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.
The Goldilocks Solution
December 2, 2014
Somewhere I read that there’s little to gain by trying to bring simplicity to what’s complex or sanity to what’s crazy. But we keep trying.
Last month we compiled results of a survey through which 513 MHSAA member high school athletic directors provided information about the out-of-season activities of their students and coaches and offered opinions regarding ideas to modify the rules that control those who want to do so much that it would force others to do more than they believe is sane for school-sponsored, student-centered competitive athletic programs.
A nearly equal number of schools from each classification were included in the 513 schools that responded to this opportunity to add more information and insight to this year-long look at MHSAA out-of-season coaching rules.
Some preliminary number crunching reveals (without surprise) that there are differences between large schools vs. small and more populated areas vs. less – differences both in the amount of organized out-of-season sports activity in which students engage and in the openness of their athletic directors to new ideas for regulating out-of-season activities by students with their school coaches. Generally, larger schools and/or schools in more populous areas see students participating in more organized out-of-season athletic activities, and they are more open to changing how those activities are regulated.
And so it continues ... finding that sweet spot that fits the perspectives and problems of a very diverse membership that supervises a wide variety of sports. The “Goldilocks” solution that doesn’t do too much, or too little.
The results that I’ll be looking for as we continue to gather information and facilitate discussions is no specific set of rule changes, but rather, to move MHSAA policies and procedures toward these two goals:
- Rules simpler to understand, follow and enforce. Even good rules are bad if they are too cumbersome.
- Rules that do not add pressure on students or coaches to focus on a single sport year-round. There is plenty of data that informs us that parents do too much of that already.