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J Athl Train. 1995 June; 30(2): 115–120.
PMCID: PMC1317843

Legislative Funding of Athletic Training Positions in Public Secondary Schools

Barton P. Buxton, EdD, ATC
Barton P. Buxton is Assistant Professor at Department of Health, Physical Education and Recreation, Athletic Training Education Program Director at University of Hawaii, Manoa. He is also Associate Professor at John A. Burns School of Medicine, Department of Family Practice and Community Health, University of Hawaii, Manoa, Honolulu, HI 96822.
Eric M. Okasaki, MEd, ATC
Eric M. Okasaki is Head Athletic Trainer for Men and Clinical Instructor in the Athletic Training Education Program at University of Hawaii, Manoa.
Michael R. McCarthy, EdD, ATC, PT
Michael R. McCarthy is associated with McCarthy Orthopedic Rehabilitation and Sports Medicine at Kailua, HI.


In 1991, approximately 21 000 student athletes were actively participating in organized athletics in Hawaii's 61 (38 public and 23 private) secondary schools. Of the 61 schools, only 5 (all private) employed full-time, NATABOC-certified athletic trainers (ATCs) to facilitate the sports health care of their respective student athletes. In an attempt to convince the state legislature that providing funding to hire ATCs was a primary health and safety issue in the state, a community-based educational platform was established and a twofold needs-assessment study was implemented statewide. The educational platform was aimed at parents, coaches, athletic directors, and school administrators. The needs-assessment studies consisted of a 30-question survey on the current practices of sports health care and a year-long injury surveillance survey within the 38 public secondary schools. There were significant differences between the public and private schools with respect to the practice of sports health care. The public school student athletes demonstrated a normative incidence of injury rate. These findings definitively quantified and qualified the need to hire ATCs in the public secondary schools. In July of 1993, the State of Hawaii funded a 2-year athletic training pilot program for approximately $1.2 million, following an extensive lobbying effort and media campaign.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
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Articles from Journal of Athletic Training are provided here courtesy of National Athletic Trainers Association