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.
How Much is Too Much?
April 26, 2013
Everybody acknowledges it’s a different world today, that school sports are not the only game in town anymore. Many people also recognize that well-intentioned rules to curb excesses and abuses in school sports not only do that, but also tend to drive student-athletes to non-school coaches and programs.
Every other year or two for the past dozen years or more there has been a tweaking of rules – nothing radical – addressing what can occur out of season between school coaches and their student-athletes.
We’ve been slow to change, worrying that if we go too far too fast, we might change too much of what shouldn’t change and never be able to change it back.
This is a difficult and defining topic we must keep before us. How much activity we allow out of season, or don’t allow, affects the nature of educational athletics in Michigan. Both our actions to date, as well as our inactions, have already shaped our scene, for better or worse; and both will continue to do so.