Program Assessment for Safety in Sport

Program Assessment for Safety in Sport (PASS)


The Program Assessment for Safety in Sport (PASS) is designed to help schools and organizations continually prioritize the health and safety of their secondary school aged athletes. PASS outlines a framework for a comprehensive and strategic approach in the provision of athletic health care. PASS allows schools and organizations to benchmark their success and opportunities against the twelve standards deemed as necessary in providing appropriate medical care for their secondary school aged athletes.

For ATs, PASS is a member-only benefit that outlines a roadmap to best practices in athletic health care in the secondary school setting. 

PASS was developed as a tool to assist athletic trainers in:

  1. Identifying the care that is already being provided.
  2. Recognizing the areas in your practice that need improvement. (i.e. documentation, staffing, facilities, policies and procedures, salary, etc.)
  3. Pinpointing those components of athletic health care that are not being provided.
  4. Providing the athletic trainer/organizational representative with a detailed assessment of their organization’s data and blueprint to fill in the gaps.

Learn more about PASS and how it can improve safety in your school while earning CEUs. Please note, you must be logged in to access the content on this page. 


Appropriate Medical Care Standards for Organizations Sponsoring Athletic Activity for the Secondary School Age Athlete (AMCS)


The Appropriate Medical Care Standards for Organizations Sponsoring Athletic Activity for the Secondary School Age Athletes (AMCS) published in 2019 replaces the original 2004 version of the similarly named document, the Appropriate Medical Care for Secondary School-Age Athletes (AMCSSAA). The revisions in the statement reflect the progress and researchin health care since the time of original publication, and the broadened scope that these standards should apply. The AMCS Summary Statement was published in the Journal of Athletic Training in 2019. 

The AMCS document outlines 12 standards deemed necessary in the provision of appropriate health care. Each standard consists of actionable substandards. Each standard and substandard includes the following:

  • Narrative: overview of each standard.
  • Annotation: description of each sub-standard.
  • Supporting Documentation: example documents of an organization’s compliance.
  • Review of Case Law: case results and statutes, as available and applicable, for each standard and/or substandard.*
  • References: justification for each sub-standard, cited in the narrative or annotation.

*Please note that this information is not intended to serve as legal advice and no attorney-client relationship has been formed based on the dissemination of this information. This is not an exhaustive list and other cases may exist.


The Standards 

Below are the twelve standards outlined extensively within the AMCS document.

  • Standard 1: Athletes’ readiness to participate in activity is determined through a standardized pre-participation physical examination (PPE) screening process.
  • Standard 2: Practice, competition and athletic health care facilities as well as equipment used by athletes are safe and clean.
  • Standard 3: Equipment worn by athletes is properly fitted and maintained while instructions to use safely and appropriately are provided.
  • Standard 4:  Protective materials and products used to prevent athletic injuries are safely and appropriately applied.
  • Standard 5: Athletic participation in a safe environment is ensured or activity is modified or canceled based on established environmental policies.
  • Standard 6: Education and counseling is provided for athletes on nutrition, hydration and dietary supplementation.
  • Standard 7: Wellness programs promote a safe progression of physical fitness and improve long-term health across an athlete’s lifespan.
  • Standard 8: Comprehensive athletic emergency action plan (EAP) is established and integrated with local EMS per athletic venue.
  • Standard 9: On-site prevention, recognition, evaluation and immediate care of athletic injuries and illnesses are provided with appropriate medical referrals.
  • Standard 10: On-site therapeutic intervention (pre-, post-, and non-surgical conditions) outcomes are optimized by developing, evaluating and updating a plan of care for athletes.
  • Standard 11: Comprehensive management plan for at-risk athletes with psychological concerns.
  • Standard 12: Comprehensive athletic health care administration system is established to ensure appropriate medical care is provided.