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.
Bad Choice
September 11, 2015
From our vantage point, we saw years ago that “choice” was disrupting schools more than it was improving them, and hindering more than enhancing the academic accomplishments of students.
What we saw years ago was that choice was more often exercised for adults’ convenience – to schools closer to child care or parents’ jobs – than for students’ academic improvement. Studies now tend to prove that observation is correct.
We also saw years ago that choice was mostly a chain reaction of prickly people. Students or their parents unhappy with their local school for one reason or another would move to a nearby school where, simultaneously, unhappy people would be moving from there to another nearby school. Studies now show that about half of choice students return to where they began; whether or not they ever accept that the fault was their own and not the fault of the first school is more difficult to discern.
In July, Michigan State University reported some of the most recent research about, and some of the faintest praise for, school of choice; but because previous studies have demonstrated that students’ learning diminishes as their mobility increases, there should have been much more scrutiny of Michigan’s school of choice policy when it was introduced 20 years ago, and as it has spread to 80 percent of Michigan school districts since 1994.
As a means of improving schools, choice has failed by making poor schools worse. As a means of integrating schools, choice and charter schools have actually re-segregated schools. And as a means of destroying neighborhoods, choice has been the perfect weapon.
You want to rebuild Michigan? Then start with neighborhoods, at the center of which will be a grocery store and a school, both within walking distance for their patrons who are invested in them.
School of choice has created problems for administrators of school sports. But what’s far worse is the damage it has done and continues to do to our students, schools and society.