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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.

Answering Seeding Questions

January 19, 2018

Seeding is a topic on the agenda of several Michigan High School Athletic Association sport committees. Last May, the Representative Council reiterated that its approach is to consider seeding on a sport-by-sport, level-by-level basis, depending on its committees and others to develop specific plans and to demonstrate wide support among schools of all sizes and types.

A recommendation by the Basketball Committee in December of 2016 to seed District and Regional basketball tournaments with one of the systems utilized by the NCAA for its men’s Division I tournament was not adopted by the Council last May, but MHSAA staff was requested to explore alternatives for seeding District level tournaments only.

Subsequently, MHSAA surveys have demonstrated significant support, especially in more populated areas, for an approach that separates on District basketball tournament brackets the top two teams of each District whose teams continue to be assigned on the basis of geography. We’ve found that historically strong programs tend to support this “simple seeding,” while middle-of-the-pack programs tend to see seeding as another obstacle to success and creating more distance between haves and have-nots.

MHSAA staff have demonstrated how similarly the results would have been if any one of the three systems had been used to perform this simple seeding of District basketball tournaments in 2017. In the vast majority of 2017 District tournaments, the team that actually won the tournament would have been the No. 1 seeded team in that District, demonstrating that simple seeding may be less about picking the winners than it is determining which two teams will play in the District championship games.

Many questions would have to be answered before any one of these systems could be adopted. However, even without answering any questions, in December 2017, the Basketball Committee recommended seeding for District tournaments as soon as possible.

At its January meeting, the MHSAA Classification Committee made a recommendation to the Representative Council that attempts to answer one of the questions. That committee agreed that if a plan is approved to separate the top two seeded teams in each geographically determined District of the Girls and Boys Basketball Tournaments, the system used should be completely controlled within the MHSAA office.

Of course, many other questions and logistical details need to be answered. Do we only use games versus member schools? What do we do with unreported scores? When is the data finalized? Should human input be added to the computer ratings? Do seeded teams automatically get a bye? How and when do we assign officials?

Answering such questions must come next.