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.

Large Topics for the Lower Level

December 22, 2017

Editor's Note: This blog originally was posted May 21, 2013, and the topic continues to be of prime concern today.

Sometimes our meeting agendas give the impression that junior high/middle school programs are unimportant or an afterthought; but that was not the case during the MHSAA Representative Council meeting May 5 and 6, and it will not be the case at many meetings throughout the next 12 months at least.

Here are just two of the tough multi-faceted topics that the Representative Council has asked to be addressed at constituent meetings from now through next February and will be studied by the MHSAA Junior High/Middle School Committee, Classification Committee and many of the MHSAA’s separate sport committees:

  • Are current season limitations for contests and limitations on the lengths of contests appropriate for the junior high/middle school level? Do the current limits reflect the correct philosophy for sports at this level? Do they accommodate the four-season approach many schools encourage? Do the limits drive some students to non-school programs? Do they cause some schools to not join the MHSAA?

  • Should the MHSAA provide rules, programs and services for 6th-graders who, in nearly 80 percent of situations, are located in the same buildings with 7th and 8th-graders? Does the MHSAA’s lack of involvement encourage the same by schools, and allow non-school programs to fill the resulting void; and does this drive those students away from school-based sports permanently? Or would the MHSAA’s involvement at this level pressure school districts to add sixth grade programs and services at a time of dwindling resources for the 7-12 grade program?

  • to benefit both kids and their schools at the junior high/middle school level as at the high school. Our agendas for the

We have always maintained that there is at least as much potential for school-based sports next year will have that belief as its foundation as these tough topics get the time they deserve.