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.
The Essential AD
March 24, 2015
It’s the final week of the winter sports season.
If there is one time of the year when I hear it, and hear it again – that time is now when local school athletic administrators exhale deeply and admit they’re tired and need a break.
The winter season is long. Almost all the practices and contests are indoors, most sharing the same very limited spaces. Stormy weather wreaking havoc with schedules. Officials turning back games due to injury or fatigue.
Many of these administrators gathered last weekend at the annual conference of their professional organization, the Michigan Interscholastic Athletic Administrators Association, which is the best of its kind in the country, unmatched in its commitment to professional development for athletic directors, regardless of their years of service.
It often impresses and inspires me to observe athletic directors, at the time of their greatest fatigue, coming together to be energized with each other’s company and educated by each other’s ideas to improve local programs.
As societal changes cause school competitions to become more complicated and controversial, the case for the full-time, well-trained athletic administrator becomes even more compelling. School districts that cut corners on this essential staff member find only that the resulting problems are worse – even more complicated and more controversial.
This professional administrator is the essential foundation of a safe and sensible program worthy of the name “educational athletics.”