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Medical News & Perspectives
May 15, 1991

School-Based Health Clinics Provide Essential Care

JAMA. 1991;265(19):2458-2460. doi:10.1001/jama.1991.03460190022005

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A WINNING season for the Westdale Middle School basketball team in Baton Rouge, La, was a sort of bonus for family physician Holley Galland, MD. When the director of Westdale's school-based health clinic gave preseason physicals to the players, their prospects didn't look so bright.

Galland tersely sums up what happened: "In one afternoon of screening kids on the team, I picked up three asthmatics, none of whom were stabilized, all of whom I 'tuned up,' and we had a winning season. I'm hoping a little preexercise medication helped these kids plow down the opposition!"

Most of the students who participate in the estimated nearly 300 schoolbased clinics (SBCs) in the United States are struggling against obstacles more obdurate than rival hoopsters. Recent interviews with the directors of several clinics and others who are involved with such programs confirm that, contrary to popular opinion, adolescents require medical care for a

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