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.
A Triple Play for Coaches
May 28, 2013
The following resolution was adopted by the Delegate Assembly of the Michigan Association of School Boards last November:
“The Michigan Association of School Boards urges all local school boards to:
“(a) Employ qualified persons as coaches of interscholastic teams.
“(b) Provide in-service training for all coaches, including training in first aid, current CPR certification, proper athletic conditioning, recognition of athletic injuries, recognition of the use of performance enhancing drugs, and the proper way to deal with hazing within the athletic programs of a school. Much of this training is available through MHSAA’s Coaches Advancement Program (CAP).
“(c) Require supervision and evaluation of coaches.
“(d) Make coaches aware of pertinent school policies, rules and regulations and require compliance.
“(e) Encourage coaches to follow the athletic code for coaches in the MHSAA Handbook and include information regarding NCAA eligibility guidelines and requirements.”
During the 2013-14 school year, the MHSAA Representative Council will vote on two proposals that are consistent with this resolution:
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In December, the Council will consider this enhancement to coaches preparation:
By 2015-16, MHSAA member high schools will be required to certify by the designated deadlines that all of their varsity head coaches of high school have a valid (current) CPR certification. Inclusion of AED training is a recommended part of the CPR certification process.
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In March, the Council will consider this enhancement to coaches preparation:
By 2016-17, all individuals hired for the first time as a varsity head coach of a high school team, to begin those coaching duties on or after July 1, 2016, must have completed Level 1 or Level 2 of CAP.
These two measures join the following that the Council approved on May 5:
By 2014-15, high schools must attest prior to established deadlines that all assistant and subvarsity coaches at the high school level have completed annually the same MHSAA rules meeting required of all varsity head coaches or, in the alternative, one of the free online sports safety courses posted on or linked from MHSAA.com and designated to fulfill this requirement.