In Reply.—We applaud the administrative and educational support that Mr Kincaide provides for the coaches who work in the Dallas Independent School District. Clearly, certification does not guarantee that any individual coach will demonstrate the attributes that we described in our article. However, certification offers the simplest way to expose coaches to uniform standards of coaching that have been proved effective. We assume that this exposure can only increase the effectiveness and enthusiasm that coaches bring to the playing field. These coaches are then in a position to form a critical mass that can recruit the administrative infrastructure where they work, the parents of the athletes who play under them, and, most importantly, the athletes themselves, in a coordinated effort to better meet the health care needs of students.