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.
School Overload
January 29, 2016
I don’t know how school administrators and local boards of education do it. Every year, pressure increases on them to improve student performance in core subjects, while every year, lawmakers and government agencies try to make schools the place to solve, or at least respond to, more of society’s problems.
Expanding definitions of disabilities have required expanding public school responses. School employees now must be trained to respond to a myriad of student allergies. Schools have been made the place to address drug abuse, bullying, sexting, drunk driving, sudden cardiac arrest, seat belt use and much more.
This would be okay – in fact, it would be really good because it would solidify that the local school is the center of each and every community. But if schools are not given the resources to both improve student academic performance and address every threat to student health and safety, then no more should be asked of schools.
Right now our Michigan Legislature has dozens of bills that would make new demands on local schools. Most of these bills, on their own and in a vacuum, would be good – like the requirement that schools provide curriculum and professional development in warning signs for suicide and depression, and the requirement that students be certified in CPR before they graduate high school.
But until schools are given more time and money to perform current mandates, it’s time for legislators to put new bills in their back pockets and for government agencies to back off.