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.
Culture of Excellence
October 20, 2015
What are the marks of excellence in a high school’s extracurricular activities program that set the most welcoming schools apart? What are they doing to create and perpetuate a culture of excellence in good behavior?
Our counterpart organization in the state of Washington invited the MHSAA and other state high school associations to consider these questions, and to offer examples which would help to recognize the best practices of schools that have a tradition of excellence in good behavior and a welcoming environment.
We discovered that our initial thoughts were like skipping stones on a pond. They barely skimmed the surface of this topic, and we quickly plunged more deeply than answers like comfortable venues, convenient parking, friendly signage, staff assigned to greet contest officials and visiting teams, and upbeat cheering sections.
We concluded that all of these welcoming attributes are the result of committed leadership that communicates clearly and consistently about the expectations of educational athletics, and these expectations are exceptional in how different they are than at every other level of sports.
What is abundant in these schools and scarce in less-welcoming schools is the appointment, and continued training and support, of a full-time athletic administrator who spends all day, every day on the interscholastic program.
And this athletic administrator provides ongoing training and support to coaches, as well as to team captains and other student leadership.
These are the schools where the MHSAA Coaches Advancement Program is provided time and time again to coaches. These are the schools where students have attended the MHSAA’s Team Captains Clinics, Sportsmanship Summits and Women in Sports Leadership Conferences. This is where the School Broadcast Program is providing events regularly and promoting the school proudly.
Simply put, these are schools where administrators are dedicated to creating a proper perspective of school-sponsored, student-centered sports, and spend time on this daily. They have gone beyond signs and slogans to the much more difficult (but more rewarding) work of nurturing better leaders out of coaches and athletes, individual by individual, week after week, season after season.