Is a Future Possible?

September 8, 2011

While interviewing candidates for a staff position, we posed the question:  “What will school sports look like a generation from now?”  And we followed up with:  “What will the MHSAA need to do to be of relevant service in that future?”

In a follow-up interview with one of the leading candidates, when I invited questions, that candidate turned the tables and asked me what I thought school sports and the MHSAA would look like in 10 or 20 years.

These exchanges, and all that has been changing as school districts chop away at school budgets and programs, has me wondering if a future is possible for school sports.  But the answer is almost certainly “Yes.” 

School sports have survived two World Wars, the Korean War and Vietnam, as well as the Great Depression and multiple recessions.  School sports has existed before and after interstates and the Internet, before and after suburban sprawl and space exploration, before and after television and Twitter, before and after . . . well, you get the point.

Will school sports change?  Certainly.  But if history is a good indicator, it will change more slowly than the society around it.  And many people will cherish that gap.

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.

  • 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?

  • 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?

  • 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.