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.
Seeding Discontent
January 3, 2017
We have heard for years that the Michigan High School Athletic Association Football Playoffs have created scheduling problems for schools and have caused the demise of leagues, no matter how many times the playoffs expanded – from 16 schools in 1975 to 256 schools today (plus 16 more in the 8-player tournament). Many other states with a variety of other football playoff formats report similar stresses on their member schools.
The inability of weaker teams to compete within a league and the difficulty that stronger teams face to find willing opponents to complete a nine-game regular season schedule are not uncommon for varsity football in Michigan, but are problems rarely experienced in basketball.
That could change if seeding based on wins and strength of schedule comes to MHSAA Basketball Tournaments.
With an easier road to District and Regional titles gifted to higher seeded teams, coaches will want a regular season schedule that is difficult but not too difficult. They will seek a league that is tough, but not too tough. This is the recipe for scheduling headaches. Strong schools will have difficulty finding a full schedule of games, while weaker or simply smaller schools will have difficulty finding a league.
Fearing blemishes on the regular season win/loss records, coaches will delay playing substitutes and avoid sitting out or suspending good players who are bad actors. Every eligibility snafu leading to forfeit will carry tournament seeding consequences. The temptation to hide ineligibilities and the inclination to fight forfeits, not infrequent in football, will come to basketball.
Developing a seeding plan is not at all difficult, but living with one could be.