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.
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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?
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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?
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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.
Our Own Worst Enemies
September 26, 2017
The early history of school sports was in four phases. It began as activities that students alone would organize. Then schools saw the need to supervise. Then schools created statewide high school athletic associations to standardize. Then a national federation of those state associations brought an end to corporate and college efforts to nationalize school sports. All of this between the U.S. Civil War and World War II.
The entire history of school sports has had one overriding narrative. Inherent in the struggles that defined each phase of the early history, and every decade since, has been the struggle between those who believe competitive athletics is an asset for schools intent on educating students in body, mind and spirit, versus those who believe interscholastic athletic programs are a distraction at best and, at worst, damaging to the character development of students. There is much evidence to support both sides of this long debate.
Sometimes, the advocates for school-sponsored sports have been, and are, their own worst enemies. What the advocates of school sports must realize is that the more they do to enlarge the scope of school sports ... more games, longer seasons, further travel, escalating hype ... the more they prove that the opponents of school sports have been correct.
As they encourage the chasm between athletics and academics and between school sports' haves and have-nots to widen; as sports teams are outfitted in uniforms that are fancier and funded for travel that is further, while classroom resources are fewer; as sportsmanship declines and athletic transfers increase; the so-called “progressive” thinkers help make the case that competitive athletics is bad for students, schools and society.
Opposition to escalation in school sports is not old fashioned; it's the only way to assure the future of sports in schools ... the only way to save school sports from itself.