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 |
Red flags:
| By end of first year | Still differentiates between rales, rhonchi and crackles
Does not copy forward progress notes Prefers home-made lunch over free conference lunch Actually measures liver span |
| By end of first year: | Uses more than 50 words or more than 2 word phrases when writing progress note
Echolalia of consults’ assessment Still prefers night shifts over calls Still says “thanks for returning a page” |
| By middle of third year | Still takes social history on every H&P
Does not inquire first about patient’s code status when responding to a code Continues to introduce self when taking a consult |
 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)){kind=link}