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.

Practice Makes Perfect?

May 19, 2013

For years, leaders of educational athletics have been critical of sports specialization, citing the physical, emotional and financial price that is often paid by young people and their families as young athletes (or their parents) chase unrealistic dreams.  The weight of evidence I’ve seen has made me conclude that sports specialization is good for some, but a multi-sport experience is better for most young people.

Recently I’ve read about a new challenge to the sports specialization myth.  It’s called “interleaving.”  It posits that “mixing things up” is a better way to train; that brains and muscles get a better workout by mixing tasks.

This is getting national attention at thedanplan.com which chronicles a 30-something commercial photographer, Dan McLaughlin, who quit his job in Oregon with the goal of becoming a top-level professional golfer.  He had read in Malcolm Gladwell’s Outliers that 10,000 hours of practice would gain him international expertise.

Along the way on this quixotic journey, Dan McLaughlin not only has been testing the 10,000-hour theory, he’s been testing interleaving – mixing lengths of putts during putting practice, mixing different types of shots on the driving range, etc.

Time magazine reported in April that this has the attention of UCLA’s Learning and Forgetting Lab which is testing the Florida State University theory popularized by Gladwell, and is searching for “the biological sweet spot.”

FYI:  McLaughlin has not yet qualified for the PGA tour.  But on the other hand, he still has about 4,000 practice hours to go.