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.
Only in Football
November 22, 2011
There was a time when even undefeated teams might not qualify for the MHSAA Football Playoffs. Eventually, the playoffs were expanded to eight divisions, each of 32 teams, assuring any team which could manage six wins was an automatic qualifier, and also that many teams with only five wins would qualify (20 five-win teams in 2011).
It was anticipated that this would allow good teams to schedule like-size, nearby opponents without fear of a loss or two. But some observers now complain that mediocre teams won’t schedule certain nearby opponents because they fear a fourth loss that could keep them from certain postseason play. Long-standing league affiliations are being stressed by this mindset.
There are very smart, very sincere people who want the MHSAA to once again expand the playoffs to, they hope, eliminate these problems; but the MHSAA has already done its part to accommodate football’s “uniqueness.” For example. . .
- It is only in football that MHSAA tournaments have more than four classes and divisions. In football there are now eight divisions for the 11-player game, plus one division for the 8-player game.
- It is only in football that MHSAA tournaments are longer than three weeks. In football, it takes five weeks to crown champions in those eight divisions for the 11-player game.
- It is only in football where first-round tournament matchups can result in round-trip travel of 600, 700, 800 or more miles.
Proposals that would create even more extravagance – more 11-player divisions, more weeks of playoffs and more long trips – all because schools are reluctant to schedule nearby opponents during the regular season – are all proposals that should be sacked.