Enhancing Public Health

August 29, 2017

Due to overuse injuries from sport specialization that is too early, too intense and too prolonged, youth may be increasingly susceptible to sports-related injuries; but school sports themselves have never been safer – for obvious reasons:

  • Equipment is the best it’s ever been.

  • Coaches have never been better trained in health and safety.

  • Practice and competition rules have never been more safety conscious.

  • Officials have never had more authority to penalize unsafe play.

  • Medical care and insurance has never been as available as it is today.

Our objective is not merely to keep making school-sponsored sports safer and safer year after year. In school sports – educational athletics – we also have the objective that students learn habits of a healthy lifestyle they can carry into adulthood.

In this way, school sports mitigates some of the damage of youth sports and contributes to the general good, to improved public health in America.

All that we do has that goal, and it’s a finish line we have not yet crossed.

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.