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.
Representative Governance
November 11, 2014
A man in a hot air balloon, realizing he was lost, lowered the balloon to shout to a fellow on the ground: “The wind’s blown me off course. Can you tell me where I am?”
The man on the ground replied, “Sure. You’re hovering about 90 feet over this wheat field.”
The balloonist yelled, “You must be an engineer.”
“I am,” the man replied. “How did you know?”
“Well, everything you told me is technically correct but of absolutely no use.”
The engineer retorted, “You’re an executive, right?”
“How did you know?” the balloonist responded.
“Well, you were drifting in no particular direction before you asked for my help, and you’re still lost; but now it’s my fault.”
In addition to making me chuckle, that story reminds me that the world is very likely a much richer place when it has both bird’s-eye and on-the-ground perspectives. It is certainly true that our understanding of issues and answers in school sport is better when both views are voiced.
This reasoning is the basis for inviting any representative of a member school to serve on the MHSAA’s governing body, the Representative Council. Unlike many other states, seats at the MHSAA’s table are not limited to superintendents or to principals.
Throughout most of the MHSAA’s history, there has been a nearly equal balance of superintendents, principals, athletic directors and others on the 19-member Representative Council. However, in recent years the balance has shifted decidedly toward athletic directors, as superintendents have become increasingly occupied with keeping school districts afloat financially and principals are increasingly consumed with demonstrating improving student test scores.
The MHSAA’s Constitution provides for an election system that assures good diversity of school size and location on the Representative Council. The Constitution also provides for an appointment process that is intended to improve gender and minority membership on the Council. That provision is also being used to recruit superintendents and principals back to our table. We need policymakers who see things with a wide angle view as much as we need policymakers who see the daily details of school sports up close.