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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.

Planning Period

June 27, 2017

When I was a teacher, I cherished my planning period – that nearly 60 minutes of quiet time every day when, while most other teachers in our school were in class, I could pause to plan for the classroom duties ahead of me.

In a somewhat similar way, I have come to count on and enjoy three times of the year which serve as the major planning periods for my work at the Michigan High School Athletic Association. These three periods are the several weeks late each fall, winter and spring when other MHSAA staff are consumed with the administration of MHSAA tournaments.

I hate to distract these busy tournament directors as they handle countless communications with coaches, athletic directors, officials and local tournament managers. Instead, I look ahead to what is next for the MHSAA and how to frame subjects to help facilitate some progress.

During the recent planning period (aka, the MHSAA’s spring season tournaments in baseball, softball, golf, lacrosse, soccer, tennis and track & field), I was looking down the road and around the corner regarding these topics especially:

  • Basketball tournament scheduling, Finals sites and District seeding.

  • Alternative approaches to regulating transfers.

  • Tangible outcomes from the Task Force on Multi-Sport Participation.

  • Re-energized efforts to promote good sportsmanship.

  • Strategies to turn around declining football participation.

  • Continued expansion of services for junior high/middle school programs.

  • Next steps needed to improve participant health and safety.

  • Innovations for recruiting and retaining contest officials.

  • Guiding and governing participation by “special” student populations.

  • And always ... how next (and every day) to better define and defend educational athletics.

These are the topics I hope to study, survey and discuss with my MHSAA colleagues and others during the next 10 months.