Student-Centered Sports

November 1, 2013

We boldly, unapologetically and repeatedly state that interscholastic athletics are different than sports programs on any other level by any other sponsor – different because these programs are school-sponsored and, to an extent like no other, student-centered. But what does that really mean?

The easier to describe – school-sponsored – means that interscholastic athletics are conducted by schools themselves. They are administered under the auspices of boards of education, with responsibilities delegated to administrators, and then to coaches, who are closely supervised by those administrators under the broad policies and procedures approved by their local boards of education.

The more difficult to describe – student-centered – means that our orientation starts with students. We think first about how many we can include, not how many we exclude. We adopt rules not to be elite but to enhance the experience for students, knowing that the higher the standards we establish for eligibility and conduct, the greater the benefit to the students, their schools and the surrounding community.

In a student-centered program, thought is given not only to the students who want exceptions to rules, but also to the other students who would be displaced if those exceptions were made.

In a student-centered program, we consider the whole child and all the children.

Cardiac Screening

October 31, 2014

The American Heart Association has once again concluded that sophisticated and expensive heart screening is not practical or appropriate as a precondition for youth and young adults to participate in competitive organized sports.

On Sept. 14, 2014, the AHA online publication Circulation stated:

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.”