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.
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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?
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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?
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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.
Misdirection
March 2, 2018
Our big problem is that we are distracted by small matters. For example ...
I don’t think there is any close, thoughtful observer who can honestly say high school basketball is in better shape today than any number of years ago that one might pick ... 10, 20, 30 or more years.
Changes in students, schools, sports and society have not been kind to school-based basketball. Charter schools, school of choice, non-school sports, migration into other sports and activities, specialization in a single sport, and burnout leading to dropouts from organized sports are a few of many factors contributing to declining participation. And there is more competition for attention away from schools and away from school sports every single day. So the fault is not one thing only.
Girls basketball has been particularly hard hit by specialization in volleyball that was supercharged after the switch of basketball and volleyball seasons a decade ago. Girls basketball participation declined in every school year since the change of seasons before a 2.2 percent increase for 2017-18.
The days when most schools sponsor three basketball teams each for boys and girls – 9th grade, JV and varsity – are long gone; and that’s not just because we were forced to cram both genders’ basketball seasons into the winter. Many of those same schools now struggle to support one subvarsity team, and many have very short benches – only two or three subs – at the varsity level.
Every week the gap between the haves and have-nots grows wider and more obvious to all, with final scores so lopsided that the games could not have been a good experience for anyone – players or spectators, home team or visitor.
One would think that these matters would be on the minds of those who love and lead high school basketball and that they would be working diligently on initiatives to address the declining interest and growing imbalance in what was once the centerpiece sport of interscholastic athletics.
They would be asking, “What can we do at the junior high/middle school level to engage students ... to start them or keep them on the path to high school basketball programs? How can we encourage and equip high school coaches to attract to and hold in their programs more high school students? How can we help coaches increase all players’ game time? How can we help coaches teach players to value and grow from the experience of being a backup player?”
Surprisingly, the only proposals related to basketball that are advancing toward Representative Council action at this time are (1) seed MHSAA District tournaments, and (2) expand the coaching box.
Sadly, these proposals do nothing to reverse the decline of high school basketball. They are distractions from the hard work of reclaiming a healthy culture for the most historically important sport to schools in Michigan.
The culture shift needed is away from an all-star event for a few graduating seniors and toward ongoing educational programs for all coaches, every year. Away from national events and toward city, county and conference rivalries. Away from “elite” travel teams to K-6 development programs out of season. Away from creeping commercialism and professionalism and toward a recommitment to amateurism. Away from gamesmanship and toward sportsmanship. Away from running up the score – a lot – to allowing every team member to play – a lot.
The clock is ticking on the life of student-centered school-sponsored basketball. And a lot bigger proposals are needed than what we’ve been generating of late.