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.
We Get It
November 4, 2011
Participation in high school sports, both nationally and in Michigan, increased in 2010-11 versus the year before. It was the 22nd consecutive year of increases nationally, according to the National Federation of State High School Associations.
The National Federation also conducted a first-of-its-kind attendance survey that tells us in 2009-10 that there were more than a half billion spectators at high school sporting events across the country. There were more than two and a half times as many fans attending high school basketball and football contests as attended college and professional contests combined in those sports.
We should be excited about our programs and encouraged by their historical popularity and continuing growth. But clearly, we are not. In fact, we are a discouraged bunch.
We are discouraged because, behind the good numbers that are reported, we see serious erosion – a subtle “slip-sliding away” of the principles and the popularity of school-based sports. In spite of the good numbers, we sense that all is not well in educational athletics.
In many places athletic directors are losing their full-time dedicated positions, which are essential to oversee a program of high participation, large crowds, great emotion and some risk of injury. In many places students are losing participation opportunities, which are essential components of a complete education necessary to prepare young people for the increasingly complicated and competitive world which they are about to enter.
We get it at the MHSAA. We know what’s happening. Not only do we get it, we also get the hundreds of calls from coaches who don’t have an athletic director available to answer their questions. And we get the hundreds and hundreds of calls from parents and others who can find neither a coach nor an athletic director available to address their concerns or answer their questions. Almost every time a school district dials down its oversight of the interscholastic athletic program, its constituents dial up the MHSAA to answer their questions and address their concerns.
Less money for and less oversight of school sports is a combination tailor-made for problems – for ineligible students and forfeits, for crowd control and sportsmanship problems, and for injuries; and in all cases, for the controversies that follow. There are smarter places to make cuts in our schools and still turn out smart kids.