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Preparticipation Physical Exams: The Rhode Island Perspective, A Call for Standardization
Peter K Kriz1, Ailis Clyne2, Sara R Ford3
1chief of primary care sports medicine at University Orthopedics. He is an Assistant Professor (Clinical) of Orthopedics and Pediatrics at the Warren Alpert Medical School of Brown University. Dr. Kriz is also a member of the Rhode Island Interscholastic League's Sports Medicine Advisory Committee.
Abstract:
As of 2015, 98% of U.S. states require preparticipation exams (PPE) before participating in scholastic sports. Despite widespread availability of a PPE monograph endorsed by six medical societies, a lack of uniformity exists regarding implementation of the PPE among Rhode Island health care providers (HCPs). Consequently, significant variability exists regarding how comprehensive a history and physical exam screening is conducted for adolescent athletes looking for sports participation clearance. The purpose of this document is to: 1) establish a uniform screening process in Rhode Island for the PPE utilizing a peer-reviewed history and physical exam; 2) familiarize HCPs with the 2010 PPE monograph, with emphasis on the cardiovascular and musculoskeletal (MSK) systems; 3) encourage HCPs to treat the PPE as a separate entity from the annual wellness visit; 4) engage HCPs and sports medicine providers in Rhode Island to improve the quality and process of evaluating adolescent athletes for sports participation. [Full article available at http://rimed.org/rimedicaljournal-2016-10.asp].
