Making (Health) Histories Every Year

July 23, 2015

By Rob Kaminski
MHSAA benchmarks editor

Tom Minter, recently retired from the MHSAA as assistant director, wore many hats while serving the Association and donned official’s gear in numerous sports outside of business hours.

But one of his finest refereeing efforts might have come during the 2009-10 and 2010-11 school years when he guided approximately 60 individuals representing 25 medical and professional organizations through an arduous process to upgrade the antiquated Physical Form to what is the standard today: the Pre-participation Physical Examination/Health History Form.

The form highlighted Stage 1 of the MHSAA’s 4 Hs of Health and Safety – Health Histories – and the current form is much more comprehensive, answering questions previously not asked during the quicker, more brief, evaluations.

Sudden cardiac death claims the lives of more than 300 Michigan children and young adults between the ages of 1-39 years annually. Yet, many of these deaths could be prevented through screening, detection, and treatment. One such way to detect high risk conditions that predispose to SCDY is through pre-participation sports screening of student-athletes, and the current physical form provides a mechanism.

While much more detailed, schools report that parents are more than willing to take the extra time and effort to complete the lengthier version.

“When the expanded form came out, people kiddingly made comments about its length; yet in today's day and age everyone understands we need all the information we can cultivate regarding health histories of our student athletes,” said Mark Mattson, athletic director at Traverse City Central.

Down state, feelings have been similar. “We don’t have a problem at all here,” said Anna Devitt, athletic secretary at Hartland High School. “Our parents take care of it, and haven’t balked at the length at all.”

Both agree, and are joined by many others across the state, that  the next logical step is for the form to be converted to a fillable, online document so that records can be accessed by those in need via mobile, laptop or desktop.

Thus, in the “No H left behind” mantra that the MHSAA has assumed, an electronic option of the Health History form is in the early planning stages.

“As an increasing number of our schools strive to be ‘paper-free,’ or at least as much so as possible, it is time to re-invent the delivery method for perhaps our most downloaded or distributed document,” MHSAA Executive Director Jack Roberts said. “Once again, as we move forward with our ‘Heart’ initiative for the coming school year, we are also intent on bringing other projects up to speed.”

The masses are certainly enthused.

“That would be heavenly. An online version that would prevent people from submitting the forms until all the required information was in place would be fantastic,” said Mattson, who has had to turn back, or hold out students while waiting for completed forms, whether at Marquette, Maple City Glen Lake, or his current post in Traverse City. “It’s always been the same; people move too quickly and overlook required fields. It would prevent two things: one, having to hold kids out while waiting for a signature, and two, prevent parents from having to drive in to the athletic office to sign or fill in that last field. We’d know we were getting a completed form.”

At Hartland, where athletic director Jason Reck created an online emergency contact form, a system is in place which allows coaches, administrators and trainers to share necessary data for all student-athletes in addition to the MHSAA forms.

“Our parents love the online emergency contact form, and we require them to fill it out every season, not just once a year,” Devitt said. “Sometimes an athlete gets injured during one season and the next season's coach wants to know about it.”

The information on the form is populated into an Excel spreadsheet which Reck, Devitt, the school trainer and all coaches can access. They can tailor the data by sport and pull it to their mobile devices.

“We’re trying to go completely paperless, and the MHSAA physical form would be another step,” Devitt said. “Our parents and doctor’s offices would love it.”

Nurturing Our Lower Level Programs

May 15, 2014

By John E. “Jack” Roberts
MHSAA Executive Director

When I’ve been faced with the most difficult choices as to different courses of action for the MHSAA, I’ve tried to face up to this reframing of the issue: “If we were creating the MHSAA for the first time today, would we do this, or would we do that?”

For example, would we or would we not limit coaches’ contact with athletes out of season? Would we have a 90-day period of ineligibility for transfer students or would it be 180 days?

There are other examples of such “either, or” questions I could provide, but none is as difficult or defining as this: Should school sports under the MHSAA’s auspices provide more opportunities for 7th- and 8th-graders and new opportunities for even younger students?

I won’t be coy about what I think our answer should be. I haven’t always felt this way, and I recognize it is a different opinion than some who are quoted in this publication; but today it’s my belief that if we were creating the MHSAA for the first time in 2014, the MHSAA would allow more contests and longer contests for 7th- and 8th-graders, and the MHSAA would have competition policies and programs for younger middle schoolers too.

I believe this is what parents want for their children and what students want for themselves; and I believe, within reason, that the better we serve these students in their junior high/middle school years, the stronger high school sports will be and the better these programs will support the educational missions of schools.

I believe we must begin to serve middle school students more comprehensively, and that our doing so today is the best hope we have for retaining comprehensive programs for high school students tomorrow. Not only does the lower profile and pressure of lower level programs nurture the highest ideals of educational athletics, they provide our highest hope for preserving those ideals at the high school level.

The Lasting Impact of First Impressions

The over-arching question before us is how to maintain policies that encourage multiple sport experiences for students at the junior high/middle school level while at the same time adjusting those policies in terms of grade level served and the numbers and lengths of contests allowed in order to be more attractive to junior high/middle school parents and to school districts which desire additional competition opportunities in the school setting for students prior to high school.

There is a good healthy discussion in our midst about the scope of junior high/middle school athletics – how much should occur and how young it should commence; and the result of these discussions may have long-lasting effect on students, schools and the MHSAA.

Here are two central issues:

1.  Contest Limits

Many people over many years have contributed to developing the current season limitations for the number of contests permitted by MHSAA member junior high/middle schools. These good people have believed in a philosophy of sports at this level that encourages students to try multiple sports.

“Kids haven’t fully matured yet,” they say. “Kids haven’t been exposed to some sports yet. They don’t know what they might like or be good at. So let’s have policies and programs that encourage new opportunities and experiences at this level.”

The season limits that have been put in place allow some junior high/middle schools, or their entire leagues, to fit four distinct seasons in a nine-month school year, consistent with this over-arching philosophy to encourage these students to try new things and learn.

There is another educationally grounded and equally astute group of administrators and coaches who are concerned that the current limits are too severe in comparison to non-school youth sports programs. For example, community/club basketball or soccer programs may schedule 15 or 18 or more games per season versus the MHSAA limit of 12 at the junior high/middle school level.

These folks think these restrictive limitations create a disincentive for kids to play school sports, and that many of those who have no place in junior high/middle school sports have no interest later in high school sports.

2.  6th-Graders

Historically, the popular opinion among educators has held that 7th and 8th grade is early enough for schools to provide competitive athletics, early enough to put youth into the competitive sports arena, and early enough to pit one school against another in sports.

Today, however, many educators and parents point out that such protective philosophies and policies were adopted about the same time “play days” were considered to be the maximum exertion females should experience in school sports. Some administrators and coaches argue that both our severe limits on contest limits at the junior high/middle school level, and our refusal to serve 6th-graders, are as out of date and inappropriate as play days for females.

Today, in nearly four of five school districts with MHSAA member schools, 6th-graders go to school in the same building with 7th- and 8th-graders. But MHSAA rules don’t allow 6th-graders to participate with and against 7th- and 8th-graders. In fact, the MHSAA Constitution doesn’t even acknowledge that 6th-graders exist.

Today, in many places, 6th-graders have aged-out of non-school, community sports, but they are not permitted to play on MHSAA junior high/middle school teams.

Last school year, 50 different school districts requested this rule be waived for them, and the MHSAA Executive Committee approved 46 of 50 waivers, allowing 6th-graders to compete on 7th- and 8th-grade teams. During 2011-12, 37 of 40 requests for waiver were approved, in all cases for small junior high/middle schools. Many of these schools want, and some of them desperately need, these 6th-graders to fill out junior high/middle school teams.

Young people are starting sports much younger today than 100 years ago when the MHSAA was created. Younger than even 50 years ago when the MHSAA was incorporated. If the MHSAA were created today to serve any students before 9th grade, I’m certain it would not leave out 6th-graders who are walking the same halls with 7th- and 8th-graders, and who have been playing competitive sports almost since the first day they started walking at all.

Eyes on the future

The most important thing we can do to enhance high school sports is to grow junior high/middle school sports programs. The earlier we disconnect young people from non-school sports and engage them in school-sponsored sports, the better our chances are of keeping high school athletic programs healthy, and the better our prospects are of keeping both participation rates and conduct standards high.

School sports are in competition for hearts and minds of young people. Our competition includes movies, jobs, cars, video games, boyfriends and girlfriends and club sports ... especially club sports. School sports needs to market itself better, and part of better is to be available earlier – much sooner in the lives of youth. More contests at the junior high/middle school level and more opportunities for 6th-graders should be parts of our marketing strategies on behalf of educational athletics generally.

For at least 50 years there have been predictions by people outside of our member schools that the system of school-sponsored sports that is almost unique to the United States would someday give way to the system of most countries where youth sports is provided by non-school community groups and private athletic clubs. Some people challenge school-sponsored sports on a program basis – for example, that competitive athletics creates a distraction to the core educational mission of schools. Others may challenge school-sponsored sports on a financial basis – that interscholastic athletics compete for the limited resources communities have to support their schools.

Today there also exists among our member schools a small percentage of administrators who have come to their leadership roles without involvement in school sports and who either desire and believe that interscholastic sports will be moved from schools to communities or who do not want but predict that such will occur as resources for schools continue to shrink.

I believe this is more likely to happen, or to happen sooner, if we do not change our approach to junior high/middle school sports. If we continue to restrict 7th- and 8th-graders to so few contests of such limited length compared to what those students have in non-school sports, and if we continue to offer nothing for younger students, we essentially and effectively force these students to non-school sports.

It is an often cited statistic that between 80 and 90 percent of all young people who ever begin playing competitive athletics stop playing before they reach the age of 13, meaning the vast majority of young people never, ever are involved in school programs. Thus, it is no mystery why people question the future of school sports. We’re doing nothing to make programs available to them. They have no experience in them.

Our restrictive and possibly outdated policies and procedures regarding contest limits and lengths and the age at which we begin to serve junior high/middle school students may assure that the dire predictions about school sports’ future will be accurate. We are doing too little, too late. It is marketing at its worst.

In my mind there is little doubt that we are doing too little too late with junior high/middle school students. Now the challenge before us is to think beyond “we can’t afford it” and make some necessary changes, while still avoiding a system that allows or even encourages schools doing too much too soon.