Well Child Care

(newborn, infant, child)

Anticipatory guidance
Circumcision
Crying / colic
Dental health
Discipline / Parenting
Growth – Head circumference, Height, Weight, Body mass index
Healthy active living
Hearing
Hypertension
Immunizations
Injury prevention
Normal development
Nutrition & Feeding
Sleep issues
Social-economic / cultural / home / environment
Sudden Infant Death Syndrome

  • Describe the use and limitations of tools to support periodic health supervision
  • Describe the principles of screening tests
  • Describe how cultural values influence health and health care interactions
  • Take a family history to identify increased risk for inherited conditions and discuss mechanisms and patterns of inheritance
  • Describe the nutritional requirements for growth and maintenance of health for infants, children and adolescents
  • Compare breast and formula feeding
  • Describe how vaccines work and the diseases they prevent
  • Summarize the benefits and contraindications of immunizations
  • Describe the epidemiology of childhood injury
  • Describe age-related measures to reduce injury in the pediatric population
  • Identify risk factors for hearing impairment
  • Describe normal dental development
  • Describe the pathophysiology of and risk factors for dental carries and gingival disease
  • Explain the concept of reinforcement and factors that influence learning and behavior
  • Describe sleep physiology and stages, sleep needs for different age groups, and best practices for sleep hygiene
  • List the effects of sleep deprivation
  • List risk factors for and strategies that decrease the risk of Sudden Infant Death
  • Describe the concept of developmental surveillance

Overview & Foundational Knowledge

Phillpi WJB.  Care of the well newborn. Pediatrics in Review 2012; 33: 4-18.

Overview article; very comprehensive article covering many aspects of neonatal evaluation and care (antenatal care, early postpartum transitioning, anticipatory guidance, discharge readiness).

Hunt, CE & Hauck, FR. Sudden infant death syndrome. Canadian Medical Association Journal 2006; 174(13): 1861-1869.

Review article on SIDS.

Kenyon C et al. Revisiting the social history for child health. Pediatrics 2007; 120: e734-8.

Overview of the social history and the IHELP pneumonic.

Rourke Baby Record: Evidence-based infant/child health maintenance guide

http://www.rourkebabyrecord.ca/evidence.asp

*This is recommended as a MUST READ resource*

Bradford NF. Overweight and obesity in children and adolescents.  Primary Care. Clinics in Office Practice 2009; 36: 319-339.

Definitions, etiology and management of obesity but uses older Centre for Disease Control (CDC) charts.

Clinical Resources

http://www.cpeg-gcep.net/content/who-growth-charts-canada

The Canadian Pediatric Endocrine Group (CPEG) believes that it is optimal to have a single set of growth charts nationally and have therefore officially endorsed the 2014 revision to the WHO growth charts for Canada with a preference for the use of set 2 (see link).

Public Health Agency of Canada: Immunization Schedules

http://www.phac-aspc.gc.ca/im/ptimprog-progimpt/table-1-eng.php

http://www.phac-aspc.gc.ca/im/ptimprog-progimpt/table-1-fra.php

Immunization schedules including catch up schedules and provincial schedules, in English and French.

Healthy active living: Physical activity guidelines for children and adolescents

http://www.cps.ca/en/documents/position/physical-activity-guidelines

http://www.cps.ca/fr/documents/position/directives-activite-physique

Canadian Paediatric Society Position Statement (2012). *This is recommended as a MUST READ resource*

Effective discipline for children

http://www.cps.ca/en/documents/position/discipline-for-children

http://www.cps.ca/fr/documents/position/discipline-aupres-enfants

Canadian Paediatric Society Position Statement (2004, 2013) *This is recommended as a MUST READ resource*

Melatonin for the management of sleep disorders in children and adolescents.

http://www.cps.ca/documents/position/melatonin-sleep-disorders-children-adolescents

http://www.cps.ca/fr/documents/position/melatonine-pour-traiter-troubles-du-sommeil-enfants-adolescents

Canadian Paediatric Society Statement (2012), Community Paediatrics Committee. Overview of sleep problems and recommendations for behavioural management and use of melatonin.

Pediatric Blood Pressure Tables

http://www.nhlbi.nih.gov/guidelines/hypertension/child_tbl.htm

Tables of normative values (percentiles) for pediatric blood pressure based on age, gender and height percentile. Mandatory resource for evaluating blood pressure in pediatric patients.

The Well Child Visits

http://videos.undergroundmed.net

Seven-minute video on the components of the well-child visit history and physical exam. Search site for “well child visits” under “pediatrics.”

Calculating Calories for Infant Feeding

http://videos.undergroundmed.net

Outstanding six-minute video on calculating calories and volumes for infant formulas and breast milk. Search site for “calculating calories” under “pediatrics.”  Uses both mL and ounces.

Clinical Presentations