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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.

Official Feedback

June 10, 2014

We receive much unsolicited comment about the performances of officials and the conduct of spectators. Here’s some of what the MHSAA does to actively solicit input from its key constituents.

Since 1956, the MHSAA has required member schools to provide numerical ratings of officials who work their contests. Since 1998, the system has also allowed schools to cite particular areas of perceived weakness; and doing so is required whenever a school provides a rating of “5” (worst) on the 1-to-5 scale.

There are many deficiencies in a system like this, including that it sometimes means that coaches or administrators are doing the rating, and some of them have never officiated and may not know the rules and mechanics as well as the officials. The rating can also be affected by whether the school won or lost.

Nevertheless, the system has value, not as a true evaluation of an official’s performance for any particular contest, but – when the ratings of all schools are combined over a three-year average – as a number that the official can use to understand his or her abilities relative to all other officials. And it’s a number the MHSAA can use, along with recommendations of local officials associations and assigners, when considering assignments to various levels of MHSAA tournaments.

It is also noteworthy that for 25 years, the MHSAA has used a reporting form allowed in some cases and required in others, whereby officials report unusual events to the MHSAA office immediately after contests. During a typical fall season, about 300 such reports will be filed; about 250 each winter season; about 200 each spring season. Any school which receives three or more negative reports over three seasons receives a letter of concern from the MHSAA and the school’s name is published in benchmarks; and any school that receives no such reports over three seasons receives a letter of praise.

In 2008-09, the MHSAA also began a program whereby officials could rate school sportsmanship. During the winter season of 2013-14, there were approximately 4,000 reports filed, including 2,400 in basketball. The Basketball Coaches Association of Michigan honors the best 100 schools where BCAM members are coaching.