Builders
August 31, 2012
My counterpart with the Iowa High School Athletic Association, Rick Wulkow, recently spoke at a reception at the conclusion of his term as president of the Board of Directors of the National Federation of State High School Associations.
Rick reminded the assembled colleagues from across the country that, by sponsoring and conducting and regulating extracurricular athletic and fine arts opportunities, they were doing for the youth of America what is not done for youth in other countries.
Mr. Wulkow asserted with conviction and passion that there is no more noble calling than theirs: to provide and to promote and to protect programs through which students learn life skills and discipline. To be builders of young people and, through them, to be people who are strengthening schools, communities, states and our nation.
In a world where people seem often to be tearing things down, he said, “These programs build things up.”
Like me, Rick is a veteran. Now in his 33rd year with the Iowa association, Rick has been a coach, administrator and official (including 17 years as an NCAA Division I basketball official). His words put another charge in my own heart, perfectly timed for the start of public school classes (finally!) next Tuesday.
Medical Mystery
September 4, 2015
Each year in MHSAA member schools there are approximately 200,000 student-athletes who complete a pre-participation physical examination for which an MD, DO, Nurse Practitioner or Physician’s Assistant will sign a form certifying the fitness of the student for one or more interscholastic sports.
That massive number of physical exams will produce a minimal number of complaints – mostly from medical personnel – regarding the “burden” of MHSAA procedures. But if there is one group for whom I have little sympathy, it’s for these medical offices.
During the past half-year I have had personal appointments at a half-dozen different medical offices. On each occasion of a first visit, I was required to complete a half-dozen or more forms, including information regarding my medical history. I became increasingly unimpressed with the antiquated operations of our health care system. This is a mystery to me.
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Why is it that I must answer the same questions at every medical office to which I’m referred? Why, for example, don’t the orthopedic specialist and the physical therapist receive electronically my medical history from my primary physician?
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Why is it that my primary physician does not receive a complete record of my immunizations from the county health department or any one of several pharmacies that has given me shots?
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Why is it necessary to rely on the memory of the patient? Why isn’t there a medical database for me, accessible with my permission to every health care provider I see?
I expect that within three years, the MHSAA will follow a handful of other state high school associations to promote (and some state associations may require) electronic pre-participation medical history/physical exam forms which will not require parents to complete entirely new medical histories each and every year their child participates in school sports.
While we may follow a few states by a year or two, it appears we will precede the medical establishment by many years in modernizing procedures. This will tend to assure that student-athlete medical histories are more complete and accurate; it will be a greater convenience to both parents and medical providers; and it will promote greater participant health and safety.