{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T05:21:59Z","timestamp":1777526519847,"version":"3.51.4"},"reference-count":28,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2019,2,21]],"date-time":"2019-02-21T00:00:00Z","timestamp":1550707200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Pediatr (Phila)"],"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:p>The preparticipation sports examination (PPE) is required for US high school athletes. We queried members of the Illinois Chapter of the American Academy of Pediatrics (ICAAP) about what they actually include in a PPE, allotted PPE time, and counseling about full contact sports participation. Of 2300 ICAAP members contacted electronically, 228 (10%) responded, yielding 205 usable surveys. When performing a PPE, 34 (25%) always complete all of 6 selected AAP-recommended PPE components and 102 (74%) always get a concussion history. In contrast, 29 (21%) always complete all of the 6 selected AAP PPE components and 70 (49%) always get a concussion history as part of well-child checkup. Main interferences with clinician proficiency are lack of time and training cited by 49% and 37%, respectively. Pediatricians were evenly divided about whether or not to counsel against full contact sports, but were more likely to do so after the athlete sustained a first concussion.<\/jats:p>","DOI":"10.1177\/0009922819832021","type":"journal-article","created":{"date-parts":[[2019,2,21]],"date-time":"2019-02-21T06:56:33Z","timestamp":1550732193000},"page":"547-554","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Missed Opportunities in the Preparticipation Physical Examination for High School Athletes"],"prefix":"10.1177","volume":"58","author":[{"given":"Meryl","family":"Perlman","sequence":"first","affiliation":[{"name":"University of Chicago, Chicago, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"suffix":"II","given":"Wadsworth A.","family":"Williams","sequence":"additional","affiliation":[{"name":"University of Chicago, Chicago, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7395-3000","authenticated-orcid":false,"given":"Lainie Friedman","family":"Ross","sequence":"additional","affiliation":[{"name":"University of Chicago, Chicago, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2019,2,21]]},"reference":[{"key":"bibr1-0009922819832021","doi-asserted-by":"publisher","DOI":"10.1542\/9781610020237"},{"key":"bibr2-0009922819832021","volume-title":"Preparticipation Physical Evaluation","author":"Bernhardt DT","year":"2010","edition":"4"},{"key":"bibr3-0009922819832021","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2015-3282"},{"key":"bibr4-0009922819832021","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2014-0692"},{"key":"bibr5-0009922819832021","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2011-1165"},{"key":"bibr6-0009922819832021","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2010-2005"},{"key":"bibr7-0009922819832021","doi-asserted-by":"publisher","DOI":"10.1097\/00042752-200405000-00001"},{"key":"bibr8-0009922819832021","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2016-096892"},{"key":"bibr9-0009922819832021","doi-asserted-by":"publisher","DOI":"10.1097\/00042752-200405000-00002"},{"key":"bibr10-0009922819832021","unstructured":"Healy M. Long-term risks of childhood head injury may include winding up on welfare and premature death. Los Angeles Times. http:\/\/www.latimes.com\/science\/sciencenow\/la-sci-sn-tbi-long-term-20160823-snap-story.html. Published August 23, 2016. Accessed January 16, 2019."},{"key":"bibr11-0009922819832021","unstructured":"Hamblin J. Football alters the brains of kids as young as 8. The Atlantic. https:\/\/www.theatlantic.com\/health\/archive\/2016\/10\/football-kids-heads\/504863\/. Published October 24, 2016. Accessed January 16, 2019."},{"key":"bibr12-0009922819832021","unstructured":"DiCaro J. Mom\u2019s goodbye to youth football. Washington Post. http:\/\/www.santafenewmexican.com\/life\/family\/mom-s-goodbye-to-youth-football\/article_7ff36f2b-036c-51f4-a45c-e469c5aeccf1.html. September 12, 2017. Accessed January 16, 2019."},{"key":"bibr13-0009922819832021","unstructured":"Carey B. Study focuses on repeated hits, not concussions. The New York Times. https:\/\/www.nytimes.com\/2016\/04\/01\/health\/study-focuses-on-repeated-hits-not-concussions.html. Published March 31, 2016. Accessed January 16, 2019."},{"key":"bibr14-0009922819832021","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2008-2601"},{"key":"bibr15-0009922819832021","first-page":"411","volume":"94","author":"Klein DA","year":"2016","journal-title":"Am Fam Physician"},{"key":"bibr16-0009922819832021","unstructured":"Brenner JS. Focus on subspecialties: sports physicals: more than a signature. AAP News. http:\/\/www.aappublications.org\/news\/aapnewsmag\/2016\/02\/09\/SportsExam020916.full.pdf. February 9, 2016. Accessed January 16, 2019."},{"key":"bibr17-0009922819832021","doi-asserted-by":"publisher","DOI":"10.3928\/19382359-20170222-01"},{"key":"bibr18-0009922819832021","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0b013e31828d57dd"},{"key":"bibr19-0009922819832021","doi-asserted-by":"publisher","DOI":"10.1001\/jama.282.10.958"},{"key":"bibr20-0009922819832021","unstructured":"Illinois General Assembly. CTE Prevention Act, Bill Status of HB4341. http:\/\/www.ilga.gov\/legislation\/BillStatus.asp?DocTypeID=HB&DocNum=4341&GAID=14&SessionID=91&LegID=109000. Accessed January 16, 2019."},{"key":"bibr21-0009922819832021","unstructured":"Sports and Society Program, Farrey T, Solomon J. What if . flag becomes the standard way of playing football until high school? An Aspen Institute Sports and Society Program Analysis. https:\/\/assets.aspeninstitute.org\/content\/uploads\/2018\/09\/FINAL-Future-of-Football-Paper.3.pdf. Accessed January 16, 2019."},{"key":"bibr22-0009922819832021","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp1513993"},{"key":"bibr23-0009922819832021","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2016-096648"},{"key":"bibr24-0009922819832021","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2017.01.048"},{"key":"bibr25-0009922819832021","doi-asserted-by":"publisher","DOI":"10.1016\/j.pediatrneurol.2016.03.009"},{"key":"bibr26-0009922819832021","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1984.03350040068030"},{"key":"bibr27-0009922819832021","doi-asserted-by":"publisher","DOI":"10.1002\/acn3.70"},{"key":"bibr28-0009922819832021","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000025"}],"container-title":["Clinical Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0009922819832021","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0009922819832021","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0009922819832021","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T16:30:08Z","timestamp":1777393808000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0009922819832021"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,2,21]]},"references-count":28,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2019,5]]}},"alternative-id":["10.1177\/0009922819832021"],"URL":"https:\/\/doi.org\/10.1177\/0009922819832021","relation":{},"ISSN":["0009-9228","1938-2707"],"issn-type":[{"value":"0009-9228","type":"print"},{"value":"1938-2707","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,2,21]]}}}