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.

Transforming Coaches

October 12, 2012

Forty-two years ago this past August, I showed up at a high school near Milwaukee for my first teaching and coaching job.  I remember being introduced to the football team just before the first practice, and then just 60 minutes later, on the field, I heard a player call me “coach.”

The next day I overheard one player say to another, “Coach Roberts said . . .”

In 24 hours, I had been transformed from Jack Roberts to Coach Roberts.  And it gave me a very special feeling.

After parents (and sometimes before them), the coach is the most important person in the educational process of school sports.  Good coaches can redeem the bad decisions that administrators or parents sometimes make; and bad coaches can ruin the best decisions of administrators and parents.

Coaches have enormous influence over how kids think, how they act and what they value.

There is no time or money better spent in school sports than the time and money spent on coaches education.  Every coach, every year in continuing education regarding the best practices of supervision, instruction and sports safety, as well as in ethics, values, sportsmanship and leadership.

The MHSAA Coaches Advancement Program should be the centerpiece of every school district’s ongoing, multi-faceted training program for coaches.  We expect continuing education for classroom teachers.  Why would we ever consider less for those who work with large numbers of students in settings of high emotion and with some risk of injury attended by hundreds or even thousands of spectators?