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.

Lockdown Logic

June 7, 2014

There recently were two fatal shootings within a single hour in the neighborhood of the MHSAA office; and for a couple hours, the killer evaded law enforcement authorities.

We locked the MHSAA’s doors and directed staff to remain in the office during the chase and capture. That evening on the local television news we learned the details of the day’s drama. And then sidebars to the main story developed, including criticism by parents who complained they were not alerted promptly enough when their children’s schools were locked down.

Several outraged parents complained that their school didn’t notify parents of the lockdown for a whole hour. Imagine that; that schools would worry first and foremost about students’ safety and only secondarily about notifying parents!

One local school administrator confided that before instant Internet communications, it was standard operating procedure to focus first on kids’ safety. Now, administrators worry about parents showing up at school and adding to the hazards.

There is almost intentional delay in notifying parents so they won’t be incited into rushing to school, risking their own safety and that of others, and complicating efforts of school personnel to protect children and of law enforcement personnel to pursue the bad guys.

Before the Internet age, hours could lapse before parents knew of unusual events near their children’s schools. Often the notice was put in writing and sent home with children at the end of the day. Now schools are criticized for even an hour’s delay, which might be just another of the growing list of unrealistic and unfair demands on our schools.