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.

Soccer for Schools

January 22, 2016

International soccer has provided me the greatest experience I’ve ever had as a sports spectator. Watching the Boca Juniors come back to win 2-1 in overtime in their historic stadium in Buenos Aires in November 2013 provided me an almost out-of-body experience as the home team fans, decked out in blue and yellow and waving flags, sang their way through the lows and dramatic highs of this match.

Soccer has been called “the beautiful game.” But of course, beauty is in the eye of the beholder; and not all sports fans see beauty in a game that, at its highest levels, has so little scoring and so much flopping, and only one person knows how much time remains in the game. And of course, the sport has been supervised at the highest levels by individuals so corrupt that they make the recent scandals of this nation’s Amateur Athletic Union leadership seem like child’s play.

Soccer is a global game, and we – at the high school level – are not going to change the game at its highest level in the U.S. I don’t really care. I just want a more appropriate game for the interscholastic level.

We already have altered the global game’s substitution rules for the interscholastic level to promote greater participation and player safety. And we use a scoreboard that lets teams and spectators know how much time remains in each half.

To promote more safety, we could implement a football style practice policy that limits the number of practices when heading the ball can occur to one per day during the preseason and to two per week during the regular season.

To promote more scoring, we could implement a basketball style “over-and-back” rule at the midfield line, and also by prohibiting defenders from playing the ball to their own goalkeepers.

The beautiful game has imperfections – at least for our purposes – which we have corrected for our needs in the past and we can do more of in the future without challenging the global juggernaut that soccer has become.