To Per Diem or Not?

In this episode of NATA-Cast, hosts Mollie Pillman, MS, MBA, CAE and Katie Scott, MS, ATC, CAE, are joined by Andy Carter, MS, LAT, ATC, Michael Donahue, DAT, MEd, ATC, and Mary Housel, MS, LAT, ATC, from NATA’s Council on Practice Advancement to discuss the growing role of per diem athletic trainers. Drawing from survey data collected from 394 per diem ATs across 44 states, the conversation explores why athletic trainers pursue per diem work, with many citing supplemental income and nearly one-third reporting it as necessary to earn a livable wage.

The guests examine the wide range of compensation rates and unpack the operational, legal and clinical challenges that often accompany per diem assignments, including inconsistent physician oversight requirements, confusion around liability coverage, documentation continuity concerns, emergency action planning and varying interpretations of state practice acts. The episode also highlights practical considerations and best practices for both ATs and employers, including the importance of professional liability insurance, written contracts, informed consent, legal compliance and developing stronger physician relationships to support safe and effective patient care.

NATA-Cast is produced by Association Briefings.

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