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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.

Upon Further Review ...

May 12, 2017

A veteran track & field coach wrote critically that the Michigan High School Athletic Association has erred by not implementing numerous proposals of his state coaches association over the years. So this year I was an even more careful than usual observer of the fate of proposals from coaches associations and our own coach-dominated sport committees.

Some proposals from coaches associations don’t even make it to a vote at the MHSAA sport committee level. Others fail to get an affirmative vote, while still others are passed by the committee as a recommendation to the MHSAA Representative Council.

Each of the sport committee recommendations that is received by the time of the League Leadership meeting in mid-February is presented to the league administrators in attendance so they will be aware of what’s flowing in the pipeline toward the MHSAA Representative Council for a vote. It is intended that these sport committee recommendations will be discussed at meetings by each league, and that the MHSAA staff will be notified of questions or concerns that any proposal generates.

MHSAA staff – most often Associate Director Tom Rashid – take some of the proposals on the road, to both league meetings and Athletic Director In-Service programs, where experienced practical minds praise some proposals and poke holes in others.

Many of the recommendations are also discussed at the March conference of the Michigan Interscholastic Athletic Administrators Association, and some are made “Position Statements” on which the MIAAA members vote at the conclusion of their conference. It’s interesting to observe that some recommendations that passed coach-dominated sport committees with unanimous support fail to receive 50 percent support by the athletic directors as they make a more circumspect review of the issue.

All along the way, the MHSAA staff is watching, listening, and learning. We learn, for example, that some proposals have negative unintended consequences, that other proposals lack sufficient research or even essential facts, and that in both cases, approval should be denied or at least delayed for more complete development and study.

That was a major theme of this past week’s Representative Council meeting when many committee proposals were, if not derailed, at least detained for later departure. For example:

A proposal to revise the limited team membership rule for 6th-, 7th- and 8th-graders that would allow during the school season up to two dates of non-school participation in all sports except football was tabled in order to gather more membership input.

  • A proposal to alter the three-decade-old MHSAA Baseball Tournament schedule was delayed to consider the effects of and questions raised by the pitching limitation rule that is new this year – a late requirement of the national rules committee.

  • A proposal to seed and bracket District and Regional Basketball Tournaments raised more questions than answers and did not advance.

  • A proposal to require observers in each group at all Lower Peninsula Boys and Girls Regional and Final Golf Tournaments was at least slowed.

  • A proposal to require two days rest between the Semifinal and Final games of soccer Regionals received a yellow card, even though the proposal has good intentions and is part of an evolving package of proposals to make that sport a healthier experience – with more attention to practice and training and less competition.

  • A national soccer committee rule change regarding the color of undergarments was delayed indefinitely by the Council, to avoid both unnecessary confusion and new costs.

  • A proposal to allow additional teams to advance from Regionals to Finals in the MHSAA Lower Peninsula Tennis Tournaments was not adopted – perhaps a good idea in good weather, but problematic in bad.