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.

My Privilege

June 29, 2018

The National Federation of State High School Associations is at this moment conducting its 99th Annual Summer Meeting in Chicago, the city where the organization was born almost a century ago.

For all but seven months of the past 62 of these 99 years, there has been a John Roberts as one of the NFHS member state association executives – my dad in Wisconsin for nearly 30 years, and I in Michigan for 32.

I attended my first NFHS Summer Meeting when I was eight years old. Five of us in an un-air-conditioned family sedan drove nearly the full length of US Highway 41 from Wisconsin to Miami Beach at the southern tip of Florida.

My younger sister learned to swim there. My older sister found a boyfriend there. And I guess I discovered my life’s work there.

A life’s work from which I will retire this summer.

Including those on the job today, there have been just 324 individuals who have ever served as full-time chief executives of the NFHS member high school associations. Just 324 who appreciate the pressures and the opportunities of this work the way my dad and I have.

These jobs are precious gifts and a rich blessing ... unusually rare opportunities to serve and influence students, schools and society.

For years I’ve concluded most of my correspondence with the phrase, “It’s a privilege to serve you.” I’ve meant it.