The first year of life is of particular importance. During this period many neurodevelopmental, metabolic, and physical disorders become apparent. Abnormalities recognized and promptly addressed may improve or at least preserve overall function and quality of life. Anticipatory guidance, addressing parental concerns, and maintaining appropriate levels of immunizations are the priority in well infant exam care.
Parental expectations regarding care of a well infant range from a short conversation answering specific questions or concerns to a complete examination, screening tests, and age-specific immunizations. Although there is no direct evidence of benefit from repeated physical exams, they are routine in most US pediatric practices.
The age-specific recommendations and priorities included are based on current "Bright Futures" recommendations from the American Academy of Pediatrics (AAP), which encourage the most comprehensive level of screening and management. Additional recommendations from the Cochrane databases and other organizations such as the American Academy of Family Physicians (AAFP), the Centers for Disease Control (CDC), the World Health Organization (WHO), and the US Preventive Services Task Force (USPSTF) are also included:
Pediatric Emergency Medicine
Ochsner Clinic Foundation
Senior Lecturer Paediatrics/Paediatric Emergency Medicine
Ochsner-Queensland Clinical School of Medicine
University of Queensland
JRH declares that he has no competing interests.
Professor of Clinical Pediatrics
Albert Einstein College of Medicine
Chief of Neonatology Children’s Hospital at Montefiore
DC declares that she has no competing interests.
Associate Professor of Pediatrics/Neonatology
LAC+USC Medical Center
LB declares that she has no competing interests.
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