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.
Lost Leaders
April 12, 2016
What’s the greatest threat to the future of school sports? It’s not concussions, for school sports are actually more safe each year, not less. It’s not a lack of civility, for our events are still the most sportsmanlike of any highly competitive sports program. It’s not cost, for school sports remain the cheapest form of organized sports to play and to watch.
Actually, the greatest threat to the future of school sports is from the self-inflicted wounds by local school district boards of education. The decisions to devalue the local high school athletic administrator. Heaping more and more duties on a person who is being given less and less time, training and support to perform those duties.
The full-time athletic administrator, with support for clerical duties and event supervision and without many other duties added on, is an increasingly rare situation in schools today. And when that person retires, moves up or otherwise moves on, it is typical that the replacement is less experienced, given even more unrelated duties to perform, and given less time in which to do them.
It’s then that the athletic director looks to coaches to run their own programs; and when the school coach is a nonfaculty person, this is a delegation of school sports to a non-school person.
Is it any wonder then that philosophies suffer, policies are ignored and problems occur?
Is it any wonder then that people who see no difference between the philosophies of school and non-school sports question why schools should spend any time at all on this aspect of adolescent development? They become all too ready to leave sports to the community.
Every shortcut to school sports administration has a consequence. Every dollar we try to squeeze from the school sports budget has a hidden higher cost. Every non-athletic duty we add to the athletic director’s day is another step closer to schools without sports.
And the secondary schools admired by the rest of the world will become ordinary.