Although not a comprehensive health evaluation, the PSE is viewed as such by many parents and adolescents. In this regard, these athletes are getting a lower standard of care than recommended; however, the mechanism wherein the PSE can become a cost-effective comprehensive examination has not been established. The PSE is one method of injury prevention in that it is designed to identify medical conditions that would be worsened by participation in exercise and sports. Pediatricians should use this examination as a quality control point during the year to assess how medical conditions and musculoskeletal injuries have been diagnosed and managed in the context of sports.