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.
Leading with Heart
June 26, 2018
“I hope you have thick skin.”
Those were my mother’s first words when I informed her in 1986 that I would become the executive director of the Michigan High School Athletic Association. Mother spoke from experience, being married to the executive director of the Wisconsin Interscholastic Athletic Association from 1957 through 1985. She witnessed how consistent and cruel criticism can be toward those administering a competitive enterprise which almost daily declares winners and losers by virtue of time, distance or score.
The past 32 years have shaded my hair and softened my waist; and while the years have also toughened my hide, they have not hardened my heart. From the very first days until now, I’ve led with my heart and exposed my passion and convictions.
I do not apologize that I’ve placed greater importance on character building than skills development. On team over individual. On the needs of the 99 percent of participants over desires of the one percent of elite athletes. On subvarsity programs. On junior high/middle school students.
On practice, more than competition. On the regular season, more than postseason tournaments. On multi-sport participation. On leadership training. On sportsmanship. On coaches education, especially with respect to health and safety.
There will always be calls for more ... longer seasons, additional games, more distant travel, larger trophies. More necessary are the voices that recall the mission of competitive sports within schools, recite the core values of educational athletics, and work to reclaim the proper place of sports in schools and of school sports in society.
I believe that under-regulated competition leads to excesses, but properly conducted and controlled competitive sports is good for students, schools and society; and I believe a life devoted to coaching or administering such a program is a life well lived.