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.
Early Learners
January 26, 2016
The good news is that the minimum number of pupil instruction days required for public school students in Michigan increases from 175 to 180 for 2016-17. The bad news is, Michigan public school students are still sitting in the back of the school bus.
The U.S. is in the lower half of the world’s nations in the length of school year for secondary school students, and Michigan is in the lower half of U.S. states in the length of school year. So just about anything the Michigan Legislature would consider to facilitate earlier starts to the school year as well as longer school days and weeks of instruction would be good for today’s students and our state’s future.
Among bills now pending in the Michigan Legislature is Senate Bill 567 that would remove the prohibition on public schools from beginning instructional days before Labor Day, except that classes could not be held on the Friday before Labor Day.
Some will be critical because this could put classes in conflict with double session sports practice days and large, all-day cross country, golf, soccer and tennis tournaments that are now common in Michigan school sports in late August; but these so-called conflicts would have positive effects:
These “conflicts” would tend to reduce the number of days of two-a-day practices that are much less in favor today with increasing attention to the health and safety of student-athletes.
These “conflicts” would tend to reduce the frequency of students playing in contests before they have attended any classes, which is far from ideal philosophically and a frequent cause of practical problems – including participation by ineligible students and resulting forfeits.
Students are engaged in school sports, marching band, cheerleading and other school-related activities throughout most of August, and they are much more eager learners then than later in the school year. Schools should be allowed to let them learn in the classroom then, not just in extracurricular activities.