Health Histories
September 4, 2012
Eighteen months ago we completed two new preparticipation physical examination forms: (1) a two-sided card delivered without charge to schools in whatever quantity they need; and (2) a four-page form that is downloadable at MHSAA.com.
Both are improved from the previous card in that they ask more about family and student health history which, more than any cursory exam, helps identify potential health risks before participation. Both were developed with the cooperation and consensus of a diverse panel of medical experts assembled by the Michigan Department of Community Health.
At schools’ requests, the MHSAA has distributed more copies of the two-sided card than there are students enrolled in MHSAA member schools; so we know the form has widespread use. But still, this particular form is not required, which allows schools with a special local resource to utilize something they like better, and this also allows families with special needs to use the documents that best meet their child’s circumstances.
The take-away on this topic is that today’s standard of care is a comprehensive physical with detailed family history prior to first participation in school sports and, thereafter, more cursory annual exams, except when the student has had an injury or illness that requires more review.
The End is Near
December 10, 2013
From time to time we are confronted with print or broadcast media reports, or articles in scholarly publications, that criticize schools’ sponsorship of competitive athletic programs. Some authors have gone so far as to predict that the day is coming when schools are forced by the strength of intellectual argument or the shortage of resources to disassociate from competitive sports and to discharge that responsibility to local community groups and private clubs, as is the custom of most other nations.
For 50 years the “end is near” prophecy has been present among our critics. Today the prediction also can be overheard among cash-strapped school administrators, especially if they ascended to leadership without involvement in school sports.
It’s my sense that these dire predictions are not likely to come true for the reasons usually cited – e.g., that the programs dilute focus or divert funds of schools from their core mission. What is more likely is that these predictions will come true because those in charge ignore basic human needs and responses, and they fail to implement programs that meet those needs.
Our response should not be to lower sports’ profile in schools and offer less to students. It should be just the opposite. We should even more boldly proclaim the value of competitive athletic programs; we should provide more sports and levels of teams for high school students; and we should provide junior high/middle school students with more and longer contests, beginning at earlier ages.
We need to go on offense, as my next postings will prescribe.