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
August 5, 2016
Yesterday began my 31st year as executive director of the Michigan High School Athletic Association. When I was asked recently why I’ve served so long, I answered, “Actually, ‘why’ is the reason.”
What we do in school sports is important. How we do it is even more important. But why we do it is most important. And, to quote the last line of the last workshop speaker I heard on July 2 at the 97th Annual Meeting of the National Federation of State High School Associations, “The ‘why’ of our work is an incredible gift we’ve been given.”
The why of our work is the map that connects the dots between all that we do – all the policies, procedures and programs of competitive school-sponsored sports. The why of our work is the gravitational force that keeps what we do and how we do it grounded in the core beliefs of interscholastic athletics – healthy, amateur, local, inexpensive and inclusive programs that benefit students, schools and communities.
The why of our work sees what we do and how we do it as necessary for helping young people learn skills for life as much as skills for sports. The why of our work sees lifetime lessons available in both victory and defeat, and at both the varsity and subvarsity levels. The why of our work sees good sportsmanship not merely as an enhancement of our games but also as a precursor to citizenship in our communities.
When we begin our planning with why, then what we do and how we do it will more likely inspire and motivate others, and keep us in the game long after others have retired.
(Turns out that these ideas aren’t original. Simon Sinek lays out the “Why” premise in one of the top-viewed TED talks of all time. While the NFHS conference speaker was my inspiration, clearly Simon Sinek was his.)