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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.

Summer School Sports

October 14, 2014

We are talking statewide about changes in MHSAA policies that some constituents think are overdue but that many other constituents find are over the top. For example:

  • Permitting MHSAA member junior high/middle schools to engage students prior to the 7th grade, and to schedule longer contests, more contests and even MHSAA Regional tournaments; and


  • Permitting member school coaches to engage more with their student-athletes outside their defined school sports seasons.

From my perspective, these are the kinds of moves to make to assure a future for school-based sports, for wherever and whenever we have paused or imposed a restriction, there and then non-school coaches, programs and “handlers” have moved in; and some of them have not played nicely. And the more I’ve seen non-school currents pollute the waters of school sports, the less I’ve wanted to restrict the engagement of school coaches out of season or confine school sports to traditional seasons.

What we are talking about today are not only overdue changes, they are insufficient if we really want to return school sports to the central, most coveted and compelling sports experience for youth. To more certainly assure that future role, we should be doing more than merely adjusting our outdated junior high/middle school programming to fit the modern world where children begin to play at younger ages and compete at higher levels than is currently allowed for MHSAA member schools. Our 1950s philosophy for the junior high/middle school level does not fit 2014 reality.

But we shouldn’t stop there. We should also be rethinking and retooling the high school level with an innovative school-sponsored and conducted summer season that includes school seasons and MHSAA tournaments in ...

  • Coed team tennis.


  • Coed golf in the Ryder Cup format.


  • Non-contact 7-on-7 football for boys, and flag football for girls.

And there obviously could be much more that would be fun and engaging and educational for our students.

Certainly, there will be objections, and most will center on finances. But if non-school sports have figured out ways to finance programs in what are now our off seasons, we too can figure out ways to pay for our new summertime programs.