It is important for parents to ask the doctor doing their child's pre-participation physical exam (PPE) is they can know and can articulate how it its different from a regular physical, says James MacDonald, MD, MPH, Clinical Assistant Professor of Pediatrics and Family Medicine, The Ohio State University, Nationwide Children's Hospital in Columbus, Ohio. If the doctor isn't familiar with the PPE monograph, parents should consider having the PPE done by a different doctor.