Barbara L. Trommer MD Pediatric Neurology . Associate Director, Maimonides Developmental Center . Medical School: Columbia University . Fellowship: Children's Memorial Hospital Northwestern University Medical School Pediatric Neurology
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Whats the job of the Pediatrician? For one thing, surveillance. Surveillance is the ongoing process of identifying children who may be at risk and has been analogized with a moving picture of the child's unfolding development. This means that when you see a child for routine visits, you ask for a family history of affected siblings, you ask open ended questions; how is the child's language coming along. You ask about language and social milestones. I really wanted to again drive this point home, it's really easy to fail surveillance. I want to lower your thresholds for worrying about this diagnosis and initiating the right steps to get help and more precise diagnosis for your patients. All you have to do to fail surveillance is have two or more of the following: a sibling, who is already affected, a parent, who is worried, another caregiver who is worried, or have some concerns yourself just on the basis of some of the simple questions that you have asked. I might even go so far as to say, you fail surveillance if a parent tells you I am worried that my kid is on the Autism Spectrum. By fail surveillance, I mean, need to prompt further steps toward evaluation.

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