From: "Tillman, Ulder" <Ulder.Tillman@montgomerycountymd.

gov > Subject: FW: Re: consult on sports Physicals Date: September 10, 2012 1:41:44 PM EDT To: Thomas Hearne. Cc: "Glick, Joan" <Joan.Glick@montgomerycountymd.gov >

As requested, the following is my communication of recommendations to MCPS regarding annual sports physicals.

Confidentiality Notice: This message may contain protected health information or other information that is confidential or privileged. If you are not the intended recipient or agent,vou are hereby notified that any dissemination or copying of this material or taking any action in reliance on the contents of this electronic information may be strictly prohibited. If you received this in error, please contact the sender by return mail and destroy any copies of this material. Thank you,

Ulder J. Tillman, MD, MPH Montgomery County Health Officer Chief, Public Health Services Montgomery County Dept. of Health and Human Services 401 Hungerford Drive, 5th Floor Rockville, MD 20850 Telephone: 240-777-1603 Fax: 301-279-1692

Original Message----From: Tillman, Ulder Sent: Friday, June 29, 2012 8:21 PM

To: William _Beattie@mcpsmd.org Cc: Glick, Joan Subject: Re: consult on sports Physicals

It was a pleasure meeting with you, Ms. van Nordheim (Program Specialist) and Ms. Glick (Senior Administrator - School Health Services) on June 19, 2012. This email is to formalize my recommendations to MCPS on the three topics that were discussed at this meeting. 1- Pre-participation Sports Physical form: My recommendation is that MCPS use the "Pre-Participation Physical Evaluation" form recommended by both the Maryland State Department of Education (M.S.D.E.) and Maryland Public Secondary Schools Athletic Association. This form, created in 2010 by the American Academy of Family Physicians, American Academy of Pediatrics, American College of Sports Medicine, American Medical Society for Sports Medicine, American Orthopedic Society for Sports Medicine and American Osteopathy Academy of Sports Medicine,

is available in both English and Spanish. This form is available on-line at http: //www .mpssaa. orq/assets/publications/Physical%2OEvaluation%2OForm. pd f 2- Pre-Enrollment Physical Examination form: Physical examinations are required on first entry to school (COMAR 13A.05.07) . Maryland Students Record Manual 2011 currently state "The Department of Health and Mental Hygiene and the Department of Educations document, Record of Physical Examination" shall be used to meet this requirement. It is my recommendation that MCPS use the M.S.D.E. recommended form found on their website at: http: //www.mccshh.com/pdf/MarylandSchoolsRecordof_PhYSiCal_EXamiflatiOfl T_)df The above two recommendations require that the currently used MCPS Health Inventory form SR-6 (http://www.montgorneryschoolsmd.org/deoartments/fOrmS/Pdf/Sr6.Pdf) be fully revised, and it is my recommendation that the SR-6 solely address the pre-enrollment physical examination. It should not be combined with the pre-participation sports physical form. 3- MOPS Concussion Policy: I commend the MOPS Concussion policy, which has taken on the majority of recommendations written in the Maryland State Department of Education "Policies and Programs on Concussions for Public Schools and Youth Sports Programs". (See htto://www.marylandpublicschools.org/NR/rdOfllyreS/388C85F508A34A6D B9FE-363FD029481F/29630/14SDEPoliciesProgramsConcussions20ll3 .pdf ) I do understand the "gradual return to play" to be a goal of best practices, but it may not be able to be implemented due to budgetary constraints. I would recommend that MOPS place their Concussion policy on the Athletics Division of the MOPS website, as well as each individual high school, for easy visibility and transparency. If I can be of further assistance, or you would like Ms. Glick to work with you on the future development of the SR-6, please contact me.

Confidentiality Notice: This message may contain protected health information or other information that is confidential or privileged. If you are not the intended recipient or agent,you are hereby notified that any dissemination or copying of this material or taking any action in reliance on the contents of this electronic information may be strictly prohibited. If you received this in error, please contact the sender by return mail and destroy any copies of this material. Thank you.

Ulder J. Tillman, MD, MPH Montgomery County Health Officer Chief, Public Health Services Montgomery County Dept. of Health and Human Services 401 Hungerlord Drive, 5th Floor Rockville, MD 20850 Telephone: 240-777-1603 Fax: 301-279-1692