Raising Expectations for Preparedness
February 15, 2013
Over the next four years we will be exploring for and implementing what we hope are both effective and practical means of raising expectations for coaches preparedness. Three avenues are on our map at this time:
First, it is proposed that by school year 2014-15, all MHSAA member high schools will be required to certify that all assistant and subvarsity coaches at the high school level complete the same online rules meeting (with health and safety component) that is required of head coaches or they must complete one of the free online sports safety courses posted on or linked to MHSAA.com.
Second, it is proposed that by 2015-16, MHSAA member high schools will be required to certify that all of their varsity head coaches have a valid CPR certification prior to their second year of coaching at any MHSAA member school.
Third, it is proposed that by 2016-17, all varsity head coaches of MHSAA member high school teams have completed either Level 1 or Level 2 of the MHSAA Coaches Advancement Program prior to their third year of coaching at any MHSAA member high school. The MHSAA is preparing to subsidize some of the course cost for every coach who completes Level 1 or 2.
Together, these changes will move Michigan from one of the states of fewest coaching requirements to a position consistent with the “best practices” for minimizing risk in school sports and providing students a healthy experience.
The MHSAA Representative Council has not yet scheduled a vote on these proposals.
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.