Century of School Sports: MHSAA Programs Prioritize Health & Safety
By
Geoff Kimmerly
MHSAA.com senior editor
April 29, 2025
Rank the top 10 conversations anyone would choose to have when it comes to school sports – be it talking up top teams, the latest stars, past champs, etc. – and advances in health & safety probably come in somewhere around No. 27.
But no topic has been or will remain more important to generating and maintaining successful athletic programs at every level of sport – including the high school and junior high/middle school levels administered by the MHSAA.
From the start of organized school athletics in Michigan more than 100 years ago, health and safety have been priorities. Sports safety concerns – especially in football – helped drive the creation of organized sport administration. Longtime policies – like the one ceasing activity for 30 minutes for lightning or thunder – have become part of daily life in athletics. Other measures, like MHSAA-provided insurance coverage to assist families who experience catastrophic injuries in school practices and competitions, aren’t even known by most – but can be life-altering for those who require those benefits.
For most of this century, the MHSAA’s health & safety initiatives have focused on the “4 Hs” coined by retired executive director Jack Roberts – Health Histories, Heads, Heat and Hearts. Those were the drive of much of his work especially over the final decade of his tenure before he retired in 2018 after 32 years.
Current executive director Mark Uyl’s time leading the association has seen the MHSAA begin work in mental health and create a Sports Medicine Advisory Committee (SMAC) during the 2019-20 school year. He also led the MHSAA through its successfully safe return to play amid COVID-19 and the pandemic’s aftermath.
Health and safety information is contained in every preseason coaches meeting, which all coaches (head and assistant) are required to take. The MHSAA also has a strong relationship with the Michigan Athletic Trainer’s Society (MATS), who have a representative serving on every MHSAA sport committee along with the SMAC.
Along the lines of major initiatives, here are highlights:
Histories: Although pre-participation physicals long have been required, the MHSAA took a significant step incorporating student and family history with the introduction of new physical forms in 2011. The current form includes several questions not only about the participant receiving the physical, but also heart-related questions about family members.
Heads: The MHSAA was among the first states to adopt a return-to-play protocol requiring an athlete to be cleared by a doctor, physician’s assistant or nurse practitioner, with that protocol also not allowing the athlete to return to participation until at least the next day after a possible head injury. At the start of the 2015-16 school year, the MHSAA launched the largest state-led sideline testing pilot program for concussions, providing a pair of screening tests so those injuries could be detected during practice and competition. Also since 2015-16, the MHSAA has required member high schools to report all potential head injuries and several details including when they took place (practice or competition) and how long students were treated before returning to activity – another first-of-its-kind initiative nationally. The MHSAA currently works with the University of Michigan Concussion Center to provide the most up-to-date information on the subject.
Heat: Long a megaphone for hydration and other best practices for preventing heat-related illnesses, the MHSAA took a major step with the creation of its “Model Policy for Heat and Humidity” for the 2013-14 school year that designates limits to activities (including a complete stop) based on heat index. While the policy is mandated for MHSAA Tournament activity, several schools have adopted the policy for the regular season as well. The MHSAA continues annually to renew awareness of heat management with its “Heat Ways” preseason guide for fall sports.
Hearts: The MHSAA has focused on providing tools so that as many people as possible are prepared to help during a cardiac event. Beginning with the 2015-16 school year, all varsity head coaches have been required to have CPR certification – and that requirement has been extended to head coaches at all high school and junior/middle school levels, ensuring that at least one person on site for every game and practice is trained in this life-saving technique. The MHSAA also has worked with MI HEARTSafe to in part get more AEDs into schools. Beginning this school year, the MHSAA required schools to build emergency action plans (EAPs) specific to sport and venue. And, as noted above, the preparticipation physical also asks questions about an athlete’s family history of heart health, so medical professionals can identify early situations that may require further investigation.
Mental Health: Annual rules meetings include required training in the be nice. program provided by the Mental Health Foundation of West Michigan. The MHSAA also has worked with Ithaca athletic director Terry Hessbrook to promote his B#4 Foundation and its work in suicide prevention and mental health awareness.
Sports Medicine Advisory Committee: The SMAC, made up of experts from the medical and educational communities, meets twice a year to consider topics and make recommendations relevant to health and safety in school sports.
Insurance: All the way back in 1940-41, the MHSAA became one of the first state associations nationally to provide accident benefit insurance to its constituents. The insurance provided over the years has evolved into a catastrophic claims policy beginning with the 1970-71 school year, and then in 2015-16 to include benefits specific to head injuries. The MHSAA’s insurance policy continues to cover deductibles and co-pays left unpaid by other policies for head injuries resulting during school practices or competitions, and at no cost to either schools or families.
There have been other notable moments over the years. Often, the MHSAA has taken action on health and safety issues before other governing bodies have produced mandates – for example, during the 1999-2000 season, MHSAA ice hockey players were required for the first time to wear neck guards that did not become mandatory nationally until this past winter.
More recently, the MHSAA instituted acclimatization rules specific to football and also limits on the amount of practice contact – to the minute – allowed per week. The MHSAA also has chimed in on air pollution created by wildfires, mosquito-borne eastern equine encephalitis and other situations that could potentially impact school sports, and partners with the United Dairy Industry of Michigan to provide nutrition information and awareness at events and on the MHSAA website.
These aren’t the first subjects that come to mind when fans talk about school sports – and that’s fine. But it’s our job, with school administrators, coaches and officials, to always have them front of mind – and we gladly do so to keep sports as safe as possible for hundreds of thousands of athletes whose achievements remain our favorite topics of conversation as well.
Previous "Century of School Sports" Spotlights
April 23: Patches Signify Registered Officials' Role in MHSAA Story - Read
April 16: Student Advisory Council Gives Voice to Athletes - Read
April 9: State's Storytellers Share Spring Memories - Read
April 2: Sharp Leadership Synonymous with MHSAA Success - Read
March 25: Athletic Directors Indispensable to Mission of School Sports - Read
March 18: 2025 Finals Begin Next Half-Century of Girls Hoops Championships - Read
March 11: Boys Basketball's Best 1st to Earn MHSAA Finals Titles - Read
March 5: Everything We Do Begins with Participation - Read
Feb. 25: Slogans & Logos Remain Unforgettable Parts of MHSAA History - Read
Feb. 19: MHSAA Tickets Continue to Provide Fan-Friendly Value - Read
Feb. 11: We Recognize Those Who Make Our Games Go - Read
Feb. 4: WISL Conference Continues to Inspire Aspiring Leaders - Read
Jan. 28: Michigan's National Impact Begins at NFHS' Start - Read
Jan. 21: Awards Celebrate Well-Rounded Educational Experience - Read
Jan. 14: Predecessors Laid Foundation for MHSAA's Formation - Read
Jan. 9: MHSAA Blazes Trail Into Cyberspace - Read
Dec. 31: State's Storytellers Share Winter Memories - Read
Dec. 17: MHSAA Over Time - Read
Dec. 10: On This Day, December 13, We Will Celebrate - Read
Dec. 3: MHSAA Work Guided by Representative Council - Read
Nov. 26: Finals Provide Future Pros Early Ford Field Glory - Read
Nov. 19: Connection at Heart of Coaches Advancement Program - Read
Nov. 12: Good Sports are Winners Then, Now & Always - Read
Nov. 5: MHSAA's Home Sweet Home - Read
Oct. 29: MHSAA Summits Draw Thousands to Promote Sportsmanship - Read
Oct. 23: Cross Country Finals Among MHSAA's Longest Running - Read
Oct. 15: State's Storytellers Share Fall Memories - Read
Oct. 8: Guided by 4 S's of Educational Athletics - Read
Oct. 1: Michigan Sends 10 to National Hall of Fame - Read
Sept. 25: MHSAA Record Books Filled with 1000s of Achievements - Read
Sept. 18: Why Does the MHSAA Have These Rules? - Read
Sept. 10: Special Medals, Patches to Commemorate Special Year - Read
Sept. 4: Fall to Finish with 50th Football Championships - Read
Aug. 28: Let the Celebration Begin - Read
'Trojan Legend' Ream in 37th Year Providing Care as TC Central's Athletic Trainer
By
Tom Spencer
Special for MHSAA.com
September 25, 2026
Traverse City Central’s athletic trainer Amy Ream is exemplary – if not becoming the exception.
“I've been doing it for the 37 years,” Ream said. “It's probably not the norm anymore – especially being at the same location.”
Ream graduated in 1987 from Central Michigan University with a bachelor’s degree in sports medicine. Her first job was with the Trojans, and it likely will be her last.
Ream also has earned a teaching certificate since joining the staff and added teaching sports medicine classes at Central and Traverse City West to her daily duties.
“It’s been very rewarding ... seeing somebody that has torn their ACL and then the next year, they're able to come back … or someone struggling with an ankle sprain and taking them a couple weeks versus a couple days and they come back,” Ream said. “That's part of the reason why we do it. Being around the kids, they bring all the energy and they’re a joy to be around.”
John Sonneman has been near the Trojans for the past 61 years as a teacher, coach, athletic director and administrator. Nowadays, he’s the very recognizable voice of the Trojans as the public address announcer for football, soccer and track.
Sonneman has seen Ream, whose services are contracted through Munson Medical Center, pretty much do it all since she came on board.
“Amy is a real gem – she's a real pro,” said Sonneman. “She handles herself so well with the students. If you need a ‘ball boy’ she's the ball person. If you need somebody in volleyball to run a line or something like that, she'll do it. She isn't just a trainer.”
The Central coaching staff agrees. Fourth-year Central soccer coach Gavin Richmond can’t imagine getting through a game without Ream on the sidelines. Ream serves all of Central’s home varsity and junior varsity soccer matches.
“Amy’s always happy, she's always smiling, and the kids all love her, and she's just an incredible human being,” Richmond pointed out. “It's a privilege to work alongside her. I really love it when she's out there on the sidelines with us. It gives me a kind of sense of comfort knowing that anybody that might get hurt is going to get looked after. She's just a true, true, true professional. She’s a Trojan legend.”
Ream has a very busy schedule, attending all Central home football contests, including for freshman and junior varsity. During the same season she’s at Central’s freshman, JV and varsity volleyball home matches.
Ream sees athletic training as one of the best work-life balance careers. “Most of the time you can still have a good work-life balance, which is really nice,” she said.
This winter she’ll support boys and girls wresting, basketball and ice hockey before taking on the Trojans’ lacrosse, baseball, softball and track programs in the spring.
“I don't normally see tennis or golf, but I am there if they need some help,” Ream acknowledged. “I am at the school during sixth hour. There are some kids that come in for treatment if they don't have sixth hour, for taping or whatever, so that they're ready to get out.”
Ream won’t single out a sport as her favorite. But she will admit leans toward football in the fall, hockey in the winter, and softball in the spring.
“Spring depends on the day, but my kids played softball, so its softball,” she admitted. “And, we’re definitely getting more into boys and girls lacrosse.”
Being an athletic trainer has provided Ream opportunities to work at Ford Field, Little Caesars Arena and Comerica Park. Central’s basketball team played an exhibition game at Little Caesars, and West and Central played an outdoor hockey game at Comerica. But the Trojans reaching the MHSAA Division 2 11-Player Football Final at Ford Field in 2021 stands out most.
It happened while COVID-19 restrictions were still in place, and Ream said the pandemic led to schools reducing their athletic training staffs around the state. The sports medicine class she teaches is aimed at recruitment.
“We're trying to recruit – we always already need athletic trainers,” Ream said. “After COVID, athletic trainers were let go and some of them went on to different careers.”
With COVID restrictions in place, Ream was at Ford Field as the Trojans fell to Warren De La Salle Collegiate. That marked the final game of a stellar playing career for Central’s Josh Burnham.
Burnham and Ream embraced after the tough loss during which Burnham had put the Trojans on the board midway through the fourth quarter with a five-yard touchdown run. He also had eight tackles. Burnham went on to play four years at Notre Dame, helping the Irish reach the college football playoffs. He’s using a fifth year of college eligibility to play this season for Indiana, the reigning national champ.
If Ream had a bucket list, getting back to Ford Field would most likely be on it. She has hopes 25-year coach Eric Schugars can lead the Trojans to a return trip. Central did qualify for the playoffs last year and are off to a 2-2 start this fall. The Trojans will look to improve their playoff chances when they host Midland Dow, also 2-2, Friday at Thirlby Field.
Ream has no immediate plans to retire, but the Trojans are nonetheless prepared for it to happen someday. Justin Thorington, the Trojans athletic director, is a 2003 graduate of Central and recalls vividly Ream being a big part of the school’s athletics during his time as a student.
“I love Amy, and I want her to stay as long as she wants to stay and not any longer than she feels like she needs to stay,” Thorington said. “If she told me ‘Hey, I'm hanging ’em up at the end of the year,’ of course we would be like ‘what are we going to do? How are we going to replace her?’ But we would just be so happy for her. I hope she stays another 10 years if she wants to.”
Tom Spencer is a longtime MHSAA-registered basketball and soccer official, and former softball and baseball official, and he also has coached in the northern Lower Peninsula area. He previously has written for the Saginaw News, Bay County Sports Page and Midland Daily News. He can be reached at [email protected] with story ideas for Manistee, Wexford, Missaukee, Roscommon, Ogemaw, Iosco, Alcona, Oscoda, Crawford, Kalkaska, Grand Traverse, Benzie, Leelanau, Antrim, Otsego, Montmorency, Alpena, Presque Isle, Cheboygan, Charlevoix and Emmet counties.
PHOTOS (Top) Traverse City Central trainer Amy Ream escorts an injured Traverse City West player off the field during Thursday’s game. (Middle) Ream prepares ice for Central’s James Crigier during a junior varsity game at West. (Below) Ream and Josh Burnham embrace after the latter’s final high school football game, at Ford Field. (Top photo by Jan-Michael Stump/Traverse City Record-Eagle. Middle photo by Tom Spencer. Football photo by TC Rick Photo.)