Kriz Peter K, Clyne Ailis, Ford Sara R
chief 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.
board-certified pediatrician and immediate past president of the Rhode Island chapter of the American Academy of Pediatrics. Dr. Clyne contributed to this article in her personal capacity. The opinions expressed in this article do not represent the views of the Rhode Island Department of Health.
R I Med J (2013). 2016 Oct 4;99(10):18-22.
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].
截至2015年，美国98%的州要求在参加学校体育活动前进行运动前检查（PPE）。尽管有六个医学协会认可的PPE专著广泛可得，但罗德岛的医疗保健提供者（HCP）在PPE的实施方面缺乏统一性。因此，对于寻求运动参与许可的青少年运动员，在进行病史和体格检查筛查的全面程度上存在显著差异。本文档的目的是：1）在罗德岛利用经过同行评审的病史和体格检查建立统一的PPE筛查流程；2）使HCP熟悉2010年PPE专著，重点是心血管和肌肉骨骼（MSK）系统；3）鼓励HCP将PPE视为与年度健康检查分开的实体；4）促使罗德岛的HCP和运动医学提供者提高评估青少年运动员运动参与的质量和流程。[全文可在http://rimed.org/rimedicaljournal-2016-10.asp获取]
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