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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.

Sweating the Small Stuff - #2

June 1, 2018

Seeding of Michigan High School Athletic Association tournaments, especially basketball and ice hockey, is a topic that routinely finds its way to MHSAA Representative Council agendas.

In May of 2017, the Council rejected a comprehensive proposal to seed the District and Regional levels of MHSAA Basketball Tournaments; but the Council instructed MHSAA staff to examine ideas for limited seeding at the District level only, using an MHSAA-controlled system.

In May of 2017, it appeared there was a small number of Council members who supported the proposal submitted for that meeting by the Basketball Coaches Association of Michigan, and that there were two larger groups – one open to seeding on a more limited basis than BCAM proposed and another group opposed to seeding of any scope by any system.

MHSAA staff responded to the Council’s request by presenting in March of this year and again in May a plan for seeding only the top two teams of each District, to which teams would continue to be assigned by geographic proximity, and then placing top seeds on brackets that would assure those two teams could not meet until the District Finals.

The staff provided answers to the many obvious policy and practical questions, including the system to be used, the games to be included and the placement of teams on brackets.

The effort to arm the Council with these answers had the effect of turning some advocates into opponents of seeding. It was as if the more questions staff anticipated with answers, the more people objected to the plan.

This brought defeat to the plan to seed basketball Districts, and the same to plans to seed ice hockey Regionals and Semifinals.

The questions now are: Do we vote on a fully vetted plan, knowing the details before we move forward; or do we buy a pig in a poke, voting in a concept without details, surprising others and ourselves with how seeding would be implemented? And do we vote on anything at all until we have answered the large philosophical questions as well as the dozens of smaller practical questions that seeding requires we address.