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.

“What Can I Do?”

October 16, 2015

One of the very first chapters that educators wrote on the fundamentals of school-sponsored, student-centered sports described the bad of single-sport specialization and the benefits of multi-sport participation. And the basic policies of educational athletics have flowed for decades from that philosophy.

Sadly, every reasonable restraint that educators placed on school sports was eventually exploited by non-school youth sports organizations and commercial promoters which have seen the world quite differently and have filled almost every gap in school sports programs with alternative or additional programs that started sooner, traveled further, competed longer and ended later than educators believed was healthy for youth and adolescents and compatible with their academic obligations.

Recently (and as reported in this space on Sept. 15, 2015), there has been a chorus of concerns from many different corners echoing the voices of educators who had just about given up on this issue. Suddenly, early single-sport specialization by youth is being attacked from many directions as being injurious for youth, and the multi-sport experience (aka, “balanced participation”) is being advanced as the healthy prescription.

Now I’m being asked by interscholastic athletic administrators: “Yes, I hear the chatter, and I see the evidence and anecdotes; but what can I do?” Well, one idea is to follow the lead of St. Joseph High School Athletic Director, Kevin Guzzo.

Last school year Kevin started the “Iron Bears Club” to recognize and reward the school’s three-sport athletes. And last month Kevin made the multi-sport imperative a central theme in his annual report to the St. Joseph Board of Education.

Little steps in a local community? Perhaps. But multiply Kevin’s efforts by 500 or more schools in Michigan? It could be a sea change. And it would be good for kids.