Developmental Surveillance and Screening in the Medical Home
Audio Teleconference
On January 19th, 2005, Paul Dworkin, MD, FAAP and Lina Salazar, a parent partner, discussed the importance of ongoing surveillance, proper methods of screening, appropriate follow up, and available resources to assist you with integrating developmental screening into the medical home you provide.
Audio of the Teleconference is available by clicking here.

Objectives 1. Define and understand the importance of ongoing surveillance; 2. Understand what constitutes surveillance, the proper methods of screenings, and their importance as part of the care provided in the medical home; 3. Describe the barriers to surveillance and screening and identify strategies to address them; 4. Identify recommended tools and resources to assist in integrating screening into practice, and; 5. Identify proper follow-up strategies after screening tests are performed

Agenda and Speakers
I. Welcome/Speaker Introduction
Amy Brin, MA*

II. Presentation
Developmental Surveillance and Screening in the Medical Home Slide set
Paul Dworkin, MD, FAAP§
Lina Salazar, Parent‡

The aim of this presentation is to discuss the importance of developmental surveillance within the medical home and to suggest possible use of screening tools as indicated by surveillance. Proper follow-up and documentation strategies are also discussed.

III. Question & Answer

IV. Closing and Evaluations
If you have listened to the audio recording of the teleconference online, your input is most valuable in planning future AAP teleconference-based programs. Please take a couple of minutes to complete the evaluation and email it to Holly Noteboom at hnoteboom@aap.org.

* Amy Brin, MA
AAP Manager, Screening Initiatives | abrin@aap.org
Manages the newborn/infant screening initiatives in the areas of genetic/metabolic disorders and preschool vision screening. Efforts are aimed to assist in reducing disparities among state newborn screening programs, develop parental and pediatric clinician educational materials on newborn screening and in the standardization of preschool vision screening guidelines.

§ Paul Dworkin, MD, FAAP
Dr. Dworkin is Professor and Chair of Pediatrics, University of Connecticut School of Medicine and Physician-in-Chief, Connecticut Children’s Medical Center. He received his A.B. from Rutgers University and his M.D. from the Johns Hopkins University School of Medicine. Training at the Children’s Hospital, Boston fostered his career interests in enhancing developmental and behavioral services in primary care. He is a member of the Board of Directors of numerous organizations, including the Child Health and Development Institute of Connecticut, the Children’s Fund of Connecticut, the Children’s Trust Fund, and the Women and Children’s Health Network. He is a former chair of the American Academy of Pediatrics Committee on Scientific Meetings and past editor of the Journal of Developmental and Behavioral Pediatrics. Dr. Dworkin has authored and edited more than 100 articles, chapters, and books. His honors include teaching awards, visiting professorships, and named lectureships. In 2003, he received the prestigious C. Anderson Aldrich Award from the American Academy of Pediatrics in recognition of achievement in the field of child development. His vision has led to the creation of Help Me Grow, a statewide initiative to promote the early detection of children with developmental and behavioral problems.

‡ Lina Salazar
Lina Salazar is a Site Manager for the Salvation Army but most importantly a single mother of a 10-year-old boy who is currently diagnosed with Impulse Control Disorder and Disruptive Behavior Nos, although this diagnosis may soon change. The gravity of her son’s emotional distress was not clear when he began having problems 4 years ago nor was it clear how much it was affecting him until he was recently hospitalized. Lina is continually working to ensure her son receives appropriate testing and care.

Resources
Every Child Deserves A Medical Home Curriculum
The medical home training curriculum focuses on how to ensure that all children, especially those with special needs, have a medical home (care that is accessible, family-centered, continuous, comprehensive, coordinated, compassionate, and culturally competent) in changing health care environments. Practical strategies are set forth in the medical home training program with the expectation that participants will use them to provide medical homes for children with special health care needs.

Learn The Signs. Act Early.
A national campaign to increase awareness and action in the early identification of children with autism or other developmental disorders.

The Centers for Disease Control and Prevention (CDC) has launched an awareness campaign to educate parents about childhood development, including early warning signs of autism and other developmental disorders. The earlier a child with a developmental delay receives appropriate assessment and intervention, the better the developmental outcome can be. To help prepare the health care community for the anticipated increase in questions and requests for information from parents, CDC has developed a Provider Resource Kit. This kit contains materials designed to help health care professionals communicate with parents about childhood development, what parents should be concerned about, and the warning signs of autism and other delays. Please visit the campaign website at www.cdc.gov/actearly to view the campaign resources designed for health care professionals – you can download them from the website or order materials to be mailed to your office at no charge to you.

Medical Home & Early Intervention Programs Brochure
To order: please e-mail hnoteboom@aap.org or send a request to:
Holly Noteboom
141 Northwest Point Blvd
Elk Grove Village, IL 60007
847/434-7081
847/228-7035 (f)

The CME teleconference was funded through a cooperative agreement between the AAP and the National Center on Birth Defects and Developmental Disabilities at the Centers for Disease Control and Prevention.

Last Updated March 6, 2007