Internal Medicine

March 20, 2018

When I express concerns for the health of high school basketball, I’m not confusing our problems with the corruption of major college men’s basketball that is under investigation by the Federal Bureau of Investigation. Yes, there are some tentacles that reach us, and taint us; but the problems that plague us most are more basic and local.

The concerns I have for high school basketball are captured in scenes that play out much too often across the membership of the Michigan High School Athletic Association. For example:

  • Declining participation, with JV and varsity rosters too small to practice 5-on-5 at either level.
  • Increasing forfeits.

  • Ugly mismatches, with scores so lopsided that it is hard to imagine much teaching or learning can occur.

  • Starters transferring; reserves dropping out.

  • Confrontations between parents and coaches.

  • Faculty coaches becoming a vanishing breed.

These kinds of concerns do not flow from the top down – we can’t blame these issues on the NCAA and NBA. No, our more persistent and perplexing problems percolate up from the youth level.

Often the students who come to our programs have participated in youth sports programs for five to 10 years before they join a school team. They arrive with expectations that often differ from what is intended for school-based programs. They’ve been in a different environment; they have different expectations.

And much of what is coming with youth sports begins to infect school sports. 

There is no vaccination that will be 100 percent effective in immunizing us. There is no single solution that can quickly reverse these negative trends in school-based basketball and other school sports. The efforts must be systemic and long-term. And among the efforts that must be made are these

  • More attention to coaches education – every coach, every year – where the ethics of educational athletics and the meaning of success in school sports provide the core of the curriculum; and
  • More attention to junior high/middle schools – more opportunities for 6th- through 8th-graders to sample school sports and to savor an experience that puts team before individual and learning ahead of winning.

Summer Safety

July 23, 2018

(This blog first appeared on August 28, 2012.)


As we have been considering changes for in-season football practice rules that are more in step with recent recommendations of the National Athletic Trainers Association, the American Academy of Pediatrics and the National Federation of State High School Associations, as well as the actions of several of our counterpart state organizations across the U.S., we have also been looking at the rules that apply out of season to assure they do not work against the preparation of students for a safe experience.

Except during the school’s designated summer dead period of at least seven consecutive days, football coaches may interact with any number of players in voluntary weight training and conditioning sessions as frequently as they desire. Introduce footballs and helmets, and the coach can still work with any number of students on the sideline and up to seven players at a time for any number of days. Add competition, and the coach can still work with up to seven players at a time for a maximum of seven days. In addition, football coaches may participate for a maximum of 10 days at bona fide football camps where any number of their players are participating.

Plenty of time for coaches to teach, and even more time for players to train. During this time, the rules permit students to wear helmets, which protect against accidental collisions during drills; but the rules prohibit other pads that would allow activities to escalate to the point where contact is expected, leading to increased blows to the head at a time when the objective from the pros to Pop Warner is to reduce blows to the head.

When the brief preseason down time begins Aug. 1, the coach continues to be able to work with any number of players in conditioning and weight training. The down time prohibits those activities that could be a disguise for practice prior to the earliest allowed practice date – open gyms, camps, clinics and competition. The down time puts the emphasis where it’s most needed for a healthy student experience when practice actually begins: that’s weight training and conditioning.

Some critics may focus on what they can’t do in the summer; but clearly, there’s much they can do, and it’s all designed to help players improve and excel in a safe environment.