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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.

Do The Opposite

July 15, 2013

During the summer weeks, "From the Director" will bring to you some of our favorite entries from previous years. Today's blog first appeared Aug. 12, 2011.

In Borrowing Brilliance, author David Kord Murray suggests that some of the brightest, most creative ideas emerge by doing the opposite of what your closest competition is doing.

So when I see school sports in some ways adopting over-hyped and commercialized traits of major college and professional sports or in more ways drifting toward behaviors of non-school youth sports, I sense an absence of creative thinking and doing by the folks in charge.

This wouldn’t worry me if I didn’t foresee that when school sports become too much like non-school sports, folks will begin to earnestly question why schools are spending severely limited time and money duplicating non-school programs.

Which will cause schools to drop those programs – first at subvarsity levels, as is already occurring, and then at all levels.

Which will cause schools to lose what has been well documented to be a great motivator for improving student attendance and grade-point averages and reducing student discipline problems and dropout rates.

It is almost to the point where if I see non-school sports do one thing, I recommend school programs do the opposite.

  • Make athletes pay to play?
    • Schools should do the opposite!
  • Make athletes transport themselves to events?
    • Schools should do the opposite!
  • Schedule lots of games and little practice?
    • Schools should do the opposite!
  • Schedule long-distance travel and national-scope events?
    • Schools should do the opposite!
  • Focus on individuals more than teams?
    • Schools should do the opposite!

In anything and almost everything, in large matters or small, schools should tend toward the opposite of what they observe in much of non-school sports. It will likely be better for the student-athletes and tend to preserve the niche school sports has long enjoyed in the world of sports.