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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.

Tracking the Transfer Rule

September 19, 2017

We are not the first generation of school leaders to be concerned about athletic transfers in secondary school sports.

Lewis L. Forsythe, in his 1950 book Athletics in Michigan High Schools, described his era and earlier this way: “... there were enough who transferred for advantage, as they thought, in athletic opportunities to give wide currency to the term ‘tramp athletes.’ These were usually students who became ineligible in schools in which they had first enrolled, or became otherwise disaffected in their home situation and went elsewhere to continue school. It was possible, for example, for a boy to play football at Ann Arbor one season, drop out of school until the next March first, and then enter Jackson High school. Here he could make himself eligible for baseball and track by merely ‘passing’ in ten hours (later twelve hours) of work from time to time according to the reporting methods of the school, and then leave without taking final examinations. The next semester he might enroll in Detroit High School, and, by satisfying eligibility requirements for the current semester, play football in that school. With no age limit and no required check-up on eligibility in another school, this could go on for at least five years.”

Mr. Forsythe, writing in 1950, cited concerns as early as 1901, which led the state athletic committee to adopt the first transfer rule for school sports in Michigan. It required a student going from one secondary school to another to present a certificate from administrators of the school left that the student was eligible under the athletic rules of the time. The issue of the time was that students who were performing poorly in the classroom of one school would attempt to escape ineligibility due to academic deficiencies by transferring to another school

Two years later, a rule was adopted to address undue influence (recruiting) that required all schools to sever all relationships with a school that attempts to influence any athlete to change schools.

A year later (1904), this proposal was debated: “A student who has played on a football team, or on a baseball team, or who has taken part in any track events, going from one school to another, shall be ineligible to enter any secondary athletic contest for one year, unless the parents of such student move from one school district to another ...”

It took 20 years for a rule change to actually be made in this direction: “No student who has been enrolled as a high school student in any high school shall be permitted to participate in any interscholastic contest as a member of any other high school until he has been enrolled in such school for one full semester, unless the parents of such student actually change their residence to the second school district. In the latter case, the student will be as eligible as he was in the school from which he withdrew.”

There, in the first code of rules promulgated by the Michigan High School Athletic Association in 1924, is the core of our 2017 rule ... ineligible for one semester, with the exception for an actual change of residence.

Today we debate that the period of ineligibility is too short and the residency exception is too lenient.

As for the period of ineligibility, across the U.S., one year is more common than one semester. As for the residency exception, it exists everywhere. In fact, in some places the “transfer” rule is referred to as the “residency” rule.