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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.

December 1st is a Big Deal

November 10, 2017

One of the two or three most important Michigan High School Athletic Association Representative Council meetings of the past three decades will occur Dec. 1. Here’s why this is so.

The Council must decide where MHSAA Basketball Finals will be held for girls and boys, and make related decisions regarding both regular season and tournament schedules so schools can get on with confirming game schedules and officials assignments for at least 2018-19.  

The Council must decide whether the enrollment limit for the 2018 MHSAA 8-Player Football Tournament will be fixed or floating, and if fixed, at what number. Of greater consequence in the long run, the Council will launch a discussion into the MHSAA’s responsibility for determining varsity 8-player football opponents for schools during the regular season.

The Council must consider changes in the policies and procedures for administering the new pitch count in baseball, and if the new pitching limitations should continue to delay what were thought to be improvements in the MHSAA Baseball Tournament structure and schedule.

The Council will examine input regarding proposals to fundamentally change the MHSAA transfer rule and determine which components of the proposal should advance as action items for its meetings in March or May.

The Council will examine input on proposed changes at the junior high/middle school level for contest limitations for several sports, as well as liberalization of the limited team membership rule for all team sports except football. Of even greater consequence, the Council may determine how aggressively, if at all, to advance MHSAA-sponsored regional invitational events for the junior high/middle school level in selected individual and team sports, with action on such possibly occurring in March or May.

The Council will engage in a discussion of what may be fading and what may be emerging in youth and school sports over the next decade and what that may mean in terms of sports for which MHSAA services and support should be provided, including what MHSAA tournaments may be added and which dropped at the high school level.

The Council will examine input on seeding of MHSAA District Basketball Tournaments and determine what the scope of actions could be at its March or May meetings.

Typically, the December meeting of the Representative Council tees up a big topic or two for action in March or May. This year, the December meeting requires that some specific actions be taken and sets more than the usual number of big topics on a course for action before this school year ends.