Which factor is NOT considered when designing the PPE?

When designing the pre-participation examination (PPE), factors such as type of sport, age and level of competition, and predictability of tests are all essential considerations. The type of sport influences the specific risks and physical demands placed on the athlete, which, in turn, informs the medical assessments that may be recommended. Age and level of competition are crucial as they determine the developmental stage of the athlete and the potential for certain injuries. Predictability of tests refers to the effectiveness and reliability of various assessments to reveal an athlete’s health status.

On the other hand, accessibility, while important in a broader context of healthcare provision, is not typically a direct factor in the design of the PPE itself. The PPE is primarily focused on ensuring the athlete can safely participate in their sport. Factors concerning how easily athletes can access the PPE might be important from an operational standpoint, but they do not influence the structure or content of the examination itself. Therefore, the correct choice highlights a factor that does not directly inform the medical evaluation process in designing a PPE.