Unlicensed Athletic Trainer Practice: A Growing Concern
The BOC has seen an increase in reports of candidates practicing athletic training without state licensure or BOC certification. Across the U.S., the practice of athletic training is strictly defined and regulated, with many states prohibiting unlicensed individuals from representing themselves as Athletic Trainers (ATs), performing athletic training services or using the ATC® credential.
What’s the Problem?
Unlicensed individuals are often employed under titles like “first aider,” “first responder,” “clinical assistant” or “sports medicine aide.” These roles may lead to situations where individuals inadvertently or knowingly engage in actions considered the practice of athletic training, which are acts that go beyond the scope of providing first aid or that of a first responder.
For example, candidates have been reported to the BOC after being observed:
- Making referral decisions after taking a medical history in non-emergent situations
- Performing injury evaluations
- Making return-to-play decisions for high school athletes
- Performing skin checks before wrestling matches
- Acting as a designated medical provider at sporting events
- Reducing dislocated joints
These actions fall within the scope of athletic training services and are prohibited for candidates without the necessary licensure or certification.
When applying and registering for the BOC exam, candidates agree to and are expected to abide by the “BOC Standards of Professional Practice.” Code 3.2 requires compliance with all applicable local, state and federal laws and regulations related to athletic training. Violating these standards, whether intentionally or not, can have serious consequences. BOC Candidates should not portray themselves as an AT, use the ATC® credential, or engage in the practice of athletic training until they have been granted BOC certification and/or applicable state licensure.
Risks of Unlicensed Practice
Practicing athletic training without a license or certification can result in significant professional and legal repercussions, including:
- Disciplinary Action: Fines or other penalties imposed by state regulatory agencies
- Delayed/Denied Certification: Violations may result in delay of, or potential denial of BOC exam eligibility or further disciplinary action taken by the BOC upon being granted certification
How Candidates Can Stay Compliant
To avoid jeopardizing their future as an AT, they should follow these key steps:
- Know the Rules: Familiarize themselves with their state’s practice act and the “BOC Standards of Professional Practice.” Some states offer a temporary license for a limited time period for individuals who are eligible for the BOC exam.
- Avoid Misrepresentation: Refrain from portraying themselves as an AT or performing athletic training services unless they’re licensed and certified
- Stay Informed: Visit the BOC State Regulation website for detailed information about their state’s specific laws and requirements
Unlicensed practice undermines the profession’s integrity and puts patients’ health and safety at risk. Help candidates protect their careers and clients by staying compliant with all regulations. It’s their responsibility—and it’s worth it.
