An Unsustainable Trend

February 10, 2015

Decades ago there was much criticism from college and university physical education departments that schools were sacrificing broad-based programs of intramurals and recreation for higher-profile programs of interscholastic sports teams.

Today, broad-based intramural/recreational programs have all but vanished from schools; and the criticism now is that elite community club and travel teams threaten the broad and deep interscholastic athletic program schools have been providing students.

In my lifetime, I’ve seen the image of school sports go from elitist to egalitarian. From a few sports teams for boys in the 1950s, to teams on multiple levels in many sports for both boys and girls today.

Over the same period when the public profile of school sports has been diminished by many societal trends but especially the ascendancy of major college and professional sports riding the proliferation of television sets and rising profits from sports broadcasts, the breadth and depth of school sports was busy expanding the circle for which it provides opportunities to play.

The irony is that in this time of school sports’ greatest inclusion, school sports is on its weakest financial footing. When it is doing the most, school sports is being supported the least.

It’s an indefensible, unsustainable trend that must be addressed by those who control the purse strings of state government and local school districts.

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.