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.

Don’t Mention It

October 27, 2017

It has taken every ounce of personal and professional discipline during the past month to keep me from writing what I’ve been thinking since the world became aware of arrests and suspensions in and around major college athletic programs.

  • I won’t repeat that we have been outspokenly suspicious of the influence of apparel companies on amateur athletics in America.

  • I won’t repeat that we have been continuously critical of the travel team environment infecting sports for youth and adolescents.

  • I won’t repeat for the umpteenth time that the “arms race” in major college basketball and football is ultimately unsustainable, or at least indefensible under the banner of higher education.

  • I won’t repeat that, in an era of ubiquitous high-definition video, it is ridiculous to think college coaches must be onsite for the cesspool of spring and summer tournaments funded by apparel companies, and that it would save colleges huge sums of money if NCAA rules did not permit onsite evaluations at such times and places.

  • I won’t repeat that nationwide travel and national tournaments are bad for student-centered, school-sponsored sports.

  • I won’t repeat that the Michigan High School Athletic Association limitation on travel and prohibition of payments to high school coaches from any source but the school are good for school sports.

I won’t mention any of this.