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 Trump Card
August 30, 2013
The cardinal principles for those preparing the playing rules of school sports are these:
- Preserve the sound traditions of the sport.
- Minimize risk.
- Provide for orderly administration.
- Maintain balance between offense and defense.
These were recited frequently when I was an employee of the National Federation of State High School Associations early in my career, when I was the staff liaison to the rules committees for ice hockey, soccer, swimming & diving and volleyball. These principles have been repeated many times over many years as the filter for proposals to modify contest rules in all sports.
A serious student of playing rules has known that the high school rules – enforced by part-time officials – generally have fewer exceptions than the rules on higher levels where officials have more time and training. NFL football, for example, will have exception upon exception to general principles of rules enforcement, which high school rules makers avoid. In other words, ease of administration has been more important for the high school level than a perfect balance between offense and defense in every circumstance of the contest.
It is clear now that the rules makers on all levels – from the pros to peewees – have concluded that “player safety trumps competitive advantage.” Exactly that phrase was used by some of the nation’s highest profile sports officials and supervisors of officials at high school, college and professional levels during a panel discussion closing the National Association of Sports Officials Summit in Grand Rapids last month.
More than perfect balance between offense and defense, more than ease of administration, even more than preserving the sound traditions of the sport, the rules makers are demanding player protection. In subtle ways in some sports, and smack between the eyes in football.
Go to the MHSAA Health & Safety Page, or the Football Page for more.