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.

Towns Without Schools

September 18, 2015

"I forget the names of towns without rivers" is the opening line of a poem by Richard Hugo published in 1984, and recited by my fly fisherman son as he guided me on the Muskegon River last month.   

My son thinks about rivers, while I think about schools. And my mind quickly converted the poetic line to, "I forget the names of towns without schools." I do. And I don't think I'm alone in this sentiment.

As I drive the length and width of Michigan's two peninsulas, I pass through many towns where school buildings have been converted to other uses or, more often, sit idle, surrounded by under-used commercial areas and vacant housing. I tend to forget the names of those towns.

Schools have been the anchor to, and given identity to, small towns throughout Michigan, and to the neighborhoods of larger towns. As schools have consolidated during the past two generations, many of the towns that lost their schools have also lost their identity and much of their vitality. The school consolidation movement that stripped towns and neighborhoods of their "brand" was supposed to improve access to broader and deeper curriculum choices for students and reduce the financial costs of delivering world-class education to local classrooms. 

That's admirable. But of course, that thinking preceded the Internet which now allows students attending schools of any size in any place to receive any subject available in any other place in our state, nation or the world, and to do so without students being bused hither and yon and at much lower overhead compared to past delivery systems.

If we want to rejuvenate our state, returning schools to the center of small towns and neighborhoods will be central to our strategy. Both the technology and the teaching are available to do so in every corner of our state. It's the money spent on transporting children that's wasted; not the money on teaching those children in neighborhood facilities.