The Importance of a Physical

The American Academy of Pediatrics recommends a physical examination every year up to the age of six and then every other year thereafter. Because a child’s health can change from year to year it is important to receive a complete examination on an annual basis.

Boys Town Pediatrics recommends scheduling a visit with your child’s doctor as opposed to relying on sports physicals offered by your child’s school. School physicals tend to be less thorough than those conducted at a doctor’s office. Although a school doctor will ask about your child’s medical history, it is advantageous for your child to see his or her own doctor. Your child’s doctor has a complete medical history on file and can pay special attention to certain issues that another doctor would not.

When a Physical is Necessary?

Although most schools do not require that a child complete a physical exam before the beginning of each school year, there are many instances in which a child’s school does require a physical by a pediatrician or other physician. Such instances include:

• Kindergarten − The state of Nebraska requires that all students in kindergarten through high school have up-to-date immunizations. In addition, most schools require that students have a physical examination within six months prior to beginning kindergarten.
• 7 th grade − Most schools require that all students complete a physical exam before entering the 7 th grade. Students are also required to get up-to-date immunizations before beginning 7 th grade.
• Transfer students − Students transferring from outside the state of Nebraska are also required to show proof of up-to-date immunizations. Many states have different immunization requirements; therefore, transfer students often must receive additional shots in order to begin school.
• School sports − Students must complete a physical exam before participating in any school sports, including cheerleading and dance. Such physicals identify any health issues that might put a student at risk during practice or competition.

What Does a Physical Involve?

An annual physical assesses your child’s growth and development. It will also check weight, blood pressure, cholesterol, vision, hearing, physical, emotional or social health concerns. A pediatrician may also check for conditions such as scoliosis, diabetes, anemia and urological problems.

Your child’s physician will also ensure that all immunizations are up-to-date and administer shots if necessary. Often, new immunizations have been introduced since a child was last immunized.

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