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.
The Curse of Cutting
July 22, 2016
The current cover story for the summer issue of a national magazine for coaches and athletic directors tries to make “The Case for Cuts.” The author, from a private school in New England, fails the task.
He argues, for example, that cutting kids can be beneficial because athletes who sit the bench build resentment and that “keeping kids can lose kids.” Not true for good coaches.
He flippantly says that other opportunities are available to kids who get cut. Not true in most places.
The calling of a coach in school-sponsored sports is not to make things easy for himself or herself and to make it hard for kids to find healthy peer groups. The calling of a coach of educational athletics is to reach, engage and motivate as many students as possible in learning life lessons and developing interests and skills for physical activity that will last a lifetime.
School sports is not “The Apprentice” where kids get fired for a poor tryout. School sports is more often a safety net to help young people get fired up for school and life.
Every student we can keep engaged in school sports is a future advocate for school sports, as are these student-athletes’ parents.
Every kid we cut, and his/her parents, will more likely become our critics. If the school sports program has no time for me, or for my son or daughter, then I’ll have no time for it – no time to attend events or volunteer, much less the inclination to donate funds or vote for tax increases.
Coaches who cut teams for their convenience today cut the connection with people who most want to be involved. As much as anything, this threatens the future of school-sponsored sports.
Occasionally, facility limitations may require great creativity or, as a last resort, cutting; but almost always for outdoor sports and generally for indoor sports, cutting is an avoidable curse – one that should be exorcised from educational athletics.