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Injecting Sports Medicine

May 13, 2014

We are receiving the proper dosage of sports medicine advice in Michigan.
The Sports Medicine Advisory Committee of the National Federation of State High School Associations advises the NFHS and its member associations on medical and safety issues and conditions as they relate to interscholastic athletics. With nationwide expertise representing a broad range of sports medicine disciplines, the SMAC meets over three days, two times each year. It issues advisories and position statements and publishes a comprehensive manual which is provided without charge to each member high school in Michigan. 
The MHSAA has had direct representation on the SMAC for two separate four-year terms; and we depend on the SMAC to monitor, evaluate, filter and disseminate current sports medicine information that is of practical use at the interscholastic level.
The SMAC and the Michigan Department of Community Health are the voices the MHSAA listens to most in the often over-hyped cacophony of sports medicine opinion. What makes the SMAC even more unique than its prestigious panel of experts is that it has direct input into the rules-making process of the NFHS which dominates the publishing of high school playing rules. The MHSAA adopts those rules in every MHSAA sport for which rules are prepared by the NFHS.
The MHSAA has sometimes been criticized for not having its own sports medicine committee. However, we believe there is no need to create another committee to duplicate the work of the NFHS Sports Medicine Committee. And when we have needed extra attention to a unique in-state topic, we have found the Michigan Department of Community Health to be a willing and able partner.

School Sports’ Influence

June 20, 2017

As I sat a year ago in an audience consisting of my colleagues from across the U.S., I shared the general frustration – or perhaps it was exhaustion – when a veteran member of our national sports medicine advisory committee discussed the role of high school sports leaders in addressing what he said posed the greatest threat to students.

That threat was nothing we had been working on so very hard for so very long. It wasn’t heads, heat or hearts. Not extreme weight loss in wrestling or, increasingly, in other sports. Not communicable diseases, especially in wrestling. It wasn’t specialization. Not performance enhancing drugs.

He reported that the greatest threat is accidents. Away from the practice and competition venues, and especially traffic accidents. He wondered what our role should be.

He acknowledged much we’ve done regarding so many issues in the past, and all the newer issues – such as opioid addiction, depression and suicide – that are pressing for our attention; but he said it was the same issue today that it has been for decades that most threatens students. Accidents. Especially automobile accidents.

He admitted that the time and place of this threat was not under the control of athletic coaches and administrators. But his point was that the time and place is still under the influence of coaches and administrators.

Say all you want that school sports is irrelevant in this age of video games and ubiquitous non-school sports. This physician knows the score. He knows that school sports still matters mightily to kids, and that those in charge of local school sports programs still yield great power over young people.

Pick a problem – almost any problem – and people want school sports to address it. From bullying to bulimia, from obesity to overuse injuries. It is unfair to ask us to do all this, especially when funding for school sports is considered a frill in so many places.

But it’s a heck of an honor to work in an area where people think we’re the solution, or at least a deterrent. So we keep trying.