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.
Connecting with Coaches
January 28, 2014
In the coming weeks, the MHSAA will meet with the leadership of the high school coaches associations of our state. We have been doing this for more than 25 years, with two primary purposes.
First, we want to provide a forum for these leaders to share with one another their new ideas and initiatives and to discover “best practices” from one another, hoping that this will lead to the better plans being implemented in multiple organizations.
Our second purpose is to present some of the MHSAA initiatives or rules changes that are applicable to all or most sports. It’s not a time when we talk about the baseball pitching rule or the football playoff point system, but a time when we discuss topics of more universal application.
This year those topics included new requirements for coaches education, new rules for athletic-related transfers and proposed rules changes for international students, a simplified scrimmage rule for all sports, and a modified penalty for participation in certain all-star events.
It is intended that these coaches association leaders will be enabled to take these topics to their respective boards and members in order to increase understanding of proposed changes and to facilitate feedback to the MHSAA Representative Council and staff.