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.
An Unsustainable Trend
February 10, 2015
Decades ago there was much criticism from college and university physical education departments that schools were sacrificing broad-based programs of intramurals and recreation for higher-profile programs of interscholastic sports teams.
Today, broad-based intramural/recreational programs have all but vanished from schools; and the criticism now is that elite community club and travel teams threaten the broad and deep interscholastic athletic program schools have been providing students.
In my lifetime, I’ve seen the image of school sports go from elitist to egalitarian. From a few sports teams for boys in the 1950s, to teams on multiple levels in many sports for both boys and girls today.
Over the same period when the public profile of school sports has been diminished by many societal trends but especially the ascendancy of major college and professional sports riding the proliferation of television sets and rising profits from sports broadcasts, the breadth and depth of school sports was busy expanding the circle for which it provides opportunities to play.
The irony is that in this time of school sports’ greatest inclusion, school sports is on its weakest financial footing. When it is doing the most, school sports is being supported the least.
It’s an indefensible, unsustainable trend that must be addressed by those who control the purse strings of state government and local school districts.