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.
Internal Medicine
March 20, 2018
When I express concerns for the health of high school basketball, I’m not confusing our problems with the corruption of major college men’s basketball that is under investigation by the Federal Bureau of Investigation. Yes, there are some tentacles that reach us, and taint us; but the problems that plague us most are more basic and local.
The concerns I have for high school basketball are captured in scenes that play out much too often across the membership of the Michigan High School Athletic Association. For example:
- Declining participation, with JV and varsity rosters too small to practice 5-on-5 at either level.
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Increasing forfeits.
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Ugly mismatches, with scores so lopsided that it is hard to imagine much teaching or learning can occur.
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Starters transferring; reserves dropping out.
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Confrontations between parents and coaches.
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Faculty coaches becoming a vanishing breed.
These kinds of concerns do not flow from the top down – we can’t blame these issues on the NCAA and NBA. No, our more persistent and perplexing problems percolate up from the youth level.
Often the students who come to our programs have participated in youth sports programs for five to 10 years before they join a school team. They arrive with expectations that often differ from what is intended for school-based programs. They’ve been in a different environment; they have different expectations.
And much of what is coming with youth sports begins to infect school sports.
There is no vaccination that will be 100 percent effective in immunizing us. There is no single solution that can quickly reverse these negative trends in school-based basketball and other school sports. The efforts must be systemic and long-term. And among the efforts that must be made are these
- More attention to coaches education – every coach, every year – where the ethics of educational athletics and the meaning of success in school sports provide the core of the curriculum; and
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More attention to junior high/middle schools – more opportunities for 6th- through 8th-graders to sample school sports and to savor an experience that puts team before individual and learning ahead of winning.