How many times do you hop in a day?
Monday, June 25, 2012
For me, it's directly proportional to the number of 3 year old children on my schedule.*
If you are going into pediatrics, you will get to know your developmental milestones. [There is also an extensive pediatric milestones project from the ACGME/ABP, but that's another blog post for another day.]
So, as you are honing your skills in child development, for every child you encounter, you can get a sense of what they can, cannot, and cannot yet do. Note their chronologic age and any prematurity, but know their developmental age. Ask yourself what you might expect
them to do, but that they aren't demonstrating presently because they are:
- not feeling well
- momentarily mad at you
You'll study the charts, tables, and maybe do some multiple choice questions. But you will enrich this knowledge by closely observing the children around you.
Ask families bringing children in for check ups what new things their child is doing since the last time they were in the office.
The CDC tells parents to learn the signs, act early
, which makes a lot of sense. Here's a developmental milestones list
and some things that might concern you.
*Oh, and I take the opportunity to jump up in the air --and even jump forward quite a bit-- at many a preschooler's well child check. But then again, I am a primary care pediatrician.
When was the last time you balanced on one foot, or skipped? And when was the last time you did so at work?
About the Expert
Terry Kind, MD, MPH, is Director of Pediatric Medical Student Education at Children's National Health System. For the last decade she has also served as a primary care pediatrician at the Children's National Health Center at Martin Luther King, Jr., Avenue, in Washington, DC.