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.

Redefining Winning (and Losing)

March 9, 2018

There’s been much media attention given to a boys basketball game in another state that turned into a brawl led by adult fans and resulted in suspension of both schools’ seasons and dismissal of both schools’ teams from the state basketball tournament.

From a thousand miles away, I can’t comment on who’s at fault or whether the penalty fits the crime. However, I shout a hearty “Amen!” to what that state’s high school association executive director had to say, according to one of the state’s major newspapers.

“We have too many people putting too much emphasis on winning, or on the wrong definition of winning. Their definition of winning is on the scoreboard only. It’s become a very big problem, and it’s not the (state association’s) definition of winning.”

He continued, “Sportsmanship has been eroded. We’re supposed to be teaching ethics, integrity and character to these kids ...”

Spot on!

The biggest challenge we face in school sports administration across the country is communicating amidst the clutter of contradictory messages that the definition of winning – the meaning of success – is very different in student-centered, school-sponsored competitive athletics than in most other popular brands of sports.

This is educational athletics. It’s about learning far, far more than about winning, which is an important goal but nowhere near the highest objective in interscholastic athletics.

If we lose this perspective, all is lost.