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.

Advancing CPR

November 24, 2015

This fall was the first for the requirement that all high school varsity head coaches have current certification in CPR.

If a coach was not CPR certified by the deadline (which was Sept. 17), that coach could not coach at or even be present at the MHSAA tournament where his/her team would be participating.

Only three of the MHSAA’s 750 member high schools failed to comply with that requirement. That’s progress.

But what we also hoped for was that schools which were not already doing so would use this new requirement as a means of providing or requiring CPR certification for assistant and subvarsity coaches as well. And it appears we’ve made some progress on this as well.

Of 640 responses received so far, 80 percent of schools arranged in-person CPR training for all high school varsity head coaches, and 67 percent included assistant and subvarsity coaches in this in-person training.

In the future, the MHSAA Representative Council will be considering refinements of the CPR requirement in order to increase the quantity of certified coaches and improve the quality of programs that are approved to fulfill the requirement. Continuing progress is imperative.