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.

It’s Not Where, But How

April 28, 2017

As happens from time to time, but too often, the urgent has crowded out the important for the Michigan High School Athletic Association this spring. For example ...

  • A flooded soccer field at Michigan State University has forced relocation of the MHSAA Girls Soccer Finals in June.

  • The extravagant demise of The Palace of Auburn Hills following the relocation of the Detroit Pistons to the new Little Caesars Arena in Detroit is forcing relocation of the 2018 MHSAA Individual Wrestling Finals.

  • Lack of availability at MSU‘s Breslin Student Events Center on the dates of the three-day MHSAA Girls Basketball Semifinals and Finals in 2018 and boys championships in 2019 is forcing changes for those tournaments.

When, after countless hours of study and discussion, these and other venue changes are announced, they generate many media reports and considerable constituent comment – in fact, much more attention than two years ago when the MHSAA announced three actions that were unprecedented nationally to promote participant health and safety: mandated concussion reporting, free concussion care gap insurance, and two sideline concussion detection pilot programs.

Where MHSAA championships are staged is not inconsequential, but it is infinitely less important than how interscholastic athletic programs are conducted during practices and contests at the local level all season long.

When we are consumed with where we play, we divert valuable time and energy away from necessary attention to what we should be doing and how we should be doing it.