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.
Well-Roundedness
January 5, 2018
Editor's Note: This blog originally was posted November 22, 2013, and the topic rings true today.
As high school seniors are scrambling to complete their college applications, I’ve reflected on how what is valued is changing.
I was accepted to both of the Ivy League schools to which I applied. This was at a time when evidence of being well-balanced, middle class and Midwestern were seen as strengths on an application. I don’t think I would be admitted to those institutions on the basis of those strengths today.
It appears that our so-called “elite” institutions are now looking for the outlier:
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Not participation in three different sports, each in its own season; but participation in one sport, year-around; and the more non-traditional the sport, the better.
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Not committed involvement in activities of the local school; but involvement away from school; maybe the invention of a product or electronic program or the founding of some nonprofit organization that improves the human condition of people in other places.
When we list all the factors that entice high school students to specialize in a single sport, we need to include that society today has made “well-roundedness” less worthy of praise than being “one-of-a-kind,” and that’s diminishing the value of being a team member unless one is the star on that team.
It is highly doubtful that either high schools or colleges are strengthened by these trends. More importantly, it is equally doubtful that single-focus childhood is the strongest way for young people to become good neighbors and community citizens.
What I continue to encourage for most students is that they sample the broad buffet of opportunities that a full-service school offers. To participate in both athletic and non-athletic activities. In both individual and team sports. To be a starter in one sport and a substitute in another. To participate in solo and ensemble. To be onstage and backstage. To taste winning and losing, and both in ample proportion.