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The “Extra” Ingredient

December 20, 2016

Every meeting agenda of the Michigan High School Athletic Association Representative Council opens with the “Ten Basic Beliefs for Interscholastic Athletics in Michigan.” Here’s No. 1:

Interscholastic athletics were begun outside the school day and curriculum and remain there as voluntary, extracurricular programs in which qualifying students earn the privilege of participation.

There are those who prefer to substitute “co-curricular” for “extracurricular.” Their hearts are in the right place. They mean well; but they’re wrong.

Competitive interscholastic athletic programs can be educational without being part of the school’s curriculum. If sponsored by schools and conducted by schools, these programs must be a positive, educational experience. But these programs are outside the academic curriculum, and almost always outside the classroom day; and no student has the right to participate in these programs. It’s a privilege students earn by meeting standards of eligibility and conduct; and often these students have to compete to earn a spot on the team and playing time in contests.

Interscholastic athletic programs are important after-school activities that enrich the lives of participants. No student has the right to participate in these programs, but we are right to fight for the presentation of broad and deep interscholastic athletic programs in our schools.

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.