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.

Future Thinking

August 11, 2017

The prolific author Thomas Friedman has written more than once that those who don’t invest in the future tend not to do well there.

What might it mean to invest in the future of interscholastic athletics? What are the things we should be doing now that may not show immediate results, but are essential for securing a future for school-sponsored sports? 

Two things, I believe, most of all ...

One is the emphasis on serving and supporting junior high/middle school programs. Getting to students and their parents at this stage and even earlier with the meaning of educational athletics. With a definition of success and demonstrations of sportsmanship that differ from other programs. With encouragement to sample different sports and to eschew year-round practice and competition in a single sport. Feeding the roots of high school sports with the nutrients of educational athletics.

The second is the education of coaches, the delivery system of most of these important messages about school sports. What the MHSAA does season after season with rules/risk management meetings and week after week with the Coaches Advancement Program, and what local school administrators do day after day to manage, mentor and motivate coaches. These efforts may not show quick returns, but they are essential investments in the future of school sports.

We cannot expect to do well in the future if we do not pay attention to our foundation – junior high/middle school programs – and to our infrastructure – coaches.