Criticism
October 18, 2011
The phrase “throw in the towel” comes from the sport of boxing. It recalls a manager throwing a towel into the ring to stop a bout in which his boxer is getting badly beaten.
Over the years I watched a lot of administrators of schools and school sports throw in the towel as they’ve watched their ideas and ideals get bruised and battered, and as they suffered constant and frequently unfair criticism.
Criticism is a fickle thing. It can be motivating or maddening. To some people criticism is one or the other; to other people criticism sometimes has a positive effect, sometimes the opposite.
Criticism from a well-informed source who has tried to see the matter from multiple perspectives and who delivers the opinion privately will almost always have two positive effects. First, it will influence future thought processes and decisions. Second, it will establish a closer relationship – even a good friendship – between the parties.
It is criticism based on bad information or from a biased viewpoint delivered by gossip or in group settings that is least productive to the cause and most poisonous to the community.
But even bad news badly delivered can be motivating. While sometimes it may give rise to brief thoughts of “why bother?”, it more often motivates me to work harder, to serve better, to think wider and deeper, and to give more. This reaction is a result of many life experiences, including school and college sports participation.
Those of us who played competitive athletics were subject to much criticism throughout our playing careers. Sometimes it was unfair, and we learned to rise above it. But usually the criticism was from a coach who knew his or her stuff, who thought we could do better, and who was giving us the information to become better. While some people merely survive criticism, competitive athletics can teach us how to thrive on it.
Cardiac Screening
October 31, 2014
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.”