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.
Volleyball Faceoff
July 14, 2015
The 96th Annual Summer Meeting of the National Federation of State High School Associations overlapped dates and shared hotels, restaurants and sidewalks with the USA Volleyball 2015 Girls Junior National Championships during late June and early July in New Orleans.
This mega-tournament drew fields of 24 to 72 teams in each of 30 divisions, with each of the approximately 1,000 teams paying from $650 to $900, providing an attractive payday for USAV. In addition, this was a dreaded “stay and play” tournament that required teams to book rooms at the designated hotels that provided kickbacks to the organizers.
USAV raked in the dollars which the parents I spoke to seemed only mildly distressed to pay because they had bought into the fantasy that this sort of extravagance is necessary to help their daughter reach the “next level.”
Next level? Some of these parents couldn’t even find the next court for their daughter’s match among the 80 courts on which competition was held, and missed parts of matches they had paid hundreds of dollars in club and travel expenses to attend. This was about quantity of teams, much more than quality of experience.
And what, after all, is the next level for a girl playing on an “Under 13 Team” ... Under 14?
If the “next level” means college volleyball, then parents haven’t been told of the lottery-like odds they face. Making any college team that offers any financial aid based on volleyball skill is a mere fantasy for almost every girl and it’s a futile strategy for those parents to fund their daughter’s college education.
In sharp contrast, I’m reassured that we’ve got it right in school-based volleyball, where the focus is on scholarship in high school, not athletic scholarships to college; on learning in many practices more than competing in many tournaments; on local events, not national travel; where MHSAA tournaments are free to enter, and matches are conducted one at a time on the arena’s one and only court, with the school’s student section cheering the team on.