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.”
Transfer Culture
March 14, 2017
It is rare when a problem of major college athletics doesn’t eventually become a pollutant of high school athletics. A current issue demonstrates the point.
In 2015, NCAA research reported that about 40 percent of Division I men’s basketball players who had entered an NCAA institution directly from high school as freshmen had departed that institution by the end of their sophomore year.
Approximately 44 percent of the transfers were to other Division I programs, 33 percent to Division II programs, one percent to Division III, and 23 percent to non-NCAA colleges. Nearly 90 percent of all transfers said they changed schools for athletic reasons.
At the 2016 Men’s Final Four, NCAA President Mark Emmert stated that the issue of transfers is one of the most hotly debated in NCAA men’s basketball and football.
The culture that contributes to this is created in youth programs, starting even before students reach high school. There are no rules that govern players’ change from one non-school team to another, year after year. Players, parents and handlers talk with each other about where players can find the coach or team that will give them the best shot for a college scholarship or to fulfill their dreams of a professional career; and they will drive any distance from their homes to connect with that non-school team or coach.
This culture has infected high school sports, as witnessed by what appears to be increasing numbers of students who change schools for reasons more related to their non-school contacts and their college dreams than their high school experience, either athletic or academic.
These pressures will only increase under the current model of major college sports that treats superior athletes as if they were superior human beings and lavishes publicity and perks upon them. Until the major college sports experience is disincentivised, those colleges will have transfer troubles. And so will we.