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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.

Reality Check

July 7, 2015

The organization I worked for immediately prior to this 29-year run with the MHSAA utilized “harnessed hero worship” as its principal strategy for evangelism. It was generally effective; but because of human frailties, some of the heroes would disappoint us and disrupt the important work.
This experience and others over the years have caused me to, at most, only feign excitement when someone suggests we get this or that “Big Name” to keynote a conference or endorse an initiative. I prefer substance over style, and staying power over shooting stars.
All of this likely made me susceptible to shouting “Right On” when I read the May 14, 2015 blog post of Matt Amaral, a teacher in California. The title: “Dear Steph Curry, Now That You Are MVP, Please Don’t Come Visit My High School.”
Regarding celebrity worship, Mr. Amaral writes that we need less of it.
“Coming to poor high schools like mine isn’t going to help any of these kids out; in fact, it might make things worse.”
Amaral explains that unlike Curry (who is an example and not a target), the students he teaches are not genetic giants and do not have the resources and support that separate the less than one percent from the rest of us. “What you won’t see,” Amaral writes in his “open letter” to Curry, “is the fact that most of these kids don’t have a back-up plan for their dream of being you.”
“They are already very good at dreaming about being rich and famous; what we need them to do is get a little more realistic about what is in their control. We need less of an emphasis on sports and celebrity in high school, because it is hurting these kids too much as it is.”
(You can find more of Mr. Amaral’s provocative thoughts at teach4real.com.)