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.
Our Open Tournament
April 15, 2016
One of the criticisms we hear as a result of not seeding the MHSAA Girls and Boys Basketball Tournaments is that it doesn’t allow the best teams to avoid one another until later rounds of the tournament and often leads to anticlimactic Semifinal and Final games.
But, after spending thousands of hours and perhaps a million dollars to seed its Division I men’s basketball tournament, the NCAA had a 17-point mismatch when a No. 10 seed met a No. 1 seed in one national semifinal and a 44-point blowout between a pair of so-called No. 2 seeds in the other national semifinal.
Seeding is such an imperfect art, and teams can play so unpredictably from one day to the next in a one-and-done tournament, that seeding is more of a publicity stunt than it is a science on which to structure a tournament.
To send a team and its fans packing to distant venues on the basis of its winning percentage and margins of victory relative to other teams is not responsible policy at the high school level. It could be unsound fiscally and unsound educationally.
Our high schools enjoy a format that allows every high school entry into the MHSAA’s postseason tournament every year. If we were to limit our tournament to only 68 teams like the NCAA, seeding might be more practical. But as long as we accommodate 750 high schools in our Boys Basketball Tournament and 750 in our Girls Basketball Tournament, geographical districts with blind draws may be most appropriate.
The NCAA tournament, like so much of major college sports, caters to the few and most fortunate; so maybe seeding is good in that environment. But our high school basketball tournaments are open to all schools, and they require we make different decisions to serve those schools.