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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.

Centennial Celebration

October 20, 2017

The National Federation of State High School Associations is preparing to celebrate its 100th year of service during the 2018-19 school year. It may be unfair to boil down to a few bullet points a century of contributions to school sports, but I make the attempt here – with the credentials that there has been a John E. Roberts heading up a National Federation member state organization for more than 60 of those years (my dad in Wisconsin for nearly 30 years, followed by my more than 31 years in Michigan).

Here, in my opinion, are the four greatest gifts of the National Federation to school sports in America:

  • In the late 1920s and 1930s, the National Federation’s leadership influenced the end of national high school tournaments. First four, then a dozen and then two dozen very young state high school associations, through their even younger National Federation, successfully challenged prestigious universities (like the University of Chicago) and the biggest names in college sports (like Amos Alonzo Stagg) who conducted national high school tournaments.

  • During the next decades, and one sport at a time, the National Federation assumed from the colleges and non-school organizations responsibility for writing the playing rules for high school level competition, intentionally crafting rules that promoted greater participant safety and much more ease of understanding and enforcement by contest officials. The National Federation now releases about 40 publications each year, serving 16 different sports.

  • At the start of the new millennium, the National Federation began its march to emerge as the nation’s most prolific provider of online education for coaches. The National Federation now has more than 50 different online courses available, including more than 20 free courses; and approximately five million courses have been delivered.

  • In 2013, the NFHS Network was launched to provide a digital broadcast home for state high school association tournaments and the School Broadcast Program. With more than 3,000 events produced each month now, this is the most effective platform in National Federation history for promoting the excitement, diversity and values of school-sponsored sports.