Health Histories
September 4, 2012
Eighteen months ago we completed two new preparticipation physical examination forms: (1) a two-sided card delivered without charge to schools in whatever quantity they need; and (2) a four-page form that is downloadable at MHSAA.com.
Both are improved from the previous card in that they ask more about family and student health history which, more than any cursory exam, helps identify potential health risks before participation. Both were developed with the cooperation and consensus of a diverse panel of medical experts assembled by the Michigan Department of Community Health.
At schools’ requests, the MHSAA has distributed more copies of the two-sided card than there are students enrolled in MHSAA member schools; so we know the form has widespread use. But still, this particular form is not required, which allows schools with a special local resource to utilize something they like better, and this also allows families with special needs to use the documents that best meet their child’s circumstances.
The take-away on this topic is that today’s standard of care is a comprehensive physical with detailed family history prior to first participation in school sports and, thereafter, more cursory annual exams, except when the student has had an injury or illness that requires more review.
Kicking Bad Habits
May 4, 2018
Forty years ago, as a youngster on a venerable staff at the national office of the National Federation of State High School Associations, where the playing rules for high school football were published, I would entertain my colleagues with a quixotic proposal – year after year – to eliminate the kickoff from football.
As a college player, I got my first playing time as a member of the kickoff team. I knew it was because the coaches didn’t want to risk injury to better players.
As a high school coach, when I conducted preseason scrimmages, I always insisted that kickoffs not occur because I didn’t want to risk season-ending injuries before the season even began.
So, as the world of football from youth levels to the pros is eliminating kickoffs or altering rules to reduce their frequency, I write smugly, “What took you so long?”
Rules committees on every level for every sport have an obligation to examine the data for their sports closely and determine precisely the circumstances that cause the most injuries. And then they must create and enforce rules that will eliminate or greatly modify that most injurious situation.
If the data tells us now what my gut told me as a young coach and administrator, we should give kickoffs the boot.