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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.

Staying the Course

August 7, 2015

During my first days on this job 30 years ago this week, I told the MHSAA staff, interviewers and constituents that from my first week on the job to my last, there would be four fundamental issues which would continuously have our attention. Different problems, trends and fads would come and go; but we would remain faithful to these four topics:
  • Scholarship – meaning scholarship in high school, not athletic scholarships to college; maintaining school sports as a helper to the schools’ academic mission.
  • Sportsmanship – meaning the environment at interscholastic events, shaped by the attitudes and actions of players, coaches and spectators; seeing good sportsmanship as a precursor to good citizenship.
  • Safety – assuring parents that their children not only will be as safe as possible in school sports, but will develop habits that tend to encourage a lifetime of better health.
  • Scope – placing borders around school sports that tend to assure a sane and sensible, student-centered educational experience.

I said in 1986 that these would still be our top topics in 1996, 2006 and 2016; and the “Four S’s” have stood the test of time. In fact, they stand even taller now than three decades ago.

On Monday, the first day of this 30th year, 95 representatives of 70 schools gathered for training to execute one of two pilot programs we have launched for 2015-16 to improve the process of concussion detection at interscholastic practices and contests.

When fall practices begin next week, they will do so with three other health and safety changes.

  • All member schools, grades 7 through 12, must report all suspected concussions at practices and games to the MHSAA, utilizing a web-based reporting system on MHSAA.com.
  • All high school varsity head coaches must have a current certification in CPR.
  • All athletes in all levels of all sports in MHSAA member schools grades 7 through 12 will be provided, without charge to either their families or the schools, concussion care insurance aimed at assuring all students have access to prompt, professional medical care, regardless of family resources.