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.
Inside Information
September 25, 2015
The source you choose selects your news.
If your source is Fox News, you will get different stories than from ABC, CBS and NBC, and different slants on the same stories.
If your source is publicly supported radio, the news stories will be different than on commercial radio stations; and if you choose Public Radio International, you will hear some topics that are much more frequently and deeply covered than by National Public Radio.
PRI is, for example, where I was following the crisis of refugees fleeing from Northern Africa to Europe long before that story became headlines for other news sources. Did you know, for example, that there are more displaced people in the world today than at any time except World War II?
Similarly, if I were to listen only to coaches of one sport or another, I’m likely to learn about issues that affect that sport, but not much about issues that affect other sports, or affect schools as a whole. Our sources must include input from all sports.
Our sources must also include the perspective of principals who deal with academics more than athletics and who are as attentive to the essential needs of harassed, homeless, displaced and disabled students as they are to the athletic desires of gifted and talented students.
And our sources must include the even broader perspective of superintendents who are fighting for the financial life of their districts. Sometimes that means they are throwing open the doors of their schools and recruiting students from far and wide to replace the dwindling school age children of their local population.
Ours is an association of schools. Not an association of football coaches, or of all coaches. Ours is an association of schools whose directions are determined by blending top-down with in-the-trenches views.
From our vantage point at the Michigan High School Athletic Association we do not learn about everything happening in our state’s secondary schools. But from the myriad calls, emails and letters we receive and the many meetings we have with administrators, coaches, officials and students, we know much more than those who are on the outside looking in.