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 Shortcuts

November 28, 2017

Last Tuesday at the office building of the Michigan High School Athletic Association, 49 athletic directors gathered for training. All are first-year ADs, and 38 of them were attending their second training session at the MHSAA.

It was the fourth session for new athletic directors the MHSAA has hosted since late July. A total of 113 different first-year ADs attended.

That’s a typical number of new ADs. And we’re experiencing the typical problems with mistakes and oversights that turn into ineligibilities and forfeits that come not just from new ADs but also from more veteran ADs who have had many new duties added to their days, but with less time and help to do everything that needs to be done.

At one school, an overwhelmed AD resigned after his school’s football and soccer teams had both used ineligible players. The school posted the job opening to replace him with the salary set at 50 percent above the previous pay. It has learned that cutting the budget for sports administration can do a lot more harm than good.

Full-time, continuously trained athletic administrators are essential to the conduct of safe and successful interscholastic athletics. There are no shortcuts to success, and a competent leader who is hungry to keep learning about policies, procedures and best practices is the starting point.