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.
Sorting It Out
February 4, 2014
The MHSAA has a good relationship with the high school coaches associations of Michigan in spite of the fact that the MHSAA sometimes befuddles and frustrates some associations’ leaders and members. This occurs, for example, when a coaches association’s board of directors votes unanimously in support of a change in policy or procedure which fails to be adopted by the MHSAA Representative Council. Every so often over the past 25 years, I’ve had to provide reminders of why this occurs – in fact, why it must occur.
First, a coaches association is just that – an association of coaches; and coaches are but one of the many important voices to whom the MHSAA pays regular attention. The MHSAA also must hear the opinions of athletic directors, principals, superintendents, boards of education, contest officials and others. Typically, coaches desire more of everything: contests, classifications, trophies and medals. Just as predictably, most administrators seek reasonable limits on such things and can often be heard to say, “Enough is enough.”
Second, the makeup of many of our state’s high school coaches associations’ boards of directors, and even the associations’ members, do not reflect the MHSAA’s full membership. Understandably, many coaches associations’ board members are disproportionately from large schools in the southern or even southeastern part of Michigan.
And third, by their nature, coaches associations advance proposals for a single sport, which could impact other sports positively or negatively. There is no question that if one sport “gets” something, like another tournament classification or division, other sports will seek the same consideration which may or may not be practical for or beneficial to other sports.
When considering a proposal from a coaches association, MHSAA Representative Council members will almost always ask themselves: “Who’s not in the room? Who are we not hearing from? Is there another side of the issue? How does this play out among small schools, or urban schools, or northern schools? How will this affect other sports?”
We look to coaches associations for sport-specific advice; and we urge them to seek input from a constituency that is as large and diverse as possible. We look to other stakeholders to add their advice and counsel to the process; and we depend on the Representative Council to sort it out and seek the proper balance.