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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.

Carry On

April 27, 2018

For many years my vocation has been that of executive director of the Michigan High School Athletic Association.  My vocation -- not my occupation, which has the connotation of a pastime that merely consumed my days and years, or a space that only my physical presence has been taking up.

No, this has been my vocation, in the sense of the root word “vocari,” which means "to be called.” The MHSAA has not been my job; it’s been my purpose.

Anyone who knows my background would understand.

I grew up at the home of the executive director of the Wisconsin Interscholastic Athletic Association who was my role model as spouse, father and man. I was a twenty-something staff member of the National Federation of State High School Associations under the mentoring of Clifford Fagan, one of the deepest thinkers in the history of educational athletics. It was he who encouraged me to write about our work.

Anyone who has worked with me, listened to me or read what I've written would understand.

Everything has pivoted on protecting and promoting the core values of school-sponsored, student-centered athletics: policies, procedures and programs that put academics before athletics and attempt to develop the whole child.

For example, I see sportsmanship not as some corny promotion, but as a critical issue of educational athletics. I view good sportsmanship as a precursor to good citizenship. This is not the mindset of a man on the job, but of a man with a mission.

Going forward, those who love and lead school sports in Michigan must avoid doing those easy things that increase the scope and stakes of competition. Instead they must address every day those difficult policies, procedures and programs that enhance the physical, mental and emotional values of interscholastic athletics to students and the value of educational athletics to schools and society.

It's not more competition that is needed in high school sports, but more character. Not more sport specialization that's needed in junior high/middle school sports, but more sport sampling. Less attention to celebrating hype in sports events for youth, but more attention to cultivating life long-habits and good health for adults.

In leaving the MHSAA after 32 years this summer, I will have some regrets ... sad to be leaving the company of great staff and some extraordinary colleagues in our member schools ... sorry that even though we worked so hard and accomplished so much, there is still so much to do to keep school sports safe, sane and sportsmanlike. 

There’s lots to do. Carry on.