Logo

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.

A Can-Do Response

January 5, 2015

Michigan has a tradition of some of the nation’s most lenient out-of-season coaching rules, especially in the summer; and yet, the few rules we have are sometimes blamed for driving students to non-school programs.
Nevertheless, there is some validity to the criticism. It is observably true that non-school programs seem to fill every void in the interscholastic calendar. The day after high school seasons end, many non-school programs begin. The day a school coach can no longer work with more than three or four students, a non-school coach begins to do so.
The challenge is to balance the negative effects of an “arms war” in high school sports against driving students toward non-school programs. It’s the balance of too few vs. too many rules out of season.
The out-of-the-box compromise for this dilemma could be to not regulate the off season as much as to conduct school-sponsored off-season programs in a healthier way than they normally occur, i.e., to move schools back in control of and in the center of the non-school season. To not merely regulate what schools and coaches can’t do, but actually run the programs they can do and want to do.
Of course, this would require more of what schools have less of – resources. School administrators who may be in agreement that schools should operate off-season programs to keep kids attached to in-season programs still balk because they lack resources. At a time when resources are being cut for basic support of in-season programs, how could they justify spending more for out-of-season outreach?
Ultimately, in discovering the sweet spot for out-of-season interaction between school coaches with student-athletes, we need to give at least as much attention to providing more opportunity for what they can do together as for what they can’t do.