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.

Early Results

May 17, 2016

On May 3 we released a preliminary summation of results of winter season concussions reported by Michigan High School Athletic Association member schools. It was reported that 48 percent of the concussions reported were to female athletes, who make up only 38 percent of all winter season participants.

We will be digging deeper into the reports and providing a more comprehensive summary for all three seasons – fall, winter and spring; but we already see one suspected theme is being confirmed: more concussions reported for girls than for boys.

Even though girls’ participation in basketball is 36 percent lower than boys in MHSAA member high schools, there were 88 percent more concussions reported for girls than boys in that sport this past season.

We hope that researchers will step forward to inquire into the physiological, psychological, social and other reasons for the significant disparity in concussions reported by males and females; and perhaps they will be able to suggest what administrators, coaches, rule-makers and others might do in response to that research.

We expect that other themes suggested by the data from this first-year reporting requirement and then year-over-year comparisons will create interest in other research, all of which will help make school sports an even healthier experience for boys and girls than it already is.