IMC’s Dr Lim Hui Ling answers frequently asked questions about school medical examinations.

Children enrolling for school, summer camps or a sports team may be required to undergo a medical. This is a good opportunity to evaluate your child’s overall health, update any necessary vaccinations and screen for any unrecognised medical problems.
Q. Why conduct a medical?
A. Most international schools want to ensure your child is not carrying any infectious diseases, is physically fit and properly vaccinated. Some are also interested in the psychological development of your child and whether they have any special needs. The requirements vary greatly from school to school and can range from half-a-page to a comprehensive four-page form. Children involved in competitive sports or physically strenuous camps may require an annual medical. If your child has not had a check-up for a while, this is also a good opportunity for the doctor to review their growth and development and assess any minor symptoms pointing to a more serious problem, such as snoring or allergies. You can also catch up on any overdue vaccinations.
Q. Does my child need to be present?
A. Yes. The doctor cannot simply sign the form. He or she is entrusted to confirm your child is well and fit. Also, previous medical visits may not have focussed on the relevant aspects outlined in the form.
Q. What happens during the medical?
A. A nurse will check your child’s weight and height, blood pressure and basic vision before the doctor’s consultation. So arrive earlier than the stipulated time especially if you’re bringing a few children in one visit. During the consultation, the doctor will go over your child’s medical and vaccination history, and perform a thorough physical examination, according to the requirements of the school. Sometimes, vaccinations may be required during the examination.
Q. How should we prepare for the examination?
A. Review the form ahead of time so you know what’s required. Bring it along together with all other medical records including vaccination records. Inform your child about the check-up but don’t stir any anxiety by talking excessively about vaccinations and try not to focus on the fact that needles might be involved. On the day, bring along your child’s favourite toy and a treat. Schedule the appointment as soon as you receive the forms so you’ll not be rushing at the last minute. This is especially important if the medical is required for relocating to a foreign school as some require more in-depth and time consuming tests and x-rays. And if a medical issue is detected, there’ll be a need for further investigation or referrals.
Dr Lim Hui Ling
MBBS MMed (Family Med) MCFP(S)
Dr Lim is a Senior Family Physician at IMC’s Jelita clinic with an interest in women’s health, asthma and allergies, breastfeeding and minor surgery. She is also a Collegiate Member of the College of Family Physicians and was awarded her Masters in Family Medicine in 1999.