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.
Not So Great
February 7, 2017
The Michigan High School Athletic Association leadership can sometimes be like the leadership of the United States of America. We can boast a bit too boldly about how great we are.
That's why a trip to Europe, most recently for me to the country of Spain, can be a humbling reminder that no matter how good we may seem to be regarding some things, there is very much room for improvement on others.
The USA is a leader in many ways, but a distant laggard when it comes to community place-making and the quality of our roads and bridges and mass transportation systems. The USA is embarrassingly behind the needs and times in these important ways of improving life for millions of its citizens.
This obvious observation begs for consideration of ways and means the MHSAA may lag behind its counterpart organizations in serving and supporting school-sponsored sports. And these are the two most obvious observations:
We trail the nation's most progressive states with respect to requirements to coach and a few other most progressive states with respect to requirements to officiate.
It was no huge surprise that the 2016 MHSAA Update Meeting Opinion Poll demonstrated that attendees were more supportive of proposals to change those rules than any other policies or procedures of the organization.
The most popular proposal surveyed was a requirement that high school coaches who are disqualified from a contest more than once in a season must complete a free online sportsmanship course before they may return to coaching ... 94 percent of 602 respondents favored that policy.
The second most popular proposal surveyed would require all head coaches at the junior high/middle school level to have a valid (current) certification in CPR (same as the rule for high schools) ... 80 percent of 593 respondents favored that.
And the third most popular proposal surveyed would require an MHSAA registered official to attend an MHSAA-conducted or approved camp or clinic (three-hour minimum duration) during the first three years before that official may renew registration for a fourth year ... 75 percent of 601 respondents were in favor.
There are some obvious flaws in these requirements as stated on the Opinion Poll, and the respondents tend to come from larger schools and under-represent the opinion of small school administrators; but the responses of constituents are valuable nevertheless because they indicate a general direction that respondents believe is necessary to improve school sports, or at least to keep pace with the changing needs.