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.

Starting Five

December 6, 2016

The Task Force on Multi-Sport Participation which the Michigan High School Athletic Association appointed early in 2016 has identified its top five projects. They all encourage the MHSAA and its member schools to get in the game earlier.

The Task Force wants the MHSAA to:

  1. Partner with groups which are promoting diverse physical activity for youth, like the NFL’s “Play 60” and the United Dairy Industry of Michigan’s “Fuel Up” programs.

  2. Meet with groups which could influence more and better physical education in schools that would encourage more sport sampling by youth and increased literacy in basic athletic skills and movements.

  3. Prepare tools for administrators to use when interviewing coaches, conducting preseason meetings for coaches and encouraging coaches to “walk the talk” of promoting balanced, multi-sport participation by members of their school teams.

  4. Prepare for junior high/middle school and elementary school parents a “What Parents Should Know” guidebook with units created by medical personnel, high school and college athletes and coaches, educators and sports scientists.

  5. Prepare for junior high/middle school and elementary school parents a “Reality Check” video describing the costs of sports specialization and the facts about sports as a path to college tuition assistance.

Those who love and lead school sports cannot wait until kids (and their parents) reach high school before we start talking with them regarding the values of school-sponsored sports, the benefits of multi-sport participation, and the meaning of success in educational athletics.