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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.

Why Not National Events?

October 7, 2016

The constituent groups of the National Federation of State High School Associations are engaged in a deliberate discussion of the merits of conducting national high school sports championships. The topic has been raised and rejected by the National Federation membership multiple times over many years.

Support for such events is infrequently merit-based and more often found where political pressures have assaulted policies that have prohibited schools from participation in national tournaments by school teams and students representing schools. Opposition is based in both philosophical and practical concerns.

Proponents of national tournaments say such events will provide a platform to promote education-based athletic programs, but what we would often see – teams full of transfer students missing a lot of school – would undermine any positive promotional message. We would be saying one thing but doing another.

While more promotion of what we believe in might be nice, opponents believe national tournaments would worsen everyday problems and especially the most unsavory problems of school sports, namely undue influence and athletic-related transfers.

Opponents see national events as symptomatic of the "select the best and forget the rest" virus that is infecting much of youth sports that is neither school-sponsored nor student-centered. They see national events as causing school sports to move from ally to adversary of schools' educational mission. They see more loss of classroom instructional time, more travel, more costs and more local fundraising that saps community resources. They see the rich getting richer ... more for a few "haves" and less for most others, and nothing for the "have nots."

With each state having made its own decisions regarding when sports seasons will occur, many opponents wonder how any national tournament can serve the wide variety of seasons in place. Some sports that occur in the fall in one state are conducted in the winter or spring in other states. Even when sports occur in the same season in two states, the seasons may start and end two, three or four weeks differently. Do we really want our programs to place even more pressure on kids and coaches to specialize in a single sport year-around?

With each state having made its own decisions regarding the maximum number of contests, who is going decide what the national rule will be? Will it be the 18 games of one state or the 36 games of another? With each state having made its own decisions regarding age rules and transfer rules and out-of-season coaching rules, who is going to make and enforce these and all the other rules that must apply to all to assure the competition is fair?

And with four Michigan High School Athletic Association champions in most sports, which do we choose to represent our state? Do we really need to demean the champions of three classifications or divisions by advancing the fourth? Do we want our state finals to be the qualification for another level, or the ultimate experience for MHSAA member schools and students?