OBJECTIVES (General Infant Development)
- Understand typical infancy development milestones
- Understand child temperament styles
- Understand how to perform screening and surveillance for developmental delays
- Understand the role of early intervention
- Learn how to get help for developmental issues that arise in general pediatrics
Legend
Video
Reading
Module
**Required learning
Individual Learning
- Typical Development (Day 6)
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- **Baby Talk: 6-minute video on how speech develops in the first year presented by a speech pathologist
- **CDC’s Milestones in Action: Photo & Video Library of typical milestones in all developmental domains
- Optional Resources:
- **Developmental Milestones: Peds in Review article. Has a nice chart of typical developmental milestones in all domains
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- Atypical Development (Day 7)
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- **When & How to Screen for Developmental Delays (AAFP) — Article has good algorithms, visuals, and data on the sensitivity/specificity of different developmental screening tools (7 pages)
- **Normal & Abnormal Neurological Exams: Birth to 30 months — View some video clips; keep in your toolkit as a reference for doing neurological exams
- **Hammersmith Infant Neurological Exam — Review HINE PowerPoint presentation from UW Institute on Human Development and Disability’s Brooke Fitterer, PT, DPT, PCS and Sue Wendel, MS, OTR. Includes videos on how to perform HINE assessment.
- **Navigating Your Way: Informing Families — Video on early intervention, how it works, when to refer, and other community resources (SSI, Within Reach, wraparound, etc) (~12 minutes)
- **Early Intervention and the Role of the Pediatrician (Peds in Review): By our very own Lisa Herzig (9 pages!)
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- Temperament (Day 8 & 9)
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- **Development of Attachment — 25 minute module on how attachment develops, institutionalized children, and early emotional bonding. Reading the transcripts rather than clicking through modules is fine
- Temperament Topic of the Week — Review Mollie Grow’s TOW for a theoretical understanding of infant temperament types, and how to use this to discuss parent/infant compatibility
- Optional Resources:
- Attachment in Practice — 20-minute module on attachment behaviors and responding to infant cues
- Temperament: A tool you can use for parents to identify their child’s temperament and their own temperaments to aid reflection and understanding
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- Prematurity (Day 10)
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- **Neurodevelopmental Follow-Up of Preterm Infants (8 pages)
- **Primary Care Developmental Follow-Up Framework for Preterm Infants (11 pages) 2023 AAP Article
- **Watch 23 weeks and 6 days (~6 minutes)
- Prematurity Pathway — Continuity clinic pathway for prematurity that was developed by a recently graduated resident, Sam Haley. One of the really impressive resident COVID projects (championed by our first group of residents on the DBP COVID-era curriculum) was creating several of these outpatient pathways to help streamline evidence-based care for common developmental and behavioral problems that show up in continuity clinic
- Optional Resources:
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- **Guided Learning Sessions for the Week:
- Temperament by Dr. Julia Mattson
- Typical Child Development by Dr. Emily Myers
- DBP Prep Questions: PREP Case-Based Questions
- (Optional) Movie Night:
- Babies Documentary (Trailer): Need Amazon Prime account to view documentary (Video). Note: This is not the same as the new 2020 Netflix documentary, which goes into very interesting science but is several episodes. The Amazon documentary is 90 minutes and has no dialogue — just follows 4 babies as they grow into toddlers around the world.
- Weekly Check-In with the fellows (1 hour): Goals — Time to reflect on learning of this week, ask questions, discuss cases.