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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.

Sportsmanship and Success in Soccer

August 16, 2012

Ralph Polson, president of the National Soccer Coaches Association of America (NSCAA), reports in the July/August 2012 Soccer Journal that there is a strong statistical link between sportsmanship and success in intercollegiate soccer.  He cites the work of Tim Lenahan, head men’s coach at Northwestern University, who compiled total fouls, yellow cards and red cards for the 2011 season to create a “Fair Play Rating” (FPR).

Polson reports that 12 of the 20 teams with the top FPR made the NCAA tournament, while only one of the teams in the bottom 20 did.  Of course, this is a statistical link, not necessarily cause and effect.  But here’s how Mr. Polson concludes his column:

“How should we interpret this data?  One direction is toward more disciplined teams.  It seems to me the more a culture of sportsmanship and fair play is established, the more likely any team is to demonstrate the consistency needed for success.  The data suggests those teams without entrenched standards, with respect to on-field behavior, should anticipate a higher likelihood of failure in today’s highly competitive environment.

“Play within the spirit of the game and more than just a win may be gained; play against the spirit of the game and much more than just a game may be lost.”

Dr. Brian Crossman, chair of the NSCAA Ethics Committee, contributes this to the discussion in the same issue of Soccer Journal:

“A five year study from 2007 to 2011 of almost 4,700 intercollegiate soccer matches in which only one player was red-carded during the match showed a strong likelihood that the player’s team would lose.  Teams that had one player red-carded lost 67 percent of the matches, tied 10 percent of the matches and won 23 percent of the matches.  In other words, a team that had a player red-carded at any time during the match was three times more likely to lose the match than win it.  Taking steps to encourage clean and fair play, and thus to reduce the likelihood of having players ejected, will pay dividends in sportsmanship and should improve your team’s won-loss record.”

For more, go to www.nscaa.com.