AAP Announces New Screening Tool for Resident Developmental Delays

Dr. Slop

OKLAHOMA CITY, OK – American Academy of Pediatrics (AAP) has responded to a request from the American Medical Association (AMA) and constructed a new screening tool for recognition what the AMA designated as “residency developmental delay” (RDD). Per AMA, a new survey found that about 10% of residents, similar to pediatric patients, may suffer from RDD. Positive screening may necessitates referral to one of the Early Residential Intervention (ERI) centers.

Motor/fine motor development:

Age in life / residency	Pediatric patient	Resident
0-1 months	Visual acuity of 20/400 Hands flexed and fisted Can fixate on face at 8-15 inches	Visual diagnostic acuity of 1/400 Hands flexed when holding sign-out papers Can distant self from upper level by 8-15 inches
2 months	Can lift head when in prone position	Can lift head from paper stack when presenting a patient
6 months	Can sit with support	Can create assessment and plan with upper level’s support
12 months	Can take few steps independently Demonstrate object permanence	Can take few steps independently when called to evaluate a patient Demonstrate disease permanence despite ongoing treatment
24 months	Can climb up and down stairs Runs well	Can climb up and down stairs without portable computer (WOW) Runs well when a code is called
36 months	Build a 3 block bridge Uses a spoon effectively	Builds a 3-dagnosis assessment Uses consults effectively

Language/Social development:

Age in life / residency	Pediatric patient	Resident
0-1 months	Startles to sound	Startles to nurses’ sounds.
2 months	Coos and laughs Social smile	Coos when asked questions Embarrassed smile
6 months	Babbles with consonant sounds	Babbles with consonant sounds when asked a question
12 months	Says at least one word clearly	Says at least one word clearly when speaking with a consult
24 months	2 word phrases Speech is 50% intelligible Identifies 6 body parts	714-word phrases when speaking with a consult Speech is 5% intelligible to patient Identifies 3 involved systems/organs
36 months	Demonstrate a memory for pictures Speaks with a 3-4 words sentences Uses “what” and “who” questions Speech is 75% intelligible	Demonstrate a memory for previous patients Speaks with a 3-4 words sentences Uses “what da” and “who cares” questions Speech is 0% intelligible Falls asleep during morning rounds, noon conferences and grand rounds