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.
Multi-Sport Imperative
September 15, 2015
Each single-sport organization promoted its own sport, and coaches of those sports tended to pressure athletes to focus on a single sport early in life and eventually exclusively. Parents bought into the fantasy that this early single-mindedness was the key to a college athletic scholarship and even a professional sports career.
While we spoke of a high-minded philosophy, on the local level, as a practical matter, more and more coaches and athletes were pursuing an ever-narrower sports experience. Until now.
Starting very recently, the conversation has changed, or at least it’s been joined by new voices. We’ve learned that Big Ten football coaches favor recruits who play more than football in high school. We’ve learned that our fantastic Women’s World Cup Soccer champions were almost all multiple-sport athletes in secondary school. We’ve learned that the hottest young U.S. golfer on the Men’s PGA Tour was a multiple-sport enthusiast in his teens. We’ve seen a half-dozen high profile sports executives with school-aged children advocate for a more balanced experience for their kids. And now we see several dozen amateur and professional sports organizations have joined a campaign to oppose the negative trends in youth sports and to promote a more balanced, healthier sports experience for children and adolescents.
And there it is – a healthier experience. Suddenly, our philosophy that multiple-sport participation is better for youth than sport specialization has been made a health and safety issue, which we’ve known all along but have not emphasized enough.
Now, with attention to over-use injuries and burnout, sport specialization has become a health and safety crisis on the level of concussions, heat illness and sudden cardiac arrest. Multi-sport participation has become a health and safety imperative. A matter of good public policy.
We need to catch and ride this wave for all it’s worth. In the same way the environmental movement catches fire when presented as a human rights issue – that people everywhere have a basic right to clean air and water – we must present sport specialization as a threat to young persons’ health and safety – a risk as great as head trauma, heat illness and heart failure, requiring the kind of bold policies and programs we’ve implemented in recent years to address those equally serious problems.