Virginia's athletic exam form: results and revisions

In followup of the expanded preparticipation physical exam form introduced by the Virginia High School League in 1989, the author finds substantial evidence of beneficial effects: 1) Perception by school administrators, parents, and students of distinctly improved physical evaluations. 2) Demonstration of previously unrecognized historical and physical findings of significance. 3) Newfound interest in the relationship of health, fitness, and sports among students, coaches, and physicians. 4) Recognition of Virginia's leadership in promoting safety among high school athletes. Suggestions from the medical community generated revisions in the form, which creates a more effective form and gives the physician more flexibility.