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In Reply.—Dr Beasley's concern brings into sharp focus the inability of today's health care system to provide truly comprehensive adolescent health care to even the 5 to 7 million junior and senior high school participants in scholastic sport programs. As implied by Dr Beasley, young persons in this age group will usually have few, if any, contacts during a given year with health care providers.
Increasingly, safe sport participation demands a preparticipation health evaluation. In view of the numbers involved and the availability of health care professionals, there exists a need for a specific sport-directed examination that will be effective, equally available to all, and economically feasible. In addition, the examination should satisfy the following goals:
Identify medical conditions that may preclude or interfere with safe and effective participation in any particular sport.
Identify medical conditions that may be worsened by sport participation.
Assure the coaches
SMITH NJ. Preparticipation Examination of Athletes-Reply. Am J Dis Child. 1986;140(1):7–8. doi:10.1001/archpedi.1986.02140150009008
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