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.
Focus on Fun
June 2, 2017
Thousands of hours of professional development programs have been devoted to the topic of change and how to cope with what has changed, what is changing and what will change. But I’ve been impressed recently that it is more worthwhile to focus on what has not changed, is not changing and is unlikely to ever change.
John O’Sullivan, author and creator of Changing the Game Project (see changingthegameproject.com), brought this most powerfully to my mind in an article he wrote for the Spring/Summer 2017 edition of Midwest Sports Planner, titled “Some Things Never Change: Applying the Amazon Business Model to Youth Sports.”
While I can think of several things about the Amazon business model that could corrupt youth sports, the point Mr. O’Sullivan makes is based on this answer Amazon CEO Jeff Bezos gave in an interview. Mr. Bezos said:
“I almost never get the question: ‘What’s not going to change in the next ten years?’ And I submit to you that question is actually more important (than what is going to change) because you build a business strategy around the things that are stable ...”
Mr. O’Sullivan asks: “What if we did the same thing in youth sports? What if we stopped worrying about everything that changes and instead focus on the one thing that does not?”
That one thing, according to O’Sullivan, is why kids play sports. “The answer, according to every piece of research I have ever read, in nearly nine out of ten athletes surveyed, is this: ‘Because it’s fun. I play sports because I enjoy them.’”
This squares with all the research we’ve received at the Michigan High School Athletic Association, and it admonishes local, league and state leaders of school sports to search for and deliver policies, procedures and programs that will keep fun foremost in school sports.
Fun does not mean frivolous or inconsequential. It doesn’t mean there can’t be high standards of eligibility and conduct. It doesn’t mean there are not aches and pains or highs and lows or lessons to be learned.
When properly focused, competitive interscholastic athletics trades in difficult fun, devoted friendships and dedication to fitness throughout life. And we should market ourselves accordingly.