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.
Predictable Problems
April 9, 2012
A completely predictable theme of this year is that as schools continue to cut support for school sports, they bring more controversy to school sports.
It is impossible to avoid serious problems running a comprehensive interscholastic athletic program involving many participants, lots of spectators, great emotion and some risk of injury, without dedicating competent full-time staff to its supervision.
Two emerging trends since schools have trimmed support for interscholastic athletics are . . .
more mistakes are being made (not because of more deception but because of more distractions – too little time on task); and
more of the oversights are being discovered later in the season. So late, in fact, that MHSAA tournament brackets are left empty. We had a team claim a Boys District Basketball Tournament trophy one week without playing the District championship game. The next week another team received a Boys Regional Basketball Tournament trophy without playing the title game. In each case, the opposing team had advanced with an ineligible player, and had to withdraw.
If we reduce time on task, if we minimize training and support, we invite mistakes and oversights, which invites forfeits and injuries, which incites controversy in the school and community.