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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.

A Rite of Spring

March 21, 2015

It is inevitable in March, as predictable as May flowers after April showers, that the weeks of District Basketball Tournaments will bring criticism, and calls to seed those tournaments so top ranked teams don’t face one another in early round games.

The MHSAA’s tournament has been unseeded for 90 years; and while we should never be slaves to the past, we should always be respectful and appreciate that smart people of previous generations had many of the same discussions we are having today; and they determined that the blind draw was best.

While the preference for the blind draw has prevailed in recent years, the almost addictive attention of the media and public to the “bracketology” of NCAA basketball tournaments appears to have improved the chances that some form of seeding will eventually be applied to the MHSAA Basketball Tournament and, in doing so, join a half dozen other sports for which the MHSAA employs at least a limited seeding plan for at least one level of those tournaments.

The challenge before us is not intellectual – seeding tournaments is not rocket science. No, the challenge is political – forming consensus for a plan that does not lead to extra travel and expense for participating schools, and that can be easily understood and simply administered at multiple sites. We are talking about 256 District tournament sites – 128 each in the Girls and Boys Basketball Tournaments. The problems and pitfalls of seeding tournaments of this magnitude are nothing the colleges have tried to tackle.

And no one should be deluded that seeding is a “no-brainer” that “everyone supports.” That is not accurate. There are many people who enjoy the fact that there are top-notch matchups every night of the District tournament weeks, and not all delayed to the nights of District finals. And there will be little enthusiasm from poorly seeded teams which are forced to drive past a closer opponent to get clobbered by a more distant opponent.

While postseason tournaments are the MHSAA’s “bread and butter” program, tournament seeding is not a defining or fundamental issue of educational athletics that requires our urgent or concentrated attention. Promoting participant health and safety, for example, demands much more attention. I’m not opposed to seeding; I just don’t give it the same importance as so much else we are challenged to do.