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Injecting Sports Medicine

May 13, 2014

We are receiving the proper dosage of sports medicine advice in Michigan.

The Sports Medicine Advisory Committee of the National Federation of State High School Associations advises the NFHS and its member associations on medical and safety issues and conditions as they relate to interscholastic athletics. With nationwide expertise representing a broad range of sports medicine disciplines, the SMAC meets over three days, two times each year. It issues advisories and position statements and publishes a comprehensive manual which is provided without charge to each member high school in Michigan. 

The MHSAA has had direct representation on the SMAC for two separate four-year terms; and we depend on the SMAC to monitor, evaluate, filter and disseminate current sports medicine information that is of practical use at the interscholastic level.

The SMAC and the Michigan Department of Community Health are the voices the MHSAA listens to most in the often over-hyped cacophony of sports medicine opinion. What makes the SMAC even more unique than its prestigious panel of experts is that it has direct input into the rules-making process of the NFHS which dominates the publishing of high school playing rules. The MHSAA adopts those rules in every MHSAA sport for which rules are prepared by the NFHS.

The MHSAA has sometimes been criticized for not having its own sports medicine committee. However, we believe there is no need to create another committee to duplicate the work of the NFHS Sports Medicine Committee. And when we have needed extra attention to a unique in-state topic, we have found the Michigan Department of Community Health to be a willing and able partner.

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.