![](/sites/default/files/imported/DirectorSig2H.jpg)
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.”
![](/sites/default/files/imported/DirectorSig2H.jpg)
Visualizing Transfers
January 30, 2018
There are two visual aids to bring to the discussion of the transfer rule serving school sports in Michigan.
One visual is of a continuum, of a line drawn across a page, with 50 dots representing the transfer rules of the 50 states, with the more liberal or lenient rules to the left and the more conservative or strict rules to the right.
The dot for Michigan’s rule would be well to the left of center. The basic rule calls for an approximately one-semester wait for eligibility after a transfer, but with immediate eligibility if one of the 15 stated exceptions applies to the student’s circumstances.
The majority of states have a longer period of ineligibility and fewer built-in exceptions.
The second visual is of a playground teeter totter.
Sitting at one end are the majority of school administrators of Michigan (about two-thirds) who want a tougher and tighter transfer rule, with a longer period of ineligibility and fewer exceptions.
At the other end of the teeter totter is parents of school-age children, some unmeasured portion of which believe there should be no limitations in how or where they educate their children, whom they believe should have full and immediate access to all school programs at any school they choose for their children.
In the center, at the teeter totter’s fulcrum, is the Michigan High School Athletic Association, helping parents hear school administrators, and vice versa.