Monday, October 14, 2019

First Stop: Your Pediatrician

Our colleagues at the American Academy of Pediatrics (AAP) just released an extensive report aimed at informing their members of their important role in recognizing and helping to treat many problems that relate to learning and development,. Starting in infancy, long before a child is first enrolled in school, it is the pediatrician who often can spot a problem that can be addressed early to improve a child's chances of success in school. Screening for vision and hearing deficits, lags in motor and language development, and psycho-social family issues can all lead to interventions that can improve a child's chances of succeeding in school and in life.

As children reach school age, even before parents turn to their school system for help with learning or behavior issues, a child's pediatrician can pick up on a wide array of conditions -- genetic, neurological, medical, emotional -- that can have a wide ranging affect on how a child functions in and outside of school. While the AAP article is aimed at pediatricians, to guide them in their role in diagnosing issues that can get in the way of school success, it is also important that parents understand how their child's pediatrician can be an important first stop when things are not going well developmentally or academically.


There is a concept in medicine called "differential diagnosis" that plays an important role in helping to understand what is going on when children struggle. Pediatricians are trained to apply this concept when dealing with their patients and it is at the core of what we do here at The Yellin Center. As Dr. Yellin (a pediatrician and a member of the AAP) explains, you can use the analogy of a child with a cough. Before treating the cough, it is crucial to understand why the child is coughing. Does he have an upper respiratory infection, a bone stuck in his throat, asthma, or pneumonia? Only by looking for the cause of a problem can an effective solution be applied. Many learning or school problems require this same approach; only by looking deeply and ruling out many of the problems pediatricians are trained to consider can families begin to help their child get the help he or she needs.

Pediatricians are also excellent sources of referrals. They will be able to suggest educational evaluators (and many of our families are sent to us by their pediatrician for an evaluation for suspected learning or attention difficulties), or send a child to have their vision or hearing explored in depth, or recommend a therapist or other professional if there are signs of serious emotional or family difficulties. Parents should use their child's pediatrician, and the expertise and experience he or she offers, as an important resource when children are struggling in school.

Photo: Alex Proimos/Flickr Creative Commons


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