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.

The Power of the MIAAA

March 15, 2018

Athletic directors from all corners of Michigan are gathering this weekend for the annual conference of the Michigan Interscholastic Athletic Administrators Association. This MIAAA might be the most powerful organization of its kind in the USA.

The MIAAA is powerful in its professionalism, in its commitment to ongoing professional training for its members.

Michigan has ranked consistently among the top states in the number of NIAAA Leadership Training Courses completed by interscholastic athletic administrators. The MIAAA attracts a higher percentage of its members to its annual conference than most states. And the MIAAA also conducts a smaller workshop for its members in late June and a leadership academy especially for newcomers to the profession early each August.

The MIAAA is powerful in its partnerships, most of all in its connections to the Michigan High School Athletic Association. Most of the MIAAA’s board meetings are in the MHSAA’s facility. The majority of the MHSAA’s Representative Council are MIAAA members. Many MHSAA staff participate in MIAAA programs, and many MIAAA members serve on MHSAA committees. There is a powerful synonymy as we pull in the same direction to serve school sports in Michigan.

This winter, as we watched a member school go off the rails over a transfer student’s eligibility, we were given a reminder of the power of professionalism and partnerships in the conduct of both personal and corporate affairs. While poison spewed from that school and two celebrity attorneys, the MHSAA kept a low profile and stayed on the high road. We worried less about defending ourselves and more about encouraging others to defend the policies and procedures they had adopted for school sports in Michigan. As usual, the MIAAA and many of its individual members led the effort.