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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.

The Complaint Department

May 26, 2015

The MHSAA office is one of the few places of business a person can telephone and still be greeted by a real live person.

Our real live person, Laura Roberts (no relation), has become a favorite of many MHSAA member school employees and registered officials because of her friendliness and command of facts. However, I recently overheard Laura say that the most frequent way she is greeted by other callers is, “I want to register a complaint.”

What is frustrating to Laura, and to the rest of the MHSAA staff, is that the caller’s complaint is so often about something the MHSAA is without authority and responsibility to fix. For example ...

  • Complaints about coaches’ decisions regarding who makes the team and who gets playing time or who is playing what position are misdirected to the MHSAA. The MHSAA does not hire or supervise any coach, and has no authority to intervene in such matters as these; yet the parents’ complaints of this type come often to the state level when they should never ascend above the local school level.


  • Complaints about officials’ decisions during the regular season are misdirected to the MHSAA. The hiring of contest officials outside of MHSAA tournaments is outside the authority of the MHSAA.


  • The same is true regarding the days and times that regular-season contests are held.


  • The same is true relative to the facilities utilized for regular-season events.


  • Complaints about student conduct or training rules are misdirected to the MHSAA. Local boards of education jealously guard their sole authority to determine and enforce rules related to drinking, smoking and good citizenship.


  • Complaints about all-state teams are misdirected to the MHSAA, which has never named a single all-state team in any sport. Sometimes it’s a media group which names these teams; sometimes it’s a coaches association; but it’s never the MHSAA which does so; and neither the media nor coaches associations answer to the MHSAA on such matters.

On these and other topics, the MHSAA is the misdirected target of daily complaints from those who want to better understand why things happen as they do in their niche of school sports. Because there are new constituents to school sports every year, it will be a never-ending test of our patience and professionalism.