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Health & Safety Journey

September 30, 2014

The Michigan High school Athletic Association is a bit more than halfway through an eight-year effort to shine the light on, and provide leadership for, four health and safety issues for school sports.

Four and five years ago our health and safety focus was adding more health history to the preparticipation physical examination process and printed forms. With the essential assistance of the Michigan Department of Community Health, this was done, and it earned widespread, positive reaction from Michigan’s diverse medical community.

Two and three years ago our focus was the head; and our early adoption of an all-sports return-to-play protocol after concussion symptoms became a national model.

Last year and this, heat and hydration has been the focus. The MHSAA imposed on its own tournaments, and recommended for member schools’ practices and contests, policies to manage heat and humidity that include a reduction or modification of activities when the heat index reaches a certain level and cessation of all activities when the heat index reaches an even higher level.

Next school year and in 2016-17 the focus will be the fourth “H”: hearts. Tests for heart defects are expensive and results are often misleading, and the triggers of sudden cardiac arrest are unpredictable. Therefore, we will be pointing to the two actions medical authorities appear to agree upon most: (1) the need for planned and practiced emergency procedures, and (2) the need to have AEDs nearby, in good working order.

We urge MHSAA member schools not to wait for the MHSAA focus to make this a local school focus, and we recommend the MI HEARTSafe Schools initiative. See the HeartSafe Action Plan or the HeartSafe School information for details.

Program Priorities

January 10, 2014

Many school districts face more requests from their constituents for sports programs than they have the resources to accommodate, so they are forced to make very difficult decisions. For three decades, when I’ve been consulted, I have offered and stood by this advice.

First, I advance the premise that if the activity is educational, there is just as much potential for the education to occur at the junior high/middle school and subvarsity levels as at the varsity level. Just as we would not discriminate against one race or gender, we should not disadvantage one age or ability level. In fact, with a little less pressure to win, it is likely to see more education at subvarsity levels and more reason to sponsor them.

Second, I advocate the position that schools should avoid sponsorship of any activity for which a qualified head coach cannot be secured. Qualified personnel are, in order of priority:

  1.  a teacher within the building who has current CPR certification and completed CAP.
  2.  a teacher within the district who has current CPR certification and completed CAP.
  3.  a teacher in another district who has current CPR certification and completed CAP.
  4.  a certified teacher from the community who has current CPR certification and completed CAP.
  5.  a non-certified person who has current CPR certification and completed CAP.

I urge schools not to descend lower than this for program leadership. Coaches are the delivery system of the education in educational athletics; they are the critical link in the educational process. More problems occur than are worth the effort if the program is in the hands of an unqualified coach.

Next, I urge that schools rank sports on the basis of cost per participant, and give higher priority to sports that spread funds over the greatest number of participants.

Next, I urge that schools place lowest in priority the sports that cannot be operated on school facilities and create transportation, supervision and liability issues, and give higher priority to those conducted at or very near the school.

Next, I urge that schools place lowest in priority the sports which are most readily available in the community, without school involvement. If resources are precious, then duplicating school programs should be a low priority; doing what the community can’t do or doesn’t do should be given a much higher priority.

While I’m a fan of school sports, I recognize that an athletic program has as much potential to do harm as to do good. Programs without qualified coaches that are conducted for small numbers of students at remote venues and without comprehensive school oversight and support may create more problems for schools than the good they do for students.

Bare bones budgeting will require brutally honest assessments based on priorities like these.