Providing well child care (WCC) can be incredibly rewarding as a pediatrician, especially if you have the right tools and knowledge. This week is an opportunity to review some of the resources and tools available to you. There is recognition that providing comprehensive WCC is difficult in a 15-20 minute visit, so we have to prioritize.
Bright Futures is the AAP-endorsed and supported guidance for primary care practices (medical homes) to help providers decide which components to include in comprehensive well-child and adolescent care. For each recommended well child check from newborn to age 21, there are guidelines for screening and a “menu” of 5 possible anticipatory guidance topics.
For this week, review cases and questions here: Health Supervision Case and Discussion 2015
Also, here's a mnemonic for what to address in WCC visits-"CHECUP":
C -Concerns (or questions)
H -History (past medical, birth, family, social)
E -Environment (home, typical day, nutrition, sleep)
C -Child (development, growth, voiding)
U -Unanswered questions (inquire about further concerns)
P -Prioritized anticipatory guidance
Check out these helpful references:
1. Committee on Practice and Ambulatory Medicine and Bright Futures Steering Committee. Recommendations for preventive pediatric health care. Pediatrics. 2014;133(3): 568-70.
AAP Periodicity schedule
2. Coker TR. Does Well-Child Care Have a Future in Pediatrics? Pediatrics. 2013;131(S149): s149-159. Well-Child Care