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.
A Shift
April 10, 2018
The disease of youth sports generally – observed in premature sports specialization and the commercialization of kids’ games by both local entrepreneurs and corporate giants – is infecting school-based sports, especially basketball.
We see it in transfers by starters and dropouts among reserves.
We see it in short benches for JV and varsity games and empty gyms.
There is no shame in identifying our weak spots; it’s the only way to start fixing them.
And heavens! NCAA men’s basketball is being investigated by the FBI. Players are being ruled ineligible. Coaches are being fired. Others are being arrested.
School-based basketball is beautiful by comparison! But we can and must be better. And that can only begin to happen by facing up to our shortcomings.
The clock is ticking on the life of school-based basketball, and only a change in emphasis – a cultural shift – may save what arguably has been the most historically important sport in our schools. A shift ...
Away from all-star games for a few graduating seniors and toward junior high/middle school programs open to all kids.
-
Away from national events and toward city, county and conference rivalries.
-
Away from “elite” travel teams and toward local K-6 development programs operated by schools.
-
Away from creeping commercialism and blatant professionalism and toward a re-commitment to amateurism.
-
Away from gamesmanship and toward sportsmanship as a precursor to citizenship.
-
Away from running up the score – a lot – and toward playing every kid – a lot.
The leaders and lovers of school-based basketball must resist the slippery slope and advocate for the cultural shift. It doesn’t take a brain surgeon or rocket scientist to save school-based basketball; but it does take courage and persistence.