Yin and Yang
November 15, 2016
The essential skill in the ancient yet still practiced art of paper cutting is to be able to make a single cut that will remove what is unwanted and retain what is needed. The Chinese phrase "yin and yang" captures the meaning ... that which is simultaneously disconnected and connected.
There is a similar art to leading modern day interscholastic athletics, where the top task is simultaneously to protect and promote school sports. Preventing what will damage the pure essence of the interscholastic brand while at the same time promoting the experience for players and spectators.
As the Michigan High School Athletic Association steps up efforts to promote attendance and enhance the spectator experience at local and statewide school-sponsored athletic events, the MHSAA must also be intentional to avoid or discard that which will poison the underlying educational purpose of the events.
As the National Federation of State High School Associations launches its #MyReasonWhy campaign, it must do the same. What we believe and what we do must remain connected.
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.