Logo

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.

Seeking Input on Seeding

November 21, 2017

Seeding is a part of some levels of some Michigan High School Athletic Association tournaments, but no part of any level of MHSAA tournaments for other sports. The decisions are made sport-by-sport and level-by-level after sufficient understanding of a specific plan and broad support. 

Seeding deals with logistics, not a fundamental value of educational athletics. It gets outsized attention for its importance, having nothing to do with the interactions that lead to learning and growing in interscholastic athletics. It’s another byproduct of the ever-increasing influence of the pervasively promoted and televised NCAA’s basketball tournaments over the past 25 years.

Michigan’s high school sport most engaged in the topic now is, in fact, basketball. Discussions and surveys have been conducted regarding seeding at MHSAA District tournaments.

We’ve learned this summer and fall that a majority of our local school athletic directors favor seeding and do not think it will make regular-season scheduling more difficult nor cause coaches to delay or diminish substituting during regular season games.

We’ve learned that a majority favor a system that maintains geographically determined District tournaments and merely separates the top two seeded teams in each District, and continues to use a blind draw to place other teams assigned to the District on the bracket.

We’ve learned that a majority favors having the best two teams determined primarily through objective criteria assessed by an MHSAA created or controlled ranking system.

We’ve learned that while the majority favors these moves toward District seeding, there are significant pockets of opposition to any seeding at all in MHSAA basketball tournaments. At two of six Athletic Director In-Service meetings and at two of seven Update meetings in September and October, large majorities in attendance opposed seeding of District basketball tournaments; and voters were nearly evenly split at several other meeting sites. 

The discernible pattern is that seeding loses support as one moves out of the more densely populated areas of Michigan. We need to better understand why this is so, and what’s behind these regional or demographic preferences; then have the Representative Council make a decision at its meeting in March or May; and get this topic decided one way or the other.  

There is so much else that is so much more important than seeding to the health of school-sponsored basketball that deserves the attention that seeding has been getting.