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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.

School Sports Benefits

June 14, 2016

The May 2016 issue of Kappan features an article by an assistant professor at Texas A & M and a doctoral academy fellow at the University of Arkansas who argue in favor of school-sponsored sports. They cite benefits to students, schools and communities:

“Student-athletes generally do better in school than other students – not worse. Opening high school sports to girls in the 1970s led to a significant and meaningful improvement in female college-going and workforce participation. Tougher academic eligibility requirements that schools place on athletes have decreased dropout rates among at-risk students.

“Schools that cut sports will likely lose the benefits that school-sponsored sports bestow. Removing these activities from K-12 education would likely have negative effects on historically underserved school communities. As was the case with the Great Depression, less-privileged families would be less able to afford the expense of having their children participate in organized sports due to the cost of travel and registration fees of club organizations.

“We do not contend that school-sponsored athletics are perfect and should be preserved exactly as they are, even in the face of financial constraints. In tough financial times, everything should be scrutinized. Sports are no exception. But when we look at the larger body of evidence, we find that sports are a tradition in U.S. education that has genuinely benefited students and their school communities.”

One by one the article (with the unfortunate title “History and evidence show school sports help students win”) disposes of typical arguments against school sports:

  1. That sports participation has no role in academic development and may undermine it.

  2. That European-style club programs would enable adolescents to participate in sports while eliminating negative influences that school sports have on academics.

  3. That eliminating school-sponsored sports will increase student participation in other extracurricular activities.

The evidence, according to the authors, does not support those arguments. Click here to read the article.