 Iowa City Community School District  Regina Education Center  In April  7-12 th graders

 Done since 1984 by community volunteers  Student numbers have declined over the years  Volunteers have pulled out for various reasons  Poor environment to conduct adequate physical exam  Used as substitute for medical home/ preventative care

 Iowa City Community School District continues to grow and change  11,400 students  27% poverty  4-7 % uninsured  3 junior high schools  2 traditional high schools ▪ 1800 students ▪ 1400 students

 Convenience for students  Decreases school staff time needed to oversee that students obtain annual physical and return form  Opportunity for private practitioners, U of I, etc. to support school district

 District athletic trainers  Contact volunteers  Send information to schools, who then disseminate to students  Put information on website  Oversee actual event

 Parents  Community - RNs, MDs, NPs, PAs  U of I – Athletic training students  Orthopedics

 Healthy Kids Community Care school based health clinic – free medical care to uninsured, underinsured  Do 50+ additional pre-participation exams throughout the school year

 Pros –  Convenience  Excellent ortho exam  May meet the needs for uninsured  Cons –  Not adequate physical exam??  Is a substitute for primary care/ annual physical  Doesn’t qualify for non-interscholastic activities

 Offer more comprehensive services in clinic setting  Thorough physical exam  Immunizations  Anticipatory guidance  Establish primary care/ medical home  Connect families with health care resources, i.e. hawk-i, medicaid

 Sports Medicine Department could offer free or low-cost pre-participation sports physical on a specific nights/ days in your clinics throughout the year  OR collaborate with Department of Pediatrics to do this