Pre-participation examination: a new form for Hawaii.

A recent study examining the adequacy of the existing pre-participation physical examination (PPE) form in the State of Hawaii suggested that the form be modified and expanded. The standards for a comprehensive PPE indicate that the screening should include an extensive medical history, assessment of height, weight, blood pressure, pulses, vision, cardiopulmonary (heart, and lungs), maturation, skin, abdominal, genitalia, and musculoskeletal function. Pursuant to the recommendation of this recent study and the accepted standards of the American Academy of Family Physicians, American Academy of Pediatrics, American Medical Society for Sports Medicine, American Orthopedic Society for Sports Medicine, and the American Osteopathic Academy of Sports Medicine, the PPE form utilized by the Hawaii High School Athletic Association has been drastically modified. The new form includes an expanded medical history, a maturational assessment (Tanner Stage), a complete musculoskeletal examination, and a participation clearance and recommendation.