These exams are known as a Pre-participation Physical Evaluation (PPE) as recommended and supported by the American Orthopaedic Society for Sports Medicine, and the American Osteopathic Academy of Sports Medicine. The overall goal of the PPE is to help maintain the health and safety of the athlete in training and competition. If you’re looking for a physical exam that covers all the components to: Detect conditions that may predispose to injury, detect conditions that may be life-threatening or disabling, determine general health, counsel on health-related issues, and assess fitness level for specific sports, then you have come to the doctor who will provide this examination. We recommend these exams be performed by our doctor 2-4 weeks prior to athletic activity beginning. Studies show 0.3% to 1.3% of athletes are denied clearance during the PPE and 3.2% to 13.5% require further evaluation in order to be cleared. Finding this out the day before training begins can make for a difficult transition.