Three barriers of entry which could be created to solidity our position in the market consist of regulatory barriers such as certificate-of-need or determination-of-need which require approval by state regulatory body before a healthcare organization can make a capital expenditure for a particular technology or program, ensure pure marketing advantage, a strong brand identity, and switching costs. Page: 77 (Hilletad & Bekowitz, 2013) Some providers may assume that because a degree requirement in the field of Medical Doctor, an additional requirement, up to 3 to 4 additional training requirement with the specific specialty of sports medicine as well as obtaining the additional licensure and/or board certification must be obtained, a lengthy