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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.

History Reveals Legacy

December 5, 2017

It is well established in dusty textbooks and derelict files that the National Federation of State High School Associations owes its origins to a small group of Midwest high school athletic associations, and that the most significant accomplishment within the National Federation’s first decade of existence was to influence the end of national tournaments for high school teams and individuals.

I joined this National Federation as a staff member about halfway through the organization’s march to its centennial celebration scheduled for 2019. A large part of my initial duties was helping to administer recently started services for high school athletic directors – first a national conference, then a publication, and then a national organization, now called the National Interscholastic Athletic Administrators Association.

This programming was launched in large part to frustrate efforts by what was then called the American Alliance for Health, Physical Education and Recreation, which had formed a national athletic directors organization that was tending in directions the National Federation opposed – from federal legislation to national competitions.

A few years later, the National Federation created the National Federation Interscholastic Coaches Association. Again, a primary reason for doing so was to counter the efforts of a man in Florida who had created a national high school athletic coaches association whose almost sole purpose was to conduct national high school championship events.

National Federation opposition to national events in high school athletics is not “one and done.” Yes, it’s in the core of the National Federation’s founding; but it’s also at the heart of its more recent launching of national organizations and services for athletic directors, and then for coaches.

Opposition to national high school athletic events isn’t ancient history for the National Federation; it is the organization’s living legacy.