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.
Valuing Variety
January 2, 2018
Editor's Note: This blog originally was posted March 28, 2014, and the topic continues to be of prime concern today.
Some people see the declining number of multiple-sport athletes in our high schools as a sign that students don’t want the multiple-sport experience anymore and would prefer to specialize in a single sport.
Maybe that’s not what students want at all. Maybe, if we actually asked them, they would tell us so.
In fact, I hear that students dislike and resent the pressure their high school volleyball coach puts on them in the winter, or their basketball coach puts on them in the spring, or their baseball or softball coach puts on them in the fall and the pressure that coaches of other sports, both team and individual, place them under year-round.
What I hear when I listen to students – and admittedly, I often get to talk to the cream of the crop (e.g., our Student Advisory Council and Scholar-Athlete Award recipients) – is that they want to play multiple sports and that they need us to hear that and to help them.
I remember that when we began bowling as an MHSAA tournament sport a dozen years ago, we thought we would be appealing to and involving students who play no other school sport. We are. But we are also engaging multiple-sport athletes.
At the MHSAA Bowling Finals four weeks ago I observed many students in school letter jackets sporting letters for soccer and bowling, cross country and bowling, track and bowling, and other combinations.
It proved again to me that very many students really do want to participate in a variety of sports and that one of our core operating principles should be that we continue to facilitate and validate that experience for as many students as possible.