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.

What Sport Looks Like

April 9, 2013

The decision of the International Olympic Committee to eliminate wrestling from its schedule of events is deplorable for more reasons than I have room to describe here.  Many others have expressed their outrage, which I share; and it looks like there will be a concerted effort to have the IOC reverse itself.

Notwithstanding all the angst it created and has yet to endure, the IOC’s policies and procedures are intriguing, and possibly useful.  They go something like this.

Periodically, the IOC requires each of the designated Olympic sports to defend its status, to state their case why the sport should remain a part of the Olympic program.  Then, after a series of votes that retain one sport at a time, the IOC drops the sport that makes the weakest case.  It does so to make room for one of the previously unlisted sports that makes the best case for inclusion.

This would appear to keep the existing Olympic sports on their toes, and to keep the Olympic movement fresh and reflective of modern trends in sports.

While I would not enjoy the controversy, I can see the potential for some positive results if the MHSAA were to invoke the same policy for determining the 14 tournaments it will provide for girls and the 14 for boys.

This might cause us to consider more deeply what a high school sport should look like, or at least what an MHSAA tournament sport should stand for.

On the one hand, we might be inclined to delete those sports that involve mostly non-faculty coaches and non-school venues, or require cooperative programs to generate enough participants to support a team, or resort almost entirely to non-school funding, or cater to individuals more than teams.

Or perhaps this process would cause policymakers to forget traditional thinking and ask:  “In this day and age, should we shake off traditional notions of sport and consider more where modern kids are coming from?”  That might mean fewer team sports and more individual sports, more “extreme” sports like snowboarding and skateboarding, and more lifetime sports, meaning not just golf and tennis and running sports, but also fishing and shooting sports.

Is the only question how many schools sponsor a sport, or must an activity also have certain qualities and/or avoid certain “defects?”  What should an MHSAA tournament sport look like and stand for?