In brief:The authors surveyed a random sample of 50% of Wisconsin high schools in each of the three classes to see how they were handling (1) organization of medical coverage, (2) first aid and initial care of sports injuries, and (3) follow-up care and reconditioning of sports injuries. The data showed that the medical coverage of the athletes was poorly organized and supervised. To help alleviate this problem, the University Hospital Sports Medicine and Fitness Center developed an outreach program in which 19 schools contract for (1) twice-weekly visits by an athletic trainer; (2) educational programs for coaches, athletes, and parents; and (3) trainer coverage at competitive events. This program provides the expertise and services of a certified trainer to schools that would otherwise go without.