What We Do
August 16, 2012
It is not infrequent that suggestions are made that the MHSAA do something it is not presently doing, the something being a project or problem that conforms to the special interest of the one making the suggestion. That person will usually be incredulous when we respond that the project or problem is beyond the authority of the MHSAA or beyond the capacity of the MHSAA’s resources. The criticism is at least implied that if the MHSAA really cared about kids, it would do this thing that is important to the critic.
So, how does the MHSAA decide what it will do?
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The first criterion is to determine if the subject matter is a school district-wide concern or is sport-specific. If the former – like sexual harassment sensitivity training – then it is school districts’ responsibility to provide the service for all their faculty, including athletic personnel. If the subject matter is sport-specific – like weight control in wrestling – then the MHSAA should consider the possibility that it is the organization uniquely positioned to assist by providing leadership and support services to its membership in this narrow area of athletic-related concern.
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The second criterion is to determine if there are any other agencies, institutions or organizations better positioned or more capable to provide the service. For example, the American Red Cross is already in place with programs and personnel to provide first aid, CPR and sports safety training to athletic personnel throughout Michigan. So even though it is sports-related, it might create wasteful duplication for the MHSAA to start doing what the American Red Cross is fully capable of, prepared to do and already doing.
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The third criterion for determining what the MHSAA will do is to ascertain what its member schools want the association to help with. Schools have asked for assistance in establishing a minimum rule for the eligibility of transfer students; therefore, the MHSAA has promulgated such a standard for local adoption. But school districts have not asked for assistance in establishing rules regarding eligibility after tobacco and alcohol use or after allegations or convictions for crimes or misdemeanors; therefore, no MHSAA minimum standards exist.
The MHSAA provides services in the sports sub-set of issues with which schools must deal, and only after the MHSAA membership identifies the need and the MHSAA leadership prioritizes all of the identified needs and provides the resources necessary to address the needs of highest priority.
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.”