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.
Middle School Membership
September 27, 2013
Of the approximately 2,000 schools serving 7th- and 8th-grade students in Michigan, according to the 2013 Michigan Education Directory that does not include home schools, only 731 are members of the Michigan High School Athletic Association. There are several reasons that explain this gap.
It is not a matter of cost. As with high schools, junior high/middle school membership is free. More likely reasons for the gap between the number of schools serving 7th- and 8th-graders and the number of those schools belonging to the MHSAA are these:
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The school district overlooks MHSAA membership. This is often the case when there is no high school connected to the junior high/middle school.
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The school district does not sponsor interscholastic athletics at the 7th- and 8th-grade level. At that level, sports are community run, so the school sees no need for MHSAA membership.
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The school district does sponsor 7th- and 8th-grade sports but does not want to follow MHSAA rules. And among the rules these school districts object to are these:
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The limits on the number of contests . . . they’re too few; and/or
The prohibition of 6th-graders on teams of 7th- and 8th-graders.
This third reason, and especially these two objections, are being reviewed throughout the MHSAA constituency again this year. And I’ll have more to say in our next three postings.