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Shared Responsibility

March 26, 2013

My counterpart in Georgia has a nice way with words, and recently used that talent to add his perspective to topics like those we’ve been addressing here in Michigan.  In the March 2013 Georgia High School Association newsletter, under the title “All of Us Must ‘Pay the Price’ for Student-Athlete Wellness,” GHSA Executive Director Ralph Swearingin writes:

“In ‘History and Philosophy of Education’ courses many of us learned that an early concept in the American educational system involved the school operating ‘in loco parentis’ – in the place of the parent.  During those early days, that concept was applied to the authority of school personnel to regulate the behavior of students.  Over time, however, the application of that concept to school discipline has diminished.

“It is interesting to note that school personnel are called upon to fulfill parental roles in ways that were not prevalent in the past.  Over time there has been an evolution of responsibilities placed on the educational system to provide services that used to be provided by the family.  One such area involves the responsibility to be the ‘health and safety guardians’ of our students.  Debates about whether it is the school’s responsibility are non-productive.  This responsibility has been thrust upon member schools and state association staff members, and it is doubtful that this trend is reversible . . .

“The very nature of athletics makes it impossible to guarantee the safety of every student in every sport.  The goal is to minimize the risk to these students with prudent preparation and vigilant supervision.  While the American culture may be thrusting this responsibility on the school personnel, there are productive ways to send some of that responsibility back to the students and their families.

“. . . Students and their families need to be informed about all of these issues.  Preseason meetings with players and parents or guardians should involve the dissemination of information about relevant health and safety considerations . . .

“But education of players and their families is not enough.  Coaches must be certain to teach techniques that minimize risks, and to be certain that all equipment used in the sport are in good repair and are being used properly.  School personnel need to be certain that published guidelines and protocols are being followed.  Doing these things involves the expenditure of time and money, but the well-being of our students dictates that we ‘pay the price.’ ”

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.