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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.

Hurry Up and Wait

May 16, 2017

I work so far in advance of events that I’m the subject of some ribbing by my colleagues on staff of the Michigan High School Athletic Association.

I prepare agendas for winter meetings during the previous summer – to help us plan. I draft minutes of those meetings before they occur – a device I’ve found helps to expose gaps in preparation for those meetings. I keep an ongoing file of possible questions for future surveys. I have bulging files that will help us address important topics when interfering urgent matters get out of the way.

So, it feels odd that I write to suggest athletic directors and officials assigners delay some planning for the 2018-19 school year.

You may have read in MHSAA communications or elsewhere that changes in policies of the NCAA Division I Women’s Basketball Tournament have made MSU’s Breslin Student Events Center unavailable to host the MHSAA girls Finals in 2018 and 2020-2022 and the boys Finals in 2019, that the MHSAA will conduct the 2018 girls Finals in Van Noord Arena at Calvin College, and that we will use the upcoming summer and fall to consider alternative venues, season calendars and tournament schedules for 2018-19 and beyond.

Decisions may be made that affect the season starting and/or ending dates of girls basketball, boys basketball or both, as well as other winter sports. Decisions could affect the end of the girls volleyball season as well.

Rather than consider this as a huge disruption, we are choosing to look at this as an opportunity to review how and when we do things, both regular season and MHSAA tournaments. Possibly there are some improvements that can be made.

On the other hand, we may find it inappropriate to upset sound scheduling and many valued traditions because of changes made in a college basketball tournament, and that we should use NCAA Division I facilities less or not at all, if necessary, to continue with our current schedules.

Nevertheless, the fact of these discussions and the potential for changes might cause leagues and local schools to delay in finalizing 2018-19 schedules and officials assignments.