Ram Kairam, M.D
Primary Goals for this Rotation
Prevention
Understand the role of the Pediatrician in the prevention of developmental
and behavioral problems in children.
Describe the common prenatal influences that impair typical development
Describe the common postnatal influences that impair typical development
Describe the common environmental, social and family influences that promote
optimal development and behavior of a child
Describe the common environmental, social and family influences that
interfere with the typical development and behavior of a child
Refer patients at risk to appropriate early intervention services and
specialists
Advocate for patients with special developmental, behavioral, and
educational needs
Normal versus Abnormal
Develop a working knowledge of typical development and behavior for children
and families and apply this knowledge in the clinical setting to
differentiate normal from abnormal states.
For each of the domains of child development:
Describe the spectrum of
age-appropriate development and variations from typical for children from
birth through adolescence
Identify major theories of development
Discuss how different
developmental domains interact and influence one another at different stages
of development
Counsel families on the
variations within typical development
Anticipatory Guidance
Provide appropriate anticipatory guidance related to common developmental
and behavioral issues.
Provide anticipatory guidance to parents about expected behaviors or
milestones at a child's next developmental level.
Provide anticipatory guidance to families about developmental aspects of
injury prevention, common behaviors (i.e., feeding), discipline, and child’s
approach to the physical exam and interview.
Undifferentiated Signs and Symptoms
Evaluate and manage common developmental-behavioral signs and symptoms in
infants, children, and adolescents
For developmental-behavioral signs and symptoms in infants, children, and
adolescents:
Perform an appropriate problem-oriented interview and physical examination
Obtain additional information from other related sources (e.g. daycare,
school)
BRONX-LEBANON HOSPITAL CENTER
