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.

Push “Pause”

January 24, 2014

No student has the right to participate in the voluntary competitive interscholastic athletic program sponsored and conducted at an MHSAA member school. In practical application, this means that all students are assumed to be ineligible for participation until they have earned the privilege of participation.

Students do this by demonstrating that they have met every prerequisite condition for participation which, at minimum, are the eligibility rules of Regulation I (for high schools) and Regulation III (for junior high/middle schools). A student must be eligible under every Section of Regulation I or Regulation III before he or she competes in a scrimmage or contest.

For example, every student who is new to a high school is presumed to be ineligible for interscholastic athletics. School administration must be certain that each student’s circumstances comply with one of the 15 automatic exceptions to the transfer rule’s requirement that new students must sit out approximately one semester.

If one of the exceptions explicitly applies, the student becomes eligible, provided he or she complies with all aspects of all other Sections of Regulation I: enrollment, age, physical exam, previous and current academic records, amateur and awards, etc.

That’s why we teach at in-service meetings for coaches and administrators, “If in doubt, sit ‘em out.” Wait for as much information as possible before entering any student into a scrimmage or contest. Very often a week or two pause before play will avoid a season of forfeits and a school year of frustration.