Purpose: The aim of this study was to evaluate athletic trainers’ confidence and ability to deliver independent medical care in the secondary school setting. Methods: A cross-sectional survey design was used with open- and closed-ended questions using a tool that was modified from a previously validated tool used within the collegiate setting; the tool was adapted through content expert validation. Results: Athletic trainers perceived themselves as confident in providing independent medical care through the school district healthcare delivery model (n=109/121, 90%) more often than those functioning within the hospital/clinic outreach model (n=85/130, 65%). Conclusions: Despite not having nationalized legislation and having variable support structures in place, secondary school athletic trainers are confident in providing independent medical care even when their direct supervisor may not be a healthcare provider. This is contradictory to similar findings within the collegiate setting governed by National Collegiate Athletics Association legislation enforcing independent medical care.

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