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We’ve Got This Right

March 1, 2013

This year's Super Bowl was an occasion for an unusual amount of commentary on the state of football safety, especially concussions.

One group called on state high school associations and football coaches associations to eliminate contact outside the defined interscholastic season.  That would mean spring football practice, and during summer leagues and camps, and at all-star games.

Michigan is one of a large majority of states where schools do not allow spring football practice.  Michigan is one of a minority of states where schools do not allow contact at summer camps, for which we are often criticized by out-of-state camp promoters.  And Michigan is one of a smaller minority of states where schools prohibit students, coaches, officials and administrators from being involved in all-star games involving undergraduates.

While we are well ahead of the curve on out-of-season contact policies, we are in the mainstream of state high school associations studying what the appropriate limits should be on contact during early season football practice and throughout the remainder of the season.  We have a task force that appears headed toward recommending that the Representative Council prescribe only one contact session per day during early season practice and only two contact practices per week after games begin.

There will be other ideas percolating and then simmering with these before any are proposed to the MHSAA Football Committee and Representative Council.

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.