Coaching Advancement

March 21, 2014

Over the past nine months we have marched down the field in our effort to enhance the health and safety preparation of those who coach school sports. There have been two big plays during this offensive drive.

Last May, the Representative Council adopted the requirement beginning in 2014-15 that all assistant and subvarsity high school coaches must complete the same rules/risk management session as high school varsity head coaches, or, in the alternative, complete one of several free, online health and safety programs posted for this purpose on MHSAA.com.

Last December, the Council adopted the requirement beginning in 2015-16 that all high school varsity head coaches must have current certification in CPR. 

It’s my hope that we will not fumble now that we’re in the red zone, that we won’t drop the ball before crossing the goal line on this current health and safety drive focusing on enhanced preparation of coaches.

The next play the Representative Council is considering is to require that all persons hired for the first time at any MHSAA member high school as a varsity level head coach must have completed the Coaches Advancement Program Level 1 or 2. 

More than 10,000 people already have done so; and other people who want to be high school varsity head coaches have more than two years to complete this requirement.

Finishing this drive won’t put Michigan’s high school coaching standards at the head of the class; but it will keep us in the classroom of best practices for coaches education. The standard of care is advancing nationwide and on all levels of sports.

Cardiac Screening

October 31, 2014

The American Heart Association has once again concluded that sophisticated and expensive heart screening is not practical or appropriate as a precondition for youth and young adults to participate in competitive organized sports.

On Sept. 14, 2014, the AHA online publication Circulation stated:

Sudden death among 12 to 25-year-olds is “a low event rate occurrence.”

“There is insufficient information to support the view that ECGs in asymptomatic young people for cardiac disease is appropriate or possible on a national basis for the United States, in competitive athletics or in the general population.”

“At present, there is no mechanism available in the United States to effectively create national programs of such magnitude, whether limited to athletics or including the wider population of all young people.”

“There is insufficient evidence that particularly large-scale/mass screening initiatives are feasible or cost effective within the current US healthcare infrastructure . . .”

“The ECG . . . cannot be regarded as an ideal or effective test when applied to large healthy populations.”

“An additional, but unresolved, ethical issue concerns whether students who voluntarily engage in competitive athletic programs should have advantage of cardiovascular screening, while others who choose not to be involved in such activities (but may be at the same or similar risk) are in effect excluded from the same opportunity.”

The AHA’s Sept. 14 AHA writing group “does not believe the available data support significant public health benefit from using the 12-lead ECG as a universal screening tool. The writing group, however, does endorse the widespread dissemination of automated external defibrillators which are effective in saving young lives on the athletic field and elsewhere.”