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.”

What is Educational Athletics?

May 20, 2016

In an effort to be even better at something the Michigan High School Athletic Association already does well, MHSAA staff spent four hours with the leader of the Massachusetts Interscholastic Athletic Association, Bill Gaine, who is one of the nation’s most passionate advocates for teaching people what “educational athletics” means and how to actually educate students through school sports.

Here is how the MIAA answers the question: “What is educational athletics?”

  • Interscholastic athletic competition is an extension of the classroom and an educational activity that provides outstanding opportunities to teach life lessons.

  • Through participation in such programs, young people learn values and skills that help prepare them for the future.

  • Leadership, goalsetting, teamwork, decision making, perseverance, integrity, sacrifice, healthy competition and overcoming adversity are inherent in the interscholastic athletic framework and also support the academic mission of schools.

  • Student-athletes earn the privilege to participate by succeeding academically, and the resulting positive outcomes continue far beyond graduation.

  • These programs exist to prepare young men and women for the next level of life, not the next level of athletics.

  • Wins are achieved through athletics by developing successful athletes and teams, but more importantly, wins are achieved through the educational experience by developing successful and responsible students, leaders and community members.

  • The positive educational outcomes of interscholastic athletics do not happen by chance. They happen because teacher-coaches and school administration adopt an intentional and purposeful approach to the interscholastic athletic experience.