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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.

No. 1 Worries

December 27, 2017

Editor's Note: This blog originally was posted Sept. 21, 2012, and the theme rings true today.

Fueled by the “No. 1” syndrome, people often worry about and value the wrong things when it comes to interscholastic athletics.

For example, they worry about the eligibility of athletes more than the education of students.  They worry about athletic scholarships to college more than genuine scholarship in high school.  Faced with financial shortfalls, they use middle school athletics as the whipping boy because the No. 1 syndrome causes people to value varsity programs more than junior varsity, and high school programs more than middle school.

It is possible in the subvarsity programs of our high schools (far more than in varsity programs where crowds and media bring pressure to win) and it should be and usually is pervasive in our middle school programs, that participation is more important than specialization, trying more important than winning, teamwork more important than individual honors, and teaching more important than titles and trophies.

At the middle school level, coaches have an opportunity to look down the bench for substitutes without first looking up at the scoreboard.  The scorebook should be kept to see how many students played in the game, not how many points any one player scored.

Here is where education prevails over entertainment in interscholastic athletics.  Here is where philosophy of athletics is more in tune with the mission of the school.  Here is where the taxpayer’s dollar is spent best.

To the degree we introduce large tournaments and trophies into middle level programs, we damage the purity of educational athletics and the purpose of middle school programs.  To the degree we cut middle level programs in the face of budget crises, we succumb to the No. 1 syndrome.

We must expose the No. 1 syndrome for the sickness it is:  a cancerous growth that must be cut out of educational athletics before it leads to cutting out what is arguably the most educational parts of interscholastic athletics:  middle school programs.