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.

Building Future Support

December 19, 2017

Editor's Note: This blog originally was posted December 17, 2013, and the message still serves purpose today.


Most students would rather play sports than watch other people play.

This is obvious; but often we make both little decisions and large ones that seem to ignore this truth. More often than necessary we create more opportunities for watchers than we do for players.

Ultimately this leads to non-watchers because people – especially young people – tend to lose interest when they don’t play. We know this because, in school after school, we find that the best boosters – the most frequent and fervent spectators – are the students who participate on their school’s other teams.

It is also true that those who played sports when they were in school, and those whose children now play in school sports, are the people who will support schools most strongly in the future.

This too seems obvious, but still, many school districts all across this state and nation appear to make decisions like it has never occurred to them.

Every time we cut a kid from a high school team, we create critics of our programs – the student’s parents today and this student in the future. If the program has no room for a student today, why would we ever expect that student or his/her parents will support our programs tomorrow?

No-cut policies for all outdoor sports and larger squads for indoor sports – beginning at younger grade levels – will be among the policies of school districts which hope to retain school sports beyond the next generation or two.