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.
A Temporary Fix
December 8, 2017
After six months of effort, there is only a 12-month solution for issues affecting the girls and boys basketball seasons and Michigan High School Athletic Association basketball tournaments.
On Dec. 1, the MHSAA Representative Council approved switching the girls and boys basketball calendars for 2018-19 only. Boys basketball adopts the regular season and tournament schedules that have previously been in effect for girls, and girls basketball adopts the regular season and tournament schedules that have been in place for boys. The Semifinal and Final venues will continue to be Van Noord Arena at Calvin College for girls and MSU’s Breslin Student Events Center for boys.
Decisions regarding schedules and sites for the 2019-20 season and beyond will be determined by the Council at a later meeting.
The MHSAA’s hand has been forced by NCAA Division I women’s basketball tournament conflicts with the traditional dates for MHSAA basketball tournaments. That changing NCAA schedule and other factors have combined to limit venue options for MHSAA tournaments. Just one facility large enough to host the MHSAA boys Semifinals and Finals is available in 2019 and 2020. That’s MSU’s Breslin Center.
Many other basketball scheduling options have been studied during the past six months, including moving both tournaments a week earlier or later, separating the girls and boys tournaments by an additional week, or conducting both tournaments over the same three weeks with only the four championship games for each gender at MSU.
However, because 2019 is not a typical year for how the NCAA and MHSAA calendars relate to one another, (2018, 2020, 2021 and 2022 are typical), more innovative changes in formats and schedules made for 2019 would have needed adjustment again for 2020.
The decision to switch seasons and tournaments for one year only allows a test of the opinion that the transition from fall to winter sports might be better if boys basketball started before girls.
The decision also provides Calvin College the opportunity to host the girls Semifinals and Finals at least twice at Van Noord Arena, which has twice hosted NCAA Division III championships in both women’s basketball and women’s volleyball. Two years is our usual minimum; and tournaments almost always run more smoothly in the second year than in the first year at a venue. Van Noord is the largest NCAA Division III arena in the country.
In any event, more time is needed to further study and explain more innovative scheduling and tournament formats, and possibly gain better understanding and greater support for grander plans.