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26 GoodLifeFamilyMag.com SEPTEMBER OCTOBER 2015 goodHEALTH PREPARTICIPATION PHYSICAL EXAMINATIONS NOT THE SAME AS ANNUAL WELLNESS CHECKUPS Tis the season when athletes must have turned in their physical forms for fall athletics lest they be turned away from the joy of two-a-days and the coming footballtrackcheeretc. season practices. What makes these checkups different from other checkups The primary goal of preparticipation physical exam- ination PPE for athletic clearance is to screen athletes for life-threatening or disabling conditions and for con- ditions that may predispose to injury or illness in the course of physical activity. A PPE is NOT considered a substitute for an annual comprehensive medical and psy- chosocial-behavioral wellness exam as recommended by the American Academy of Pediatrics and often covered as a wellness benefit by major health plans. PPEs are often conducted in cooperation with your childs school athletic department as station examina- tions where athletes go from station to station in public areas of a school building or gymnasium to have their medical history reviewed and a physical exam com- pleted one part at a time. When done privately at your childs primary care physicians office the PPE may be completed in conjunction with or separate from an an- nual wellness exam in accordance with individual office policies. While going to your usual provider for the PPE can be faster and more holistic the more routinized sta- tion-based approach may be more sensitive to picking up subtle findings. In Texas public schools and often many private schools use the Texas University Interscholastic League Preparticipation Physical Evaluation form httpwww.uiltexas.orgfilesathletics formsPrePhysForm15.pdf which can be printed from the inter- net in advance of your childs appointment. PREPARTICIPATION PHYSICAL EVALUATION MEDICAL HISTORY An athletes medical history is the most sensitive predictor of an athletes risk during training and competition. Screening med- ical history can help your provider determine if any additional testing is needed prior to clearance for participation and includes description of Current and past injuries Concussion symptoms Cardiac questions Medical problems chronic as well as recent illnesses Menstrual history Weight changes Medications by Dr. Susan Sugerman Contributor