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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.

Broadening the Scope

September 8, 2017

There are two categories of projects that deserve most of our attention in school sports, no matter where or on what level we work. They are important either because they deal with chronic problems or because they address core principles.

Among many, the chronic problems include declining numbers of registered officials and increasing numbers of athletic transfers, as well as football scheduling. It is mostly because these are persistent problems for many at the local level that they have become priorities for MHSAA management’s time and attention.

Addressing chronic problems can often feel like walking a treadmill. We can work up a sweat, but get nowhere. Arrive at no new and better place. But the effort is important and may keep things from getting worse. Which is why many hours are being spent on these three chronic problems this year: officials, transfers and scheduling.

Of potentially greater value and lasting impact are the projects most directly addressing core principles of educational athletics, such as sportsmanship, health and safety and the scope of our programs. Backsliding on these topics can be most damaging to school-sponsored sports, and the damage – or missed opportunity – can have devastating future effects.

So, while we deal with the chronic issues of the day, we are devoting ourselves daily to more effective sportsmanship resources, even more enhancements for promoting participant health and safety, and increasing the scope of school sports in ways that are consistent with the core values of educational athletics.

School sports does not need longer seasons and travel. It does not need more games and hype. In these ways, the scope of school sports is just fine ... consistent with the objectives of the sponsoring organizations – schools – which is to educate young people. Academics before athletics.

Where school sports must consider a larger scope is in who the programs are serving. There is both need and opportunity to reach younger students and provide more service and support to junior high/middle school sports – the feeder system of educational athletics.

There is both need and opportunity to reach students with athletic interests outside the 14 MHSAA tournament sports the MHSAA provides girls and the 14 for boys. Many thousands more students want to participate in other sports – the sports of their passion – under their school’s banner and in MHSAA tournaments. There may also be both need and opportunity to involve more students with disabilities in school-sponsored sports programs.

The scope is just fine for the sports we sponsor. Broadening the scope of whom we serve is a core principle project that deserves our attention.