A variety of screening programs are carried out in schools. Some of these, such
as scoliosis screening, are of questionable medical importance. Others, such as
vision and hearing testing, are very important but overinclusive. These
programs must be combined with reliable follow-up systems for all positive
findings. The follow-up examination may be done by the school physician, but
it is preferable to refer the child to a personal physician or clinic that can
oversee treatment and continued evaluation.
Physicians who receive these referrals should make a careful evaluation of any
abnormalities detected on screening and notify the school of the disposition of
the referral unless the child’s parents object. School physicians must ensure
that the child keeps the referral appointment and is properly evaluated.