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.

Driving Lessons

August 19, 2014

Many millions of us this summer took to the expressways of North America, and most of us reached our destinations safely. I find myself amazed at how few the accidents are when highways are crowded with hunks of metal traveling at 60, 70 and even 80 miles per hour.

There are three actions on a fast-moving expressway that jeopardize the health of travelers that are like three actions that jeopardize the health of organizations.

  • First, if any number of drivers defies heavy traffic or wet pavement, then the well-being of all the others is at risk.

  • Second, if just a single car ahead of a crowd of others slams on the brakes, then a chain reaction collision is likely to follow.

  • Third, if a driver fails to look around and indicate the intention to change lanes, then those around that car must take evasive actions to escape trouble.

Likewise, organization leaders who move forward too fast without regard to their environment, leaders who suddenly slow down or stop their forward motion, and leaders who fail to consult with those around them and clearly signal their intentions to make a change, put their enterprise at risk.

Lessons for the office, learned on the road.