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.
Why They Don’t Officiate Anymore
December 16, 2016
Several years ago, the Michigan High School Athletic Association produced a series of radio and television spots in which MHSAA registered officials explain why they officiate. For the third time in the past 12 years (2004, 2012, 2016), the MHSAA conducted an extensive survey of former MHSAA officials to identify the reasons individuals have left the avocation of high school officiating.
From the 1,065 responses to the 2016 survey, it is demonstrated that career and job changes continue to be the top reason why individuals leave officiating. This has been the No. 1 reason in all three surveys.
Local association politics was again the No. 2 reason, which was the same second place reason in 2012. However, in the 2004 survey results, local association politics was sixth. This illuminates the reality that over the past 12 years there has been a significant shift from local schools hiring officials to using assigners in many, if not all, sports. The concerns are not so much with the association itself (training, recruiting, retaining) but with the assigning dynamic within the association or local area. Many recent MHSAA policy changes and most MHSAA in-service training have focused directly on assigners, and this survey confirms that this must continue and expand.
The next three most common reasons for leaving MHSAA officiating continue to be lack of sportsmanship by coaches, lack of sportsmanship by spectators, and low game compensation. The sportsmanship concerns from these adults must be continually addressed by all MHSAA constituent groups to improve the working conditions for officials.
The MHSAA increased tournament officiating fees at the start of the 2016-17 school year, and many local leagues and conferences have done the same. The reality is that many leagues and conferences are still playing “catch up” from the long fee freezes in the late 2000s and early 2010s when Michigan schools were in historically bad financial shape.
A significant reason to leave officiating seen in all three surveys is the official’s family situation. Many have indicated they left officiating due to time away from their spouse or children, or because of travel time or a family move. These reasons have been in the top 10 in all three surveys, and could have ranked higher had these individual questions been combined into one single category.
One troubling trend from the 2016 survey is that lack of sportsmanship by players was inside the top 10 (No. 7) for the first time since 2004. In 2012, this issue with students was No. 11. This may show that players are much more apt to argue, criticize or demonstratively disagree with calls than years ago.
(This posting was prepared with the assistance of MHSAA Assistant Director Mark Uyl.)