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.

Summer Football Safety

July 23, 2018

(This blog first appeared on MHSAA.com on June 23, 2017.)


Across the U.S. this summer, school-age football players are flocking to camps conducted by colleges and commercial interests. They get outfitted in full gear and launch themselves into drills and skills work.

Unlike the start of the interscholastic football season, the players usually do this without several days of acclimatization to avoid heat illness, and without limits on player-to-player contact to reduce head injuries.

Required precautions of the school season are generally ignored at non-school summer camps.

One notable exception to this foolish behavior is found in Michigan where the Michigan High School Athletic Association prohibits member schools’ student-athletes from using full equipment and participating in full-contact activities outside the high school football season. This is not a recent change; it’s been the MHSAA’s explicit policy for more than four decades.

And it’s a policy that has never been more in style and in favor than it is today.