The medical evaluation process has remained similar but the way the data is interpreted is different. My marching orders from the team morphed over my almost two decades as a NFL team doctor. In the late 1990s, general managers and head coaches would want to know if a potential first-round pick would last a decade or more and be a source of long-term stability. Years later, the question asked of me became if the player would make it through a first contract. Early in my time in the NFL, I recall specifically being asked by management if a certain offensive lineman’s knees would hold up for a 10 or 12 year career. Towards the end of my team physician tenure, that question often became “can he help us now?”.
This axis shift matches the “Not For Long” nature of the NFL. Statistically, a first-round pick is more likely to outlast his head coach. General manager turnover can be equally fast; a survey last year showed over half had two seasons or less with their current team. With this quick turnover, no wonder the philosophies have looked to shorter windows in this win-now league.
This may also explain the current rarity of a first-round quarterback sitting for several years to learn from a veteran. The decision makers that draft the player may not be around long enough to see the fruits of their selections.