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.

Thinking of Don Quixote

October 10, 2017

The athletic transfer problem is not confined to high schools alone. Recently, the National Collegiate Athletic Association has had a work group studying the NCAA transfer rule for Division I institutions.

The problem has been of particular concern in Division I men’s basketball where more than 20 percent of scholarship players changed schools between last season and this.

The work group appeared to have narrowed its study to two options: Make every transfer student ineligible for one year; OR, Allow every transfer student immediate eligibility. And the second option seemed to have had the early momentum.

But last Wednesday, the work group announced that the proposal to grant immediate eligibility to transfer students who meet certain academic standards will not advance during the current NCAA legislative cycle. Two days later the report was corrected: there's still a chance for change by 2018-19.

Major college conference commissioners and NCAA leadership have surveyed the landscape. They see athletes arriving on their college campuses from an environment where, if they weren’t happy with a team, they changed teams.

Apparently, the non-school, travel team attitude is bigger than the NCAA may want to battle.

Yet here we are, thinking of how to wage war on athletic transfers in high schools.