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.

More Than A Myth

September 5, 2014

Without a sure sense of what the outcome should be, we are engaging school administrators and others in a year-long discussion of possible revisions in out-of-season coaching rules.

We know that we would like the outcome to be simpler rules that are easier to understand and enforce; and that we would like to permit coaches to spend more time with student-athletes out of season; and that we want none of this to make coaches feel like they must coach one sport year-round to be successful or make student-athletes feel like they must play a single sport year-round just to make the team.

If there is a policy that can accomplish the good that we hope for and avoid the bad that we fear, we haven’t yet found it or developed it.

There is a temptation to characterize the multi-sport athlete as an anachronism or myth of modern school sports. However, the multi-sport athlete remains the backbone of interscholastic athletic programs in Class C and D schools.

And the multi-sport athlete still appears to be the ideal athlete, regardless of school size. It is an instructive reminder, I think, that the Lansing State Journal named a three-sport star from Ithaca as its high school male athlete of the year for 2013-14, and it was a four-sport athlete from Eaton Rapids who was named the high school female athlete of the year.

Following my presentation to coaches, student-athletes and parents at Jonesville High School last month, a student approached me to offer thanks for our sponsoring bowling. Jonesville won the MHSAA’s 2014 Division 4 Boys Bowling championship; and the young man who thanked me participates in football, bowling and baseball for his school, representing in my mind the kind of student we should strive the hardest to serve as we develop, revisit and revise policies and programs.