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.
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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?
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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?
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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.
Student-Centered Coaching
August 1, 2017
The November 1929 Bulletin of the Michigan High School Athletic Association includes this editorial reprinted from the Oct. 7, 1929 Grand Rapids Herald which invites discussion about what more we might do to promote leadership and sportsmanship in school-sponsored sports today.
“Football teams of Greenville and Ionia high schools Saturday introduced an innovation the nature of which challenges consideration of other Michigan schools. From the time the first whistle blew for Saturday’s game until its close the professional coaches employed by the two schools had no contact with players. Between the halves the usual harangue by the coach was dispensed with in favor of a review of play by players. * * * The result of such a policy is unsullied amateurism along the lines we often have urged. The players are on their own. They do their own thinking as well as playing. Under the system as usually followed the coach sits on the sidelines. If he sees an opportunity for a plan of play differing from that being followed he sends in a substitute who carries instructions: ‘Stick to forward passes. Bang away at their left end,’ etc. Between the halves the coach points out faults and emphasizes opportunities for the final half. In net effect the coach directs the play. The initiative of captain or quarterback is permitted only so long as the coach approves. Under the Greenville system the captain is the only recognized leader of the team. He directs substitutions, orders plays, advises players, etc. At Greenville school boys played against school boys. On other western Michigan gridirons a coach is the 12th member of every team. * * * The plan adopted at Greenville was suggested by President Angell of Yale in his annual report for 1927-28. He urged that, ‘There is a wide and well-grounded sentiment that the control of our games should be put back more fully into the hands of the players.’ Yale has not heeded Prexy Angell’s advice, but the New York State Public High School Athletic Association has adopted it as also have some Detroit high schools. It takes the sting of professionalism out of the scholastic game. The able coach still has ample opportunity to prove his worth in teaching the fundamentals of the game and in developing ‘football brains’; but when the whistle blows it is high school team against high school team. What’s the matter with trying that in Grand Rapids? What, if any, are the arguments against it?”