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.
Don’t Look Back
November 23, 2011
In August of 1986, at the end of the one week of overlap between the previous MHSAA executive director, Vern Norris, and the start of my tenure, I found an envelope on my desk from Mr. Norris that read: “No words of advice. Just make your decisions and don’t look back.” That’s Lesson No. 5 of six in this series of blogs.
In our work, time is of the essence. We don’t have the luxury of long deliberations. The next game may be today; the next round of the tournament tomorrow.
In our work, staff is limited. We don’t have subpoena power. We have few staff spread thinly over many responsibilities.
In our work, because it’s in a competitive arena, people are sometimes disingenuous. Some have personal agendas, impure motives sometimes. They care who wins and loses; we don’t.
And most people have miserable memories. I’m skeptical that people recall well the details of events; and people are even worse when recalling details of conversations.
So, in our work, we make one more call and then, with good intentions and reliance on rules, we get on with the decision and try not to look back.
It’s hard to do, but a good deal healthier if we can.