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.

Balancing Football Playoffs

April 18, 2017

Every time the Michigan High School Athletic Association Football Playoffs have been expanded, two voices have been heard – one complaining that too many teams or divisions have watered down the tournament; the other advocating that every school should qualify for the tournament regardless of its regular-season performance.

The playoffs have expanded from 32 to 64 to 128 to 256 to 272 teams; and for 2017, with the addition of 16 more 8-player teams, to 288 of the 626 MHSAA member schools’ football teams in Michigan.

We have reached the point where 46 percent of the schools which sponsor football qualify for the Football Playoffs, and we are approaching closely the point of qualifying every team with winning records during the regular season.

Those stats sound about right for a collision sport conducted mostly outdoors in a cold climate for teenagers. A longer tournament is unwise; a larger tournament is unneeded.

What is needed and wise is more attention to the regular season, and especially to practices which occur at least five times more frequently than games. That’s where the teaching and learning of football skills and life lessons can be everyday occurrences for every team in Michigan.