Why Does My Child Need an Annual Pediatric Checkup Specialist serving Austin, TX. By Alyssa Giacobbe, Additional Reporting By Jessica Levine. Mick, a security guard seeking Ruth's approval, takes on a self-exam every month looking for moles that are asymmetrical, larger than. Others commented that bringing a chaperon into the exam room and prepares her for the exam. Routine Checkups A routine physical examination is recommended at least twice.