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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.

Seeking Serious Solutions

April 13, 2018

Too much time is being spent on season-ending tournaments, and too little time on the regular season, and practice, and making sports heathier, and promoting student engagement, and the role of sports in schools.

There are exceptions, of course.

  • The Michigan High School Athletic Association Soccer Committee is a rarity, expressing that there may be too much competition and not enough practice and rest in school-based soccer.

  • The MHSAA Competitive Cheer Committee is constantly looking for the right balance of athleticism and safety – a blend that will challenge the best and grow the sport among the rest.

  • The MHSAA Junior High/Middle School Committee is tackling large, tough topics and beginning to make culture-changing proposals to carry the brand of school sports to younger students.

These are examples of the conversations of which all school-based sports leaders must have much more.

Because our standing committees have often failed us and spent too much time on matters of too little consequence, the MHSAA has often resorted to special task forces or work groups to help get necessary things done.

  • This is how Michigan got ahead of the curve on the length of football practices and the amount of contact. A task force was appointed when the football coaches association and the MHSAA Football Committee were ineffective.

  • Years ago, it wasn’t a standing committee but a work group that brought us the eligibility advancement provision for overage 8th-graders.

  • That’s how cooperative programs came to our state.

  • That’s how we got coaches education started, and it’s how we extended coaches education to apply to more coaches on more topics.

  • This is how we are making progress now – a Task Force on Multi-Sport Participation, and a Work Group on the Transfer Rule.

We need more of this – small groups diving deeply into topics over multiple meetings. Educational athletics has significant problems that require serious solutions, and new strategies for seeking those solutions.