Predictable Problems
April 9, 2012
A completely predictable theme of this year is that as schools continue to cut support for school sports, they bring more controversy to school sports.
It is impossible to avoid serious problems running a comprehensive interscholastic athletic program involving many participants, lots of spectators, great emotion and some risk of injury, without dedicating competent full-time staff to its supervision.
Two emerging trends since schools have trimmed support for interscholastic athletics are . . .
more mistakes are being made (not because of more deception but because of more distractions – too little time on task); and
more of the oversights are being discovered later in the season. So late, in fact, that MHSAA tournament brackets are left empty. We had a team claim a Boys District Basketball Tournament trophy one week without playing the District championship game. The next week another team received a Boys Regional Basketball Tournament trophy without playing the title game. In each case, the opposing team had advanced with an ineligible player, and had to withdraw.
If we reduce time on task, if we minimize training and support, we invite mistakes and oversights, which invites forfeits and injuries, which incites controversy in the school and community.
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.