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 One Thing
June 17, 2016
“If funding were not an issue, what’s the one thing you would do at the MHSAA?”
That’s the question posed late last month by a candidate for employment at the MHSAA; and I answered without any hesitancy.
I would require and pay for both initial and continuing education of all coaches, both high school and junior high/middle school, head coaches and assistants, paid and volunteer. It would occur mostly face to face, and it would be intentional in its conveyance of the meaning of educational athletics and the definition of success in school-sponsored sports.
The coach is the front line in the delivery of the core values of educational athletics and the immediate and lifetime benefits of school sports participation. More than any other person, coaches can change students’ lives and they can create a culture in their program that changes the attitudes of parents toward youth sports and the attitudes of spectators toward officials.
The well-trained coach, the purposefully trained coach, not only gives the student a better experience, that coach also gives parents a reality check and helps give officials a more sportsmanlike atmosphere in which to work. Well-trained coaches enhance almost every aspect of the school sports experience – improving participant safety and promoting a lifetime of healthy habits; teaching and demanding good sportsmanship that evolves toward good citizenship; promoting teamwork, hard work, fair play, respect for rules and others.
Delivering with purpose and passion initial and ongoing education that is research-based, student-focused and required of all interscholastic coaches, is best for kids and for the future of school sports in Michigan. And it would contribute mightily to the quality of our schools and communities.
Over the past decade, approximately 20,000 individuals have completed one or more levels of the MHSAA Coaches Advancement Program (CAP). The goal should be 20,000 coaches through multiple levels of CAP each year. That’s the one thing the MHSAA should do.