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.
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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?
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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?
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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.
Risk Minimization Reaches More
May 9, 2014
Every season – fall, winter and spring – the MHSAA launches a series of sport-specific rules/risk management meetings, completion of which has been a requirement for high school varsity head coaches and MHSAA registered officials who want to coach or officiate in the MHSAA tournament for that sport. Two significant changes will occur for the 2014-15 school year.
For the first time in 2014-15, all assistant and subvarsity high school coaches must complete the same meeting requirement as the high school varsity head coach or, in the alternative, they must complete one of seven free online health and safety courses that are posted on MHSAA.com and designated to fulfill this requirement. High school athletic directors must certify each season, three times a year, that all their assistant and subvarsity coaches for that season have completed that requirement.
Also, for the first time in 2014-15, the MHSAA will be posting content for officials that differs from the content for coaches. While coaches are being given a review of select Handbook regulations, for example, officials will be reminded of key elements of effective officiating, regardless of the sport or level of competition.
These new policies are intended to bring more relevant content to a greater number of those who work with student-athletes and to further emphasize risk minimization in educational athletics.
In 2013-14, slightly more than 20,000 coaches and officials completed the MHSAA rules/risk management meeting requirement. The number will greatly exceed 100,000 in 2014-15.