Preserving A Place
July 27, 2013
During the summer weeks, "From the Director" will bring to you some of our favorite entries from previous years. Today's blog first appeared Sept. 18, 2012.
Nearly 20 years ago I spoke with a parents group at an elementary school. Most in attendance were parents of elementary students. Most were moms.
During our discussion, the mothers pleaded with me – that’s not too strong a word – to help develop policies that would preserve a place on high school teams for their children. “Just a jersey,” one mom said. “Just a spot on the team.”
These parents were almost sick with worry that if their sons and daughters did not play one sport year-round, starting now, they wouldn’t make the team in high school. And they believed that not making the team would doom their children to absenteeism, drug use, pregnancy, and every evil known to youth.
They saw the high school program becoming a program for only elite athletes, only the specialists, with no room for their kids who would meet the standards of eligibility but lack the necessary athletic experience to make the team because they didn’t belong to a private club, go to all the right camps, or make a certain travel team in the third grade.
Did these parents overstate the problem? Yes. But there’s some validity in their worries.
>Those moms gave me a goal, and later my own sons personalized that goal: to work for that generation of high school students and the next to preserve a place in our programs for all students, regardless of athletic ability, who meet all the essential standards of eligibility, want to participate in more than one school sport and activity and embody the spirit of being a student first in educational athletics.
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.”