Moving Forward
December 28, 2012
Coaches will often convey to their teams a variation of this theme: “If we’re not moving forward, we’re falling behind.” And with such immediate feedback – the next contest – coaches can measure their team’s progress quite easily. Progress is harder to measure for the organizations that serve and support coaches and athletes.
If we are doing our jobs well, we will have both an “inside game” and an “outside game.” We will create our own opportunities to improve our services and we will be alert to opportunities to improve ourselves when they are handed to us or forced upon us from outside sources. Both types of change can be positive.
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Change from inside has the benefit of institutional knowledge. This change can be informed, measured and careful to avoid unintended consequences that hurt more than help customers.
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Change from outside can be less rational but also less restrained by history and culture. It can be more disruptive in a positive sense, perhaps more innovative in origin and more expansive in impact.
It’s my sense that, as the calendar turns from 2012 to 2013, the MHSAA is at the merging of two lanes of traffic – an inside lane of change combining with an outside lane change – which will modify some services and move them forward at unprecedented speeds during the new year and the next.
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This has been obvious as we have partnered with ArbiterSports to prepare the ArbiterGame scheduling software for our member schools. Hard work internally that’s about to show results to schools and their publics.
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This may become obvious as we expand our schedule of inexpensive camps for inexperienced officials. This could be an antecedent to additional training requirements for MHSAA tournament officials. The public expects better, and we can do better.
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This may also become obvious as we expand offerings and then add requirements for coaching education focused on maximizing good health and minimizing risk. There is a gathering parade of experts and evidence advocating for much more training for many more coaches; and we must find our way to the head of that column.
Cardiac Screening
October 31, 2014
Sudden death among 12 to 25-year-olds is “a low event rate occurrence.”
“There is insufficient information to support the view that ECGs in asymptomatic young people for cardiac disease is appropriate or possible on a national basis for the United States, in competitive athletics or in the general population.”
“At present, there is no mechanism available in the United States to effectively create national programs of such magnitude, whether limited to athletics or including the wider population of all young people.”
“There is insufficient evidence that particularly large-scale/mass screening initiatives are feasible or cost effective within the current US healthcare infrastructure . . .”
“The ECG . . . cannot be regarded as an ideal or effective test when applied to large healthy populations.”
“An additional, but unresolved, ethical issue concerns whether students who voluntarily engage in competitive athletic programs should have advantage of cardiovascular screening, while others who choose not to be involved in such activities (but may be at the same or similar risk) are in effect excluded from the same opportunity.”
The AHA’s Sept. 14 AHA writing group “does not believe the available data support significant public health benefit from using the 12-lead ECG as a universal screening tool. The writing group, however, does endorse the widespread dissemination of automated external defibrillators which are effective in saving young lives on the athletic field and elsewhere.”