Outside View
October 4, 2011
Steve Jobs’ departure from Apple and then his death on Oct. 5 has caused just about every newspaper and business and technology magazine and online newsletter to provide its take on what Jobs meant to Apple, and to the world we live in.
Among the analyses I’ve read that could be most helpful to those in leadership of school sports is that of Cliff Kuang, before Jobs' death, in the October 2011 issue of Fast Company. In “What Steve Jobs Can Still Teach Us,” Kuang comments on Jobs’ “ability to see a company from the outside, rather than inside as a line manager.”
Over his career, observes Kuang, “He (Jobs) became less enamored of tech for tech’s sake. He blossomed into a user-experience savant.” He took the “outside view of a user.” Ultimately for Jobs, “usability was more important than capability.”
I suspect it would do us all well to take the same approach to school sports at the local and state levels; that is, to keep thinking about how the programs appear from the outside. How they appear to the end-user.
It’s all well and good that our rules are correct in their philosophy; but if they don’t make sense to end-users or don’t work in practical application, we may have problems. Same is true for our events, and for our technology.
It is impossible to expect complete understanding of all the policies and procedures of school sports or to avoid all controversy when the competing interests of partisans are involved as is the case in athletics. Remembering, therefore, that the task is not to please but to serve is a necessary mindset, because service in this work often means saying “No” or citing violations and requiring forfeits.
But even as we do these necessary but unpleasant things, which we know in advance will not be universally understood and supported, it is good to be mindful of how it all looks from the outside. It is most important that those in the necessary positions of doing these things be professional and consistent, with a steadfast commitment to apply policies and procedures uniformly. When people view the organization from the outside, even if they don’t fully understand or agree with a decision, they must see that each rule is applied identically to every school, without favoritism, and that rules are not just made up as we go along to relieve a pressure point or grease a squeaky wheel.
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.”