Logo

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.

See the Whole Play

August 19, 2014

“What I Learned from That Play” was the name given to a session at the National Association of Sports Officials (NASO) Summit in Albuquerque last month. Several prominent officials talked about tough calls they made. One official was telling us of an error made, the other of a correct call; but the message was the same from both: “See the whole play.”

One official described an apparent touchdown reception where the focus of the officials was intent upon whether or not the receiver had a foot inbounds and maintained possession of the ball. Both occurred, but all the officials missed the fact that the receiver’s foot had brushed the pylon at the goal line, which made the pass incomplete regardless of what followed. “In focusing so intently on two key aspects of the play, we missed a detail that overruled the other two.”

“To make the right call we have to avoid narrow focus and be aware of all details,” this college official opined.

The other official described a play in which the quarterback rolled to his left to throw a pass while linemen provided protection. There was a near chop block by the left guard and running back, near hold by the right tackle, and a center/guard double team that had to be observed closely. But there were no penalties called, correctly according to the video the audience was shown.

The play ended with the quarterback heaving a forward pass just as he was being tackled. The referee called him down by contact, before the pass; and the video showed that call to also be correct.

The referee said: “If the officials had fixated on the double team, or the potential hold or the possible chop block, the crew may have missed that the quarterback was down by contact for a seven-yard loss.”

Each official was speaking of the importance of seeing the whole play – all of the key factors. Staying open to all the details.

Game officials must do this over the span of a few seconds or less, but countless times over the course of a contest. Administrators have the luxury of minutes, days, weeks or longer to get it right.

Here are a few more pearls of wisdom from the nation’s leading gathering of sports officials, these from Barry Mano, NASO president:

  • “Incorrect no-calls are easier to explain than incorrect calls.”
  • “Officials are to enforce, not appease.”
  • “In spite of their criticisms, there is no sensible parent who would want their child to participate without officials.”