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.
Travel Football
July 15, 2016
The University of Michigan will host a high school football game on Sept. 2, 2016. That would not make news, except that the game is between two out-of-state high school teams.
The teams are from New Jersey and Maryland, likely chosen to assist the Wolverines’ recruiting efforts in those states, and to help them make more waves in the college football world. Both high school teams are private schools, and each comes with heavy baggage.
Some public schools in New Jersey have boycotted playing the New Jersey school in football; the Maryland school is not a member of the MHSAA’s counterpart association in that state. One school is flaunting the rules; the other school has no rules to follow.
That major college football has been in an uncontrolled spiral of excess is not news; but its insidious damage to high school sports is finally making headlines.
NCAA rules have recently been robbing schools of winter and spring sports athletes as college coaches entice high school seniors to graduate at the end of their seventh semester and start practicing football with their future college teammates several months early. We are grateful to see Big 12 Commissioner Bob Bowlsby question the practice of enrolling players before their scheduled high school graduation.
Now, NCAA rules appear to invite universities to select high school football teams from anywhere there’s a great prospect or two, and transport the teams across the U.S. to compete in a nearly empty stadium, save for recruiting “gurus,” athletic apparel reps and a few media. We are hoping to see some college sports leaders step up to question this practice.
All of this leads to the rich getting richer – on both the college and school levels. All of which induces another updraft to the spiral of excess in what are supposed to be education-based programs.