TY - JOUR
T1 - Missed Opportunities in the Preparticipation Physical Examination for High School Athletes
AU - Perlman, Meryl
AU - Williams, Wadsworth A.
AU - Ross, Lainie Friedman
N1 - Publisher Copyright:
© The Author(s) 2019.
PY - 2019/5/1
Y1 - 2019/5/1
N2 - The preparticipation sports examination (PPE) is required for US high school athletes. We queried members of the Illinois Chapter of the American Academy of Pediatrics (ICAAP) about what they actually include in a PPE, allotted PPE time, and counseling about full contact sports participation. Of 2300 ICAAP members contacted electronically, 228 (10%) responded, yielding 205 usable surveys. When performing a PPE, 34 (25%) always complete all of 6 selected AAP-recommended PPE components and 102 (74%) always get a concussion history. In contrast, 29 (21%) always complete all of the 6 selected AAP PPE components and 70 (49%) always get a concussion history as part of well-child checkup. Main interferences with clinician proficiency are lack of time and training cited by 49% and 37%, respectively. Pediatricians were evenly divided about whether or not to counsel against full contact sports, but were more likely to do so after the athlete sustained a first concussion.
AB - The preparticipation sports examination (PPE) is required for US high school athletes. We queried members of the Illinois Chapter of the American Academy of Pediatrics (ICAAP) about what they actually include in a PPE, allotted PPE time, and counseling about full contact sports participation. Of 2300 ICAAP members contacted electronically, 228 (10%) responded, yielding 205 usable surveys. When performing a PPE, 34 (25%) always complete all of 6 selected AAP-recommended PPE components and 102 (74%) always get a concussion history. In contrast, 29 (21%) always complete all of the 6 selected AAP PPE components and 70 (49%) always get a concussion history as part of well-child checkup. Main interferences with clinician proficiency are lack of time and training cited by 49% and 37%, respectively. Pediatricians were evenly divided about whether or not to counsel against full contact sports, but were more likely to do so after the athlete sustained a first concussion.
KW - concussions
KW - counseling
KW - high school sports
KW - pre-participation physical examination
KW - well-child checkup
UR - http://www.scopus.com/inward/record.url?scp=85061982780&partnerID=8YFLogxK
U2 - 10.1177/0009922819832021
DO - 10.1177/0009922819832021
M3 - Article
C2 - 30788982
AN - SCOPUS:85061982780
SN - 0009-9228
VL - 58
SP - 547
EP - 554
JO - Clinical Pediatrics
JF - Clinical Pediatrics
IS - 5
ER -