<P> The McDonald's All - American Game refers to each of the all - star basketball games played each year for American and Canadian boys' and girls' high - school basketball graduates . Consisting of the top players, each team plays a single exhibition game after the conclusion of the high - school basketball season, in an East vs. West format . As part of the annual event, boys and girls compete in a slam dunk contest, a three - point shooting competition, and an overall timed skills competition . It is rarely common for the girls to compete in the slam dunk contest sans, 2004 champion, Candace Parker . The boys' game has been contested annually since 1978, and the girls game has been played each year since it was added in 2002 . </P> <P> The McDonald's All - American designation began in 1977 with the selection of the inaugural team . That year, the All - Americans played in an all - star game against a group of high school stars from the Washington, D.C. area . The following year, the McDonald's game format of East vs. West was begun with a boys contest . In 2002, with the addition of a girls contest, the current girl - game / boy - game doubleheader format began . </P>

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