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Late to the Game

November 8, 2016

The Michigan High School Athletic Association’s Task Force on Multi-Sport Participation has learned that school sports are in competition versus non-school youth sports, not only programmatically but also and more fundamentally, philosophically. School sports sees child development quite differently and has as its mission developing the whole child.

Non-school youth sports business interests have convinced consumers (that’s parents) that early and intense specialization with private lessons and personal trainers, and lots of travel and tournaments is necessary for a child’s athletic interests and ultimate happiness. That is sometimes true ... once in a very great while.

What is much more often true is that specialization in a sport that is too early and too intense stunts a young person’s physical literacy, which often leads to less well-rounded athletic ability, a more sedentary lifestyle and poorer health in later life.

The theme of the Task Force recommendations to the MHSAA so far is that we have to reach youth and their parents earlier in life if we hope to compete for their hearts and minds.

When 80 percent of youth drop out of organized sports by the age of 13 – usually because they have been left out or become burned out – we’ve missed the kickoff if we start talking to them in 9th grade about the benefits of multi-sport participation and the school sport experience. In fact, the game is more than half over by then and our messages fall on deaf ears. We are absolutely correct with our message but appear out of step and out of touch to those who have only heard the sports specialization speech from youth coaches and their commercial interests.

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.