phone, text and email when not onsite to discuss injuries and determine plans of care.

“We promise opportunities for access to care within 24 hours if we aren’t onsite, which includes access to orthopedic providers we partner with,” said Bohl. “That kind of rapid response is a win-win scenario for employees and the employer.” Typically, companies utilizing the onsite model will see a reduction in OSHA recordable injuries by at least 50%, along with significant reductions in healthcare costs from both work-related and non-work related injuries. Bohl covered a lot of information in her thirty-minute presentation, but she saved a few minutes at the end for questions.

“Can you discuss the importance of developing rapport with the employees and understanding the company culture?”

“It’s vital,” said Bohl. “You have to know your employees and know how to interact with them. I provide services at a concrete and construction company. My dad was a general contractor. My uncle does concrete for a living. This is just a natural fit for me.”

If students didn’t understand the concept of variety in the world of industrial athletic training at the beginning, they sure were on board at the end.

“You’ll be on the floor, moving from area to area, employee to employee, encouraging people to come talk to you if they have questions, then you’ll head back to meet with the employees who made appointments to see you. Afterwards, you’ll be at a safety meeting sharing data and ROI; following that, it’s time to perform a jobsite analysis and then an ergonomic evaluation,” said Bohl.

After a busy day that included many of the aforementioned tasks plus the Zoom presentation to prospective industrial athletic trainers located a thousand miles away, Bohl was back at her full-time job, the primary focus of which revolves around getting her children to and from a plethora of practices, games and competitions.

She has a vast mom skill set too.

Trail Blazer to Trailblazer

Ray Mack is inducted into the St. Francis High School Hall of Fame by Dr. Deborah Kerr, Superintendent of Schools, on December 9, 2022

Many physical therapists have an injury story that contributes to a career path.

But most don’t include a connection to a legendary Wisconsin team whose mad dash to a national championship helped make March Madness what it is today.

Ray Mack of Advanced Physical Therapy & Sports Medicine vividly recalled a high school football injury from six decades ago that led him from athlete to athletic trainer.

“As defensive end, it was my job to get crushed first on a student body left,” Mack said. “Hurt my back and that was it. To continue participating in sports, I decided to become a student athletic trainer.”

And the rest, they say, is history. A history that includes the improbable journey with the Marquette Warriors basketball team from 1973 through 1977.

Understand that at the time of Mack’s injury, circa 1970, athletic training was in its infancy: it was the coaches who primarily handled injuries to their athletes. Outside of football hotbeds like Texas, the presence of athletic trainers was few and far between.

The year after Mack’s injury, he became the student trainer at St. Francis High School and would continue for the remainder of his high school career.

“I wanted to continue participating in sports and I had the aptitude for the health and medical stuff,” said Mack.

As a result of his performance, the St. Francis football coach obtained a scholarship for Mack to Marquette University as a student athletic trainer, which also allowed him to attend physical therapy school there. He covered multiple sports at the university including soccer, wrestling and cross country/track. Ray was also one of the first student athletic trainers for the new Marquette University's Title IX women’s sports program.

It was Division 1 college basketball, however, that powered the engine that was Marquette sports.

“I was blessed to be part of the national championship at Marquette in 1977 under legends Al McGuire, Hank Raymonds, Rick Majerus, and Bob Weingart,” said Mack. “All Hall of Fame members.”

While many know the names of the coaching legends, Mack highlighted Weingart’s impressive resume, which included 38 years as Marquette’s head athletic trainer as well as trainer for the USA track team in the 1972 Olympics.

“He was the man at Marquette,” said Mack. “Working with Bob was both an honor and an opportunity.”

It was during Mack’s senior year stint as the Warriors student athletic trainer when he was told he couldn’t continue with the basketball program during his second semester, as he was being sent to New York for his physical therapy residence—exactly when Marquette would make their run to college basketball’s ultimate prize.

Though Mack didn’t exactly appreciate the timing of the move, he later came to appreciate the wisdom of the choice his advisors made, sending him to areas that took him well beyond his identified niche in sports medicine.

“As a function of that experience, I became through my VA tenure an amputee specialist and a medical surgical clinic specialist,” said Mack. “It broadened my horizons dramatically.”

After 45+ years as a physical therapist, Mack continues to treat patients, specializing in the non-operative treatment of orthopedic-related injuries of the spine/pelvis and extremities. His personal interests are as vast as his medical pursuits and include photography, website development, history, learning theory and aquatics.

Oh, throw in mustaches and Hawaiian shirts too.

Mack described his work as an athletic trainer and physical therapist not as an occupation but a vocation, something he was meant to do in life. And while there is plenty to look back upon, there’s much more ahead.

“I'll do this for as long as I feel like I can contribute and make a difference.”