I rotate ME exercises (upper or lower) every 1-2 weeks with my advanced college and pro athletes and every 2-4 weeks with most of my high school athletes. As far as the volume for accessory work, I don’t have set rules like Poliquin. This is because it is not a perfect world as far as training athletes is concerned. The volume of accessory work depends on WHO the athlete is that I’m training, HOW MUCH TIME I have with them and what part of the season that they’re in.
As far as overhead pressing is concerned, I’m NOT a big fan. On a personal note, I haven’t performed an overhead press in over 3 years. My friends and clients all know that my shoulders are fucked up! I’m actually typing with 2 huge bags of ice on each shoulder as we speak. Now, I’m not saying that I never have my athletes do them, it’s just not a big part of my programs. My exercise selection depends on the athlete’s sport, their genetics and their injury history. For example, I don’t feel that my bad shoulders are do to improper lifting, I feel it has more to do with my genetics. I have very wide shoulders (long clavicles) and I feel that this places more stress on my acromioclavicular joints when pressing. My dad has also battled through 3 shoulder surgeries so I think I was born with bum shoulders. One of my training partners, Ben Tonon, can bench press 4X/week and do behind the neck presses with 315lbs. and he’s never had the slightest pain in his shoulders. He was also an all-American linebacker in college where he was involved in many violent collisions. He also is built more “compact” than me with regards to his shoulders. Now I’m not saying behind the neck presses and overhead presses are the best thing for ANYONE, but some athletes can get away with doing them with no problems.
To make a long story short, athletes with healthy shoulders and good “pressing genetics” do some overhead dumbell presses with a neutral grip. Most of my other athletes stay away from overhead pressing.