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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.

Classes or Divisions

April 4, 2014

Never is the continuous cycle of school sports more obvious to me than at this time of year. Just as winter tournaments conclude for 2013-14, we post the classifications and divisions for MHSAA tournaments in 2014-15.

Unlike many states which reclassify every two, three or four years, we collect enrollment figures each year and redraw the lines between Classes A, B, C and D each year in late March. And for all sports except basketball and volleyball, we place an almost equal number of schools that actually sponsor the sport into equal divisions – usually four divisions, but fewer for sports that are sponsored by a relatively small number of schools.

This traditional treatment of boys and girls basketball and girls volleyball – continuing with four classes rather than four divisions with an equal number of schools that actually sponsor the sport in each division – reflects that when last considered for change 17 years ago, there wasn’t much difference in the number of schools in the four classes vs. the four equal divisions in these three tournaments.

For 2014-15, of the 749 MHSAA member schools, 724 indicate they sponsor boys basketball, 716 sponsor girls basketball and 704 sponsor girls volleyball. (Among the sports in equal divisions, the most populous is baseball with 630 sponsoring schools.)

Last January, the MHSAA Classification Committee requested that staff provide the Representative Council what the numbers would look like for 2014-15 if these three sports were in “equal divisions” like other sports. The Classification Committee wasn’t recommending any change – just asking that the Representative Council see the numbers again.

  • In boys basketball, the number of schools in Divisions 1, 2, 3 and 4 would be 181, compared to 188, 182, 182 and 172 in Classes A, B, C and D, respectively.
  • In girls basketball, the number of schools in Divisions 1, 2, 3 and 4 would be approximately 179, compared to 186, 181, 182 and 167 in Classes A, B, C and D, respectively.
  • In girls volleyball, the number of schools in Divisions 1, 2, 3 and 4 would be approximately 176, compared to 186, 178, 180 and 160 in Classes A, B, C and D.

Obviously, every time more schools are placed in a division, the enrollment range between the largest and smallest school of that division expands. Therefore, a change to equal divisions places more schools and expands the enrollment range in the division of schools where enrollment spreads have the greatest impact - Division 4. It was our smallest schools that least liked the change to equal divisions in other sports 17 years ago. They would be the dissenters to this change for basketball and volleyball today.