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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.

What Sport Looks Like

April 9, 2013

The decision of the International Olympic Committee to eliminate wrestling from its schedule of events is deplorable for more reasons than I have room to describe here.  Many others have expressed their outrage, which I share; and it looks like there will be a concerted effort to have the IOC reverse itself.

Notwithstanding all the angst it created and has yet to endure, the IOC’s policies and procedures are intriguing, and possibly useful.  They go something like this.

Periodically, the IOC requires each of the designated Olympic sports to defend its status, to state their case why the sport should remain a part of the Olympic program.  Then, after a series of votes that retain one sport at a time, the IOC drops the sport that makes the weakest case.  It does so to make room for one of the previously unlisted sports that makes the best case for inclusion.

This would appear to keep the existing Olympic sports on their toes, and to keep the Olympic movement fresh and reflective of modern trends in sports.

While I would not enjoy the controversy, I can see the potential for some positive results if the MHSAA were to invoke the same policy for determining the 14 tournaments it will provide for girls and the 14 for boys.

This might cause us to consider more deeply what a high school sport should look like, or at least what an MHSAA tournament sport should stand for.

On the one hand, we might be inclined to delete those sports that involve mostly non-faculty coaches and non-school venues, or require cooperative programs to generate enough participants to support a team, or resort almost entirely to non-school funding, or cater to individuals more than teams.

Or perhaps this process would cause policymakers to forget traditional thinking and ask:  “In this day and age, should we shake off traditional notions of sport and consider more where modern kids are coming from?”  That might mean fewer team sports and more individual sports, more “extreme” sports like snowboarding and skateboarding, and more lifetime sports, meaning not just golf and tennis and running sports, but also fishing and shooting sports.

Is the only question how many schools sponsor a sport, or must an activity also have certain qualities and/or avoid certain “defects?”  What should an MHSAA tournament sport look like and stand for?