Injecting Sports Medicine

May 13, 2014

We are receiving the proper dosage of sports medicine advice in Michigan.

The Sports Medicine Advisory Committee of the National Federation of State High School Associations advises the NFHS and its member associations on medical and safety issues and conditions as they relate to interscholastic athletics. With nationwide expertise representing a broad range of sports medicine disciplines, the SMAC meets over three days, two times each year. It issues advisories and position statements and publishes a comprehensive manual which is provided without charge to each member high school in Michigan. 

The MHSAA has had direct representation on the SMAC for two separate four-year terms; and we depend on the SMAC to monitor, evaluate, filter and disseminate current sports medicine information that is of practical use at the interscholastic level.

The SMAC and the Michigan Department of Community Health are the voices the MHSAA listens to most in the often over-hyped cacophony of sports medicine opinion. What makes the SMAC even more unique than its prestigious panel of experts is that it has direct input into the rules-making process of the NFHS which dominates the publishing of high school playing rules. The MHSAA adopts those rules in every MHSAA sport for which rules are prepared by the NFHS.

The MHSAA has sometimes been criticized for not having its own sports medicine committee. However, we believe there is no need to create another committee to duplicate the work of the NFHS Sports Medicine Committee. And when we have needed extra attention to a unique in-state topic, we have found the Michigan Department of Community Health to be a willing and able partner.

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.