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.

Balance

May 12, 2015

Recently, there has been a lot of sports talk banter, as well as texting, tweeting and blogging, about the preferred value that major college football coaches place on the multi-sport high school athletes during the recruiting process.

Ohio State’s Urban Meyer tweeted that 42 of his first 47 signed recruits at OSU were multi-sport high school athletes. Utah’s football coaching staff followed with a report that 37 of 47 players on their two-deep roster last season played at least two sports in high school. Other programs have produced similar statistics.

College coaches from coast to coast report a preference for high school athletes who have competed in multiple seasons and who have developed, for example, greater quickness and agility during wrestling or basketball season, or better speed during track season.

Against these preferences are the pressures of youth sports organizations which program year-round as well as the misguided impressions of parents who believe single-sport focus is essential to obtaining a college athletic scholarship. Escalating college costs add fuel. And sometimes nonfaculty high school coaches who are hired for a single sport overemphasize the single-sport experience in students’ lives.

Those who lead school sports know the score – the foolishness of chasing college financial aid on the playing field. The chances of getting any financial aid based on participation in a single sport – much less a full “scholarship” – are extremely low. It’s closer to a gamble than a good investment.

As is the case with so much in life, good balance is best.