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.
Failing Boys
July 9, 2012
In the autumn of 2002, I included the following statement in a longer editorial in the MHSAA Bulletin:
“Year after year I go to league and conference scholar-athlete awards banquets and see girls outnumber boys by wide margins: 54 girls to 33 boys honored at a March event in mid-Michigan is typical of what has occurred many places over many years.
“Year after year, I attend senior honors programs and see girls outnumber boys: 147 awards to girls versus 70 awards to boys honored at a May event in mid-Michigan is typical.
“Look at these figures from the National Federation of State High School Associations:
• “68.3% of vocal music participants are girls.
• 66.4% of participants in group interpretation speech activities are girls.
• 63.3% of participants in individual speech events are girls.
• 62.7% of orchestra members are girls.
• 61% of dramatics participants are girls.”
Nothing since that time has changed my opinion that schools and society at large are expecting far too little of boys. It’s as if boys get a free pass from high expectations if they do sports and don’t do drugs. Far too little is asked of far too many of our male students.
Now add this to the story: There is a growing body of research that supports the premise that while high school sports participation is great for girls, it’s actually bad for high school boys. Bad because it leads to lower participation in non-athletic activities, lower achievement in the classroom, and lower scores on measures of personal conduct and character than their female counterparts.
Males are dropping out of high schools at higher rates and enrolling in colleges at lower rates than females. They’re abusing drugs at higher rates than females, and males are committing both violent and petty crimes at much higher rates than females. Could much of this be linked to the low expectations we have for high school students? Isn’t it time for organized advocacy on behalf of boys?