Logo

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.

Football Practice Proposals

June 11, 2013

During 2013, a Football Task Force has been working on revisions to practice policies that might simultaneously improve acclimatization of players and reduce head trauma. Over three meetings, the following four-part recommendation has been developed:

  1. During the first week of practice of the season, only helmets are allowed the first two days, only shoulder pads may be added on the third and fourth days, and full pads may not be worn until the fifth day of team practice.
  2. Before the first regular-season game, schools may not schedule more than one “collision” practice in a day.
    • A “collision” practice is one in which there is live, game-speed, player-vs.-player contact in pads (not walk-throughs).
    • During any additional practice sessions that day, players may wear helmets and other pads (neither is mandatory). Blocking and tackling technique may be taught and practiced. However, contact is limited to players vs. pads, shields, sleds or dummies.
  3. After the first regular-season game, teams may conduct no more than two collision practice days in any week, Monday through Sunday. During other days of practice, players may wear helmets and other protective pads (neither is mandatory). Blocking and tackling technique may be taught and practiced.  However, contact is limited to players vs. pads, shields, sleds or dummies.
  4. No single practice may exceed three hours, and the total practice time for days with multiple practice sessions may not exceed five hours.
    • Warm-up, stretching, speed and agility drills and cool down are all considered part of practice. Neither strength/weight training activities nor classroom sessions are considered practice for the purposes of the three- or five-hour limits.

MHSAA staff will be taking this recommendation on the road from now through October to obtain constituent understanding and feedback. It is the intent of the Task Force to finalize its consensus regarding these matters by late November so they may be reviewed by the Michigan High School Football Coaches Association, the MHSAA Football Committee and at the MHSAA League Leadership meeting prior to Representative Council action in March 2014.