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Purpose:The purpose of this study was to determine whether practicing athletic trainers(ATs)were using the stepwise progression to make ret-to-play(RTP)decisions after concussion and to determine what factors influenced their decision to use the stepwise progression. Methods:A total of 166 ATs(response rate=16.6%)completed a 21-item questionnaire that evaluated participant demographics,methods of concussion management,and RTP decision-making using the stepwise progression.Descriptive statistics and a logistic regression were com-pleted to analyze data. Results: Factors such as education level (p=0.05) and number of concussions treated (p=0.05) predicted use of the stepwise progression, whereas sex(p=0.17),employment setting(p=0.17),state law(p=0.86),and years practicing(p=0.17)did not predict whether ATs were fol-lowing the stepwise progression. Conclusion:The majority of the ATs from this study are employing the stepwise progression to safely ret athletes to play after sustaining a concussion.This demonstrates that ATs are providing a standard of care for concussed athletes across various athletic training settings;however, having a graduate degree and treating more concussions per year are predictors of whether an AT follows all steps of the stepwise progression.