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.
Attending to Football
November 29, 2013
The interscholastic football season comes to an end this weekend with the MHSAA Finals at Ford Field, but the most talked about sport in high schools today will continue to make headlines for many months into the future.
Some of the headlines will introduce topics that are merely footnotes compared to what is really most important, that being the efforts to keep school-sponsored football the safest and sanest brand of football in America.
At the center of these efforts has been a task force appointed by the MHSAA to work throughout 2013 to advance these two objectives: “To promote the value of interscholastic football and to probe for ways to make the sport safer in Michigan.”
The tangible results of the task force’s four meetings are these:
-
- A proposal to the MHSAA Representative Council to revise football practice policies to improve acclimatization of players and to reduce head trauma. The proposal goes to the Representative Council Dec. 6 for discussion, then to the Michigan High School Football Coaches Association and MHSAA Football Committee in January and to the MHSAA League/Conference meeting in February, before returning to the Representative Council for action on March 22.
-
Three proposals to the NFHS Football Rules Committee to modify playing rules to promote player safety.
- A variety of print, online and broadcast promotions on behalf of the value of interscholastic football and its safety record and to encourage healthier out-of-season activities by students in all sports.
MHSAA research informs us that participation in 11- or 8-player football in member high schools this fall was down 3.0 percent compared to 2012, and down 7.63 percent since the 2008 season. The biggest reasons cited by those surveyed are, in declining order, safety issues, declining enrollment, athletes playing other school or non-school sports, cultural changes and pay-to-participate.
It is important to note that participation is not declining everywhere, not even everywhere where enrollments are down and participation fees are up. It is important to note also that some other sports are in much greater decline than football in terms of high school participation.
It is difficult for me to imagine my life without football as a part of it. It’s difficult to imagine schools and communities without football. I very much doubt that the absence of football would have improved my life or the schools and communities I’ve been a part of. It’s a sport that needs our attention, not its extinction.