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.
Football Participation
June 13, 2017
Each summer, the Michigan High School Athletic Association issues several news releases that, together, help to inform us about the health of high school sports in Michigan. These include reports regarding participation and attendance.
The first of these releases will occur later this month when we report on participation and make comparisons to previous years. Later, there will be a report of how participation in Michigan compares to other states.
Without going into detail now, I’ll preempt the first release to provide its biggest news – football participation was down about five percent in grades 9-12 in 2016 compared to 2015.
The decline in number of schools sponsoring 11-player football is matched by the increase in schools sponsoring the 8-player game. So overall, the number of football schools is stable; but squad size is smaller.
Among other things, this predicts continuing growth in 8-player football, which expects approximately 60 schools this fall when the MHSAA 8-player tournament expands from one to two 16-team divisions.
The latest participation data also requires that those of us who love the game of football have much work to do; and that work has little to do with how either the 8- or 11-player tournament is conducted.
The focus needs to be on practice – including how early in August it begins and how much contact is allowed; the focus must be on personnel – including the importance of hiring on-staff teachers as coaches; and the focus must be on perceptions – including our narrative that our game has never been healthier for junior high/middle school and high school students and never more important for the unity and identity of schools and communities.
Like other sports, football is challenged by declining high school age enrollment, expansion in the number of sports offered by schools and increased single-sport specialization, as well as a largely misplaced concern for injuries.
On June 28, the leadership of the Michigan High School Football Coaches Association is convening a focus group to help identify the themes that resonate best with parents and who the most trusted people are to deliver those messages. This is an important effort.