The overall goal of the pre-participation evaluation (PPE) is to help maintain the health and safety of athletes by screening for injuries, illnesses, or other factors that increase an athlete’s risk for injury or illness. Its purpose is not to exclude athletes from participation but to promote safe participation. If not medically eligible for chosen activity, most athletes can be rehabilitated or redirected to another sport. Policies and legislation should include the following principles:
1) A complete PPE should be performed before the athlete enters a new level of participation and when changes in status may warrant a new exam.
2) A licensed physician (doctor of medicine or doctor of osteopathy) is the most appropriate person to perform the PPE.
3) A sample PPE recommended by the Preparticipation Physical Evaluation Monograph, 5th Edition
currently meets the requirements of a PPE and is encouraged to be used at all levels of sport.