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.
Transfer Culture
March 14, 2017
It is rare when a problem of major college athletics doesn’t eventually become a pollutant of high school athletics. A current issue demonstrates the point.
In 2015, NCAA research reported that about 40 percent of Division I men’s basketball players who had entered an NCAA institution directly from high school as freshmen had departed that institution by the end of their sophomore year.
Approximately 44 percent of the transfers were to other Division I programs, 33 percent to Division II programs, one percent to Division III, and 23 percent to non-NCAA colleges. Nearly 90 percent of all transfers said they changed schools for athletic reasons.
At the 2016 Men’s Final Four, NCAA President Mark Emmert stated that the issue of transfers is one of the most hotly debated in NCAA men’s basketball and football.
The culture that contributes to this is created in youth programs, starting even before students reach high school. There are no rules that govern players’ change from one non-school team to another, year after year. Players, parents and handlers talk with each other about where players can find the coach or team that will give them the best shot for a college scholarship or to fulfill their dreams of a professional career; and they will drive any distance from their homes to connect with that non-school team or coach.
This culture has infected high school sports, as witnessed by what appears to be increasing numbers of students who change schools for reasons more related to their non-school contacts and their college dreams than their high school experience, either athletic or academic.
These pressures will only increase under the current model of major college sports that treats superior athletes as if they were superior human beings and lavishes publicity and perks upon them. Until the major college sports experience is disincentivised, those colleges will have transfer troubles. And so will we.